Anaesthesia
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Comment Letter Case Reports
Unexpectedly high spinal anaesthesia following failed extradural anaesthesia for caesarean section.
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Randomized Controlled Trial Comparative Study Clinical Trial
Alfentanil in daycase anaesthesia. Assessment of a single dose on the quality of anaesthesia and recovery.
The effect of the addition of a single dose of 7 micrograms.kg-1 of alfentanil to a propofol/enflurane anaesthetic on the quality of anaesthesia and recovery was assessed. A total of 53 ASA grade 1 or 2 patients who underwent daycase dental surgery were allocated randomly to receive either alfentanil or saline. The study was blinded so that neither the anaesthetist nor the assessor was aware of which solution had been given. ⋯ The rate of recovery was similar in the two groups and no patient required hospital admission after the final assessment at 3 h. Drowsiness was only mild to moderate in both groups at 24 h. A single dose of alfentanil can be administered safely as part of a daycase anaesthetic without increasing morbidity, although there appears to be little advantage in doing so.