Anesthesia and analgesia
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The introduction of a new generation of inhaled anesthetics into pediatric clinical practice has been associated with a greater incidence of ED, a short-lived, but troublesome clinical phenomenon of uncertain etiology. A variety of anesthesia-, surgery-, patient-, and adjunct medication-related factors have been suggested to play a potential role in the development of such an event. ⋯ To reduce the incidence of this adverse event, it is advisable to identify children at risk and take preventive measures, such as reducing preoperative anxiety, removing postoperative pain, and providing a quiet, stress-free environment for postanesthesia recovery. More clinical trials are needed to elucidate the cause as well as provide effective treatment.
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Anesthesia and analgesia · Jan 2007
Clinical TrialThe hemodynamic effects of landiolol, an ultra-short-acting beta1-selective blocker, on endotracheal intubation in patients with and without hypertension.
The ultra-short-acting beta1-selective blocker, landiolol, is widely used in Japan. We investigated the effects of landiolol on intubation-induced adrenergic response in 88 patients. ⋯ Low doses of landiolol can effectively prevent tachycardia after intubation without significant effects on arterial blood pressure.
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Anesthesia and analgesia · Jan 2007
AnaConDa reflection filter: bench and patient evaluation of safety and volatile anesthetic conservation.
The AnaConDa filter permits administration of volatile anesthetic without the use of an anesthesia machine. It is intended for use in the intensive care unit. ⋯ This study shows that the device is generally reliable, but that there are several conditions under which it might deliver more anesthetic than intended.