Journal of clinical anesthesia
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Randomized Controlled Trial Comparative Study Clinical Trial
Effects of nicardipine-, nitroglycerin-, and prostaglandin E1-induced hypotension on human cerebrovascular carbon dioxide reactivity during propofol-fentanyl anesthesia.
To investigate the effects of nicardipine-, nitroglycerin-, and prostaglandine E1-induced hypotension on cerebrovascular carbon dioxide (CO2) reactivity over a wide range of arterial CO2 tension (PaCO2) (PaCO2; range 25 to 50 mmHg). ⋯ Nicardipine-, nitroglycerin-, and prostaglandin E1-induced hypotension attenuate the human cerebrovascular CO2 reactivity during propofol-fentanyl anesthesia.
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Randomized Controlled Trial Clinical Trial
Influence of the priming technique on pharmacodynamics and intubating conditions of cisatracurium.
To determine the effects of the priming technique on the intubating conditions and pharmacodynamics of different doses of cisatracurium. ⋯ When primed, cisatracurium 0.09 mg/kg and 0.14 mg/kg produced an onset time comparable with that of 0.2 mg/kg and allowed an earlier spontaneous recovery (p < 0.05). In this study, there was no benefit in priming cisatracurium 0.19 mg/kg.
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In adults, peripheral nerve block provides an effective alternative to general anesthesia. In pediatric anesthesia practice, several factors may limit the use of such techniques. ⋯ Cervical plexus block was used to provide surgical anesthesia for superficial/deep lymph node biopsy and excision of a thyroid nodule. The technique for cervical plexus block and its possible application in the practice of pediatric anesthesia are reviewed.
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Comparative Study
Effectiveness of an acute pain service inception in a general hospital.
To assess the effects of an Acute Pain Service (APS) inception on postoperative pain management in a general teaching hospital using pain indicators as performance measures. ⋯ This study validates the benefits of a formal APS, using continuous monitoring of rest pain intensity and analgesic consumption in the postoperative period. Results not only support previous research findings but also offer outcome-based tools to evaluate current practices as compared with desired outcomes.
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To assess the most appropriate postoperative analgesic technique after hip surgery. ⋯ After THA, i.v. PCA with morphine, continuous "3-in-1" block, and PCEA provided comparable pain relief. Because it induces the fewest technical problems and side effects, continuous "3-in-1" block is the preferred technique.