Advances in therapy
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Advances in therapy · Jan 2008
Randomized Controlled TrialEfficacy of thoracic epidural analgesia for laparoscopic cholecystectomy.
Postoperative pain is a commonly observed phenomenon after laparoscopic procedures. The use of new low-solubility inhalation anaesthetics leads to faster induction and recovery, but the effect of analgesics on pain when used with them is not sufficiently known. Optimally, analgesic therapy should be started in sufficient time as to be effective at the point of emergence from anaesthesia. We compared the effectiveness of intravenous and epidural analgesia in patients undergoing general anaesthesia with sevoflurane for laparoscopic cholecystectomy in the early postoperative period. ⋯ The epidural technique provided a significant effect on postoperative pain in patients undergoing laparoscopic cholecystectomy.
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Advances in therapy · Jan 2008
Sevoflurane induction in cyanotic and acyanotic children with congenital heart disease.
The aim of the study was to investigate the induction characteristics of sevoflurane in cyanotic and acyanotic children with congenital heart disease compared with healthy controls in a prospective, controlled, non-blinded study at a university hospital. ⋯ Induction characteristics of sevoflurane in cyanotic and acyanotic children with congenital heart disease and in healthy children are similar. Sevoflurane induction is an effective and well-tolerated technique for cyanotic and acyanotic children with congenital heart disease.