Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Mar 2000
Randomized Controlled Trial Comparative Study Clinical TrialComparison between pentazocine, pethidine and placebo in the treatment of post-anesthetic shivering.
We have compared the effects of pethidine, pentazocine and placebo in the treatment of post-anesthetic shivering. ⋯ We conclude that pentazocine 7.5 mg was not effective in the treatment of post-anesthetic shivering.
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Acta Anaesthesiol Scand · Mar 2000
Randomized Controlled Trial Comparative Study Clinical TrialQuality of recovery in children: sevoflurane versus propofol.
Sevoflurane, with its low pungency and low blood and tissue solubility, is an attractive anaesthetic in paediatric outpatient surgery. Propofol-anaesthesia is recognised for its rapid and clear-headed emergence. This study was designed to compare emergence and recovery characteristics of sevoflurane and propofol anaesthesia for tonsillectomy in children. ⋯ In children, recovery from anaesthesia with sevoflurane results in a higher incidence of agitation compared with propofol.
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Acta Anaesthesiol Scand · Mar 2000
Case ReportsSevoflurane as a sole anaesthetic for thymectomy in myasthenia gravis.
Myasthenia gravis is a challenging situation for anaesthesiologists due to its neuromuscular involvement. The main concerns are respiratory muscle weakness and side effects due to a heavy dose of anticholinesterases. This limits the use of sedatives, hypnotics and muscle relaxants. ⋯ Sevoflurane in oxygen and nitrous oxide (MAC=0.5-0.7) was used for maintenance of anaesthesia. Recovery was smooth and fast with no residual respiratory insufficiency. Hence we found sevoflurane to be a highly suitable agent for thymectomy in mysthenia gravis.
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Acta Anaesthesiol Scand · Mar 2000
Randomized Controlled Trial Comparative Study Clinical TrialA comparison of coracoid and axillary approaches to the brachial plexus.
Brachial plexus block by the coracoid approach does not require arm abduction and may be more effective than the axillary approach because of a more proximal injection of local anaesthetic. However, the clinical usefulness of the coracoid approach has not been tested in prospective controlled trials. The present randomized, observer-blinded study compared success rates, time to obtain a complete block, frequency of adverse effects and block discomfort in two groups of 30 patients, anaesthetized for hand surgery using either the coracoid or the axillary approach to the brachial plexus. ⋯ The axillary approach to the brachial plexus using four injections of ropivacaine results in a faster onset of block and a better spread of analgesia than the coracoid approach using two injections.
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Acta Anaesthesiol Scand · Mar 2000
High-dose rectal and oral acetaminophen in postoperative patients--serum and saliva concentrations.
The primary purpose of the study was to examine the absorption of acetaminophen by measuring serum and saliva concentrations produced by a standard postoperative acetaminophen dosing regimen and secondary to examine the correlation between saliva and serum concentrations of acetaminophen after rectal and oral dosing. ⋯ The slow and ongoing absorption process resulting in no maximum concentration within 4 h after administration of 2000 mg acetaminophen suppositories makes this rectal regimen therapeutically irrational for treatment of postoperative pain. The significant ratio and linear correlation between saliva and serum concentrations of acetaminophen suggests that saliva could be used instead of blood to monitor acetaminophen administration in patients.