Masui. The Japanese journal of anesthesiology
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Randomized Controlled Trial Comparative Study
[The injection pain of propofol with different emulsion].
Incidence and intensity of pain on intravenous injection of propofol were assessed with emulsion of long-chain/medium-chain triglycerides (LCT/MCT, 50: 50) and only long-chain triglycerides (LCT, 100) in patients undergoing different elective surgical interventions in this prospective, randomized, cross over and double-blinded study. ⋯ Propofol with emulsion of long- and medium-chain triglycerides appears to reduce the injection pain than with emulsion of only long-chain triglycerides.
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Randomized Controlled Trial Comparative Study
[Effect of amino acid solution on intraoperative core temperature the influence of anesthetics].
Propofol anesthesia has more thermogenic effect than isoflurane when combined with amino acid solutions. The purpose of this study is to compare the effects of intraoperative administration of amino acid solutions on intraoperative core temperature under propofol anesthesia with those under sevoflurane anesthesia. ⋯ Sevoflurane anesthesia has more preventive effect on intraoperative hypothermia than propofol anesthesia when combined with amino acid solutions.
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Randomized Controlled Trial
[Effects of clonidine and midazolam on postoperative shivering, nausea, and vomiting].
Postoperative shivering, nausea, and vomiting are common problems after general anesthesia. We compared the effects of clonidine and those of midazolam on postoperative shivering, nausea and vomiting in elderly patients. ⋯ Clonidine premedication is effective for preventing shivering and nausea after general anesthesia combined with epidural anesthesia.
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Randomized Controlled Trial Clinical Trial
[Postoperative pain management using subcutaneous fentanyl and ketamine after abdominal gynecologic surgery].
Subcutaneous opioid is one way of managing postoperative pain in patients undergoing anticoagulant therapy. We have evaluated the safety and the efficacy of postoperative pain management using subcutaneous fentanyl and ketamine after abdominal gynecologic surgery. ⋯ We recommend administration of 25 microg x h(-1) fentanyl and 4 mg x h(-1) ketamine subcutaneously, which maintains high Pao2 and requires less analgesic.
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Randomized Controlled Trial Clinical Trial
[Effects of oral clonidine premedication on the heart rate response to intravenous atropine during propofol anesthesia].
Propofol induces suppression of the sympathetic nervous activity, and attenuates the heart rate responses to intravenous atropine. Similarly, clonidine suppresses the heart rate response to intravenous atropine under awake and enflurane-anesthetized patients. The purpose of this study is to evaluate effects of clonidine on the heart rate response to atropine under propofol anesthesia. ⋯ Oral clonidine premedication attenuates the heart rate responses to IV atropine under propofol anesthesia.