Journal of clinical anesthesia
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Randomized Controlled Trial Comparative Study Clinical Trial
Sevoflurane versus halothane for general anesthesia in pediatric patients: a comparative study of vital signs, induction, and emergence.
To compare vital signs and the speed of induction and emergence with sevoflurane versus halothane in pediatric patients. ⋯ Induction of and emergence from anesthesia was faster with sevoflurane than halothane. Airway complications were low in both groups. Vital signs were more stable with sevoflurane during induction through intubation, and were comparable during maintenance. Sevoflurane is an excellent drug for inhalational induction in pediatric patients.
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Randomized Controlled Trial Clinical Trial
Use of patient-controlled analgesia with alfentanil for extracorporeal shock wave lithotripsy.
To compare the efficacy of patient-controlled analgesia (PCA) to physician-controlled analgesia in patients undergoing extracorporeal shock wave lithotripsy (ESWL). ⋯ PCA is a useful alternative to physician-controlled analgesia during ESWL since it provides equivalent pain control while using less alfentanil.
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Randomized Controlled Trial Comparative Study Clinical Trial
Does monitoring end-tidal isoflurane concentration improve titration during general anesthesia?
To assess the value of end-tidal anesthetic gas monitoring with respect to intraoperative hemodynamic stability and recovery times. ⋯ This study suggests that end-tidal isoflurane monitoring does not improve the titration of isoflurane during general anesthesia.
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Randomized Controlled Trial Clinical Trial
The effect of cricoid pressure application on airway patency.
To assess the incidence of upper airway obstruction associated with the application of cricoid pressure (Sellick's maneuver) by experienced anesthetists. ⋯ The use of manual cricoid pressure, even by experienced anesthetists, causes a degree of airway obstruction and can cause complete airway occlusion.
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Randomized Controlled Trial Comparative Study Clinical Trial
Hemodynamic effects during induction, laryngoscopy, and intubation with eltanolone (5 beta-pregnanolone) or propofol. A study in ASA I and II patients.
To evaluate the cardiovascular changes following induction of anesthesia, laryngoscopy, and intubation in patients receiving a bolus dose of either eltanolone or propofol. ⋯ Patients receiving either eltanolone or propofol showed similar cardiovascular changes to induction of anesthesia, although there were greater increases in arterial pressure and HR in those patients receiving eltanolone.