British journal of anaesthesia
-
Randomized Controlled Trial
Influence of intraoperative opioid on postoperative pain and pulmonary function after laparoscopic gastric banding: remifentanil TCI vs sufentanil TCI in morbid obesity.
Choice of opioid may influence postoperative pain, recovery, and respiratory homeostasis in morbid obesity. The aim of this study was to compare the effects of target-controlled infusions (TCIs) of remifentanil or sufentanil on postoperative analgesia, recovery, and pulmonary function after laparoscopic gastric banding. ⋯ As few differences occurred in the postoperative period, the theoretical advantage of remifentanil over the longer acting sufentanil can be questioned when using TCI technology.
-
Randomized Controlled Trial
Effects of propofol and desflurane anaesthesia on the alveolar inflammatory response to one-lung ventilation.
One-lung ventilation (OLV) induces a pro-inflammatory response including cytokine release and leucocyte recruitment in the ventilated lung. Whether volatile or i.v. anaesthetics differentially modulate the alveolar inflammatory response to OLV is unclear. ⋯ These data indicate that pro-inflammatory reactions during OLV were influenced by the type of general anaesthesia. Different patterns of alveolar cytokines may be a result of increased granulocyte recruitment during propofol anaesthesia.
-
Randomized Controlled Trial Comparative Study
Faster wash-out and recovery for desflurane vs sevoflurane in morbidly obese patients when no premedication is used.
The aim of this study was to compare desflurane vs sevoflurane kinetics and dynamics in morbidly obese patients and their recovery profile when no premedication had been used. ⋯ Desflurane provides faster wash-in and wash-out than sevoflurane in morbidly obese patients, and recovery is much faster after desflurane administration when no premedication has been used.
-
Randomized Controlled Trial
Adding ketamine to morphine for patient-controlled analgesia after thoracic surgery: influence on morphine consumption, respiratory function, and nocturnal desaturation.
I.V. patient-controlled analgesia (PCA) with morphine is often used for postoperative analgesia after thoracic surgery, but the required doses may increase postoperative respiratory disorders. Adjunction of ketamine could reduce both doses and related respiratory side-effects. ⋯ Adding small doses of ketamine to morphine in PCA devices decreases the morphine consumption and may improve respiratory disorders after thoracic surgery.
-
Randomized Controlled Trial
Effects of using two airway exchange catheters on laryngeal passage during change from a double-lumen tracheal tube to a single-lumen tracheal tube.
A thin airway exchange catheter (AEC) is often used for changing from a double-lumen tracheal tube (DLT) to a single-lumen tracheal tube. However, passage of the tube into the trachea is often difficult. The purpose of this study was to evaluate the effectiveness of using two AECs for tracheal tube exchange. ⋯ The use of two AECs reduces the incidence of impingement of the tube into the trachea during tracheal tube exchange.