Archives of medical research
-
The analgesic efficacy and bioavailability of 30 mg intramuscular ketorolac was studied in 24 patients with severe or very severe postoperative pain. ⋯ Results show that 30 mg intramuscular ketorolac is an adequate treatment for postoperative pain in the Mexican population. Therefore, the use of higher doses is not justified. Due to gradual installation of analgesia, administration of additional analgesic medication before 1 h is not recommended.
-
The objective was to determine the impact of the physical functioning of diabetic patients on hospitalizations, physician visits, and costs using Medicare data. ⋯ Self-perception is highly correlated with the care cost of patients with diabetes.
-
Randomized Controlled Trial Clinical Trial
Rocuronium administration in children during isoflurane anesthesia: neuromuscular effects.
The time-course of the effect of rocuronium during isoflurane anesthesia in children has rarely been evaluated. Forty-five children, aged 2-14 years, ASA 1, undergoing elective surgery and receiving isoflurane anesthesia, were studied. ⋯ Maximal relaxation was reached in all children receiving 600 or 800 micrograms/kg of rocuronium. The TSRNMF were mainly related to the weight of the children, and gender affected each relationship. Widely variable responses were observed with all three doses.
-
Clinical Trial Controlled Clinical Trial
Are oxygen indices effective for predicting pathological intrapulmonary shunt in mechanically ventilated children?
This study was undertaken to evaluate whether oxygen indices accurately predict pathological intrapulmonary shunt (Qsp/Qt), and to evaluate the sensitivity and specificity of the FiO2-required formula to obtain a desired arterial oxygen tension (PaO2) in mechanically ventilated children. ⋯ The oxygen indices showed sufficient efficacy to detect pathological intrapulmonary shunt, and to have a statistically significant lineal correlation that permits its use during the clinical evaluation of oxygen transport data in most mechanically ventilated children, which is consistent with other reports on adult populations. However, one limitation for its use in clinical assessment, as reported in previous studies, would be that all indices in the present study are FiO2-dependent; therefore, when the FiO2 varies, the use is misleading. The FiO2-required formula is efficient for defining the appropriated FiO2 for the obtaining of the desired PaO2, but will always be merely a guide that should be confirmed through blood gas analysis.
-
Multicenter Study
Asymptomatic bacteriuria and inflammatory response to urinary tract infection of elderly ambulatory women in nursing homes.
Bacteriuria > or = 10(5) CFU/ml is evidence of urinary tract infection in the absence of associated signs or symptoms. The presence of pyuria with asymptomatic bacteriuria established the response of elderly women against microorganisms capable of causing invasiveness or tissue injury of the urinary tract. ⋯ Bacteriuria > or 10(5) CFU/ml associated with pyuria was detected in 77% of elderly women with asymptomatic urinary tract infections. Bacteriuria of < 10(5) CFU/ml with pyuria proves less sensitive as an indicator of urinary tract infection. Elderly women with pyuria but without bacteriuria should be studied for other causes of urinary tract inflammation.