Journal of clinical anesthesia
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Randomized Controlled Trial Multicenter Study Clinical Trial
Does functional ability in the postoperative period differ between remifentanil- and fentanyl-based anesthesia?
To compare patients' functional ability in the 24-hour postoperative period following a remifentanil compared to a hypnotic-fentanyl-treated anesthesia regimen using a 24-Hour Functional Ability Questionnaire. ⋯ A remifentanil-treated anesthetic demonstrated earlier return to some functions than a fentanyl-treated technique. Although functional assessment is a field that is still in its infancy, a questionnaire to assess functional ability during the 24 hours after anesthesia may provide more practical information about anesthetic recovery than previously used, traditional psychomotor evaluations.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparing the efficacy of prophylactic metoclopramide, ondansetron, and placebo in cesarean section patients given epidural anesthesia.
To compare the relative efficacy of prophylactic metoclopramide, ondansetron, and placebo in nonemergent cesarean section patients given epidural anesthesia intraoperatively and for the first 24-hour period after delivery. ⋯ In cesarean section patients given epidural anesthesia, prophylactic ondansetron, 4 mg IV, is more efficacious and has a higher patient satisfaction than that with metoclopramide, 10 mg IV, or placebo in preventing nausea and achieving complete responses during intraoperative period and the first 24-hour postdelivery period. However, there is no difference between ondansetron and metoclopramide in reducing frequency of vomiting. Prophylactic ondansetron 4 mg IV is more effective in preventing nausea than vomiting.
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Randomized Controlled Trial Clinical Trial
Suppression of cough during emergence from general anesthesia: laryngotracheal lidocaine through a modified endotracheal tube.
To ascertain if coughing during emergence from general anesthesia can be suppressed with a modified endotracheal tube. ⋯ The technique of laryngotracheal topical lidocaine administered by the LITA tube can, in most cases, provide a smooth emergence from general anesthesia without coughing.
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparison of propofol and remifentanil for sedation and limitation of movement during periretrobulbar block.
To compare clinical conditions in patients sedated with propofol or remifentanil during combined peri-bulbar and retrobulbar block (PRBB) for cataract surgery. ⋯ Respiratory depression with remifentanil was mild and not clinically significant. Remifentanil sedation for this application was superior to sedation with propofol.
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Randomized Controlled Trial Clinical Trial
Air-oxygen mixtures in circle systems.
To determine the effect of different air-O(2) mixtures and fresh gas flows (FGF) on the relationship between the delivered (F(Del)O(2)) and inspired O(2) fraction (FIO(2)) in a circle system. ⋯ When using air-O(2) mixtures in a circle system, FIO(2) becomes lower than the F(Del)O(2) with FGF < or = 2 L/min. The relative proportion of O(2) in the FGF has to be increased accordingly.