Preoxygenation of pregnant and nonpregnant women in the head-up versus supine position.

Abstract:

:The influence of preoxygenation in the supine (n = 10) versus the 45 degrees head-up (n = 10) position on the duration of apnea leading to a decrease in arterial oxygen saturation to 95%, as monitored by pulse oximetry, was investigated in 20 women undergoing elective cesarean section at term of pregnancy. The results were compared with those obtained in a control group of 20 nonpregnant women. In the supine position, the average time to desaturation to 95% was significantly shorter in the pregnant group (173 +/- 4.8 s [mean +/- SD]) than in the control group of nonpregnant women (243 +/- 7.4 s). Using the head-up position resulted in an increase in the desaturation time in the nonpregnant group (331 +/- 7.2 s) but had no significant effect in the pregnant group (156 +/- 2.8 s). We conclude that pregnant women desaturate their arterial blood of oxygen more rapidly than do nonpregnant women. Furthermore, the head-up position extends the duration of apnea that can take place before desaturation occurs in nonpregnant patients.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Baraka AS,Hanna MT,Jabbour SI,Nawfal MF,Sibai AA,Yazbeck VG,Khoury NI,Karam KS

doi

10.1213/00000539-199211000-00018

subject

Has Abstract

pub_date

1992-11-01 00:00:00

pages

757-9

issue

5

eissn

0003-2999

issn

1526-7598

journal_volume

75

pub_type

杂志文章
  • The effects of serotonin biosynthesis inhibition on nicotine and nifedipine-induced analgesia in rats.

    abstract:UNLABELLED:The calcium channel blocker nifedipine has analgesic properties that are enhanced by nicotine. Although it is not known how this analgesic state might affect the awareness of anginal pain and impending myocardial infraction, recent studies have shown an increased mortality associated with the use of large do...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1097/00000539-199811000-00023

    authors: Hunt TE,Wu WH,Zbuzek VK

    更新日期:1998-11-01 00:00:00

  • An estimation of right- and left-sided central venous catheter insertion depth using measurement of surface landmarks along the course of central veins.

    abstract:BACKGROUND:In this study we sought to determine whether the topographical measurement along the course of the central veins can estimate the approximate insertion depths of central venous catheters (CVC). METHODS:Two hundred central venous catheterizations were performed via the right and left internal jugular vein (I...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ANE.0b013e31820902bf

    authors: Kim MC,Kim KS,Choi YK,Kim DS,Kwon MI,Sung JK,Moon JY,Kang JM

    更新日期:2011-06-01 00:00:00

  • Are peripheral opioid antagonists the solution to opioid side effects?

    abstract:UNLABELLED:Opioid medication is the mainstay of therapy for severe acute and chronic pain. Unfortunately, the side effects of these medications can affect patient comfort and safety, thus limiting their proven therapeutic potential. Whereas the main analgesic effects of opioids are centrally mediated, many of the commo...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,评审

    doi:10.1213/01.ane.0000090147.97636.77

    authors: Bates JJ,Foss JF,Murphy DB

    更新日期:2004-01-01 00:00:00

  • The effects of ketamine on the temporal summation (wind-up) of the R(III) nociceptive flexion reflex and pain in humans.

    abstract:UNLABELLED:Animal studies have suggested that the temporal summation of nociceptive inputs might play a significant role in the development of central sensitization (i.e., hyperexcitability of central nociceptive neurons) and hyperalgesia via the activation of N-methyl-D-aspartate receptors. To further analyze these pr...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000539-200002000-00031

    authors: Guirimand F,Dupont X,Brasseur L,Chauvin M,Bouhassira D

    更新日期:2000-02-01 00:00:00

  • A preplanned treatment for malignant hyperpyrexia.

    abstract::Although a rare complication of general anesthesia, unanticipated malignant hyperpyrexia requires a rapid, organized treatment plan. With the aid of a treatment protocol sheet and a compact drug and cooling package, treatment can be implemented quickly in each operating room. ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/00000539-197609000-00022

    authors: Fraser JG,Crumrine RS,Izant RJ Jr

    更新日期:1976-09-01 00:00:00

  • Tyraminelike action of succinylcholine in the isolated, blood-perfused canine atrium.

    abstract::The mechanisms of succinylcholine-induced cardiac effects have not been fully elucidated. Accordingly, we studied the effects of succinylcholine on atrial rate and contractile force in the isolated canine atrium perfused with donor blood. The sinus node artery was perfused with heparinized blood from the common caroti...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/00000539-199212000-00019

    authors: Saegusa K,Furukawa Y,Takeda M,Chiba S

    更新日期:1992-12-01 00:00:00

  • Prothrombin Complex Concentrates for Bleeding in the Perioperative Setting.

    abstract::Prothrombin complex concentrates (PCCs) contain vitamin K-dependent clotting factors (II, VII, IX, and X) and are marketed as 3 or 4 factor-PCC formulations depending on the concentrations of factor VII. PCCs rapidly restore deficient coagulation factor concentrations to achieve hemostasis, but like with all procoagul...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,评审

    doi:10.1213/ANE.0000000000001188

    authors: Ghadimi K,Levy JH,Welsby IJ

    更新日期:2016-05-01 00:00:00

  • Paravertebral blockade for day-case breast augmentation: a randomized clinical trial.

    abstract:BACKGROUND:Bilateral breast augmentation is an increasingly popular day-case procedure. Local infiltration with sedation is routinely used for its ease of application compared with the more complex and potentially riskier paravertebral blockade (PVB). We hypothesized that ropivacaine injected by experienced anesthesia ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1213/ANE.0b013e318264ba33

    authors: Gardiner S,Rudkin G,Cooter R,Field J,Bond M

    更新日期:2012-11-01 00:00:00

  • Brief report: The sensitivity of motor responses for detecting catheter-nerve contact during ultrasound-guided femoral nerve blocks with stimulating catheters.

    abstract:BACKGROUND:We determined the sensitivity of motor responses evoked by stimulating catheters in determining catheter-nerve contact using ultrasonography as reference. METHODS:Femoral nerves were contacted using stimulating catheters under ultrasonography scanning in 25 patients. The output current was increased from it...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ANE.0b013e31822c9887

    authors: Altermatt FR,Corvetto MA,Venegas C,Echevarría G,Bravo P,De la Cuadra JC,Irribarra LA

    更新日期:2011-11-01 00:00:00

  • Sugammadex reversal of rocuronium-induced neuromuscular blockade: a comparison with neostigmine-glycopyrrolate and edrophonium-atropine.

    abstract:BACKGROUND:Sugammadex is a modified [gamma] cyclodextrin compound, which encapsulates rocuronium to provide for a rapid reversal of residual neuromuscular blockade. We tested the hypothesis that sugammadex would provide for a more rapid reversal of a moderately profound residual rocuronium-induced blockade than the com...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1213/01.ane.0000248224.42707.48

    authors: Sacan O,White PF,Tufanogullari B,Klein K

    更新日期:2007-03-01 00:00:00

  • Aggressive warming reduces blood loss during hip arthroplasty.

    abstract:UNLABELLED:We evaluated the effects of aggressive warming and maintenance of normothermia on surgical blood loss and allogeneic transfusion requirement. We randomly assigned 150 patients undergoing total hip arthroplasty with spinal anesthesia to aggressive warming (to maintain a tympanic membrane temperature of 36.5 d...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000539-200010000-00039

    authors: Winkler M,Akça O,Birkenberg B,Hetz H,Scheck T,Arkiliç CF,Kabon B,Marker E,Grübl A,Czepan R,Greher M,Goll V,Gottsauner-Wolf F,Kurz A,Sessler DI

    更新日期:2000-10-01 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

  • Recompression and adjunctive therapy for decompression illness: a systematic review of randomized controlled trials.

    abstract:INTRODUCTION:Decompression illness (DCI) is caused by bubble formation in the blood or tissues after a reduction in ambient pressure. Clinically, DCI may range from a trivial illness to paralysis, loss of consciousness, cardiovascular collapse, and death. Recompression is the universally accepted standard for the treat...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,meta分析,评审

    doi:10.1213/ANE.0b013e3181cdb081

    authors: Bennett MH,Lehm JP,Mitchell SJ,Wasiak J

    更新日期:2010-09-01 00:00:00

  • Supplemental intravenous crystalloid administration does not reduce the risk of surgical wound infection.

    abstract::Wound perfusion and oxygenation are important determinants of the development of postoperative wound infections. Supplemental fluid administration significantly increases tissue oxygenation in surrogate wounds in the subcutaneous tissue of the upper arm in perioperative surgical patients. We tested the hypothesis that...

    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.0000180217.57952.FE

    authors: Kabon B,Akça O,Taguchi A,Nagele A,Jebadurai R,Arkilic CF,Sharma N,Ahluwalia A,Galandiuk S,Fleshman J,Sessler DI,Kurz A

    更新日期:2005-11-01 00:00:00

  • A Comparison of Photoplethysmography Versus Esophageal Doppler for the Assessment of Cardiac Index During Major Noncardiac Surgery.

    abstract:BACKGROUND:In this prospective observational study, we compared changes in cardiac index (CI) during fluid challenge using photoplethysmography (PPG; Nexfin™) (CIPPG) versus esophageal Doppler (ED) (CIED) in major noncardiac surgery patients. METHODS:Measurements were obtained when the attending anesthesiologist decid...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ANE.0000000000001113

    authors: Blanié A,Soued M,Benhamou D,Mazoit JX,Duranteau J

    更新日期:2016-02-01 00:00:00

  • Comparison of pH-adjusted bupivacaine 0.75% and a mixture of bupivacaine 0.75% and lidocaine 2%, both with hyaluronidase, in day-case cataract surgery under regional anesthesia.

    abstract::Alkalinized bupivacaine 0.75% (pH 6.8) and a mixture (1:1) of bupivacaine 0.75% and lidocaine 2%, both with hyaluronidase, were compared in regional ophthalmic anesthesia for day-case cataract surgery. Eighty-two patients were randomized into two groups (n = 39 and 43) to receive one of the two solutions in a double-b...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1213/00000539-199407000-00008

    authors: Sarvela PJ,Paloheimo MP,Nikki PH

    更新日期:1994-07-01 00:00:00

  • Polymodal Mechanism for TWIK-Related K+ Channel Inhibition by Local Anesthetic.

    abstract:BACKGROUND:Local anesthetics cause reversible block of pain and robustly inhibit TWIK-related K channel (TREK-1) currents. Before local anesthesia onset, injection of local anesthetics can cause unwanted transient pain. TREK-1 is an anesthetic-sensitive potassium channel that when inhibited produces pain. A disordered ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ANE.0000000000004216

    authors: Pavel MA,Chung HW,Petersen EN,Hansen SB

    更新日期:2019-10-01 00:00:00

  • The role of anesthesiologists in the selection and administration of perioperative antibiotics: a survey of the American Association of Clinical Directors.

    abstract::The importance of timely administration of antibiotics for prophylaxis of surgical site infections has led to pressure on anesthesiologists to administer antibiotics. We present a survey of members of the American Association of Clinical Directors designed to evaluate the role of the anesthesiologist in the selection ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/01.ane.0000195551.35172.86

    authors: Warters RD,Szmuk P,Pivalizza EG,Gebhard RE,Katz J,Ezri T,American Association of Clinical Directors.

    更新日期:2006-04-01 00:00:00

  • Can quantitative sensory testing predict the outcome of epidural steroid injections in sciatica? A preliminary study.

    abstract::Quantitative Sensory Testing (QST) is a psycho-physiological test used to identify dysfunction of individual nerve fiber types. In the present study, we investigated whether selective nerve fiber dysfunction, as assessed by QST, correlates with the effectiveness of epidural steroid injections (ESI) in patients with lu...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章

    doi:10.1213/01.ane.0000078583.47735.69

    authors: Schiff E,Eisenberg E

    更新日期:2003-09-01 00:00:00

  • To do or not to do a preinduction check-up of the anesthesia machine.

    abstract::The anesthesia machine check is an integral part of the anesthesiologist's daily routine. It is standard operating procedure to check the high- and low-pressure systems of the machine as well as other integral parts that are accessible. Many new anesthesia machines offer a self-testing capability, but older ones with ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/01.ANE.0000175210.13435.82

    authors: Ianchulev SA,Comunale ME

    更新日期:2005-09-01 00:00:00

  • Comparison of the fascia iliaca compartment block with the 3-in-1 block in children.

    abstract::A new single injection procedure, the fascia iliaca compartment block, is described for blocking the femoral, lateral cutaneous, and obturator nerves. The technique consists of injecting a local anesthetic immediately behind the fascia iliaca at the union of the lateral with the two medial thirds of the inguinal ligam...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:

    authors: Dalens B,Vanneuville G,Tanguy A

    更新日期:1989-12-01 00:00:00

  • Myocardial perfusion following acute subarachnoid hemorrhage in patients with an abnormal electrocardiogram.

    abstract::To test the hypothesis that acute subarachnoid hemorrhage is associated with abnormal myocardial perfusion, we assessed myocardial blood flow with thallium scintigraphy in 19 patients with a confirmed subarachnoid hemorrhage and an abnormal electrocardiogram. A thallium scan was performed at the bedside of each patien...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/00000539-199302000-00009

    authors: Szabo MD,Crosby G,Hurford WE,Strauss HW

    更新日期:1993-02-01 00:00:00

  • Sacroiliac joint radiofrequency ablation with a multilesion probe: a case series of 60 patients.

    abstract::This retrospective case series of patients with refractory sacroiliac joint (SIJ) pain presents our first 77 SIJ radiofrequency ablation (RFA) procedures performed with a multilesion probe. Of these, 16 (20.8%) provided no relief; 55 (71.4%) provided >50% pain relief at 6 weeks; 42 (54.5%, 95% confidence interval, 42....

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,多中心研究

    doi:10.1213/ANE.0000000000000282

    authors: Schmidt PC,Pino CA,Vorenkamp KE

    更新日期:2014-08-01 00:00:00

  • Does hyperventilation improve operating condition during supratentorial craniotomy? A multicenter randomized crossover trial.

    abstract:BACKGROUND:Hyperventilation has been an integral, but poorly validated part of neuroanesthetic practice. We conducted a two-period, crossover, randomized trial to evaluate surgeon-assessed brain bulk and measured intracranial pressure (ICP) in patients undergoing craniotomy for removal of supratentorial brain tumors du...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1213/01.ane.0000295804.41688.8a

    authors: Gelb AW,Craen RA,Rao GS,Reddy KR,Megyesi J,Mohanty B,Dash HH,Choi KC,Chan MT

    更新日期:2008-02-01 00:00:00

  • Excessive postoperative bleeding and outcomes in neonates undergoing cardiopulmonary bypass.

    abstract:BACKGROUND:Neonates undergoing cardiac surgery are especially prone to the hemostatic alterations of cardiopulmonary bypass (CPB) and are at high risk for post-CPB bleeding. An immature coagulation system, significant hemodilution from the CPB prime, long CPB times at low temperatures, and extensive suture lines increa...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ANE.0000000000000531

    authors: Guzzetta NA,Allen NN,Wilson EC,Foster GS,Ehrlich AC,Miller BE

    更新日期:2015-02-01 00:00:00

  • Sigma receptor activation does not mediate fentanyl-induced attenuation of muscarinic coronary contraction.

    abstract::Our overall goal was to investigate the mechanism by which fentanyl attenuates acetylcholine-induced contraction in porcine coronary artery. We tested the hypothesis that fentanyl attenuates muscarinic coronary contraction via sigma receptor activation. Left coronary artery vascular rings were isolated from porcine he...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1097/00000539-199605000-00016

    authors: Tsuchida H,Schubert A,Estafanous FG,Brum JM,Murray PA

    更新日期:1996-05-01 00:00:00

  • Single versus staged epidural injections of 0.75% bupivacaine: pharmacokinetic and pharmacodynamic effects.

    abstract::Epidural anesthesia may be performed as a single injection or by staged doses. Thirty patients undergoing primary total hip replacement were randomly assigned to have epidural anesthesia using a single injection or a staged technique with 25 mL of 0.75% bupivacaine. Arterial plasma bupivacaine concentrations were sign...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1213/00000539-199408000-00019

    authors: Sharrock NE,Mineo R,Stanton J,Ennis WJ 3rd,Urmey WF,Arthur GR

    更新日期:1994-08-01 00:00:00

  • Effect of naloxone infusion on analgesia and respiratory depression after epidural fentanyl.

    abstract::The efficacy of two dosage regimens of intravenous naloxone were compared to avoid nonrespiratory side effects and respiratory depression and yet to preserve analgesia (maximum tolerance to periostial pressure over the tibia) after administration of 200 micrograms epidural fentanyl. Three groups of eight patients were...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章

    doi:

    authors: Gueneron JP,Ecoffey Cl,Carli P,Benhamou D,Gross JB

    更新日期:1988-01-01 00:00:00

  • Effects of alfentanil on isolated cardiac tissues of the rabbit.

    abstract::Alfentanil causes cardiac stimulation or depression in intact animals and in clinical practice; there is no information concerning its direct effects on the heart. Therefore, we studied the effects of alfentanil on isolated cardiac tissues from young adult rabbits. The right atrium with sinoatrial node (SA node) was b...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/00000539-199009000-00009

    authors: Zhang CC,Su JY,Calkins D

    更新日期:1990-09-01 00:00:00

  • Emergency tracheal intubation: complications associated with repeated laryngoscopic attempts.

    abstract::Repeated conventional tracheal intubation attempts may contribute to patient morbidity. Critically-ill patients (n = 2833) suffering from cardiovascular, pulmonary, metabolic, neurologic, or trauma-related deterioration were entered into an emergency intubation quality improvement database. This practice analysis was ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/01.ANE.0000122825.04923.15

    authors: Mort TC

    更新日期:2004-08-01 00:00:00