Anesthesia and analgesia
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Anesthesia and analgesia · Oct 2009
Randomized Controlled Trial Comparative StudyA comparison of intravenous oxycodone and intravenous morphine in patient-controlled postoperative analgesia after laparoscopic hysterectomy.
In this study, we investigated the dose requirements, pain relief, and side effects of oxycodone versus morphine after surgery with visceral pain. ⋯ Oxycodone was more potent than morphine for visceral pain relief but not for sedation.
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Anesthesia and analgesia · Oct 2009
Randomized Controlled Trial Comparative StudyA comparison of high volume/low concentration and low volume/high concentration ropivacaine in caudal analgesia for pediatric orchiopexy.
It is unclear whether the volume or concentration of local anesthetic influences its spread and quality of caudal analgesia when the total drug dose is fixed. ⋯ We confirmed (with fluoroscopy) that a caudal block with 1 mL/kg ropivacaine spreads to T11 and to T6 with 1.5 mL/kg. If the total dose is fixed, caudal analgesia with a larger volume of diluted ropivacaine (0.15%) provides better quality and longer duration after discharge than a smaller volume of more concentrated ropivacaine (0.225%) in children undergoing day-case orchiopexy. The spread level of ropivacaine correlated significantly with the first oral acetaminophen time after discharge.
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Anesthesia and analgesia · Oct 2009
A prediction model for out-of-hospital cardiopulmonary resuscitation.
We created a prediction model to be used in cardiopulmonary resuscitation (CPR) attempts as a decision tool to omit futile CPR attempts and to save resources. ⋯ For out-of-hospital patients with cardiac arrest, parameters documented in the field did not allow accurate prediction of hospital survival.
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Anesthesia and analgesia · Oct 2009
Epidemiology of anesthesia-related complications in labor and delivery, New York State, 2002-2005.
Epidemiologic data on anesthesia-related complications occurring during labor and delivery are essential for measuring and evaluating the safety and quality of obstetric anesthesia care but are lacking. We aimed to fill this research gap by exploring the epidemiologic patterns and risk factors of anesthesia-related complications in a large sample of women giving birth in New York hospitals. ⋯ The incidence of anesthesia-related complications during labor and delivery seems to be low but remains a cause of concern, particularly in women undergoing cesarean delivery, living in rural areas, or having preexisting medical conditions.