European review for medical and pharmacological sciences
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Eur Rev Med Pharmacol Sci · Jul 2015
Randomized Controlled TrialAnesthesia management for the super obese: is sevoflurane superior to propofol as a sole anesthetic agent? A double-blind randomized controlled trial.
General anesthesia in obese patients is both challenging and demanding. With the rates of obesity in the general population increasing, more patients undergo bariatric surgery. The aim of this study was to compare the performance, effectiveness and recovery from anesthesia of sevoflurane and propofol in combination with remifentanil, with and without bispectral index (BIS) monitoring in super obese patients undergoing bariatric surgery. ⋯ Although both propofol and sevoflurane provide adequate general anesthesia, sevoflurane may be preferable in super obese patients because of superior hemodynamic stability and faster recovery from anesthesia.
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Eur Rev Med Pharmacol Sci · Jun 2015
Effect of anesthesia combined with intercostal nerve block on analgesia for esophageal cancer after operation.
To discuss the effect of combined with intercostal nerve block on analgesia for esophageal cacer after operation. ⋯ Application of general anesthesia combined with intercostal nerve block analgesia in esophageal surgery can obtain satisfactory postoperative analgesia.
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To explore the lesion patterns and stroke mechanism of the acute bilateral cerebellar infarct. ⋯ BCI was frequently involved in the PICA + SCA territory. Our results support the fact that embolism resulted from large artery atherosclerosis is the important stroke mechanism in the BCI.
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Eur Rev Med Pharmacol Sci · Apr 2015
ReviewPropofol: an anesthetic possessing neuroprotective effects.
Propofol is a short-acting intravenous anaesthetic agent and widely used not only in operating rooms but also in the intensive care unit (ICU). Apart from its multiple anaesthetic advantages, the neuroprotective effect of propofol has been demonstrated in diverse models of neuronal injury. ⋯ This review focuses on the research progress of the neuroprotective effects of propofol and its mechanisms of action to date. The implications for possible use for the clinical setting are also discussed.
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Eur Rev Med Pharmacol Sci · Apr 2015
Randomized Controlled Trial Comparative StudyComparison of low-dose spinal anesthesia and single-shot femoral block combination with conventional dose spinal anesthesia in outpatient arthroscopic meniscus repair.
In the current prospective, randomized study, we aimed to compare the effects of low dose selective spinal anesthesia with 5 mg of hyperbaric bupivacaine and single-shot femoral nerve block combination with conventional dose selective spinal anesthesia in terms of intraoperative anesthesia characteristics, block recovery characteristics, and postoperative analgesic consumption. ⋯ NCT02322372.