Journal of clinical anesthesia
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Randomized Controlled Trial Comparative Study Clinical Trial
Ketorolac or fentanyl to supplement local anesthesia?
To evaluate the usefulness of ketorolac in the treatment of intraoperative pain refractory to the administration of local anesthetic alone. ⋯ Ketorolac is a useful alternative to fentanyl for the treatment of intraoperative pain refractory to the administration of local anesthetic alone during monitored anesthesia care. A decided advantage of ketorolac over fentanyl is the absence of nausea and vomiting in the intraoperative and postoperative periods.
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Randomized Controlled Trial Clinical Trial
Butorphanol for the relief of shivering associated with extradural anesthesia in parturients.
To assess the efficacy of butorphanol for the relief of shivering following the epidural administration of 2% lidocaine. ⋯ Epidural butorphanol is effective in the treatment of postepidural shivering associated with epidural lidocaine. Epidural agonist opioids have been reported to be efficacious in the management of postepidural shivering. This study demonstrated that a partial agonist opioid also is effective in the treatment of postepidural shivering.
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Randomized Controlled Trial Clinical Trial
Elderly patients recover more rapidly from desflurane than from isoflurane anesthesia.
To compare the hemodynamic, emergence, and recovery characteristics of desflurane-nitrous oxide (N2O) anesthesia with those of isoflurane-N2O anesthesia in elderly patients. ⋯ Desflurane may benefit elderly patients by providing a more rapid recovery from anesthesia, leading to a shorter PACU stay.
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Randomized Controlled Trial Comparative Study Clinical Trial
Three balanced anesthetic techniques for neuroanesthesia: infusion of thiopental sodium with sufentanil or fentanyl compared with inhalation of isoflurane.
To compare emergence from anesthesia and the hemodynamic and respiratory depressant effects of thiopental sodium infusion plus sufentanil or fentanyl with those of isoflurane as the primary component of a balanced technique for neuroanesthesia. ⋯ Any one of these balanced anesthetic techniques appears appropriate for craniotomy.
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Randomized Controlled Trial Clinical Trial
Blind oral intubation: the development and efficacy of a new approach.
To develop an approach to blind oral intubation. With the aid of a fiberoptic laryngoscope and stylet within an endotracheal tube, a video camera, a monitor, and a recorder to correlate the effects of various manipulations of the airway on access to the trachea, a suitable approach was devised. We then evaluated its efficacy. ⋯ Blind oral tracheal intubation can be successfully performed in a safe and effective manner after appropriate teaching of the technique.