Journal of clinical anesthesia
-
Randomized Controlled Trial
Effect of the addition of clonidine to locally administered bupivacaine on acute and chronic postmastectomy pain.
To investigate the analgesic effect of adding clonidine to topical bupivacaine for acute and chronic postmastectomy pain. ⋯ The addition of clonidine to topical bupivacaine accentuated its early postoperative analgesic efficacy.
-
A patient who manifested signs of serotonin syndrome during an intravenous anesthetic with remifentanil and propofol is presented. The patient displayed lower extremity clonus, nystagmus, and diaphoresis. ⋯ A presumptive diagnosis of serotonin syndrome was made intraoperatively and all opioids were discontinued. His symptoms resolved in the Postanesthesia Care Unit without incident.
-
Randomized Controlled Trial
Effects of a flash of light in different colors on venous cannulation pain: a randomized, controlled trial.
To determine the effects of a flash of light in different colors on the frequency and severity of pain during venous cannulation. ⋯ Application of a blue light flash before venous cannulation decreased the frequency and severity of pain associated with venipuncture. This method is an effective, easy to perform, and inexpensive way to reduce pain during venous cannulation.
-
Review Case Reports
Severe hypothyroidism presenting as myxedema coma in the postoperative period in a patient taking sunitinib: case report and review of literature.
The case of a 62-year-old Caucasian woman who underwent urgent hip hemiarthroplasty for repair of a pathological fracture is reported. The patient's medical history was significant for renal cell carcinoma, cerebellar metastases, and sunitinib-induced hypothyroidism. Her intraoperative course was complicated by profound hypothermia, bradycardia, augmentation of neuromuscular blockade, delayed emergence, failure of postoperative extubation, and need for mechanical ventilation. The intensive care course was significant for hypothermia requiring forced-air warming, treatment with intravenous thyroxine (T4), and hemodynamic supportive care.
-
Randomized Controlled Trial
The effect of a continuous infusion of low-dose esmolol on the requirement for remifentanil during laparoscopic gynecologic surgery.
To investigate whether a continuous infusion of low-dose esmolol results in an opioid-sparing effect during surgery. ⋯ Intraoperative esmolol infusion decreases both the requirement for remifentanil and postoperative administration of rescue analgesics.