Acta anaesthesiologica Belgica
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In 150 patients buprenorphine was given as postoperative analgesic in a dose of 4 microgram/kg. Pain suppression was judged very good (71%), fairly good (24%) and insufficient (5%). Analgesic activity lasted at least 325 +/- 15 min. Side effects were few.
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Acta Anaesthesiol Belg · Jan 1976
Comparative StudyA comparative study of etomidate and methohexital as induction agents for analgesic anesthesia.
Two hundred current surgical procedures were done in adult patients using neuroleptanalgesia with either methohexital (1 mg/kg) or etomidate induction (0.3 mg/kg) in half of the cases. The cardiovascular function was less altered with etomidate (less occurrence of tachycardia, blood pressure drops or systolo-diastolic pinching). The etomidate dosage chosen more often gave an immediate satisfactory sleep. ⋯ Without these precautions, myoclonia can occur in two-thirds of the patients. However, these myoclonia are bothersome and of prolonged duration in rare instances and would be of real annoyance only when this drug would be used alone for surgical procedures of short duration where perfect patient immobility is required. We therefore conclude and confirm that etomidate is a good induction agent for neuroleptanalgesia anesthesia procedures.
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Acta Anaesthesiol Belg · Jan 1976
Controlled hypotension induced by sodium nitroprusside. A practical approach.
Although known since 1849 and introduced in medical practice 1955, sodium nitroprusside is used mostly in large medical centres fully equipped with monitoring equipment. This attitude has contributed that sodium nitroprusside is not as popular as it should be. An attempt is made to show that single banded practising anesthesist may and should use sodium nitroprusside to produce controlled hypotension, provided certain "safeguards" are followed. These safeguards are based on information got from the literature and own experience with sodium nitroprusside in obtaining controlled hypotension during anesthesia using sophisticated equipment as well as simplified monitoring, which is fully explained in the article.