Acta anaesthesiologica Scandinavica
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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
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 magnesium sulfate on extubation time and acute pain in coronary artery bypass surgery.
Post-operative pain control is one of the greatest concerns for both physicians and patients. In this study, the effect of magnesium sulfate (MgSO(4)) solution infusion on post-operative pain scores and extubation time in patients undergoing elective coronary artery bypass graft (CABG) surgeries was assessed. ⋯ The results demonstrated a significantly shortened post-operative time for extubation and reduced acute post-operative pain scores by intravenous MgSO(4) infusion during elective CABG surgery.
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Acta Anaesthesiol Scand · Nov 2008
Case ReportsThree-dimensional ultrasound-assisted popliteal catheter placement revealing aberrant anatomy: implications for block failure.
The current means of introducing continuous sciatic catheters include nerve stimulation, with or without catheter stimulation techniques. More recently, ultrasound has been utilized to facilitate catheter placement. ⋯ Because of this case observation, our current practice is to use ultrasound confirmation of the bifurcation of the nerve of all popliteal catheter placements, particularly catheters placed in patients having ambulatory procedures to prevent secondary failure of catheters at home.
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Acta Anaesthesiol Scand · Nov 2008
Apolipoprotein E polymorphism and gender difference in outcome after severe traumatic brain injury.
Traumatic brain injury (TBI) is one of the most common causes of death and dismal outcome among children and young adults. The morbidity and mortality differ but more aggressive monitoring and more designated neuro intensive care units have improved the results. Studies have demonstrated a connection between apolipoprotein E (APOE) genotype and outcome after TBI, but few are prospective and none is from northern Europe. APOE has three alleles: epsilon2, epsilon3 and epsilon4. ⋯ APOE epsilon4 correlated to worse outcome in TBI patients. We also found that males with APOE epsilon4 had poor outcome while females did not. Thus, the results indicate that genetic polymorphism may influence outcome after TBI.