Anesthesia and analgesia
-
Anesthesia and analgesia · Jul 2011
Comparative StudyAllergic reactions to propofol in egg-allergic children.
Egg and/or soy allergy are often cited as contraindications to propofol administration. Our aim was to determine whether children with an immunoglobulin (Ig)E-mediated egg and/or soy allergy had an allergic reaction after propofol use. ⋯ Despite current Australian labeling warnings, propofol was frequently administered to egg-allergic children. Propofol is likely to be safe in the majority of egg-allergic children who do not have a history of egg anaphylaxis.
-
Anesthesia and analgesia · Jul 2011
Randomized Controlled Trial Comparative StudyLean body weight scalar for the anesthetic induction dose of propofol in morbidly obese subjects.
The unique anesthetic risks associated with the morbidly obese (MO) population have been documented. Pharmacologic management of these patients may be altered because of the physiologic and anthropometric changes associated with obesity. Unfortunately, studies examining the effects of extreme obesity on the pharmacology of anesthetics have been sparse. Although propofol is the induction drug most frequently used in these patients, the appropriate induction dosing scalar for propofol remains controversial in MO subjects. Therefore, we compared different weight-based scalars for dosing propofol for anesthetic induction in MO subjects. ⋯ LBW is a more appropriate weight-based scalar for propofol infusion for induction of general anesthesia in MO subjects.
-
Anesthesia and analgesia · Jul 2011
ReviewAn assessment of subarachnoid block: a survey of 175 articles and recommendations for improvement.
Assessment of subarachnoid block, particularly the sensory component, may be incomplete and influence the conclusions of studies involving subarachnoid anesthesia, as well as their application in routine clinical practice. ⋯ These results suggest incomplete description of tools and assessment of sensory block in studies involving subarachnoid anesthesia. We propose a checklist to facilitate a more standardized evaluation of the extent of subarachnoid anesthesia.
-
Anesthesia and analgesia · Jul 2011
Randomized Controlled Trial Comparative StudyA comparison of desflurane versus propofol: the effects on early postoperative lung function in overweight patients.
In this study, we evaluated the influence of propofol versus desflurane anesthesia in overweight patients on postoperative lung function and pulse oximetry values. ⋯ We conclude that, for superficial surgical procedures of up to 120 minutes, maintenance of anesthesia with propofol impairs early postoperative lung function and pulse oximetry values more than with desflurane. Furthermore, increasing obesity decreases pulmonary function at 2 hours after propofol anesthesia but not after desflurane anesthesia.