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 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 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 TrialOculocardiac reflex and postoperative vomiting in paediatric strabismus surgery. A randomised controlled trial comparing four anaesthetic techniques.
Oculocardiac reflex (OCR) and postoperative vomiting are major complications of paediatric strabismus surgery. ⋯ Thiopental-isoflurane-air/O2-alfentanil resulted in a moderate risk of vomiting. Adding ondansetron significantly decreased this risk, but 6 children have to be treated for one to benefit in the early postoperative period. Propofol and propofol-lignocaine showed no benefit on vomiting but significantly increased the risk of an OCR despite high-dose prophylactic atropine.
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Acta Anaesthesiol Scand · Jan 1998
Randomized Controlled Trial Comparative Study Clinical TrialCardiovascular effects of two different regional anaesthetic techniques for unilateral leg surgery.
Cardiovascular function was assessed in 20 ASA I-II patients, scheduled for elective orthopaedic surgery with tourniquet in order to compare the haemodynamic changes induced by unilateral spinal anaesthesia and combined sciatico-femoral nerve block. ⋯ Both sciatico-femoral and unilateral spinal blockade provide adequate anaesthesia for unilateral leg surgery with tourniquet. The former technique affects cardiovascular performance less than the latter one.