Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Nov 2008
Randomized Controlled Trial Comparative StudyCaudal midazolam does not affect sevoflurane requirements and recovery in pediatric day-case hernioplasty.
This prospective, randomized, double-blind study aimed to determine whether caudal midazolam combined with ropivacaine affects anesthetic requirements, recovery profiles, and post-operative analgesia compared with ropivacaine alone in pediatric day-case hernioplasty. ⋯ Caudal midazolam (50 microg/kg) added to 2% ropivacaine did not influence sevoflurane requirement or recovery but improved post-operative analgesia compared with ropivacaine alone in pediatric day-case hernioplasty.
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Acta Anaesthesiol Scand · Nov 2008
Randomized Controlled TrialEffect of intraoperative magnesium sulphate infusion on pain relief after laparoscopic cholecystectomy.
The aim of the study is to evaluate the analgesic efficiency of perioperative magnesium sulphate infusion in patients undergoing laparoscopic cholecystectomy (LC). ⋯ Per-operative 50 mg/kg magnesium sulphate infusion is effective in reducing post-operative pain in patients undergoing LC.
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Acta Anaesthesiol Scand · Nov 2008
Comparative StudyCould benefits of epidural analgesia following oesophagectomy be measured by perceived perioperative patient workload?
A controversy exists whether beneficial analgesic effects of epidural analgesia over intravenous analgesia influence the rate of post-operative complications and the length of hospital stay. There is some evidence that favours epidural analgesia following major surgery in high-risk patients. However, there is a controversy as to whether epidural analgesia reduces the intensive care resources following major surgery. In this study, we aimed at comparing the post-operative costs of intensive care in patients receiving epidural or intravenous analgesia. ⋯ Higher costs and better analgesic effects of epidural analgesia compared with intravenous analgesia do not reduce total costs for post-operative care following major surgery.
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Acta Anaesthesiol Scand · Nov 2008
Letter Case ReportsMuscle paralysis with an accidental overdosage of neostigmine.
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Acta Anaesthesiol Scand · Nov 2008
Randomized Controlled Trial Comparative StudyEpidural sufentanil provides better analgesia from 24 h after surgery compared with epidural fentanyl in children.
Studies comparing epidural fentanyl and sufentanil in adults reported a similar analgesic effect with variable side effects. We hypothesized that epidural fentanyl and sufentanil will have a similar analgesic effect in children undergoing urological surgery. ⋯ Epidural sufentanil provides better analgesia from 24 h after surgery compared with epidural fentanyl in infants and children undergoing urological surgery. The incidence of pruritus in the sufentanil group was higher than that in the fentanyl group.