Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Jan 1998
Randomized Controlled Trial Comparative Study Clinical TrialDesflurane versus propofol maintenance for outpatient laparoscopic cholecystectomy.
The aims of the study were to evaluate costs and clinical characteristics of desflurane-based anaesthetic maintenance versus propofol for outpatient cholecystectomy. ⋯ We conclude that desflurane is cheaper and has a more rapid emergence than propofol for outpatient cholecystectomy. However, propofol results in less pain and nausea in the recovery unit. Despite ondansetron and droperidol prophylaxis, there was still a substantial amount of nausea and vomiting after desflurane.
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Acta Anaesthesiol Scand · Jan 1998
Randomized Controlled Trial Comparative Study Clinical TrialHaemolysis following rapid experimental red blood cell transfusion--an evaluation of two infusion pumps.
The vast majority of infusion pumps used for rapid transfusion of large amounts of blood have never been properly examined regarding their influence on the quality of the red blood cells (RBCs) infused. In this study, we evaluated the effect of two different infusion pumps on the degree of RBC destruction following rapid experimental blood transfusion. ⋯ Both the pumps used in this study are safe alternatives for rapid transfusion of RBCs; however, with MRP this can be accomplished approximately twice as fast as with the PIP.
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Acta Anaesthesiol Scand · Jan 1998
Randomized Controlled Trial Comparative Study Clinical TrialMidazolam-flumazenil versus propofol anaesthesia for scoliosis surgery with wake-up tests.
Wake-up tests may be necessary during scoliosis surgery to ensure that spinal function remains intact. ⋯ Wake-up tests can be conducted faster and better with midazolam-flumazenil sequence compared with propofol.
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Acta Anaesthesiol Scand · Jan 1998
Randomized Controlled Trial Comparative Study Clinical TrialPreoperative anxiolysis with minimal sedation in elderly patients: bromazepam or clorazepate-dipotassium?
In elderly patients undergoing ophthalmic surgery the loss of co-operation due to over-sedation, induced by drugs given preoperatively, may jeopardise the success of microsurgery performed under regional anaesthesia. The aim of this study was to compare the psychotropic effects of bromazepam and clorazepate-dipotassium, two benzodiazepines with predominantly anxiolytic and only weak sedative action. ⋯ Bromazepam is superior to clorazepate in its anxiolytic action and suitable as preoperative medication in the elderly patient because of lack of overt sedative effects.
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Acta Anaesthesiol Scand · Jan 1998
Randomized Controlled Trial Clinical TrialNausea and vomiting after major arthroplasty with spinal anaesthesia including morphine: a randomised trial of subhypnotic propofol infusion as prophylaxis.
Postoperative nausea and vomiting (PONV) following major arthroplasty with spinal anaesthesia and intrathecal morphine is reported in 45-74% of patients. This randomised, double-blind, placebo-controlled trial was undertaken to determine whether a subhypnotic infusion of propofol has a prophylactic antiemetic effect in this patient population. ⋯ These results suggest that routine use of postoperative, subhypnotic propofol infusion as PONV prophylaxis is not justified in this patient population.