Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Jul 2004
Randomized Controlled Trial Clinical TrialThe effects of pre-emptive epidural sufentanil on human immune function.
Surgical stress and general anaesthesia suppress immune functions, including natural killer cell (NK) activity. This suppression could be attributed, at least in part, to the effect of opiates. ⋯ Pre-emptive epidural sufentanil during combined propofol and isoflurane anaesthesia had minor effects on the immune response after hysterectomy. The lower production of pro-inflammatory cytokines (IL-1, IL-6) in the pre-emptive group compared with the control group is beneficial, but its clinical importance remains to be determined.
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Acta Anaesthesiol Scand · Jul 2004
Randomized Controlled Trial Comparative Study Clinical TrialPatient-controlled epidural technique improves analgesia for labor but increases cesarean delivery rate compared with the intermittent bolus technique.
We tested the hypothesis that patient-controlled epidural analgesia for labor (PCEA) provides better analgesia and satisfaction than the intermittent bolus technique (bolus) without affecting the mode of delivery. ⋯ The PCEA technique provided better pain relief. This was associated with higher bupivacaine consumption, prolongation of the second stage of labor, and an increased rate of cesarean section.
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Acta Anaesthesiol Scand · Jul 2004
Case ReportsAnaesthesia for cholecystectomy in two non-parturients with Eisenmenger's syndrome.
Eisenmenger's syndrome consists of high pulmonary vascular resistance with reversed or bidirectional shunt at aortopulmonary, ventricular or atrial level. We describe the anaesthetic management of two adult females with Eisenmenger's syndrome admitted for laparoscopic cholecystectomy. ⋯ We used sevoflurane and total intravenous anaesthesia to provide general anaesthesia. Both techniques were tolerated.
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Acta Anaesthesiol Scand · Jul 2004
Case ReportsSuccessful treatment with enoximone for severe poisoning with atenolol and verapamil: a case report.
Combined poisoning with calcium channel blockers (CCBs) and beta-blockers is usually associated with severe hypotension and heart failure. Due to the block of the beta receptors, treatment with adrenergic agonists, even at high doses, can be insufficient, and beta-independent inotropes, such as glucagon, may be required. Phosphodiesterase III (PDEIII) inhibitors represent a possible alternative to glucagon in these cases as they have an inotropic effect which is not mediated by a beta receptor.
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Acta Anaesthesiol Scand · Jul 2004
Case ReportsPorcine surfactant (Curosurf) for acute respiratory failure after near-drowning in 12 year old.
This case report describes rapid and persistent improvement after one single dose of porcine surfactant (Curosurf) 0.5 ml/kg(-1) (40 mg/kg) intratracheally for adult respiratory distress syndrome (ARDS) with severe oxygenation failure 8 h after freshwater near-drowning in a 12-year-old girl.