Journal of anesthesia
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Journal of anesthesia · Apr 2010
Five-day pain management regimen using patient-controlled analgesia facilitates early ambulation after cardiac surgery.
Excessive pain may interrupt early rehabilitation after cardiac surgery. The purpose of this study was to evaluate the efficacy of a longer patient-controlled analgesia (PCA) regimen for early ambulation after cardiac surgery. ⋯ Pain management using a PCA system can be recommended for patients during the ambulation period after cardiac surgery. Subcutaneous PCA with fentanyl is a safe and effective analgesic regimen for this purpose.
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Journal of anesthesia · Apr 2010
Randomized Controlled TrialLidocaine pretreatment reduces the frequency and severity of myoclonus induced by etomidate.
The objective of this study was to assess the effects of lidocaine on the incidence and severity of myoclonic movements induced by etomidate. Sixty patients were randomly assigned to receive either 20 mg lidocaine or saline (n = 30, each), 30 s before administration of etomidate (0.3 mg/kg). ⋯ Pretreatment with lidocaine significantly reduced both the incidence and severity of myoclonic movements. As a conclusion, lidocaine is an effective and safe drug to reduce the etomidate-induced myoclonus without significant side effects.
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Journal of anesthesia · Apr 2010
Randomized Controlled TrialCaudal blockade shortens the time to walking exercise in elderly patients following low back surgery.
We conducted a randomized, double-blinded study to test our hypothesis that caudal blockade as preemptive analgesia for low back surgery might accelerate time to walking exercise following surgery and reduce postoperative analgesics, thereby attaining faster recovery of cognitive function. ⋯ Caudal blockade as preemptive analgesia shortened the time to start walking exercise after surgery and accelerated recovery of postoperative cognitive function.
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Journal of anesthesia · Apr 2010
Monitoring masseter muscle evoked responses enables faster tracheal intubation.
The aim of this study was to investigate whether monitoring neuromuscular block at the masseter muscle (MM) would allow faster tracheal intubation when compared with that at the adductor pollicis muscle (APM). ⋯ Tactual evaluation of muscle paralysis of the MM during induction of anesthesia is clinically useful since it leads to faster tracheal intubation.