Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Mar 2012
Randomized Controlled TrialPropofol reduces early post-operative pain after gynecological laparoscopy.
There is some evidence that propofol may reduce post-operative pain. However, the results on the analgesic effects of propofol are inconsistent. Thus, we hypothesized that propofol reduces acute pain if confounding factors like opioids are avoided. ⋯ Propofol anesthesia was associated with significantly less pain at 0.5 and 1 h after surgery in patients undergoing gynecological laparoscopies with planned opioid-free post-operative analgesia.
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Acta Anaesthesiol Scand · Mar 2012
Randomized Controlled TrialEffects of intravenous dexmedetomidine on low-dose bupivacaine spinal anaesthesia in elderly patients.
Dexmedetomidine (DMT) has been shown to prolong spinal anaesthesia. We evaluated the effects of intravenous DMT on low-dose bupivacaine spinal anaesthesia in elderly patients. ⋯ Intravenous DMT prolonged the duration of spinal anaesthesia and improved post-operative analgesia. However, more profound sedation with desaturation was observed with more frequent bradycardia, and delayed recovery should be considered in elderly patients.
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Acta Anaesthesiol Scand · Mar 2012
Randomized Controlled TrialEffects of adductor-canal-blockade on pain and ambulation after total knee arthroplasty: a randomized study.
Total knee arthroplasty (TKA) is associated with intense post-operative pain. Besides providing optimal analgesia, reduction in side effects and enhanced mobilization are important in this elderly population. The adductor-canal-blockade is theoretically an almost pure sensory blockade. We hypothesized that the adductor-canal-blockade may reduce morphine consumption (primary endpoint), improve pain relief, enhance early ambulation ability, and reduce side effects (secondary endpoints) after TKA compared with placebo. ⋯ The adductor-canal-blockade significantly reduced morphine consumption and pain during 45 degrees flexion of the knee compared with placebo. In addition, the adductor-canal-blockade significantly enhanced ambulation ability assessed by the TUG test.
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Acta Anaesthesiol Scand · Mar 2012
Randomized Controlled TrialThe use of aortic occlusion balloon catheter without fluoroscopy for life-threatening post-partum haemorrhage.
This article describes the use of a balloon catheter introduced via the femoral artery into the abdominal aorta without the use of fluoroscopy to stabilize six patients with life-threatening post-partum haemorrhage. The femoral artery was localized blindly or with the use of ultrasound. ⋯ In these six cases, the procedures were carried out by interventional radiologists. However, this procedure can also be performed by anaesthesiologists or surgeons who are trained in vascular access techniques.