British journal of anaesthesia
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Randomized Controlled Trial Comparative Study Clinical Trial
Intrathecal sufentanil as a supplement to subarachnoid anaesthesia with lignocaine.
The combination of low-dose sufentanil with lignocaine for subarachnoid anaesthesia was studied in a double-blind comparative trial in 40 urological patients. Patients were allocated randomly to two groups and received 5% heavy lignocaine 1.5 ml together with either 1.5 ml of sufentanil 5 micrograms ml-1, or physiological saline 1.5 ml. ⋯ There was no significant difference in the number of patients requiring supplementary analgesics. Side-effects were similar in both groups.
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Gas exchange was modelled by a Fortran program. Arterial blood-gas tensions have higher resolution than inert gas retentions in terms of distinguishing a single VA/Q compartment from a progressively broadening lognormal distribution. ⋯ The way in which the arterial blood-gas tensions vary with the variables of two and three-compartment distributions is described. Two- and three-compartment VA/Q distributions are derivable from either arterial blood-gas tensions or inert gas retentions.