Journal of anesthesia
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Journal of anesthesia · Jun 2011
Randomized Controlled Trial Comparative StudyDexmedetomidine: an alternative for epidural anesthesia in tension-free vaginal-tape surgery.
Anesthetic management of tension-free vaginal-tape (TVT) procedures is sometimes difficult to deal with, especially when surgeons request a cough test. Dexmedetomidine has unique sedative and analgesic properties while having minimal respiratory effects, making it suitable for perioperative use in monitored anesthesia care. We aimed to compare dexmedetomidine and epidural anesthesia in TVT patients. ⋯ Dexmedetomidine can be an alternative to epidural anesthesia in TVT procedure requiring cough test.
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Journal of anesthesia · Jun 2011
Randomized Controlled Trial Comparative StudyAntiemetic prophylaxis in thyroid surgery: a randomized, double-blind comparison of three 5-HT3 agents.
The aim of this double-blind randomized study was to compare the antiemetic efficacy of three 5-hydroxytryptamine type 3 antagonists in terms of the incidence and intensity of postoperative nausea and vomiting (PONV) in a homogenous group of female patients undergoing thyroidectomy. ⋯ Among the female patients of this study undergoing thyroid surgery, granisetron 3 mg provided the best prophylaxis from PONV. Ondansetron 4 mg was equally effective, but its action lasted only 6 h, whereas tropisetron 5 mg was found ineffective.
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Journal of anesthesia · Jun 2011
Randomized Controlled TrialEffects of maternal supplementary oxygen on the newborn for elective cesarean deliveries under spinal anesthesia.
The aim of this investigation was to determine whether supplementary oxygen provided by either nasal cannula or face mask versus room air might affect fetal oxygenation during elective cesarean section under spinal anesthesia by assessing maternal and neonatal regional cerebral oxygenation (rSO(2)) with a cerebral oximeter. ⋯ The effect of maternal supplementary oxygen on the newborn has been demonstrated by a cerebral oximeter monitor and supported by umbilical cord blood gas analysis and Apgar scores.
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Journal of anesthesia · Jun 2011
Case ReportsPostoperative respiratory failure caused by acute exacerbation of idiopathic interstitial pneumonia.
We herein report a case of postoperative respiratory failure caused by acute exacerbation of undiagnosed interstitial pneumonia (IP). A 76-year-old woman underwent two subsequent operations, cholecystectomy and resection of lipoma in the neck, under general anesthesia at an interval of 12 days. Although the postoperative course of the first operation was uneventful, the patient abruptly developed respiratory failure on the 4th postoperative day (POD) of the second operation. ⋯ Thus, we concluded that idiopathic IP had gradually advanced preoperatively, and acute exacerbation was triggered by perioperative stress. The present case warned us that acute exacerbation of IP could occur in a patient with mild symptoms. Therefore, preoperative proper diagnosis is thought to be important as acute exacerbation of IP is a highly morbid clinical event.
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Journal of anesthesia · Jun 2011
Postoperative cognitive dysfunction after noncardiac surgery: effects of metabolic syndrome.
Vascular risk factors, including metabolic syndrome, are known to contribute to the development of cognitive dysfunction. We tested the hypothesis that patients with metabolic syndrome are more likely to develop cognitive dysfunction after noncardiac surgery. ⋯ The results indicate that cognitive functions were more profoundly impaired in patients with metabolic syndrome undergoing noncardiac surgery compared with their healthier counterparts.