Anesthesia and analgesia
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Anesthesia and analgesia · Jul 1988
Randomized Controlled Trial Clinical TrialThe effect of nail polish on pulse oximetry.
A randomized, blind study examined the effect of nail polish color on measurement of oxygen saturation by pulse oximetry. Fourteen adult volunteers had blue, green, purple, black, and red nail polish applied to their finger nails. A strip-chart recording of oxygen saturation (Nellcor N100) was made in room air and later interpreted in a blinded fashion. ⋯ Spectrophotometric absorbance data suggest that other colors may interfere with pulse oximetry. On the basis of spectrophotometric data, brown-red nail polish was predicted to interfere with oximetry; subsequent pulse oximetry measurements confirmed the prediction. Nail polish should be removed routinely before pulse oximetry monitoring.
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Anesthesia and analgesia · Jul 1988
Comparative StudyPotency of succinylcholine at the diaphragm and at the adductor pollicis muscle.
To quantify the differential effect of succinylcholine at the diaphragm and the adductor pollicis muscle, 10 patients were studied during halothane-nitrous oxide anesthesia. Train-of-four stimulation was applied to the ulnar and phrenic nerves. The force of contraction and the electromyographic response of the adductor pollicis were measured and compared with the diaphragmatic electromyogram. ⋯ The ED50 and ED90 values for succinylcholine at the diaphragm were 0.23 +/- 0.04 and 0.40 +/- 0.09 mg/kg, respectively. Corresponding values for the adductor pollicis were 0.14 +/- 0.01 and 0.21 +/- 0.02 mg/kg. The data indicate that the degree of adductor pollicis blockade might overestimate the intensity of diaphragmatic paralysis.
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Anesthesia and analgesia · Jul 1988
Effects on gastric emptying of thoracic epidural analgesia with morphine or bupivacaine.
The effects of thoracic epidural analgesia on gastric emptying were evaluated in healthy fasting volunteers. In ten volunteers, 4 mg of epidural morphine were injected at the T4 level, and ten volunteers received thoracic epidural analgesia with 0.5% bupivacaine, the latter causing block of the sympathetic innervation to the stomach. Acetaminophen absorption was used as an indirect measure of the rate of gastric emptying. ⋯ In summary, 4 mg epidural morphine delayed gastric emptying. This was not a systemic effect of morphine. Thoracic epidural analgesia with bupivacaine had no influence on gastric emptying.