Journal of clinical anesthesia
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Randomized Controlled Trial Clinical Trial
Evaluation of pain following electrocautery tubal ligation and effect of intraoperative fentanyl.
To evaluate pain following laparoscopic tubal sterilization (LTS) and the effects of supplemental intraoperative fentanyl. ⋯ Pain following LTS by electrocautery is of significant magnitude and may require relatively large doses of opioids for adequate management. Supplemental intraoperative fentanyl 1 microgram/kg did not produce a clinically significant reduction in either pain scores or opioid requirements.
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Clinical Trial Controlled Clinical Trial
Evaluation of laboratory coagulation and lytic parameters resulting from autologous whole blood transfusion during primary aortocoronary artery bypass grafting.
To determine if autologous blood reinfusion influences overall hemostatic function following aortocoronary artery bypass graft (CABG) surgery, and if so, where the predominant area of this influence lies. ⋯ Significant improvements in coagulation and lytic parameters occur following CPB after the infusion of autologous blood. These improvements in coagulation indices may be the result of the infused blood or hemoconcentration, which is also known to occur during this period. Additional control studies are needed to differentiate these effects.
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To determine the effects of magnesium sulfate on neuromuscular transmission in parturients. ⋯ In this patient population, clinically relevant infusions of magnesium sulfate produced significant changes in neuromuscular transmission as manifested by loss of treppe phenomenon and diminished TOF response to ulnar nerve stimulation.
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Randomized Controlled Trial Clinical Trial
Propofol permits tracheal intubation but does not affect postoperative myalgias.
To determine the effect of propofol without succinylcholine on intubating conditions and postoperative myalgias in ambulatory surgical patients undergoing general anesthesia. ⋯ Propofol did not affect the incidence or severity of postoperative myalgias following succinylcholine.