Medical science monitor : international medical journal of experimental and clinical research
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Randomized Controlled Trial
Total intravenous anesthesia with propofol and remifentanil is associated with a nearly twofold higher incidence in postanesthetic shivering than desflurane-fentanyl anesthesia.
Postanesthetic shivering (PAS) is a frequent side effect of general anesthesia. Previous reports on the incidence of PAS of propofol for the induction or maintenance of anesthesia have been controversial, but have not been studied in detail. The aim of the present study was to evaluate the incidence and severity of PAS in total intravenous anesthesia (TIVA) with propofol and remifentanil compared with an inhalative anesthesia. ⋯ Postanesthetic shivering appears significantly more frequently and intensively after TIVA with propofol and remifentanil compared with an inhalative anesthesia with fentanyl and desflurane.
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The syndrome of mitral valve prolapse (MVP) is the most common form of valvular heart disease. ⋯ A young female patient with combined mitral valve prolapse, atrial flutter, and syncope is presented.