Journal of clinical anesthesia
-
Randomized Controlled Trial Comparative Study Clinical Trial
Three balanced anesthetic techniques for neuroanesthesia: infusion of thiopental sodium with sufentanil or fentanyl compared with inhalation of isoflurane.
To compare emergence from anesthesia and the hemodynamic and respiratory depressant effects of thiopental sodium infusion plus sufentanil or fentanyl with those of isoflurane as the primary component of a balanced technique for neuroanesthesia. ⋯ Any one of these balanced anesthetic techniques appears appropriate for craniotomy.
-
Randomized Controlled Trial Clinical Trial
Attenuation of hypertensive response to tracheal intubation with nitroglycerin.
To evaluate the efficacy and safety of intravenous (IV) nitroglycerin in attenuating the hypertensive response to laryngoscopy and intubation as a new application of the drug. ⋯ A single, rapid IV dose of nitroglycerin is a simple, practical, effective, and safe method to attenuate the hypertensive response to laryngoscopy and tracheal intubation.
-
Randomized Controlled Trial Clinical Trial
Elderly patients recover more rapidly from desflurane than from isoflurane anesthesia.
To compare the hemodynamic, emergence, and recovery characteristics of desflurane-nitrous oxide (N2O) anesthesia with those of isoflurane-N2O anesthesia in elderly patients. ⋯ Desflurane may benefit elderly patients by providing a more rapid recovery from anesthesia, leading to a shorter PACU stay.
-
Randomized Controlled Trial Clinical Trial
Blind oral intubation: the development and efficacy of a new approach.
To develop an approach to blind oral intubation. With the aid of a fiberoptic laryngoscope and stylet within an endotracheal tube, a video camera, a monitor, and a recorder to correlate the effects of various manipulations of the airway on access to the trachea, a suitable approach was devised. We then evaluated its efficacy. ⋯ Blind oral tracheal intubation can be successfully performed in a safe and effective manner after appropriate teaching of the technique.