Journal of clinical anesthesia
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Randomized Controlled Trial Clinical Trial
Hydroxyethyl starch (HES) does not directly affect renal function in patients with no prior renal impairment.
To examine the effects of hydroxyethyl starch (HES) on renal function. ⋯ Hydroxyethyl starch administration appears to be risk-free with regard to renal function in patients without preexisting renal dysfunction who undergo general anesthesia. The relevance of the decrease in aldosterone following HES therapy needs further investigation.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of fentanyl and sufentanil in combination with bupivacaine for patient-controlled epidural analgesia during labor.
To compare the efficacy of fentanyl plus bupivacaine with sufentanil plus bupivacaine for treatment of pain during labor and delivery using patient-controlled epidural analgesia (PCEA). ⋯ Sufentanil is preferable to fentanyl during bupivacaine PCEA as there is less incidence of motor blockade and pruritus.
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To compare the cross-sectional area (in cm(2)) of the left internal jugular vein (LIJV) and right internal jugular vein (RIJV) in anesthetized children, and measure the response to the Trendelenburg tilt position (TBRG) and a positive inspiratory pressure hold. ⋯ The cross-sectional area of the RIJV is often greater than the LIJV; the TBRG was not effective to increase the cross-sectional area of the internal jugular veins, and only a PIP hold increased significantly the cross-sectional area of the RIJV. In this study, the LIJV appeared of smaller size and less compliant compared with the RIJV.
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Randomized Controlled Trial Clinical Trial
Analgesic effect of epidural neostigmine after abdominal hysterectomy.
To evaluate the effects of epidurally administered neostigmine on pain after abdominal hysterectomy. ⋯ Epidural neostigmine of 10 micro g/kg in bupivacaine provides a longer duration of analgesia than does bupivacaine alone or with 5 micro g/kg of neostigmine after abdominal hysterectomy.
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Randomized Controlled Trial Clinical Trial
Preoperative oral rofecoxib does not decrease postoperative pain or morphine consumption in patients after radical prostatectomy: a prospective, randomized, double-blinded, placebo-controlled trial.
To evaluate the analgesic efficacy of the rofecoxib po before radical prostatectomy. ⋯ When rofecoxib is used po in maximum recommended doses before surgery, it does not provide significant analgesia that results in reduction in pain scores or analgesic requirements for patients after radical prostatectomy.