Journal of anesthesia
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Journal of anesthesia · Jan 2003
Randomized Controlled Trial Clinical TrialHemodynamic and bispectral index responses to tracheal intubation during isoflurane or sevoflurane anesthesia.
The effects of volatile anesthetics on change in the bispectral index (BIS) due to tracheal intubation are unclear. We investigated hemodynamic and BIS responses to intubation during isoflurane or sevoflurane anesthesia. ⋯ Anesthesia with 2 MAC of isoflurane and sevoflurane was effective to suppress the change in BIS due to intubation but was not sufficient to prevent changes in hemodynamic responses.
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Neuromuscular disease covers a wide range of conditions, with anesthesia management being required either for problems relevant to the disorder or for comorbid conditions. The diseases often have specific problems that can usually be predicted from their pathophysiology. The anesthesiologist must ensure a thorough preoperative assessment, appropriate choice of anesthetic technique and neuromuscular blocking drugs, and careful monitoring of both hemodynamic parameters and the degree of neuromuscular blockade. With these considerations, the patient with neuromuscular disease, although challenging, can be given anesthetic care in a safe fashion.
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Journal of anesthesia · Jan 2003
Randomized Controlled Trial Clinical TrialAbsence of efficacy of ultrasonic two-way Doppler flow detector in routine percutaneous arterial cannulation.
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Journal of anesthesia · Jan 2003
Comparative StudyComparative fading responses induced by mivacurium, cisatracurium, and d-tubocurarine in the evoked muscular compound action potentials of the cat.
It has been suggested that the different degrees of fade induced by nondepolarizing neuromuscular blocking agents in repetitive muscular contractions may be due to the varying affinities or binding kinetics of presynaptic nicotinic receptors. We compared the degree of fade induced by mivacurium, cisatracurium, and d-tubocurarine in the cat muscular compound action potential (mCAP). ⋯ Our results suggest that mivacurium shows a lesser degree of fade during partial neuromuscular block than cisatracurium and d-tubocurarine.
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Journal of anesthesia · Jan 2003
Randomized Controlled Trial Clinical TrialCombination of intrathecal and intravenous fentanyl for cesarean delivery.