Journal of clinical anesthesia
-
Randomized Controlled Trial Clinical Trial
Effect of epidural morphine on sedation requirements during regional anesthesia.
To examine the effect of using analgesic doses of epidural morphine on midazolam requirements for conscious sedation during regional anesthesia. ⋯ An analgesic dose of epidural morphine, after a latent period of 3 hours, may decrease the dose of midazolam required for sedation using regional anesthesia.
-
Comparative Study
Vecuronium neuromuscular blockade at the cricothyroid and posterior cricoarytenoid muscles of the larynx and at the adductor pollicis muscle in humans.
To compare the sensitivity to vecuronium in the cricothyroid (CT) and posterior cricoarytenoid (PCA) muscles of the larynx and the adductor pollicis muscles. ⋯ The laryngeal (CT and PCA) muscles are more resistant to vecuronium than is the adductor pollicis, and the PCA muscle is more resistant to vecuronium than is the CT muscle. This finding suggests that partially paralyzed patients are able to maintain laryngeal patency despite the apparent impaired neuromuscular transmission in the adductor pollicis muscle.
-
Randomized Controlled Trial Clinical Trial
Respiratory effects of sevoflurane used in combination with nitrous oxide and surgical stimulation.
To evaluate the respiratory effects of sevoflurane anesthesia with and without nitrous oxide (N2O) during surgical stimulation. ⋯ Sevoflurane administered at an appropriate anesthetic depth maintained spontaneous respiration at acceptable levels during surgical stimulation, especially when combined with N2O.
-
To determine the efficacy and safety of administering low-dose analgesic infusions through cervical epidural catheters. ⋯ Patients with chronic persistent cervical radiculopathy pain were effectively treated with infusion of analgesics through epidural catheters for 2 to 17 days while they were at home.