Journal of anesthesia
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Journal of anesthesia · Jan 2005
Randomized Controlled Trial Clinical TrialEfficacy of landiolol in attenuating hemodynamic responses to local epinephrine infiltration in patients undergoing vaginal total hysterectomy.
Local epinephrine infiltration often causes beta1-adrenoceptor-mediated tachycardia, hypertension, and arrhythmia. Landiolol, a short acting beta1-adrenoceptor blocker, may represent the most ideal agent to attenuate these adverse effects. In this study, we examined the effects of landiolol on the hemodynamic changes resulting from local infiltration of epinephrine. ⋯ The present study suggests that landiolol 10 mg may be a more suitable dose than landiolol 5 mg to antagonize hyperdynamic states induced by local administration of epinephrine.
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Journal of anesthesia · Jan 2005
Randomized Controlled TrialHow to decrease pain at rapid injection of propofol: effectiveness of flurbiprofen.
Many studies have been conducted on how to decrease propofol injection pain, but none has been completely successful. In the present study, the most effective method was investigated by adding lidocaine or a nonsteroidal antiinflammatory drug or by changing the solvent. ⋯ Flurbiprofen 50 mg i.v. just before propofol injection completely abolished propofol injection pain. When it was administered 1 min before propofol injection it was less effective.
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Journal of anesthesia · Jan 2004
Randomized Controlled Trial Clinical TrialEffects of oral atenolol on volatile anesthetic induction with sevoflurane in adults.
To determine whether premedication with a beta-blocker can bring about a more rapid and smooth induction of anesthesia, we investigated the effect of oral premedication with atenolol on volatile anesthetic induction with sevoflurane by monitoring the cardiac output (CO) and bispectral (BIS) index. ⋯ Oral premedication with 25 mg of atenolol provides a more rapid decrease in BIS index and is recommended for use in stable volatile anesthetic induction with sevoflurane.
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Journal of anesthesia · Jan 2004
Randomized Controlled Trial Comparative Study Clinical TrialA comparison of postoperative sore throat after use of laryngeal mask airway and tracheal tube.
We compared the degree of postoperative sore throat (PST) after use of a laryngeal mask airway (LMA; by two insertion techniques) and a tracheal tube (TT) in adult patients. ⋯ In the conditions of our study, LMAs inserted with the cuff either fully inflated or deflated worsened PST compared with TTs.
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Journal of anesthesia · Jan 2004
Randomized Controlled Trial Clinical TrialSafety and beneficial effect on body core temperature of a prewarmed plasma substitute--hydroxyethyl starch--during anesthesia.
We investigated, first, the safety of use and stability of a plasma substitute-hydroxyethyl starch (HES)-kept in a warming cabinet for a long period, and then the effect on body core temperature of the prewarmed HES in patients during urological surgery. ⋯ The use of HES products kept in a warming cabinet prior to surgery can maintain warm body temperature, easily, safely, and effectively.