Journal of clinical anesthesia
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Clinical Trial Controlled Clinical Trial
Echocardiographic evaluation of global left ventricular function during high thoracic epidural anesthesia.
To assess the effects of high thoracic epidural anesthesia on left ventricular (LV) diastolic filling and systolic function in patients without heart disease. ⋯ High thoracic epidural anesthesia causes a decrease in CO without changing LV ejection and diastolic filling performance in healthy subjects.
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Comparative Study Clinical Trial Controlled Clinical Trial
Superiority of multi-orifice over single-orifice epidural catheters for labor analgesia and cesarean delivery.
To investigate whether a change from a single-orifice to multi-orifice catheter could reduce the incidence of inadequate epidural blocks requiring replacement of the epidural catheter in obstetric patients. ⋯ The multi-orifice design offers significant advantages over the single-orifice type for obstetricepidural analgesia.
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To survey cost containment activities in anesthesiology and to determine to what extent departments use cost policies and guidelines. ⋯ Anesthesiology departments are experiencing pressure to reduce costs and the majority have cost policies and guidelines concerning utilization of ORs and anesthetic drugs. Academic anesthesiology departments may be experiencing more cost-containment pressure than nonacademic departments.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of epidural morphine and oxycodone for pain after abdominal surgery.
To compare the efficacy and side effects of epidural morphine and oxycodone for pain following major abdominal surgery. ⋯ In the dosages reported, oxycodone can be used epidurally for acute post-operative pain. The analgesic effect was as good as that of epidural morphine.
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Sarcoidosis, a rare multisystem disease, often occurs in women of childbearing age. The disease, which may be improved or exacerbated by pregnancy, presents unique considerations to the anesthesiologist. These considerations are illustrated by the case presented here of complicated sarcoidosis in a parturient who underwent cesarean section.