European journal of anaesthesiology
-
Randomized Controlled Trial Comparative Study
Effects of levobupivacaine infiltration on postoperative analgesia and stress response in children following inguinal hernia repair.
The present study compared the postoperative analgesic effects of preincisional and postincisional wound infiltration with levobupivacaine and postoperative cortisol and prolactin levels in children following inguinal hernia repair. ⋯ Wound infiltration with levobupivacaine after induction of general anaesthesia and before the end of the surgery both provide postoperative pain relief following hernia repair, and decrease the stress response to postoperative pain.
-
Comparative Study
Evaluation of the Aesculon cardiac output monitor by subxiphoidal Doppler flow measurement in children with congenital heart defects.
To evaluate the noninvasive electrical velocimetry (Aesculon) monitor for cardiac output (CO) by subxiphoidal Doppler flow measurement in children. ⋯ We conclude that electrical velocimetry using the Aesculon monitor does not reliably reflect absolute CO values as compared with subxiphoidal Doppler flow measurement.
-
Randomized Controlled Trial Comparative Study
Auditory function after spinal anaesthesia: the effect of differently designed spinal needles.
Recurrent, bilateral or unilateral, persistent or transient, mild or profound hearing loss has been reported after spinal anaesthesia. We studied the effects of the needle type (Quincke, ballpen, pencil-point spinal needles) on hearing loss after spinal anaesthesia with the use of pure-tone audiometry. ⋯ Because the use of ballpen and pencil-point needles reduces hearing loss after spinal anaesthesia, these needles are preferred.
-
Comparative Study Controlled Clinical Trial
PAI-1 gene: pharmacogenetic association of 4G/4G genotype with bleeding after cardiac surgery--pilot study.
To investigate whether the 4G/4G genotype of the PAI-1 gene is associated with bleeding after cardiac surgery and whether it may influence the use of antifibrinolytic drugs. ⋯ The 4G/4G genotype of the PAI-1 gene was associated with less bleeding after cardiac surgery only in the subgroup of patients treated with aprotinin.
-
Editorial Comment
Total intravenous anaesthesia to obese patients: largely guesswork?