Titration of sevoflurane anesthesia to optimize the time to regain airway reflexes in patients undergoing elective surgery: A randomized clinical trial comparing desflurane and sevoflurane anesthesia

2020 ◽  
Vol 64 (6) ◽  
pp. 729-734
Author(s):  
Shahbaz R. Arain ◽  
Sherman Yu ◽  
Shannon Dugan ◽  
Paul S. Pagel ◽  
Thomas J. Ebert



2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Ali Kord Valeshabad ◽  
Omid Nabavian ◽  
Keramat Nourijelyani ◽  
Hadi Kord ◽  
Hossein Vafainejad ◽  
...  

The purpose of this study is to assess the effects of propacetamol on attenuating hemodynamic responses subsequent laryngoscopy and tracheal intubation compared to lidocaine. In this randomized clinical trial, 62 patients with the American Anesthesiologists Society (ASA) class I/II who required laryngoscopy and tracheal intubation for elective surgery were assigned to receive propacetamol 2 g/I.V./infusion (group P) or lidocaine 1.5 mg/kg (group L) prior to laryngoscopy. Systolic and diastolic blood pressures (SBP, DBP), mean arterial pressure (MAP), and heart rate (HR) were recorded at baseline, before laryngoscopy and within nine minutes after intubation. In both groups P and L, MAP increased after laryngoscopy and the changes were statistically significant (P<0.001). There were significant changes of HR in both groups after intubation (P<0.02), but the trend of changes was different between two groups (P<0.001). In group L, HR increased after intubation and its change was statistically significant within 9 minutes after intubation (P<0.001), while in group P, HR remained stable after intubation (P=0.8). Propacetamol 2 gr one hour prior intubation attenuates heart rate responses after laryngoscopy but is not effective to prevent acute alterations in blood pressure after intubation.



2019 ◽  
Vol 1 (2) ◽  
pp. 22-30
Author(s):  
John Frans Sitepu

Throat pain is a complication that is often found in patients with general anesthesia who use endotracheal intubation that is difficult to control even though surgical pain is well controlled using systemic analgesia. The purpose of this study was to see a comparison of the effectiveness of treatment in the prevention of throat pain in general anesthesia. This study used a double blind randomized clinical trial method conducted at three sites. The sample of this study was all patients who underwent elective surgery with general anesthesia endotracheal intubation. Statistically it was shown that there was no difference in effectiveness between Dexamethason 0.2 mg / kg and Lidocaine 1.5 mg / kgBB, but clinically the incidence of sore throat was higher in the Lidocaine group 1.5 mg / kgBB. Whereas at the 6th hour, Dexamethason 0.2 mg / kgBB statistically is more effective than Lidocaine 1.5 mg / kg in terms of reducing the incidence of sore throat after surgery.



2019 ◽  
Vol 1 (2) ◽  
pp. 22-30
Author(s):  
John Frans Sitepu

Throat pain is a complication that is often found in patients with general anesthesia who use endotracheal intubation that is difficult to control even though surgical pain is well controlled using systemic analgesia. The purpose of this study was to see a comparison of the effectiveness of treatment in the prevention of throat pain in general anesthesia. This study used a double blind randomized clinical trial method conducted at three sites. The sample of this study was all patients who underwent elective surgery with general anesthesia endotracheal intubation. Statistically it was shown that there was no difference in effectiveness between Dexamethason 0.2 mg / kg and Lidocaine 1.5 mg / kgBB, but clinically the incidence of sore throat was higher in the Lidocaine group 1.5 mg / kgBB. Whereas at the 6th hour, Dexamethason 0.2 mg / kgBB statistically is more effective than Lidocaine 1.5 mg / kg in terms of reducing the incidence of sore throat after surgery.



2002 ◽  
Vol 89 (2) ◽  
pp. 154-157 ◽  
Author(s):  
F. F Palazzo ◽  
D. L Francis ◽  
M. A Clifton


2001 ◽  
Vol 120 (5) ◽  
pp. A453-A453 ◽  
Author(s):  
B SHEN ◽  
J ACHKAR ◽  
B LASHNER ◽  
A ORMSBY ◽  
F REMZI ◽  
...  


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