Journal of clinical anesthesia
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Randomized Controlled Trial Clinical Trial
Oxygen administration during transport and recovery after outpatient surgery does not prevent episodic arterial desaturation.
To compare the efficacy of two different oxygen (O2) delivery systems in preventing episodic arterial desaturation in the immediate postoperative period. ⋯ Routine O2 administration during transport and PACU stay did not abolish episodic desaturation, even in healthy patients undergoing minor surgical procedures. Given the marked difference in acquisition cost, it would appear that O2 administration by nasal cannula is a more cost-effective alternative for routine postoperative O2 administration in certain groups of patients undergoing general anesthesia for outpatient surgery.
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Randomized Controlled Trial Clinical Trial
Propofol permits tracheal intubation but does not affect postoperative myalgias.
To determine the effect of propofol without succinylcholine on intubating conditions and postoperative myalgias in ambulatory surgical patients undergoing general anesthesia. ⋯ Propofol did not affect the incidence or severity of postoperative myalgias following succinylcholine.
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Randomized Controlled Trial Clinical Trial
Intravenous trimethaphan during epidural plus general anesthesia decreases the direct radial artery pressure lower than the brachial artery pressure.
To determine whether vasodilators such as sodium nitroprusside (SNP) and trimethaphan (TMP) produce a pressure difference between the radial artery and the brachial artery during epidural plus general anesthesia or simple general anesthesia. ⋯ Our results demonstrate that TMP decreases the direct radial artery systolic and mean pressures to levels below the brachial artery systolic and mean pressures in patients who received epidural plus general anesthesia.
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Randomized Controlled Trial Clinical Trial
Neurocirculatory responses to intubation with either an endotracheal tube or laryngeal mask airway in humans.
To compare the sympathetic and hemodynamic responses to intubation with either an endotracheal tube (ETT) or laryngeal mask airway (LMA). ⋯ Because of the substantial reduction in the neurocirculatory responses to the LMA versus ETT, the LMA may prove advantageous in patients in whom HR and MAP increases may predispose to adverse cardiac or cerebrovascular events.
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparison of sevoflurane with halothane in outpatient adenotomy in children with mild upper respiratory tract infections.
To investigate the efficacy and safety of sevoflurane compared with halothane in pediatric outpatient ear-nose-throat (ENT) surgery during the induction, maintenance, emergence, and recovery of anesthesia. ⋯ Sevoflurane provides a safe and rapid anesthetic induction with no differences in complications during the induction, maintenance, and emergence period. With sevoflurane, the time of emergence and recovery was significantly shorter. The characteristics of sevoflurane as evaluated in the present study make it a suitable anesthetic in pediatric outpatient surgery even in the presence of mild URI.