Zhonghua yi xue za zhi
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Zhonghua yi xue za zhi · Jul 2011
Randomized Controlled Trial[Application of sedation with a low dose of dexmedetomidine during intrathecal anesthesia in elderly patients].
To explore the feasibility and safety of sedation with a low dose of dexmedetomidine (DEX) during intrathecal anesthesia in the elderly patients. ⋯ Sedation with a small dose of DEX during intrathecal anesthesia in elderly patients is both feasible and efficacious. But studies of larger sample sizes are warranted to confirm its safety.
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Zhonghua yi xue za zhi · Jul 2011
Randomized Controlled Trial[Evaluation of safety and anesthetic effect for ultrasound-guided cervical plexus block].
To observe the influences upon the degree of diaphragmatic excursion during deep cervical plexus block at the third cervical vertebra (C3) and compare the safety and anesthetic effect of modified cervical plexus block by ultrasonic guidance and blocking of cervical plexus at one point. ⋯ The improving effect of ultrasound-guided cervical plexus block upon the degree of diaphragmatic movement is within the compensatory range of body. In comparison with the traditional one-point blocking of cervical plexus, the modified cervical plexus block with ultrasonic guidance offers better anesthetic effects, fewer complications and convenient anesthetic localization. Thus it may be clinically applicable.
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Zhonghua yi xue za zhi · Mar 2011
Randomized Controlled Trial Comparative Study[A comparison of remifentanil versus sufentanil with target-controlled infusion in combined inhalation anesthesia for surgical patients: effects on hemodynamics and postoperative recovery].
To compare the effect of remifentanil versus sufentanil with target-controlled infusion in combination with inhalation anesthesia for surgical patients on the parameters of hemodynamics and postoperative recovery. ⋯ When combined with inhalation anesthesia, the effects on hemodynamics are similar between the patients receiving the target-controlled infusions of remifentanil and sufentanil. Remifentanil offers a shorter time to recovery of spontaneous breathing and tracheal extubation.
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Zhonghua yi xue za zhi · Mar 2011
Randomized Controlled Trial Comparative Study[A comparison of target controlled versus manually controlled infusion of propofol in elderly patients].
To evaluate the impact of anesthesia via target-controlled infusion (TCI) on drug consumption, intraoperative hemodynamic stability and recovery compared with manual-controlled infusion (MCI) in elderly patients. ⋯ Although target infusion system is easy to use and requires less time of adjustment, it fails to show added benefit on propofol consumption, hemodynamic stability, anesthesia depth and recovery in elderly patients.
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Zhonghua yi xue za zhi · Mar 2011
Randomized Controlled Trial[Effect of pediatric TCI system for propofol plus remifentanil in pediatric short-duration surgery with laryngeal mask airway anesthesia].
To study the effect of a pediatric TCI patent system for propofol plus remifentanil in pediatric short-duration surgery with laryngeal mask airway (LMA) anesthesia. ⋯ The patented system for propofol 3 µg/ml effect compartment concentration plus remifentanil 2.5 ng/ml plasma concentration TCI displays stable hemodynamics, less stress, fewer complications and better clinical outcomes in pediatric short-duration surgery with LMA anesthesia.