Acta anaesthesiologica Sinica
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Acta Anaesthesiol. Sin. · Mar 1997
Randomized Controlled Trial Clinical TrialThe incidence of post dural puncture headache in Taiwanese patients undergoing cesarean section.
In Taiwan, there was only a retrospective study about the post-dural puncture headache (PDPH) resulting from spinal anesthesia for cesarean section (C/S), but it did not mention the relationship between the incidence of PDPH and the number of dural punctures, as well as between the gauge of spinal needle. Therefore, we designed a prospective study to investigate if the spinal needles for smaller gauges could decrease the incidence of PDPH in anesthesia for C/S. ⋯ It appears that the incidence of PDPH does not differ between Taiwanese and Westerners. Pregnancy may be the key factor contributing to higher incidence of PDPH. The 26-gauge spinal needle may lower the incidence of PDPH to a greatest extent in C/S patients, although in comparison with 24- and 25-gauge needles the difference is not statistically significant.
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Acta Anaesthesiol. Sin. · Mar 1997
Case ReportsAbsorption of irrigating fluid during transcervical resection of endometrium--a report of two cases.
It has been recognized for many years that the use of hypotonic solution for the irrigation of the bladder cavity during transurethral resection of the prostate (TURP) may result in hyponatremia and water intoxication due to rapid and excessive absorption of the solution from the exposed prostatic bed, the clinical manifestation of which is termed "TURP syndrome". A similar condition termed "female TURP syndrome" following hysteroscopic transcervical endometrial resection (TCR) has been reported. Since the frequency of TCR continues to increase the increased rate of "TCR syndrome" would come in its wake. Here, we present two cases who developed severe hyperglycemia and hyponatremia while underwent TCR with 10% dextrose in water as the irrigation fluid and the same time emphasize the potential risk of this complication.
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Acta Anaesthesiol. Sin. · Mar 1997
Randomized Controlled Trial Comparative Study Clinical TrialComparison of oral controlled-release morphine with transdermal fentanyl in terminal cancer pain.
Controlled-release morphine (MST) given twice daily provides a simpler and more convenient treatment regimen than 4-hourly opioid administration for the control of cancer pain. Recently, a new formulation of transdermal fentanyl (TDF) has been developed which provides a new route for the treatment of cancer pain. The present study was designed to compare the analgesic efficacy, safety and adverse effects of MST and TDF in the management of chronic cancer pain. ⋯ These results suggest that TDF and MSt are safe and effective analgesics for the management of chronic cancer pain. However, TDF provides a simpler and more convenient treatment for those patients with severe nausea, vomiting or dysphagia.
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Acta Anaesthesiol. Sin. · Mar 1997
Randomized Controlled Trial Comparative Study Clinical TrialComparison of sevoflurane with halothane in pediatric ambulatory anesthesia: an experience in Taiwan.
Sevoflurane, with blood/gas partition coefficient of 0.69 and MAC of 1.76 is a fast acting, potent inhalation anesthetic. Its suitability and safety for pediatric ambulatory anesthesia were assessed and compared with that of halothane. ⋯ The results strongly suggest that sevoflurane is preferable to halothane for pediatric ambulatory anesthesia.
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Acta Anaesthesiol. Sin. · Mar 1997
Randomized Controlled Trial Clinical TrialPriming technique accelerates the onset time of mivacurium in children during halothane anesthesia.
Mivacurium is considered a relaxant suitable for tracheal intubation in children due to its rapid onset. We compared the neuromuscular effects of mivacurium, with and without priming, in children undergoing elective surgery during halothane anesthesia. ⋯ Priming technique can significantly accelerates the onset of mivacurium in the pediatric patients under halothane anesthesia.