Curr Ther Res Clin E
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Curr Ther Res Clin E · Dec 2013
Comparison of Propofol and Ketamine-Propofol Mixture (Ketofol) on Laryngeal Tube-Suction II Conditions and Hemodynamics: A Randomized, Prospective, Double-Blind Trial.
The aim of our study is to compare the effect of ketamine-propofol mixture (ketofol) and propofol on the laryngeal tube-Suction II (LTS II) insertion conditions and hemodynamics. ⋯ We found that ketofol provided better insertion summed score for LTS II than propofol, with minimal hemodynamic changes.
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Curr Ther Res Clin E · Dec 2013
Efficacy of lung recruitment maneuver with high-level positive end-expiratory pressure in patients with influenza-associated acute respiratory distress: a single-center prospective study.
The latest data released to the public from the Chinese Ministry of Health reported 120,940 confirmed H1N1 cases and 659 deaths on the Chinese mainland. ⋯ Initial response of lung RM with high-level PEEP may be associated with good clinical outcome of patients with influenza-associated ARDS. The initial PEEP level, duration of mechanical ventilation, and dynamic lung-thorax compliance dynamic lung-thorax compliance may be potential factors in influencing the initial response to RM.
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Curr Ther Res Clin E · Jun 2013
Effects of perineural administration of dexmedetomidine in combination with levobupivacaine in a rat sciatic nerve block.
The aim of this study was to assess if perineural administration of dexmedetomidine combined with levobupivacaine increases the duration of the sensory and motor blockade of a sciatic peripheral nerve block in rats. ⋯ A 20µg/kg dose of dexmedetomidine added to levobupivacaine did not increase the duration of the sensory and motor blockades in rats. However, treatment with dexmedetomidine plus levobupivacaine increased the quality of analgesia in rats.
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Curr Ther Res Clin E · Jun 2013
Preoperatıve ultrasound-guıded suprascapular nerve block for postthoracotomy shoulder paın.
Acute postthoracotomy pain is a well-known potential problem, with pulmonary complications, ineffective respiratory rehabilitation, and delayed mobilization in the initial postoperative period, and it is followed by chronic pain. The type of thoracotomy, intercostal nerve damage, muscle retraction, costal fractures, pleural irritation, and incision scar are the most responsible mechanisms. ⋯ Postthoracotomy shoulder pain reduces patient function and postsurgical rehabilitation potential after thoracotomy, and various studies on explaining the etiology and management of postthoracotomy shoulder pain have been conducted. Theories of the etiology involved either musculoskeletal origin or referred pain. In this study, we concluded that preoperative ultrasound-guided suprascapular nerve block with thoracic epidural analgesia could achieve effective shoulder pain relief for 72 hours postoperatively, both at rest and coughing.
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Curr Ther Res Clin E · Dec 2012
Effect of intraoperative paracetamol on catheter-related bladder discomfort: a prospective, randomized, double-blind study.
The insertion of urinary catheters during urinary surgical interventions may lead to catheter-related bladder discomfort (CRBD) in the postoperative period. ⋯ Intraoperative single-dose paracetamol was found to be effective in reducing the severity of CRBD and pain in urologic surgery. We suggest that it may be an efficient, reliable, easy-to-apply drug for CRBD. ClinicalTrials.gov identifier: NCT01652183.