Acta anaesthesiologica Scandinavica
-
Acta Anaesthesiol Scand · Feb 1997
Randomized Controlled Trial Clinical TrialIntra-arterial regional anaesthesia for hand surgery: a dose-finding study.
Intra-arterial regional anaesthesia (IARA) may be useful for ambulatory hand surgery in patients with poor veins. This randomized, double-blind study assessed which of the three doses of lignocaine gives the optimal analgesia with a minimum of adverse effects. ⋯ The highest dose of lignocaine produces best surgical analgesia, without increasing the risk of toxicity. However, many patients receiving this dose will develop bruises at the injection site, and an occasional patient may need supplemental analgesia.
-
Acta Anaesthesiol Scand · Feb 1997
Randomized Controlled Trial Clinical TrialInclusion of pethidine in lidocaine for infiltration improves analgesia following tonsillectomy in children.
Previous work has demonstrated that pethidine exerts local anaesthetic effects on peripheral nerves in vivo. We examined the effects of infiltration anaesthesia by a combination of pethidine and lidocaine on post-tonsillectomy pain and restlessness in children. ⋯ Inclusion of a low dose of pethidine in lidocaine for tonsillar infiltration improves pain relief after tonsillectomy in children.
-
Acta Anaesthesiol Scand · Feb 1997
Paediatric cardiac arrest and resuscitation provided by physician-staffed emergency care units.
Most paediatric cardiac arrest studies have been conducted in the USA, where paramedics provide prehospital emergency care. We wanted to study the outcome of paediatric cardiac arrest patients in an emergency medical system which is based on physician staffed emergency care units. ⋯ Although prehospital care was provided by physicians, the overall rate of survival was found to be equally poor as reported from systems with paramedics. The only major difference between physician- and paramedic-staffed emergency care units is the ability of physicians to refrain from resuscitation already on the scene when prognosis is poor.
-
Acta Anaesthesiol Scand · Feb 1997
Randomized Controlled Trial Clinical TrialThe influence of the duration of isoflurane anaesthesia on neuromuscular effects of mivacurium.
The pharmacodynamic profile of muscle relaxants is usually changed by volatile anaesthetics. These changes seem to be time-dependent, even though few data are available to substantiate this. ⋯ Our results indicate that the duration of a constant concentration of isoflurane anaesthesia influences significantly the pharmacodynamics of mivacurium. The duration of a volatile anaesthesia is critical when potentiation of NMB is evaluated or compared in neuromuscular studies.
-
Acta Anaesthesiol Scand · Feb 1997
Fibreoptic laryngotracheoscopy via the laryngeal mask airway in children.
Fibreoptic laryngotracheoscopy via the laryngeal mask airway-previously reported in adults but not in children-gives a better endoscopic view of the upper airway than does endoscopy via an endotracheal tube. ⋯ In children anaesthetized with halothane, flexible fibreoptic laryngotracheoscopy via a laryngeal mask is a useful method-offering technical advantages not achieved otherwise-provided that generally approved restrictions to the use of a laryngeal mask airway are taken into account.