Journal of clinical anesthesia
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Randomized Controlled Trial Clinical Trial
Preoperative intravenous midazolam: benefits beyond anxiolysis.
To evaluate the effect of midazolam on the global perioperative experience, including patient satisfaction, postoperative nausea and vomiting, postoperative pain, and perioperative anxiety and amnesia. ⋯ In addition to the known anxiolytic effects of midazolam, midazolam premedication is an effective way to reduce the frequency of postoperative nausea, and perhaps vomiting, and increase patient satisfaction.
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Randomized Controlled Trial Clinical Trial
Effect of single-dose fentanyl on the cardiorespiratory system in elderly patients undergoing cataract surgery.
To evaluate the effects of fentanyl on the cardiorespiratory system in elderly patients undergoing cataract surgery with phacoemulsification method. ⋯ Fentanyl can be used safely in 0.7-microg/kg dosages in elderly patients to improve patient comfort without any cardiorespiratory side effects, when undergoing cataract surgery with topical anesthesia.
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Randomized Controlled Trial Comparative Study Clinical Trial
The effect of cisatracurium and rocuronium on cisatracurium precurarization and the priming principle.
To demonstrate the effect of administering a precurarizing dose of cisatracurium or rocuronium on the speed of onset of cisatracurium, and to review the possible mechanisms and value of the priming principle. ⋯ Six minutes after precurarization, there is no significant difference between rocuronium and cisatracurium when used as priming drugs. An even faster onset time with both drugs was demonstrated in females. The use of priming doses of 25% to 30% of ED(95) may cause symptomatic muscle weakness. The mechanisms of the priming principle are discussed.
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Randomized Controlled Trial Clinical Trial
Influence of crystalloid and colloid replacement solutions on hemodynamic variables during acute normovolemic hemodilution.
To determine whether, in maintaining normovolemia during acute normovolemic hemodilution, replacement fluid choice influences intraoperative hemodynamic variables. ⋯ During hemodilution, anesthetized patients maintain whole body oxygenation by increasing oxygen extraction. The administration of hetastarch or dextran as the replacement fluid during acute normovolemic hemodilution is associated with a more stable mean arterial pressure, but overall acute normovolemic hemodilution is well tolerated irrespective of the replacement fluid used.
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Randomized Controlled Trial Clinical Trial
Effects of droperidol dosage on postoperative emetic symptoms following pediatric strabismus surgery.
To compare the frequency of postoperative emetic symptoms and side effects in pediatric strabismus surgery using four doses of droperidol. ⋯ Prophylactic administration of droperidol 80 microg.kg(-1) is most effective in reducing postoperative emetic symptoms without increasing time to discharge. In those patients with emetic symptoms who also received prophylactic droperidol, time to discharge was significantly delayed.