Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Jun 2006
Randomized Controlled TrialLidocaine or diazepam can decrease fasciculation induced by succinylcholine during induction of anesthesia.
Succinylcholine is used during induction of anesthesia, and it may induce fasciculations. In this study we demonstrated that intravenous diazepam (1 mg/kg) or lidocaine (1.5 mg/kg) can decrease fasciculations induced by succinylcholine. There is no significant difference between these two drugs in reducing fasciculations moreover, these drugs can also prevent raised blood pressure and heart rate during intubation.
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Middle East J Anaesthesiol · Jun 2006
Clinical TrialRemifentanil preventing hemodynamic changes during laparoscopic adrenalectomy for pheochromocytoma.
In this prospective case-series study, a balanced anesthetic scheme of sevoflurane in nitrous oxide supplemented with remifentanil and sustained neuromuscular block was applied in nine patients scheduled for laparoscopic adrenalectomy for pheochromocytoma. Laparoscopic adrenalectomy to treat pheochromocytoma results in marked catecholamine release during pneumoperitoneum and tumor manipulation. ⋯ Increased infusion rate of remifentanil was used (up to 3 microg/kg/min) to prevent and treat marked hemodynamic changes from catecholamine release during tumor manipulation. Hpotension after tumor removal was treated with additional colloids fluids and decreasing the remifentanil infusion rate by 25-50%.
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Middle East J Anaesthesiol · Jun 2006
Randomized Controlled TrialThe influence of premedication and smoking.
The history of smoking and premedication did not influence the proportion of patients who had a cough response to fentanyl when administrated as first agent during induction in anesthesia.
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Middle East J Anaesthesiol · Jun 2006
Editorial Historical ArticleMiddle East Journal of Anesthesiology--hand, head and heart.