当前位置： SCI文献检索 > JOURNAL OF CLINICAL ANESTHESIA期刊下所有文献 > Propofol-ketamine versus propofol-fentanyl for outpatient laparoscopy: comparison of postoperative nausea, emesis, analgesia, and recovery.

Propofol-ketamine versus propofol-fentanyl for outpatient laparoscopy: comparison of postoperative nausea, emesis, analgesia, and recovery.

Abstract：

STUDY OBJECTIVE:To compare postoperative nausea, emesis, analgesia, and recovery between propofol-ketamine and propofol-fentanyl in outpatient laparoscopic tubal ligations with general anesthesia. STUDY DESIGN:Prospective, randomized, blinded study. SETTING:Tertiary-care women's hospital. PATIENTS:120 ASA physical status I and II ambulatory patients scheduled for elective laparoscopic tubal ligation. INTERVENTIONS:Patients were randomized to two groups to receive either ketamine (1-1.5 mg/kg) or fentanyl (3-5 microg/kg). MEASUREMENTS:Measured variables included total dose of ketamine, fentanyl, propofol, and operating time. Vital signs, pain visual analog scale scores (VAS), nausea VAS, presence of emesis, treatment for nausea and vomiting, pruritus, sedation, and presence of dreaming were recorded on postanesthesia care unit (PACU) admission, PACU discharge, stepdown unit admission, and hospital discharge. Results are expressed as means +/- SD or medians and analyzed using t-test, Chi-square, or Mann-Whitney (p < 0.05). MAIN RESULTS:No differences were noted with respect to propofol dose, operating times, pain or nausea VAS scores, emesis, treatment for nausea and vomiting, pruritus, and sedation on PACU admission, PACU discharge, stepdown unit admission, and hospital discharge. The ketamine group had a higher heart rate, required more pain medication, and had a higher frequency of dreaming on PACU admission than the fentanyl group. These differences became insignificant on PACU discharge. CONCLUSIONS:For outpatient laparoscopic tubal ligations with general anesthesia, propofol-ketamine does not improve postoperative nausea, emesis, analgesia or recovery compared with the propofol-fentanyl combination.

journal_name

J Clin Anesth

journal_title

Journal of clinical anesthesia

authors

Vallejo MC,Romeo RC,Davis DJ,Ramanathan S

doi

10.1016/s0952-8180(02)00391-4

subject

Has Abstract

pub_date

2002-09-01 00:00:00

pages

426-31

issue

6

eissn

0952-8180

issn

1873-4529

pii

S0952818002003914

journal_volume

14

pub_type

临床试验,杂志文章,随机对照试验

相关文献

JOURNAL OF CLINICAL ANESTHESIA文献大全
  • Sustained management of the variability in work hours among anesthesiologists providing patient care in operating rooms and not on call to work late if necessary.

    abstract：STUDY OBJECTIVE:We evaluated a department's long-term (6.5-year) success of achieving an overall and individual incidence of anesthesiologists working late of approximately 20% of days when not on call to work late, if necessary, and providing care in operating rooms. DESIGN:Historical cohort study, January 2014 throu...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2020.110151

    authors： Dexter F,Epstein RH,Marian AA

    更新日期：2020-12-02 00:00:00

  • Cardiopulmonary exercise testing in a patient with a permanent tracheostomy.

    abstract：:The benefits of cardiopulmonary exercise testing have been well established. Certain patient groups present challenges for conducting such a test. We were presented with a patient with a permanent tracheostomy at the preoperative assessment clinic. We describe our technique in overcoming the problem of connecting him ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2016.04.019

    authors： Tran S,Krige A

    更新日期：2016-11-01 00:00:00

  • Positive perceptions on safety and satisfaction during a patient-centered timeout before peripheral nerve blockade.

    abstract：OBJECTIVES:To determine the psychometric outcomes of patients participating in an extensive patient-centered verification process before receiving sedation for regional anesthesia. DESIGN:Survey. SETTING:Perioperative areas of university-affiliated hospital. PATIENTS:Two hundred eligible patients scheduled for elect...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2014.10.009

    authors： Lai YH,Anderson MR,Weinberg AD,Rosenblatt MA

    更新日期：2015-05-01 00:00:00

  • Anesthesiology in the Belgian health care environment.

    abstract：:This article focuses on anesthesiology practice in the context of Belgian health care. The first part describes the organization of Belgian health care, the role of private and public initiatives, the division of responsibilities between the different health authorities, the financing mechanisms, and the central role ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/0952-8180(94)90081-7

    authors： Vleugels AM

    更新日期：1994-07-01 00:00:00

  • Influence of bispectral index monitoring on decision making during cardiac anesthesia.

    abstract：STUDY OBJECTIVE:To assess bispectral index (BIS) monitoring on decision making during cardiac surgery with cardiopulmonary bypass (CPB) by measuring the number of preset standardized comments with and without knowing the BIS value and by classifying the interventions following the BIS data. DESIGN:Prospective, randomi...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jclinane.2004.12.018

    authors： Vretzakis G,Ferdi E,Argiriadou H,Papaziogas B,Mikroulis D,Lazarides M,Bitzikas G,Bougioukas G

    更新日期：2005-11-01 00:00:00

  • Horner's syndrome and trigeminal nerve palsy after lumbar epidural analgesia for labor and delivery.

    abstract：:This report highlights transient Horner's syndrome and trigeminal nerve palsy following labor epidural analgesia. A 29-year-old primigravida had a lumbar epidural catheter placed for analgesia in labor. The analgesia was maintained by infusion of a dilute local anesthetic/opioid mixture and turned off after achieving ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/s0952-8180(02)00406-3

    authors： Narouze SN,Basali A,Mandel M,Tetzlaff JE

    更新日期：2002-11-01 00:00:00

  • Paramedian access to the epidural space: the optimum window for ultrasound imaging.

    abstract：STUDY OBJECTIVE:To establish a useful ultrasonic approach to the epidural space so as to optimize pre-puncture diagnostics. DESIGN:Prospective study. SETTING:University clinic. PATIENTS:60 participants (19 to 34 years of age), 40 healthy volunteers (20 male, 20 female) and 20 parturients. INTERVENTIONS:Ultrasound s...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0952-8180(01)00245-8

    authors： Grau T,Leipold RW,Horter J,Conradi R,Martin EO,Motsch J

    更新日期：2001-05-01 00:00:00

  • Preoperative pregnancy testing in a tertiary care children's hospital: a medico-legal conundrum.

    abstract：STUDY OBJECTIVES:To track physician and nursing practice regarding preoperative pregnancy screening and testing in a setting where testing is the established policy. DESIGN:Prospective study. SETTING:University-affiliated, urban, tertiary care pediatric hospital. PATIENTS:261 menarcheal patients, aged 10 to 34 years...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/s0952-8180(98)00136-6

    authors： Wheeler M,Coté CJ

    更新日期：1999-02-01 00:00:00

  • Airborne bacterial contamination during orthopedic surgery: A randomized controlled pilot trial.

    abstract：STUDY OBJECTIVE:Several factors such as lack of unidirectional, turbulent free laminar airflow, duration of surgery, patient warming system, or the number of health professionals in the OR have been shown or suspected to increase the number of airborne bacteria. The objective of this study was to perform a multivariate...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jclinane.2017.02.008

    authors： Oguz R,Diab-Elschahawi M,Berger J,Auer N,Chiari A,Assadian O,Kimberger O

    更新日期：2017-05-01 00:00:00

  • A contemporary medicolegal claims analysis of injuries related to neuraxial anesthesia between 2007 and 2016.

    abstract：STUDY OBJECTIVE:To provide a contemporary medicolegal analysis of claims brought against anesthesia providers in the United States related to neuraxial blocks for surgery and obstetrics. DESIGN:In this retrospective analysis, we analyzed closed claims data from the Controlled Risk Insurance Company (CRICO) Comparative...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2019.03.013

    authors： Huang H,Yao D,Saba R,Brovman EY,Kang D,Greenberg P,Urman RD

    更新日期：2019-11-01 00:00:00

  • Carbon dioxide absorber as a cause of high airway pressures.

    abstract：:We investigate an incident in which a carbon dioxide absorber caused difficulty with ventilation. The problem as it developed throughout the anesthetic, and clues that led to the determination that the carbon dioxide canister was the problem, is discussed. ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2007.06.018

    authors： Bagdasarian LA,Shah NK,Sharif MK

    更新日期：2008-02-01 00:00:00

  • Economic considerations in the use of neuromuscular blocking drugs.

    abstract：:The acceptance of new and increasingly expensive technologies is a major component of the rising costs of health care. While the practice of anesthesia has been relatively immune from the effects of cost containment, it is inevitable that practitioners will have to justify costly practices. Available pharmacoeconomic ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/s0952-8180(05)80008-x

    authors： DeMonaco HJ,Shah AS

    更新日期：1994-09-01 00:00:00

  • Paradoxical postural cerebrospinal fluid leak-induced headache: report of two cases.

    abstract：:We report two patients with a history of dural puncture who developed paradoxical postural cerebrospinal fluid leak-induced headache. The patients' headache worsened when they were in the recumbent position, and it improved when they were placed upright. Both patients had a history of migraine headache. The patients w...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2008.01.011

    authors： Liu H,Kaye AD,Comarda N,Li M

    更新日期：2008-08-01 00:00:00

  • Patient satisfaction with continued versus divided anesthetic care.

    abstract：STUDY OBJECTIVE:To evaluate patient acceptability of continued versus divided anesthetic care. DESIGN:Patient satisfaction ratings with continuous and divided anesthetic care were assessed by patient questionnaire. In addition, the effect of training anesthesia personnel in communication regarding divided anesthesia c...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2006.04.004

    authors： Harms C,Nübling M,Langewitz W,Kindler CH

    更新日期：2007-02-01 00:00:00

  • Hemodynamic effects of 6% and 10% hydroxyethyl starch solutions versus 4% albumin solution in septic patients.

    abstract：STUDY OBJECTIVE:To compare the hemodynamic effects of two different concentrations of pentastarch hydroxyethyl starch (HES; 200/0.5) solutions with a 4% human albumin solution for fluid resuscitation. DESIGN:Open-label, randomized, controlled study. SETTING:Medical-surgical intensive care unit. PATIENTS:34 consecuti...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jclinane.2008.05.022

    authors： Friedman G,Jankowski S,Shahla M,Gomez J,Vincent JL

    更新日期：2008-11-01 00:00:00

  • Comparison of esophageal, tympanic, and forehead skin temperatures in adult patients.

    abstract：STUDY OBJECTIVE:To compare esophageal, tympanic membrane, and forehead skin temperatures in patients undergoing elective surgeries. DESIGN:Prospective clinical study. SETTING:Operating room and postanesthesia care unit of a tertiary care teaching hospital. PATIENTS:40 adult ASA status I, II and III patients requirin...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章

    doi：10.1016/0952-8180(96)00103-1

    authors： Patel N,Smith CE,Pinchak AC,Hagen JF

    更新日期：1996-09-01 00:00:00

  • Perioperative management of a patient scheduled for bilateral hand transplant.

    abstract：:The perioperative management of a patient receiving a bilateral hand transplant is presented. The anesthetic management required careful fluid administration, homeothermic temperature maintenance, and postoperative analgesia. The role of different anesthesia subspecialties is highlighted. ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2012.11.004

    authors： Elkassabany NM,Fosnot CD,Shaked A,Kanchwala SK,Kovach SJ 3rd,Chang B,Lin IC,Ochroch EA,Baranov DY,Levin LS

    更新日期：2013-05-01 00:00:00

  • Drug interactions: volatile anesthetics and opioids.

    abstract：:Multiple drugs are used to provide anesthesia. Volatile anesthetics are commonly combined with opioids. Several studies have demonstrated that small doses of opioid (i.e., within the analgesic range) result in a marked reduction in minimum alveolar concentration (MAC) of the volatile anesthetic that will prevent purpo...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,评审

    doi：10.1016/s0952-8180(97)00122-0

    authors： Glass PS,Gan TJ,Howell S,Ginsberg B

    更新日期：1997-09-01 00:00:00

  • Comparison of propofol with thiopental and isoflurane for induction and maintenance of general anesthesia.

    abstract：:Propofol, a phenol compound with a short elimination half-life, was compared with thiopental and isoflurane for induction and maintenance of general anesthesia in 60 consenting ASA I, II, and III patients. The study was randomized and open label in design. Hemodynamically, the propofol patients showed a mean +/- SEM d...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/0952-8180(89)90026-3

    authors： Gold MI,Sacks DJ,Grosnoff DB,Herrington CA

    更新日期：1989-01-01 00:00:00

  • Successful management of a thoracic cerebrospinal fluid cutaneous fistula in a two year old child using a thoracic epidural blood patch.

    abstract：:A case of persistent thoracic cerebrospinal fluid cutaneous fistula in a toddler following radiographically confirmed epidural catheter placement is reported. Treatment of the fistula with a thoracic epidural blood patch was successful. ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2012.11.012

    authors： Franklin AD,Hays SR

    更新日期：2013-06-01 00:00:00

  • Rapid ventricular pacing: a novel technique to decrease cardiac output for giant basilar aneurysm surgery.

    abstract：:A case of a 49 year old man with a giant basilar artery aneurysm requiring rapid ventricular pacing is presented. Rapid ventricular pacing decreased aneurysm size and increased operative exposure, which aided surgical decision making. It also provided decreased wall tension in the aneurysm. ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2012.04.013

    authors： Whiteley JR,Payne R,Rodriguez-Diaz C,Ellegala DB,Reeves ST

    更新日期：2012-12-01 00:00:00

  • Intraoperative drug-eluting stent thrombosis in a patient undergoing robotic prostatectomy.

    abstract：:Insertion of drug-eluting stents is one of the strategies for treating patients with coronary artery disease. These patients can be a perioperative challenge in management as they need to be maintained on antiplatelet therapy to prevent stent thrombosis, which puts them at an increased risk for surgical bleeding. Rece...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2008.11.013

    authors： Sharma A,Berkeley A

    更新日期：2009-11-01 00:00:00

  • Does the type of anesthetic agent affect remifentanil effect-site concentration for preventing endotracheal tube-induced cough during anesthetic emergence? Comparison of propofol, sevoflurane, and desflurane.

    abstract：STUDY OBJECTIVE:To investigate whether the type of anesthetic agent administered affects the antitussive effect of remifentanil. DESIGN:Prospective randomized study. SETTING:Operating room of a university hospital. PATIENTS:78 ASA physical status 1 and 2 women, aged 20 to 65 years, who were scheduled to undergo a th...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jclinane.2014.02.002

    authors： Lee JH,Choi SH,Choi YS,Lee B,Yang SJ,Lee JR

    更新日期：2014-09-01 00:00:00

  • Prolonged neuromuscular blockade following vecuronium infusion.

    abstract：:Administration of vecuronium by infusion is an increasingly common technique, both in the operating room and in the intensive care unit (ICU), for patients requiring prolonged neuromuscular blockade and mechanical ventilation. The major advantage of vecuronium over older neuromuscular blocking agents is its rapid excr...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/0952-8180(90)90107-e

    authors： Lagasse RS,Katz RI,Petersen M,Jacobson MJ,Poppers PJ

    更新日期：1990-07-01 00:00:00

  • Trust improves during one-day resident operating room management course preceded by directed study of required statistical content.

    abstract：STUDY OBJECTIVE:Evaluate feasibility of 1-day OR management course for anesthesiology residents and determine if course content increases trust in OR management science. DESIGN:Pre- and post-course survey evaluations. SETTING:OR management course. PATIENTS:University of Florida anesthesiology residents. INTERVENTIO...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2018.12.045

    authors： Vasilopoulos T,Dexter F,Van Swol LM,Fahy BG

    更新日期：2019-08-01 00:00:00

  • Anesthesia training in West Germany.

    abstract：:The specialty of anesthesia was established in German medicine in 1953 with the founding of the Germany Society of Anaesthesia and the inclusion of a "specialist in anesthesia" as part of the German medical training requirements. Anesthesia training is offered to students and residents and as a part of continuing educ...

    journal_title：Journal of clinical anesthesia

    pub_type： 历史文章,杂志文章

    doi：10.1016/0952-8180(91)90169-n

    authors： Rügheimer E,Schwarz W

    更新日期：1991-05-01 00:00:00

  • Localization of the cricothyroid muscle under ultrasound guidance for vagal nerve mapping.

    abstract：:During surgical removal of tumors of the skull base or cerebellopontine angle with brainstem compression, the vagus nerve is at a high risk for injury that can result in permanent or transient swallowing and speech dysfunction. Intramuscular recording of cricothyroid muscle can be used for vagal nerve mapping during i...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2015.01.002

    authors： Yang TF,Wang JC,Hsu SP,Lee CC,Lin CF,Chiu JW,Lai CJ,Chan RC,Lee SS

    更新日期：2015-05-01 00:00:00

  • Caring for the patients with cervical spine injuries: what have we learned?

    abstract：PURPOSE:Anesthesiologists are often involved in the early management and resuscitation of patients who have sustained cervical spine injuries (CSIs). The most crucial step in managing a patient with suspected CSI is the prevention of further insult to the cervical spine (C-spine). In this review, important factors rela...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,评审

    doi：10.1016/j.jclinane.2005.04.003

    authors： Ghafoor AU,Martin TW,Gopalakrishnan S,Viswamitra S

    更新日期：2005-12-01 00:00:00

  • Evaluation of anesthetic technique on surgical site infections (SSIs) at a single institution.

    abstract：STUDY OBJECTIVE:To determine whether the previously published relationship between anesthetic technique and rate of surgical site infections (SSIs) was influenced by institution specific effects. DESIGN:Retrospective Review of Quality Assurance and Hospital Epidemiology databases. SETTING:Metropolitan medical center....

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2014.04.015

    authors： Curry CS,Smith KA,Allyn JW

    更新日期：2014-12-01 00:00:00

  • Measuring satisfaction and anesthesia related outcomes in a surgical day care centre: A three-year single-centre observational study.

    abstract：STUDY OBJECTIVE:To evaluate patient satisfaction and patient reported anaesthesia related outcome parameters after outpatient surgery. DESIGN:A three-year (2013-2016) observational study. SETTING:A surgical day care centre embedded in a tertiary care, university hospital. PATIENTS:Adult Dutch-speaking patients who u...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2017.09.007

    authors： Teunkens A,Vanhaecht K,Vermeulen K,Fieuws S,Van de Velde M,Rex S,Bruyneel L

    更新日期：2017-12-01 00:00:00