Journal of anesthesia
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Journal of anesthesia · Jan 2005
Randomized Controlled Trial Clinical TrialPatient-controlled epidural analgesia during labor using ropivacaine and fentanyl provides better maternal satisfaction with less local anesthetic requirement.
To test the hypothesis that patient-controlled epidural analgesia (PCEA) using ropivacaine and fentanyl provides better maternal satisfaction and less anesthetic requirement than conventional continuous epidural infusion (CEI) during labor, we studied 58 uncomplicated parturients (singleton, vertex presentation). ⋯ We found that PCEA was an effective means of providing optimal analgesia, with better satisfaction during labor and less local anesthetic requirement.
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Journal of anesthesia · Jan 2005
Randomized Controlled Trial Comparative Study Clinical TrialHemodynamic and catecholamine response to a rapid increase in isoflurane or sevoflurane concentration during a maintenance phase of anesthesia in humans.
The purpose of this study was to compare hemodynamic and catecholamine changes due to a sudden increase in inhalation anesthetic concentrations (isoflurane and sevoflurane) during surgery. ⋯ During surgery a sudden increase in isoflurane concentration induced larger changes in hemodynamics and sympathetic nerve activity than sevoflurane.
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Journal of anesthesia · Jan 2005
Randomized Controlled TrialLandiolol attenuates the cardiovascular response to tracheal intubation.
The objective of this prospective study was to compare the cardiovascular responses with or without landiolol to the induction of general anesthesia and tracheal intubation. ⋯ Continuous administration of landiolol before tracheal intubation results in the attenuation of cardiovascular response for tracheal intubation.
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Journal of anesthesia · Jan 2005
Delayed discharge and acceptability of ambulatory surgery in adult outpatients receiving general anesthesia.
Delay in discharge after ambulatory surgery impairs its cost-effectiveness. However, it is not self-evident that prolonged postoperative stay is associated with low quality of care and patient acceptability of ambulatory surgery. The aims of this study were to document factors affecting delay in discharge, recovery profiles, and patient acceptability in adult outpatients. ⋯ Delays in discharge are mainly due to adverse symptoms or social/system problems. Delayed discharge is associated with increased postdischarge pain, lower RNA level, and patient acceptability. Appropriate care of postoperative symptoms and system management could prevent delay in discharge and improve patient RNA level and acceptability.
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Journal of anesthesia · Jan 2005
Randomized Controlled Trial Clinical TrialLaryngeal mask airway can be inserted with inhaled desflurane induction.
In this prospective, randomized, controlled trial, we investigated the reliability of laryngeal mask airway (LMA) insertion with inhaled desflurane. ⋯ We demonstrated that inhaled desflurane when used with caution in a controlled manner provided acceptable conditions for LMA insertion.