European journal of anaesthesiology
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Letter Case Reports
General anaesthesia in a patient with motor neuron disease.
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Randomized Controlled Trial Clinical Trial
Performance of bispectral index and auditory evoked potential monitors in detecting loss of consciousness during anaesthetic induction with propofol with and without fentanyl.
To investigate and compare the performance of bispectral index (BIS) and auditory evoked response index (AAI) in detecting the transition from consciousness to unconsciousness during anaesthesia induction by propofol, alone and in combination with fentanyl. ⋯ These results show that a fentanyl bolus is effective in augmenting the hypnotic effect of propofol during anaesthesia induction. AAI appears to be able to measure the transition from consciousness to unconsciousness at similar values, regardless of whether or not fentanyl pretreatment is used whereas the BIS values were not independent of fentanyl pretreatment. This suggests that AAI may be a better indicator of conscious status during propofol/fentanyl anaesthesia, where it appears to be independent of the anaesthesia regimen.
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Randomized Controlled Trial Clinical Trial
Upper cervical vertebrae movement during intubating laryngeal mask, fibreoptic and direct laryngoscopy: a video-fluoroscopic study.
Minimizing cervical vertebrae motion during endotracheal intubation is important in patients with cervical instability. The aim of this study was to compare upper cervical spine extension during endotracheal intubation using three different techniques. ⋯ We conclude that fibreoptic laryngoscopy is the more suitable intubation technique when cervical spine movement is not desired.
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Randomized Controlled Trial Clinical Trial
Postoperative magnesium sulphate infusion reduces analgesic requirements in spinal anaesthesia.
Magnesium sulphate infusion during general anaesthesia reduces anaesthetic consumption and analgesic requirements. The aim of this study was to assess the effects of postoperative magnesium infusion on duration of block, sedation and analgesic consumption after spinal anaesthesia. ⋯ Magnesium sulphate infusion may be used as an adjunct for reducing analgesic consumption after spinal anaesthesia.