Anaesthesia, critical care & pain medicine
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Anaesth Crit Care Pain Med · Oct 2015
Comparative StudyA survey of the administration of prednisolone versus ibuprofen analgesic protocols after ambulatory tonsillectomy.
Postoperative pain, nausea and vomiting are frequent symptoms after tonsillectomy. There have been controversies concerning the advantages and drawbacks of different analgesics in this setting, especially non-steroidal anti-inflammatory drugs, because of potential side effects. We have evaluated the effectiveness and safety of a shift from prednisolone to ibuprofen for postoperative analgesia after tonsillectomy. ⋯ The administration of ibuprofen compared to prednisolone improves postoperative comfort in children undergoing ambulatory tonsillectomy without increasing the incidence of side effects.
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Anaesth Crit Care Pain Med · Oct 2015
Observational StudyCardiovascular effects of low-dose spinal anaesthesia as a function of age: An observational study using echocardiography.
Spinal anaesthesia (SA) is a widely used technique of regional anaesthesia but hypotension is an adverse effect commonly observed, especially in elderly patients. ⋯ Hypotension is more frequent among elderly patients, even after low-dose SA. Known age-related changes in cardiovascular performance, such as impaired myocardial relaxation and decreased systolic function could be responsible for the decrease in cardiac output (CO) and SVR seen in these patients.