Journal of anaesthesiology, clinical pharmacology
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J Anaesthesiol Clin Pharmacol · Jul 2012
Effects of bispectral index monitoring on isoflurane consumption and recovery profiles for anesthesia in an elderly asian population.
Age related limited physiological reserves and associated co-morbidities in elderly patients require careful titration of inhalational anesthetic agents to minimize their side effects. The use of Bispectral index (BIS) monitoring may be helpful in this regard. The objectives of this study were to evaluate the effect of BIS monitoring on Isoflurane consumption during maintenance and recovery profile at the end of anesthesia. This Quasi experimental study was conducted for a 1 year period at the main operating units of a tertiary care hospital. ⋯ The use of BIS in an elderly Asian population resulted in 40% reduction of isoflurane usage. The patients having BIS monitoring awoke earlier and had better recovery profiles at the end of anesthesia.
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J Anaesthesiol Clin Pharmacol · Jul 2012
Injection pain of propofol in children: A comparison of two formulations without added lidocaine.
Propofol emulsion in medium and long-chain triglycerides (MCT/LCT) has been reported to cause less injection pain than other propofol solutions in adult studies. The aim of this study was to compare the injection pain of two different propofol emulsions using two different pain scales on the pediatric population. ⋯ Propofol MCT/LCT does not decrease injection pain; contrary to the general assumption, it causes more pain than propofol LCT in children.
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J Anaesthesiol Clin Pharmacol · Jul 2012
Comparison of Cobra perilaryngeal airway (CobraPLA™) with flexible laryngeal mask airway in terms of device stability and ventilation characteristics in pediatric ophthalmic surgery.
Supraglottic airway devices play an important role in ophthalmic surgery. The flexible laryngeal mask airway (LMA™) is generally the preferred airway device. However, there are no studies comparing it with the Cobra perilaryngeal airway (CobraPLA™) in pediatric ophthalmic procedures. ⋯ The high incidence of device displacement and surgeon dissatisfaction make CobraPLA™ a less favorable option than flexible LMA™ in ophthalmic surgery.
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J Anaesthesiol Clin Pharmacol · Jul 2012
Dexmedetomidine as an anesthetic adjuvant in laparoscopic surgery: An observational study using entropy monitoring.
Dexmedetomidine is a highly selective α(2) agonist with properties of sedation, analgesia and anxiolysis, making it an ideal anesthetic adjuvant. Using an anesthetic adjuvant that decreases requirement of anesthetics and analgesics may predispose the patient to awareness. We monitored the depth of anesthesia (DOA) using entropy to avoid unwanted awareness under anesthesia. ⋯ Dexmedetomidine is an effective anesthetic adjuvant that can be safely used in laparoscopy without the fear of awareness under anesthesia.
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J Anaesthesiol Clin Pharmacol · Jul 2012
Endotracheal intubation under local anesthesia and sedation in an infant with difficult airway.
Management of the difficult airway in an infant is a challenge for the anesthesiologist. A 10-month-old infant presented to an otolaryngologist with nasopharyngeal mass since birth, which had increased rapidly in size in the last 1 month and was hanging through the cleft palate into the oropharynx. The infant was scheduled for excision of the nasopharyngeal mass through a maxillary approach and the tongue mass through an oral approach under general anesthesia. This case report describes endotracheal intubation performed successfully under sedation and local anesthesia in an infant with a nasal mass protruding through the cleft palate into the oropharynx.