J Res Med Sci
-
The aim of this study was to compare the postoperative pain scores and morphine requirements between spinal anesthesia (SA) with hyperbaric bupivacaine 0.5% and general anesthesia (GA) with 1 Minimal alveolar concentration minimal alveolar concentration (MAC) of isoflurane in 50% N2O and O2 after elective lower abdominal surgery. ⋯ Although in patients undergoing elective lower abdominal surgery with SA may have lower pain scores and also lower morphine requirement in the first 6 h postoperatively, but after that there were no significant differences between SA and GA regarding postoperative pain scores and analgesic requirements and so more attention should be given to their postoperation pain relief.
-
We investigated the difference of clinical practice pattern between end-stage chronic obstructive pulmonary disease (COPD) patients with and without palliative care at the end of life in Taiwan. ⋯ Palliative care was underutilized and referral was delayed for COPD patients. COPD patients are polysymptomatic approaching the end of life and this characteristic should be taken into account in providing appropriate end-of-life care in the same way as for cancer patients. Palliative care for COPD patients is urgently needed in Taiwan and should be promoted.
-
In this randomized, double-blinded study, we investigated the preemptive effects of propofol, remifentanil or ketamine on post-operative pain scores and analgesic requirements in elective lower abdominal surgeries under general anesthesia during the first 24 h of post-operative period. ⋯ Prophylactic preemptive single dose of intravenous (IV) 0.25 mg/kg propofol significantly decreased post-operative analgesia requirements comparing with IV 0.3 mg/kg ketamine or 0.25 μg/kg remifentanil.
-
It may be difficult to differentiate between the first demyelinating attack and the neurological manifestations of connective tissue diseases. ⋯ This study shows no specific difference between two groups.
-
The purpose of this study is to determine sensitivity and specificity of body mass index (BMI) based on Center for Disease Control 2000 (CDC) percentiles compared to fat mass index (FMI) as an indicator of being really obese in children. Obesity was compared based on these two indexes among children under study. ⋯ Our results indicated 79% of children who were recognized as obese based on FMI, were also classified as obese according to BMI. Twenty-seven percent of children, who were non-obese, were identified as obese based on BMI. It appears that FMI compared to BMI is more accurate in determining obesity, but further studies are required.