The Brandt tube system attenuates the cuff deflationary phenomenon after anesthesia with nitrous oxide.

Abstract:

:The Brandt tube system can limit excessive cuff pressure during nitrous oxide (N(2)O) anesthesia, but there is a lack of data assessing whether the Brandt tube system avoids cuff deflation after cessation of N(2)O administration. In this study, we recorded air-filled cuff pressures of the Mallinckrodt Brandt or Hi-Contour (control) tracheal tubes (Mallinckrodt, Athlone, Ireland) during 67% N(2)O anesthesia and the cuffs were aspirated if the cuff pressure exceeded 22 mm Hg; 180 min later, O(2) was substituted for N(2)O. The cuff pressure of both groups significantly decreased after N(2)O anesthesia but the time required for the cuff pressure to return to the initial pressure was longer in the Brandt group than in the control group (76.5 +/- 35.2 min and 36.5 +/- 18.1 min, respectively; P = 0.03). The incidence of air leaks was more frequent in the control group than in the Brandt group (P = 0.015); changes in intracuff N(2)O were small in the Brandt group (6.6 +/- 1.2% to 3.4 +/- 0.9%) compared with those in the control group (46.2 +/- 3.8% to 18.6 +/- 5.6%). Therefore, the Brandt tube system attenuates the cuff deflationary phenomenon after N(2)O anesthesia, whereas repeated cuff deflation during N(2)O anesthesia causes cuff deflation after cessation of N(2)O, resulting in a possible risk of air leaks.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Karasawa F,Takita A,Mori T,Takamatsu I,Kawatani Y,Oshima T

doi

10.1097/00000539-200302000-00055

subject

Has Abstract

pub_date

2003-02-01 00:00:00

pages

606-10, table of contents

issue

2

eissn

0003-2999

issn

1526-7598

journal_volume

96

pub_type

临床试验,杂志文章,随机对照试验
  • Pharmacokinetics and pharmacodynamics of edrophonium in elderly surgical patients.

    abstract::The effect of age (over 70 yr) on the pharmacokinetics and pharmacodynamics of edrophonium was evaluated in seven patients aged 76-87 yr and in seven patients aged 27-57 yr. When elderly patients were compared with younger controls, the elderly exhibited a statistically significant decreased plasma clearance (5.9 +/- ...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章

    doi:10.1213/00000539-199010000-00003

    authors: Matteo RS,Young WL,Ornstein E,Schwartz AE,Silverberg PA,Diaz J

    更新日期:1990-10-01 00:00:00

  • Renal function and proteinuria after cardiopulmonary bypass: the effects of temperature and mannitol.

    abstract::We studied three groups of patients without previous renal impairment, undergoing elective coronary artery bypass surgery. Group H (n = 7) underwent open heart surgery using moderate hypothermia (28 degrees C); Groups N and M (n = 8, each) were managed at normothermia. The extracorporeal circuit was primed with Hartma...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1213/00000539-199405000-00004

    authors: Ip-Yam PC,Murphy S,Baines M,Fox MA,Desmond MJ,Innes PA

    更新日期:1994-05-01 00:00:00

  • Nitrous oxide inactivates methionine synthetase in human liver.

    abstract::Activity of methionine synthetase was measured in liver biopsies of seven patients who had received 50% to 70% nitrous oxide supplemented by a combination of a narcotic and/or barbiturate with or without a volatile anesthetic, and from seven patients who were anesthetized without nitrous oxide (control group). Methion...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:

    authors: Koblin DD,Waskell L,Watson JE,Stokstad EL,Eger EI 2nd

    更新日期:1982-02-01 00:00:00

  • Gabapentin enhances the analgesic effect of morphine in healthy volunteers.

    abstract:UNLABELLED:The most effective group of drugs for the treatment of severe pain is opioid analgesics. Their use, however, is limited by decreased effects in neuropathic and chronic pain as a result of increased pain and development of tolerance. Gabapentin (GBP) is effective in both experimental models of chronic pain an...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000539-200007000-00035

    authors: Eckhardt K,Ammon S,Hofmann U,Riebe A,Gugeler N,Mikus G

    更新日期:2000-07-01 00:00:00

  • Giving toys to children reduces their anxiety about receiving premedication for surgery.

    abstract::Children have increased anxiety during the preoperative period. The administration of oral premedication to children is often met with apprehension, reluctance, or refusal. We sought to determine whether giving a small toy to the children would decrease the anxiety associated with taking oral premedication. This was a...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/01.ane.0000198332.51475.50

    authors: Golden L,Pagala M,Sukhavasi S,Nagpal D,Ahmad A,Mahanta A

    更新日期:2006-04-01 00:00:00

  • The effects of femoral nerve blockade in conjunction with epidural analgesia after total knee arthroplasty.

    abstract::Either epidural analgesia or femoral nerve blockade improves analgesia and rehabilitation after total knee arthroplasty. No study has evaluated the combination of femoral nerve blockade and epidural analgesia. In this prospective, randomized, blinded study we investigated combining femoral nerve blockade with epidural...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1213/01.ANE.0000159150.79908.21

    authors: YaDeau JT,Cahill JB,Zawadsky MW,Sharrock NE,Bottner F,Morelli CM,Kahn RL,Sculco TP

    更新日期:2005-09-01 00:00:00

  • Noninfectious serious hazards of transfusion.

    abstract::As infectious complications from blood transfusion have decreased because of improved donor questionnaires and sophisticated infectious disease blood screening, noninfectious serious hazards of transfusion (NISHOTs) have emerged as the most common complications of transfusion. The category of NISHOTs is very broad, in...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,评审

    doi:10.1213/ane.0b013e3181930a6e

    authors: Hendrickson JE,Hillyer CD

    更新日期:2009-03-01 00:00:00

  • Propacetamol as adjunctive treatment for postoperative pain after cardiac surgery.

    abstract:UNLABELLED:Postoperative pain management after cardiac surgery has been mainly based on parenteral opioids. However, because opioids have numerous side effects, coadministration of non-opioid analgesics has been introduced as a method of reducing opioid dose. In this prospective, randomized, double-blinded study, we ev...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000539-200210000-00005

    authors: Lahtinen P,Kokki H,Hendolin H,Hakala T,Hynynen M

    更新日期:2002-10-01 00:00:00

  • Maturation decreases ethanol minimum alveolar anesthetic concentration (MAC) more than desflurane MAC in rats.

    abstract::The potency of conventional inhaled anesthetics increases with increasing age: the 50% effective dose (minimum alveolar anesthetic concentration [MAC]) for anesthesia in the neonatal animal or human exceeds MAC in the young adult by approximately 30% to 60%. We tested whether this relationship also applies to the alka...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1097/00000539-199704000-00028

    authors: Fang Z,Gong D,Ionescu P,Laster MJ,Eger EI 2nd,Kendig J

    更新日期:1997-04-01 00:00:00

  • Predictors of hyperkalemia in the prereperfusion, early postreperfusion, and late postreperfusion periods during adult liver transplantation.

    abstract:BACKGROUND:Hyperkalemia poses serious hazards to patients undergoing orthotopic liver transplantation (OLT), and its predictors have not been thoroughly examined. METHODS:We retrospectively studied 1124 consecutive adult patients who underwent OLT. Hyperkalemia was defined as serum K+ > or =5.5 mmol/L. A total of 47 r...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/01.ane.0000271914.54261.17

    authors: Xia VW,Ghobrial RM,Du B,Chen T,Hu KQ,Hiatt JR,Busuttil RW,Steadman RH

    更新日期:2007-09-01 00:00:00

  • Perioperative goal-directed hemodynamic optimization using noninvasive cardiac output monitoring in major abdominal surgery: a prospective, randomized, multicenter, pragmatic trial: POEMAS Study (PeriOperative goal-directed thErapy in Major Abdominal Surg

    abstract:BACKGROUND:In this study, our objective was to determine whether a perioperative hemodynamic protocol based on noninvasive cardiac output monitoring decreases the incidence of postoperative complications and hospital length of stay in major abdominal surgery patients requiring intensive care unit admission. Secondary o...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1213/ANE.0000000000000295

    authors: Pestaña D,Espinosa E,Eden A,Nájera D,Collar L,Aldecoa C,Higuera E,Escribano S,Bystritski D,Pascual J,Fernández-Garijo P,de Prada B,Muriel A,Pizov R

    更新日期:2014-09-01 00:00:00

  • The time-dependent effects of midazolam on regional cerebral glucose metabolism in rats.

    abstract:BACKGROUND:Midazolam has hypnotic and sedative activities, which may be mediated by different neuronal structures. We investigated the time course effect of a hypnotic dose of midazolam on conscious motor behavior and on patterns of brain metabolism. METHODS:Loss of nociceptive reflexes and impairment of spontaneous l...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ane.0b013e31816a64a8

    authors: Freo U,Dam M,Ori C

    更新日期:2008-05-01 00:00:00

  • The influences of maternal albumin concentrations on the placental transfer of propofol in human dually perfused cotyledon in vitro.

    abstract:IMPLICATIONS:These results indicate that fetal exposure to propofol can vary considerably depending on maternal plasma albumin concentration. A fractional change in the maternal protein binding of propofol can result in a relatively large difference in fetal exposure. ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1097/00000539-200205000-00048

    authors: He YL,Seno H,Sasaki K,Tashiro C

    更新日期:2002-05-01 00:00:00

  • A comparison of the effects of alfentanil applied to the spinal cord and intravenous alfentanil on noxiously evoked activity of dorsal horn neurons in the cat spinal cord.

    abstract::The purpose of this study was to examine the effects of alfentanil applied to the surface of the spinal cord and the effects of intravenously administered alfentanil on noxiously evoked activity of dorsal horn neurons. Extracellular single neuron recordings were obtained from wide dynamic range neurons in 26 decerebra...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:

    authors: Matsumoto M,Collins JG,Kitahata LM,Yuge O,Tanaka A

    更新日期:1986-02-01 00:00:00

  • Ventilation with negative airway pressure induces a cytokine response in isolated mouse lung.

    abstract:UNLABELLED:We tested the hypothesis that, under relatively low tidal volume (VT) mechanical ventilation, continuing lung decruitment induced by negative end-expiratory pressure (NEEP) would increase the lung cytokine response, potentially contributing to lung injury. Mouse lungs were excised and randomly assigned to on...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1097/00000539-200206000-00038

    authors: Cheng KC,Zhang H,Lin CY,Slutsky AS

    更新日期:2002-06-01 00:00:00

  • A comparative study of enflurane and halothane using systolic time intervals.

    abstract::The effects of enflurane and halothane anesthesia on systolic time intervals were studied in 12 healthy patients. Cardiovascular measurements were made at equipotent levels of anesthesia: enflurane 1.23% end-tidal and halothane 0.65% end-tidal. These agents were studied first with 50% N2O and then without N2O. Systoli...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/00000539-197603000-00031

    authors: Kaplan JA,Miller ED,Bailey DR

    更新日期:1976-03-01 00:00:00

  • Are wall thickening measurements reproducible?

    abstract::An early transesophageal echocardiography (TEE) study reported that there was high inter- and intraobserver variability in measurements of wall thickening (WT). This study reevaluated TEE for the measurement of WT in the transverse plane and, for the first time, evaluated it in the longitudinal plane. Ten patients wer...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/00000539-199404000-00002

    authors: Konstadt SN,Abrahams HP,Nejat M,Reich DL

    更新日期:1994-04-01 00:00:00

  • The quality of randomized controlled trials in major anesthesiology journals.

    abstract::Increased attention has been directed at the quality of randomized controlled trials (RCTs) and how they are being reported. We examined leading anesthesiology journals to identify if there were specific areas for improvement in the design and analysis of published clinical studies. All RCTs that appeared between Janu...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/01.ANE.0000150612.71007.A3

    authors: Greenfield ML,Rosenberg AL,O'Reilly M,Shanks AM,Sliwinski MJ,Nauss MD

    更新日期:2005-06-01 00:00:00

  • Middle ear pressure changes during anesthesia with or without nitrous oxide are similar among airway devices.

    abstract::We tested the hypothesis that middle ear pressure (MEP) is influenced by the choice of airway device during anesthesia with or without nitrous oxide (N2O) in the gas mixture. Eighty consecutive anesthetized, paralyzed ventilated patients (ASA physical status I-II, 18-65 yr) were randomly allocated for airway managemen...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1213/01.ANE.0000180768.81020.C4

    authors: Hohlrieder M,Keller C,Brimacombe J,Eschertzhuber S,Luckner G,Abraham I,von Goedecke A

    更新日期:2006-01-01 00:00:00

  • Effect of Sevoflurane Versus Isoflurane on Emergence Time and Postanesthesia Care Unit Length of Stay: An Alternating Intervention Trial.

    abstract:BACKGROUND:We previously reported that the duration of hospitalization was not different between isoflurane and sevoflurane. But more plausible consequences of using soluble volatile anesthetics are delayed emergence from anesthesia and prolonged stays in the postanesthesia care unit (PACU). We therefore compared isofl...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章

    doi:10.1213/ANE.0000000000004093

    authors: Maheshwari K,Ahuja S,Mascha EJ,Cummings KC 3rd,Chahar P,Elsharkawy H,Kurz A,Turan A,Sessler DI

    更新日期:2020-02-01 00:00:00

  • Forced-air and a novel patient-warming system (vitalHEAT vH2) comparably maintain normothermia during open abdominal surgery.

    abstract:BACKGROUND:The vitalHEAT vH(2) (Dynatherm Medical, Inc., Fremont, California) system transfers heat through a single extremity using a combination of conductive heat (circulating warm water within soft fluid pads) with mild vacuum, which improves both vasodilation and contact between the heating element and the skin su...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1213/ANE.0b013e3181e7cc20

    authors: Ruetzler K,Kovaci B,Güloglu E,Kabon B,Fleischmann E,Kurz A,Mascha E,Dietz D,Remzi F,Sessler DI

    更新日期:2011-03-01 00:00:00

  • The use of fentanyl added to morphine-lidocaine-epinephrine spinal solution in patients undergoing cesarean section.

    abstract::Because of its slow onset of action, intrathecal morphine may not be the optimal drug for intraoperative analgesia during short cases, such as cesarean sections. It is not known whether adding fentanyl to a morphine-lidocaine spinal solution would provide any benefits to patients undergoing cesarean sections. Sixty-tw...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章

    doi:10.1213/00000539-199405000-00014

    authors: Connelly NR,Dunn SM,Ingold V,Villa EA

    更新日期:1994-05-01 00:00:00

  • Comparison of ondansetron and droperidol in the prevention of nausea and vomiting after inpatient minor gynecologic surgery.

    abstract::Ondansetron and droperidol are both effective in the prevention of postoperative nausea and vomiting (PONV). In this randomized, double-blind study, 80 inpatients scheduled for minor gynecologic surgery received either ondansetron 8 mg intravenously (i.v.) or droperidol 2.5 mg i.v. 5 min prior to induction of isoflura...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000539-199509000-00032

    authors: Grond S,Lynch J,Diefenbach C,Altrock K,Lehmann KA

    更新日期:1995-09-01 00:00:00

  • Fentanyl-air-oxygen anesthesia for ligation of patent ductus arteriosus in preterm infants.

    abstract::In 10 premature infants (1123 +/- 263 g), fentanyl citrate (30 to 50 microgram/kg) was used in conjunction with pancuronium (0.1 mg/kg) as the sole anesthetic for transthoracic ligation of patent ductus arteriosus. Ventilation was controlled with air and oxygen in concentrations sufficient to maintain transcutaneous P...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:

    authors: Robinson S,Gregory GA

    更新日期:1981-05-01 00:00:00

  • Intraneural recording of muscle sympathetic activity during epidural anesthesia in humans.

    abstract::The extent and magnitude of sympathetic blockade during epidural anesthesia have previously been assessed only by indirect methods. In this study, direct intraneural recordings of muscle sympathetic activity (MSA) in the peroneal nerve was performed to determine the profundity of blockade of sympathetic fibers to the ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:

    authors: Lundin S,Wallin BG,Elam M

    更新日期:1989-12-01 00:00:00

  • The anesthetic and recovery profile of two doses (60 and 80 mg) of plain mepivacaine for ambulatory spinal anesthesia.

    abstract:UNLABELLED:Reports of transient neurological symptoms with the use of subarachnoid lidocaine has generated interest in alternate local anesthetics of intermediate duration, such as mepivacaine. This prospective randomized, double-blinded, dose-response study examined the anesthetic and recovery profiles of 60- and 80-m...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000539-200009000-00015

    authors: Pawlowski J,Sukhani R,Pappas AL,Kim KM,Lurie J,Gunnerson H,Corsino A,Frey K,Tonino P

    更新日期:2000-09-01 00:00:00

  • Radiologic assessment of potential sites for needle decompression of a tension pneumothorax.

    abstract:BACKGROUND:The recommended treatment of suspected tension pneumothorax is immediate needle decompression. Recommended sites and needle sizes for this procedure vary, and there are published reports of failed decompression as well as iatrogenic hemothorax. We investigated the optimal needle length and relative safety of...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/01.ane.0000282827.86345.ff

    authors: Wax DB,Leibowitz AB

    更新日期:2007-11-01 00:00:00

  • The effect of lithotomy position on arterial blood pressure after spinal anesthesia.

    abstract::We compared the effect of the lithotomy position on the systolic blood pressure (SBP) with the horizontal position after spinal block. The lithotomy position was performed 5 min after spinal block. The change in SBP was expressed as percent of depression from the baseline value. The SBP increased by the lithotomy posi...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1097/00000539-199507000-00019

    authors: Miyabe M,Sonoda H,Namiki A

    更新日期:1995-07-01 00:00:00

  • Validation of a stand-alone near-infrared spectroscopy system for monitoring cerebral autoregulation during cardiac surgery.

    abstract:BACKGROUND:Individualizing arterial blood pressure (ABP) targets during cardiopulmonary bypass (CPB) based on cerebral blood flow (CBF) autoregulation monitoring may provide a more effective means for preventing cerebral hypoperfusion than the current standard of care. Autoregulation can be monitored in real time with ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ANE.0b013e318271fb10

    authors: Ono M,Zheng Y,Joshi B,Sigl JC,Hogue CW

    更新日期:2013-01-01 00:00:00

  • A comparison of general anesthesia and lumbar epidural analgesia for elective cesarean section.

    abstract::Controversy exists concerning the choice of anesthetic technic for elective cesarean section. Several maternal and newborn parameters were compared during general anesthesia (GA) and lumbar epidural analgesia (LEA). High inspired maternal O2 levels were achieved with both technics. Vigorous, well-oxygenated infants wi...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:

    authors: James FM 3rd,Crawford JS,Hopkinson R,Davies P,Naiem H

    更新日期:1977-03-01 00:00:00