Masui. The Japanese journal of anesthesiology
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Randomized Controlled Trial Clinical Trial
[Optimal dose of fentanyl for postoperative epidural analgesia after cesarean section].
The aim of this study was to investigate which dose of fentanyl in ropivacaine for epidural anesthesia will provide effective analgesia with minimal side effects after cesarean section (CS). ⋯ We conclude that continuous epidural administration of fentanyl 21 microg x hr(-1) with ropivacaine provides the optimum balance between pain relief and side effects compared with fentanyl 11 microg x hr(-1) with ropivacaine after CS.
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Randomized Controlled Trial Comparative Study Clinical Trial
[A randomized double-blind comparison of epidural versus intravenous tramadol infusion for postoperative analgesia].
This study compared epidural and intravenous tramadol infusions for postoperative analgesia after gastrectomy. ⋯ We conclude that intravenous tramadol infusion provides effective and safe postoperative analgesia. A futher examination is required for the suitable dose of tramadol in epidural infusion.
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Randomized Controlled Trial Clinical Trial
[Effects of landiolol on cardiovascular responses, bispectral index and body movement during endotracheal intubation].
We investigated the effects of a novel highly cardioselective short-acting beta-blocker, landiolol, on cardiovascular response, bispectral index and body movement during endotracheal ⋯ Our results suggest that landiolol infusion was effective to attenuate the hemodynamic, arousal and somatic responses to endotracheal intubation.
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Randomized Controlled Trial Comparative Study Clinical Trial
[General anesthesia by propofol infusion for delivery by cesarean section compared with sevoflurane anesthesia using bispectral index (BIS) monitoring].
We compared the postoperative effects of propofol and sevoflurane used for anesthesia during elective cesarean section, using bispectral index (BIS) monitoring. ⋯ Comparing the effects of propofol and sevoflurane on the postoperative condition of parturients, no differences could be detected. We can choose to use propofol instead of sevoflurane for cesarean section.
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Randomized Controlled Trial Clinical Trial
[The antiemetic effect of dexamethasone during continuous subcutaneous infusion of morphine for postoperative pain relief].
Dexamethasone is known to reduce the incidence of postoperative nausea and vomiting, associated with perioperative intrathecal, epidural, or intravenous morphine. However, the effect of dexamethasone on subcutaneous morphine is unclear. Therefore, we evaluated the antiemetic effect of intravenous dexamethasone during continuous subcutaneous infusion of morphine for postoperative pain relief. ⋯ Our results suggest that the single dose of dexamethasone (8 mg) does not reduce postoperative nausea and vomiting associated with continuous subcutaneous infusion of morphine after spinal surgery.