Medical science monitor : international medical journal of experimental and clinical research
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Randomized Controlled Trial
The role of paravertebral block in decreasing postoperative pain in elective breast surgeries.
Regional anesthesia is an alternative to general anesthesia in selected surgical settings. Paravertebral block as a regional anesthesia technique was compared with general anesthesia for elective breast surgeries regarding postoperative pain. ⋯ The study suggests paravertebral block as a suitable alternative to general anesthesia in selected breast surgical patients regarding postoperative pain reduction.
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Randomized Controlled Trial
Effect of prolonged intra-aortic balloon pumping in patients with cardiogenic shock following acute myocardial infarction.
To evaluate the efficacy of prolonged intra-aortic balloon pumping (IABP) support in patients with cardiogenic shock following acute myocardial infarction (AMI). ⋯ Prolonged use of IABP for up to 10 days offers additional long term benefit in left ventricular function and exercise tolerance.
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Randomized Controlled Trial
Combined spinal epidural analgesia for labor with and without 3 ml of 1.5% epidural lidocaine.
Lidocaine is used as a 'test dose' to detect misplacement of epidural catheters. When administered immediately after the initiation of a combined spinal epidural for labor analgesia, it was found to interfere with motor function. The authors hypothesized that an epidural test dose of 3 ml of 1.5% lidocaine injected immediately after the initiation of combined spinal epidural analgesia and followed by a continuous epidural infusion would prolong the duration of analgesia and decrease the incidence of breakthrough pain. ⋯ The administration of epidural lidocaine and saline immediately after intrathecal levobupivacaine 2.5 mg and fentanyl 25 microg did not reduce the incidence of breakthrough pain in combined spinal epidural labor.
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Randomized Controlled Trial
Total intravenous anesthesia with propofol and remifentanil is associated with a nearly twofold higher incidence in postanesthetic shivering than desflurane-fentanyl anesthesia.
Postanesthetic shivering (PAS) is a frequent side effect of general anesthesia. Previous reports on the incidence of PAS of propofol for the induction or maintenance of anesthesia have been controversial, but have not been studied in detail. The aim of the present study was to evaluate the incidence and severity of PAS in total intravenous anesthesia (TIVA) with propofol and remifentanil compared with an inhalative anesthesia. ⋯ Postanesthetic shivering appears significantly more frequently and intensively after TIVA with propofol and remifentanil compared with an inhalative anesthesia with fentanyl and desflurane.
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Randomized Controlled Trial Comparative Study
Effects of posterior pericardiotomy on the incidence of pericardial effusion and atrial fibrillation after coronary revascularization.
The aim of this prospective, randomized study was to assess the efficacy of posterior pericardiotomy in decreasing the prevalence of pericardial effusion and postoperative atrial fibrillation (AF). ⋯ These findings suggest that posterior pericardiotomy reduces the prevalence of early pericardial effusion and related AF by improving pericardial drainage in patients undergoing coronary artery bypass surgery.