Journal of clinical anesthesia
-
Case Reports
Thoracic paravertebral block for implantable cardioverter-defibrillator and laser lead extraction.
Implantable cardioverter defibrillators (ICDs) are routinely placed in the cardiac electrophysiology laboratory. Previously, these procedures were performed in the operating room during general anesthesia. ⋯ We report a case in which thoracic paravertebral blocks with mild sedation were successful for infected ICD and laser lead extraction. Randomized, controlled trials are required to determine whether thoracic paravertebral block with sedation is more effective than local anesthesia with sedation in providing adequate anesthesia for ICD placement and extraction.
-
Randomized Controlled Trial Comparative Study
Frequency of electrocardiographic changes indicating myocardial ischemia during elective cesarean delivery with regional and general anesthesia: detection based on continuous Holter monitoring and serum markers of ischemia.
To determine the frequency of electrocardiographic (ECG) changes and to assess the occurrence of myocardial ischemia during elective cesarean delivery with either regional or general anesthesia. ⋯ The ST-segment changes are not frequent in healthy women undergoing elective cesarean delivery during either regional or general anesthesia, and we found no evidence of myocardial injury.
-
Randomized Controlled Trial Comparative Study
Intravenous remifentanil and propofol for gastroscopy.
To evaluate the efficiency and safety of intravenous (i.v.) remifentanil and propofol for gastroscopy in healthy adults. ⋯ Intravenous remifentanil and propofol were more efficient for gastroscopy than i.v. fentanyl and propofol.
-
Randomized Controlled Trial Comparative Study
Remifentanil-propofol versus fentanyl-propofol for monitored anesthesia care during hysteroscopy.
To compare the efficacy of remifentanil-propofol with that of fentanyl-propofol for monitored anesthesia care during hysteroscopy. ⋯ Remifentanil seems to be a safe and effective analgesic adjunct for monitored anesthesia care of hysteroscopic surgery.
-
Randomized Controlled Trial
Pharmacokinetics of levobupivacaine 0.5% after superficial or combined (deep and superficial) cervical plexus block in patients undergoing minimally invasive parathyroidectomy.
To evaluate the pharmacokinetic profile of 0.35 mL/kg of 0.5% levobupivacaine during superficial and combined (deep and superficial) cervical plexus block (CPB) in patients undergoing minimally invasive parathyroidectomy. ⋯ With the given dose regimen, levobupivacaine plasma concentrations were within safe ranges.