Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Nov 2001
Randomized Controlled Trial Comparative Study Clinical Trial[Remifentanil or propofol for sedation in subarachnoid anesthesia. Effects on ventilation, hemodynamic stability and bispectral index].
To compare depth of sedation, hemodynamic and respiratory effects, and bispectral index (BIS) in surgical patients under subarachnoid anesthesia with intravenous perfusion of 1 mg/kg/h of propofol or 3 microgram/kg/h of remifentanil or placebo. ⋯ The sedation regimens used were safe and adequate. Propofol is associated with fewer complications than remifentanil.
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To assess the influence of epidural analgesia on the increased rate of cesarean delivery and to analyze associated factors. ⋯ Epidural analgesia increased the likelihood of cesarean delivery in our study. The same factors that most often encourage women to accept epidural analgesia (induced labor, greater pain, prolonged labor, etc.) may predict increased likelihood of cesarean delivery.
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Rev Esp Anestesiol Reanim · Oct 2001
Randomized Controlled Trial Clinical Trial[Influence of bispectral index monitoring on fentanyl requirements during total intravenous anesthesia for major gynecological surgery].
To determine the influence that bispectral index (BIS) monitoring of hypnosis might have on need for analgesia during surgery under total intravenous anesthesia provided by bolus administration of fentanyl. ⋯ BIS monitoring of depth of hypnosis can influence requirements for fentanyl during total intravenous anesthesia by bolus dosing for maintenance of analgesia. This is probably due to changes in the administration of propofol made possible by BIS monitoring.