Acta anaesthesiologica Scandinavica
-
Acta Anaesthesiol Scand · Aug 2003
Randomized Controlled Trial Clinical TrialAbsence of explicit and implicit memory in unconscious patients using a TCI of propofol.
Episodes of implicit memory have been described during propofol anaesthesia. It remains unclear whether implicit memory is caused by short periods of awareness or occurs in an unconscious subject. ⋯ In our group of young ASA I/II patients, in the absence of any noxious stimulus, no implicit or explicit memory was found when the calculated concentration of propofol using a Diprifusor was maintained at the level associated with LOC.
-
Acta Anaesthesiol Scand · Aug 2003
Randomized Controlled Trial Comparative Study Clinical TrialContinuous spinal anesthesia/analgesia vs. single-shot spinal anesthesia with patient-controlled analgesia for elective hip arthroplasty.
In total hip replacement surgery several anesthesiological techniques can be used. In this study we compared continuous spinal anesthesia (CSA) and postoperative analgesia vs. single-shot spinal anesthesia (SPA) and postoperative patient-controlled intravenous analgesia with morphine (SPA). ⋯ Continuous spinal anesthesia/analgesia is a very practicable method providing better postoperative analgesia and better hemodynamic stability during anesthesia induction than SPA followed by morphine PCA analgesia after total hip replacement surgery.
-
Acta Anaesthesiol Scand · Aug 2003
Randomized Controlled Trial Comparative Study Clinical TrialComparison of different concentrations of levobupivacaine for post-operative epidural analgesia.
The relative effects of the mass, volume and concentration of local anaesthetic solution used for epidural anaesthesia and analgesia are still under debate. Clinical studies have shown discrepancies, probably because of limited consideration of total dose. ⋯ The same dose of levobupivacaine provides an equal quality of analgesia in low or high volume continuous thoracic epidural infusion with reduced haemodynamic instability and nausea in the low volume/high concentration groups.
-
Acta Anaesthesiol Scand · Aug 2003
Randomized Controlled Trial Clinical TrialThe effectiveness of intravenous ketamine and lidocaine on peripheral neuropathic pain.
Neuropathic pain is often severe and resistant to pharmacological treatment. The aims of the present study were to assess the analgesic effect of ketamine and lidocaine and to investigate if measurement of different variables of sensibility could be used to identify responders. We also wanted to study if treatment resulted in changes of sensibility. ⋯ Ketamine showed a significant analgesic effect. The clinical usefulness is, however, limited by disturbing side-effects.
-
Acta Anaesthesiol Scand · Aug 2003
Randomized Controlled Trial Comparative Study Clinical TrialDexamethasone is as effective as ondansetron for the prevention of postoperative nausea and vomiting following breast surgery.
Postoperative nausea and vomiting remain a common problem following breast surgery. This study assesses whether dexamethasone is as effective as ondansetron in the control of postoperative nausea and vomiting (PONV). ⋯ Ondansetron 4 mg or dexamethasone 4 mg are equally effective in the prevention of postoperative nausea and vomiting following breast surgery. Other factors being similar, the difference in cost between these drugs would favor the use of dexamethasone instead of ondansetron when monotherapy against PONV is used.