Regional anesthesia
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Regional anesthesia · Sep 1996
Randomized Controlled Trial Comparative Study Clinical TrialEffectiveness and safety of combined epidural and general anesthesia for laparoscopic cholecystectomy.
The aim of this study was to compare the efficacy and safety of two anesthesia techniques, combined epidural/general anesthesia (CEGA) versus total intravenous anesthesia (TIVA), for laparoscopic cholecystectomy. ⋯ The use of CEGA for laparoscopic cholecystectomy seems to be effective and safe and to offer some advantages as compared to TIVA alone. CEGA can control pain due to CO2-induced peritoneal irritation, providing excellent intra- and postoperative analgesia. CEGA does not require the use of intraoperative intravenous opioids and shortens recovery time, without increasing the incidence of side effects.
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Regional anesthesia · Sep 1996
Randomized Controlled Trial Comparative Study Clinical TrialSpread of local anesthetic into the epidural caudal space for two rates of injection in children.
The optimal rate of injection of local anesthetic in pediatric caudal blocks has not been determined. The purpose of this study was to determine the influence of two rates of injection on the level of analgesia in children. ⋯ Level of analgesia is not affected by the rate injection of 0.25% bupivacaine into the epidural caudal space in children. The time needed to reach the highest level increases as the child ages.