Acta anaesthesiologica Sinica
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Cervical epidural blockade provides effective regional analgesia in clinical anesthesia and pain clinics. However, the risk for performing cervical epidural block is higher than lumber epidural anesthesia. We studied the distance from the skin to the cervical epidural space to determine whether there is any relationship between patient age, height, body weight, body mass index (BMI) and the distance from the skin to the epidural space. ⋯ These results indicated that body weight and BMI could be a guideline for identification of epidural space during cervical epidural anesthesia.
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Acta Anaesthesiol. Sin. · Sep 1995
[A proper size of endotracheal tube for infant and young child--a retrospective study in Mackay Memorial Hospital].
There are more than 2000 pediatric patients receiving surgery in Mackay Memorial Hospital each year. Most of these surgery were performed under general anesthesia with endotracheal tube; therefore choosing an appropriate size of endotracheal tube becomes an important issue in our daily practice. ⋯ From our results, we concluded that "whatever method of predicting tube size is used, tracheal tubes 0.5 mm larger and smaller should be available at the time of intubation so that the proper size can be chosen when the glottis is visualized."
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Acta Anaesthesiol. Sin. · Jun 1995
Randomized Controlled Trial Clinical TrialAnalgesic effect of intra-articular morphine after arthroscopic knee surgery in Chinese patients.
Small or systematically inactive doses of morphine administered into the knee joint during intra-articular surgery can elicit potent and long-lasting postoperative analgesia. The reports studied in USA, Spain, UK, Germany, Ireland, etc. showed that intra-articular morphine 0.5-5 mg could produce a significant analgesic effect with an onset time of 0-6 h after administration and a duration of 24-48 h. However, there were no available data about the Chinese people; therefore, this study was designed to collect the data regarding this subject. ⋯ We concluded that intra-articular morphine 1 mg in Chinese patients could provide an effective and long-lasting analgesic effect, which was quite similar with the result presented in other races.
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Acta Anaesthesiol. Sin. · Jun 1995
Randomized Controlled Trial Clinical TrialIntravenous tenoxicam reduces dose and side effects of PCA morphine in patients after thoracic endoscopic sympathectomy.
Among surgical modalities for treatment of palmar hyperhidrosis, endoscopic sympathectomy is the most popular choice in recent years. After surgery, the major complaint was anterior chest pain. This study was conducted to evaluate the analgesic efficacy and side effects of tenoxicam (a thienothiazine derivative) in combination with patient-controlled analgesia (PCA) using morphine in patients who received thoracic endoscopic sympathectomy. ⋯ Tenoxicam may be an effective adjuvant to PCA morphine for postoperative pain control. This combination reduces the total consumption of PCA morphine with less side effects.