Anesthesiology
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Randomized Controlled Trial Clinical Trial
Transnasal butorphanol is effective for postoperative pain relief in children undergoing myringotomy.
More than 70% of children require analgesics after bilateral myringotomy and tube placement (BMT). Because anesthesia for BMT is generally provided by face mask without placement of an intravenous catheter, an alternative route for analgesia administration is needed. Transnasal butorphanol is effective in relieving postoperative pain in adults and children. The effectiveness of transnasal butorphanol for postoperative pain management in children undergoing BMT was studied. ⋯ Transnasal butorphanol given in a dose of 25 microg/kg after induction of anesthesia provided adequate postoperative pain relief in children undergoing BMT.
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Randomized Controlled Trial Clinical Trial
The sedative and analgesic sparing effect of music.
To determine whether music influences intraoperative sedative and analgesic requirements, two randomized controlled trials were performed. ⋯ Use of intraoperative music in awake patients decreases patient-controlled sedative and analgesic requirements. It should be noted, however, that patients in the no-music group did not use a headset during operation. Thus, the decrease in sedative and analgesic requirements could be caused by elimination of ambient operating room noise and not by the effects of music.