Journal of neurosurgical anesthesiology
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J Neurosurg Anesthesiol · Apr 2012
Randomized Controlled Trial Comparative StudyComparison between intraoperative fentanyl and tramadol to improve quality of emergence.
Cough causes poor quality of emergence from anesthesia and risks of several complications. We compared fentanyl and an antitussive action of tramadol on the quality of emergence and postoperative outcome. ⋯ A dose of 1 mg/kg of tramadol administered intravenously 30 minutes before the expected extubation, compared with 1 μg/kg of fentanyl, decreased cough incidence, improved emergence quality, and provided stable hemodynamics. However, there was no significant difference between tramadol and fentanyl in pain scores and fentanyl consumption postoperatively.
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J Neurosurg Anesthesiol · Apr 2012
Randomized Controlled TrialChanges in intraocular pressure during prone spine surgery under propofol and sevoflurane anesthesia.
Intraocular pressure (IOP) has been shown to increase during prone spine surgery. Although propofol and sevoflurane have been widely used during such surgery, there have been no data to compare the IOP changes under propofol and sevoflurane anesthesia. The present study was therefore conducted to investigate IOP changes under propofol and sevoflurane anesthesia during prone spine surgery. ⋯ The results indicated that the choice of anesthetic agent, sevoflurane or propofol, did not have significant effects on IOP changes during a relatively short interval of prone spine surgery.
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J Neurosurg Anesthesiol · Apr 2012
Randomized Controlled TrialPerioperative pregabalin for postoperative pain control and quality of life after major spinal surgery.
Adequate management of postoperative pain after major spine surgery is often difficult to achieve. We investigated the efficacy of an antineuropathic pain drug, pregabalin (PG), on postoperative pain control and on improvement of quality of life (QoL). ⋯ Perioperative PG administration reduces early postsurgical pain at rest and particularly during movement after major spine surgery with less opioid consumption, and it seems to influence the improvement of overall QoL 3 months after surgery.