Journal of clinical anesthesia
-
Randomized Controlled Trial Clinical Trial
Structured preoperative patient education for patient-controlled analgesia.
To investigate the effectiveness of a structured preoperative education program in patients receiving patient-controlled analgesia (PCA). ⋯ Structured preoperative PCA education did not affect patient outcome. The early improvement in patient satisfaction was minimized by continued education and pain team supervision during the rest of the postoperative period.
-
Randomized Controlled Trial Clinical Trial
Tracheal intubation through the laryngeal mask airway using a gum elastic bougie: the effect of head position.
To determine the effect of head position on success of tracheal intubation through a Laryngeal Mask Airway (LMA) using a gum elastic bougie. ⋯ This technique cannot be recommended as an alternative to direct laryngoscopy following a failed intubation.
-
Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Hemodynamics and emergence profile of remifentanil versus fentanyl prospectively compared in a large population of surgical patients.
To compare the responses to, and hemodynamics associated with surgical stress, recovery profiles, and anesthesiologists' satisfaction following balanced general anesthesia using either remifentanil or fentanyl in a large-scale population. ⋯ This study confirms previous observations on the hemodynamic properties associated with remifentanil and extends these to a wider context than previously reported. These characteristics provide clinicians with an alternative in opioid-based anesthesia.
-
Randomized Controlled Trial Multicenter Study Clinical Trial
Does functional ability in the postoperative period differ between remifentanil- and fentanyl-based anesthesia?
To compare patients' functional ability in the 24-hour postoperative period following a remifentanil compared to a hypnotic-fentanyl-treated anesthesia regimen using a 24-Hour Functional Ability Questionnaire. ⋯ A remifentanil-treated anesthetic demonstrated earlier return to some functions than a fentanyl-treated technique. Although functional assessment is a field that is still in its infancy, a questionnaire to assess functional ability during the 24 hours after anesthesia may provide more practical information about anesthetic recovery than previously used, traditional psychomotor evaluations.
-
Randomized Controlled Trial Comparative Study Clinical Trial
A comparison of propofol and remifentanil for sedation and limitation of movement during periretrobulbar block.
To compare clinical conditions in patients sedated with propofol or remifentanil during combined peri-bulbar and retrobulbar block (PRBB) for cataract surgery. ⋯ Respiratory depression with remifentanil was mild and not clinically significant. Remifentanil sedation for this application was superior to sedation with propofol.