Anesthesia, essays and researches
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Various techniques exist for gaseous induction in adults. Vital capacity induction (VCI) is a special technique for gaseous induction of anesthesia. ⋯ VCI provides an induction and recovery comparable to propofol induction.
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The clinical value of inflammatory biomarkers is still questionable. ⋯ PCT seems to do better than CRP in predicting the SOFA groups, giving its patronage display over a wide spectrum of insults.
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Perioperative fluid management in elderly poses considerable challenge to the anesthesiologist. The conventional crystalloid loading may not be a preferred regime in this subgroup of patients since an exaggerated hemodynamic response is expected due to blunted sympathetic response and compromised cardiorespiratory system. ⋯ Ephedrine 30 mg i.m. given as pretreatment before SAB in elderly patients was more effective for the prevention of post-SAB hypotension.
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The aim of the study was to compare the effect of mannitol (M) and hypertonic saline (HTS) on brain relaxation and electrolyte balance. ⋯ We concluded that HTS provided better brain relaxation than mannitol during elective supratentorial brain tumor surgery, without affecting ICU and hospital stay.
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Vascular pain is a frequent and hypotension is most important complications of propofol administration. ⋯ Rapid propofol injection induced less vascular pain compared with slow injection, but 10 mg ephedrine was not more effective.