Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Feb 1996
Randomized Controlled Trial Clinical TrialDepression of excitatory effects of propofol induction by fentanyl.
Propofol is an intravenous anesthetic drug commonly used in outpatient anesthesia for its rapid and smooth onset of action, short recovery period and its minimal perioperative side effects. However, propofol like other intravenous anesthetic drugs can produce excitatory signs during induction without signs of epilepsy on EEG. We studied 64 patients scheduled for various outpatient procedures. ⋯ Fentanyl 1.5 ug. Kg-1 used in outpatient anesthesia with propofol 2 mg. Kg-1 provides cardio-vascular stability, deepens the anesthesia level, decrease the awareness and decrease the excitatory effects or propofol.
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Middle East J Anaesthesiol · Feb 1996
Clinical TrialModified interface between pediatric ventilator and Ayre's T-piece for use in neonates.
The lowest tidal volume delivered by most of the pediatric anesthesia ventilators could be large for neonates, and may generate unacceptably high peak airway pressures. The effective tidal volume can however be reduced by connection of a small rubber bag between the ventilator and the expiratory limb of the Ayre's T-piece circuit to divide the delivered gas mixture between the added bag and the neonate's lungs. The delivered tidal volume by the ventilator can then be manipulated to achieve the desired peak inspiratory pressure; 18-20 cm H2O in neonates with normal lung compliance. The modification was found to be simple, safe and convenient.