Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Sep 2014
Randomized Controlled Trial Comparative StudyThe effects of propofol vs. sevoflurane on post-operative pain and need of opioid.
Maintaining anesthesia with either sevoflurane or propofol for laparoscopic gynaecology surgery has no differential effect on post-operative pain.
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Acta Anaesthesiol Scand · Sep 2014
Randomized Controlled Trial Comparative StudyContinuous wound infiltration with ropivacaine for analgesia after caesarean section: a randomised, placebo-controlled trial.
We evaluated the analgesic effect of ropivacaine infiltration into the surgical wound after caesarean section. ⋯ Continuous wound infiltration with ropivacaine did not decrease the need for opioids and had no impact on pain scores or patient satisfaction after caesarean section.
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Acta Anaesthesiol Scand · Sep 2014
Randomized Controlled Trial Comparative StudyThe influence of glucose load on metabolism during minor surgery using remifentanil-induced anesthesia.
During perioperative fasting, lipid metabolism gradually increases, resulting in free fatty acids (FFA) and/or ketone bodies. Suppression of surgical stress by remifentanil may allow the safe administration of glucose infusions, avoiding both hyperglycemia and ketogenesis. The effects of glucose infusion on glucose and lipid metabolism were therefore investigated in patients undergoing minor surgery with remifentanil anesthesia. ⋯ Infusion of low-dose glucose attenuated fat catabolism without causing hyperglycemia, indicating that infusion of low-dose glucose during remifentanil-induced anesthesia may be safe for patients.
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Acta Anaesthesiol Scand · Sep 2014
Randomized Controlled TrialDexmedetomidine does not reduce emergence agitation in adults following orthognathic surgery.
Patients undergoing orthognathic surgery are at high risk of developing emergence agitation. We hypothesised that a single-dose of dexmedetomidine would reduce emergence agitation in adults with nasotracheal intubation after orthognathic surgery. ⋯ The addition of a single dose of dexmedetomidine (1 μg/kg) to low-dose remifentanil infusion did not attenuate emergence agitation in intubated patients after orthognathic surgery compared with low-dose remifentanil infusion alone. However, single-dose dexmedetomidine suppressed coughing, haemodynamic changes, and pain during emergence and recovery phases, without respiratory depression. Delayed awakening might be associated with this treatment.