Journal of clinical anesthesia
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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Comparison of renal function following anesthesia with low-flow sevoflurane and isoflurane.
To evaluate postoperative renal function after patients were administered sevoflurane under conditions designed to generate high concentrations of compound A. ⋯ There were no statistically significant differences in the renal effects of sevoflurane or isoflurane in surgical patients undergoing low-flow anesthesia for up to 8 hours. Low-flow sevoflurane anesthesia under clinical conditions expected to produce high levels of compound A appears as safe as low-flow isoflurane anesthesia.
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Randomized Controlled Trial Clinical Trial
A comparison of the onset and clinical duration of high doses of cisatracurium and rocuronium.
To determine the onset and clinical duration of cisatracurium and rocuronium in equipotent doses in balanced opioid/isoflurane anesthesia. ⋯ With equipotent intubating doses of rocuronium and cisatracurium, rocuronium produces a more rapid onset of muscle relaxation. The data suggest a tendency toward more rapid clinical recovery of cisatracurium compared to equipotent doses of rocuronium, although these differences were not statistically significant.
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Randomized Controlled Trial Clinical Trial
An alternative method to alleviate postoperative nausea and vomiting in children.
To evaluate whether isopropyl alcohol vapor is an effective treatment for postoperative nausea and vomiting. ⋯ Under the conditions of this study, repetitive inhaled isopropyl alcohol only achieved a transient antiemetic effect in children with established postoperative nausea or vomiting following general anesthesia and surgery.
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Clinical Trial Controlled Clinical Trial
Advanced pulse oximeter signal processing technology compared to simple averaging. I. Effect on frequency of alarms in the operating room.
To determine the effect of a new signal processing technique (Oxismart, Nellcor, Inc., Pleasanton, CA) on the incidence of false pulse oximeter alarms in the operating room (OR). ⋯ Our study did not show a beneficial effect in the OR on the incidence of false alarms of the Nellcor monitor with Oxismart signal processing compared with the Criticare monitor with the longer averaging time of 21 seconds.
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Randomized Controlled Trial Clinical Trial
Lightwand intubation does not reduce the increase in intraocular pressure associated with tracheal intubation.
To evaluate the changes in hemodynamic variables and intraocular pressure (IOP) after tracheal intubation using either lightwand or direct-vision laryngoscopy techniques. ⋯ We conclude that in healthy patients without ocular disease, using a lightwand intubating technique does not reduce the hemodynamic responses and increase in IOP associated with tracheal intubation as compared with conventional direct-vision laryngoscopy.