Journal of clinical anesthesia
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To determine the perioperative considerations for low-risk and high-risk surgery in patients with Gitelman syndrome. ⋯ Gitelman syndrome is a mild disorder when appropriately managed.
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Randomized Controlled Trial Comparative Study
Tramadol-metoclopramide or remifentanil for patient-controlled analgesia during second trimester abortion: a double-blinded, randomized controlled trial.
To compare patient-controlled analgesia (PCA) with tramadol with PCA with remifentanil in second trimester abortion. ⋯ Both drugs are acceptable choices for pain control in patients undergoing second trimester abortions.
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Randomized Controlled Trial Comparative Study
The optimal dose of esmolol and nicardipine for maintaining cardiovascular stability during rapid-sequence induction.
To determine the optimal dose of esmolol in combination with nicardipine in effectively blocking undesirable cardiovascular responses during rapid-sequence induction. ⋯ The combination of nicardipine 20 μg/kg and esmolol 0.5 mg/kg most effectively attenuates the cardiovascular responses during rapid-sequence induction.
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Case Reports
Propofol-related infusion syndrome induced by "moderate dosage" in a patient with severe head trauma.
Propofol is widely used for sedating critically ill adult patients because of its rapid onset and short recovery times, even after prolonged use. Propofol may be associated with a life-threatening syndrome, propofol-related infusion syndrome (PRIS), which includes cardiac failure, severe metabolic acidosis, renal failure, and rhabodomyolysis. ⋯ Propofol-related infusion syndrome seems to be dose-related, and it occurs generally in patients undergoing long-term (> 48 hrs) sedation at higher doses (> 4 mg/kg/hr). A case of PRIS in a patient after severe head injury is presented.