Monitoring depth of anaesthesia: is it worth the effort?

abstract：BACKGROUND:Pressure-based dynamic variables are poor predictors of fluid responsiveness in children, and their predictability is expected to reduce further during lung-protective ventilation with a low tidal volume. OBJECTIVE:We hypothesised that lung recruitment manoeuvre (LRM)-induced changes in dynamic variables im...

journal_title：European journal of anaesthesiology

authors： Kim EH,Lee JH,Jang YE,Ji SH,Kim HS,Cho SA,Kim JT

更新日期：2020-11-11 00:00:00

abstract：:The aim of this study was to elucidate the influence of four neuromuscular blocking substances on coronary vascular tone using the model of isolated porcine coronary artery segments. We studied the effects of four muscle relaxants, atracurium, pancuronium, rocuronium, and vecuronium (0.1, 1, and 10 microg mL-1 each), ...

journal_title：European journal of anaesthesiology

authors： Klockgether-Radke AP,Haemmerle A,Kettler D,Hellige G

更新日期：2000-08-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Alpha-2 agonists offer useful effects that make these drugs an interesting alternative for pharmacological premedication. METHODS:In a randomized, double-blind study, effects of clonidine (150 microg orally), midazolam (7.5 mg orally) and placebo administered 60-90 min prior to estimated anae...

journal_title：European journal of anaesthesiology

authors： Paris A,Kaufmann M,Tonner PH,Renz P,Lemke T,Ledowski T,Scholz J,Bein B

更新日期：2009-07-01 00:00:00

abstract：:In a randomized, double-blind study, we administered placebo and diclofenac sodium 100 mg suppositories 1 h pre-operatively and on the first post-operative morning to 22 adult patients undergoing minor orthopaedic surgery. A standardized post-operative intravenous fluid regimen was instituted until oral fluids were to...

journal_title：European journal of anaesthesiology

authors： Irwin MG,Roulson CJ,Jones RD,Cheng IK,Visram AR,Chan YM

更新日期：1995-07-01 00:00:00

abstract：BACKGROUND AND OBJECTIVE:Intravenously administered paracetamol is an effective analgesic in postoperative pain management. However, there is a lack of data on the effect of intravenous (i.v.) paracetamol on pain following soft tissue surgery. METHODS:Eighty-seven patients undergoing elective breast surgery with total...

journal_title：European journal of anaesthesiology

authors： Ohnesorge H,Bein B,Hanss R,Francksen H,Mayer L,Scholz J,Tonner PH

更新日期：2009-08-01 00:00:00

abstract：BACKGROUND:Myocardial injury after noncardiac surgery (MINS) is a major contributor to peri-operative morbidity and mortality with a reported incidence of about 8%. Tachycardia increases myocardial oxygen demand, and decreases oxygen supply, and is therefore a potential cause of MINS. OBJECTIVE:We tested the hypothesi...

journal_title：European journal of anaesthesiology

authors： Ruetzler K,Yilmaz HO,Turan A,Zimmerman NM,Mao G,Hung MH,Kurz A,Sessler DI

更新日期：2019-02-01 00:00:00

abstract：BACKGROUND:Due to possible serious adverse drug reactions (ADRs), the use of metamizole for postoperative pain therapy in children is a subject of debate. Safety studies with large sample sizes have not been published as yet. OBJECTIVE:The aim of this study was to evaluate the use of metamizole in children aged up to ...

journal_title：European journal of anaesthesiology

authors： Fieler M,Eich C,Becke K,Badelt G,Leimkühler K,Messroghli L,Boethig D,Sümpelmann R

更新日期：2015-12-01 00:00:00

abstract：BACKGROUND:The impact of blood pressure changes on tissue oxygenation differs between vital organs and with blood volume conditions. OBJECTIVE:To assess cerebral and renal autoregulation simultaneously and compare the impact of blood pressure, hypovolaemia and fluid resuscitation on tissue oxygenation using near-infra...

journal_title：European journal of anaesthesiology

authors： Kurita T,Kawashima S,Morita K,Nakajima Y

更新日期：2019-07-01 00:00:00

abstract：BACKGROUND AND OBJECTIVE:Hypoxia-reperfusion injury is an important determinant of secondary brain injury. In the acute phase of cerebral reperfusion, pro-inflammatory events enhance expression of cerebral endothelial (intercellular adhesion molecule-1 and P-selectin) adhesion molecules, which play an important role in...

journal_title：European journal of anaesthesiology

authors： Ghori K,Harmon D,Lan W,Seigne P,Walsh F,Shorten GD

更新日期：2008-03-01 00:00:00

abstract：BACKGROUND:The respiratory exchange ratio (RER), defined as the ratio of CO2 production (VCO2) to O2 consumption (VO2), is reported to be a noninvasive marker of anaerobic metabolism. The intubated, ventilated patient's inspired and expired fractions of O2 and CO2 (FiO2, FeO2, FiCO2 and FeCO2) are monitored in the oper...

journal_title：European journal of anaesthesiology

authors： Bar S,Grenez C,Nguyen M,de Broca B,Bernard E,Abou-Arab O,Bouhemad B,Lorne E,Guinot PG

更新日期：2020-11-01 00:00:00

abstract：BACKGROUND:Postoperative cognitive decline (pCD) occurs frequently (6 to 30%) after carotid endarterectomy (CEA), although there are no exact estimates and risk factors are still unclear. OBJECTIVE:The objective of this study was to determine pCD incidence and risk factors in CEA patients. DESIGN:We performed a syste...

journal_title：European journal of anaesthesiology

authors： Aceto P,Lai C,De Crescenzo F,Crea MA,Di Franco V,Pellicano GR,Perilli V,Lai S,Papanice D,Sollazzi L

更新日期：2020-11-01 00:00:00

abstract：:Optimal control of long-term sedation during therapy in the intensive care unit is difficult to achieve in a number of patients when based on commonly used clinical sedation scores alone. We therefore used the median frequency of the EEG power spectrum as a quantitative measure for closed-loop administration of propof...

journal_title：European journal of anaesthesiology

authors： Albrecht S,Frenkel C,Ihmsen H,Schüttler J

更新日期：1999-10-01 00:00:00

abstract：BACKGROUND:Intrathecal ketamine produces a short period of analgesia with stable haemodynamics. Midazolam with bupivacaine prolongs the duration of analgesia when administered intrathecally but does not prevent hypotension. The objective of this study was to assess the effect of a combination of intrathecal bupivacaine...

journal_title：European journal of anaesthesiology

authors： Murali Krishna T,Panda NB,Batra YK,Rajeev S

更新日期：2008-04-01 00:00:00

abstract：BACKGROUND AND AIM:This study assessed the accuracy of using capnography with a modified, hollow gum elastic bougie in predicting tracheal intubation, and its effectiveness as a method of apnoeic oxygenation. METHODS:Patients were randomly allocated to having the gum elastic bougie inserted, under anaesthesia, in the ...

journal_title：European journal of anaesthesiology

authors： Millar FA,Hutchison GL,Glavin R

更新日期：2001-01-01 00:00:00

abstract：BACKGROUND AND OBJECTIVE:The kneeling prone position is often used for low back surgery in order to decrease intraoperative bleeding and increase the surgical exposure of the vertebral canal. The aim of this study was to assess effects of the kneeling prone position on respiratory gas exchange focusing on oxygen consum...

journal_title：European journal of anaesthesiology

authors： Radstrom M,Loswick AC,Bengtsson JP

更新日期：2004-04-01 00:00:00

abstract：BACKGROUND AND OBJECTIVE:Previous studies have shown that L-type voltage-sensitive Ca2+ channel blocking agents increased and the L-type Ca2+ channel activator Bay K 8644 reduced the general anaesthetic potency in animals. As the bispectral index correlates with the depth of sedation, we examined whether L-type Ca2+ ch...

journal_title：European journal of anaesthesiology

authors： Hirota K,Kabara S,Kushikata T,Kitayama M,Ishihara H,Matsuki A

更新日期：2003-10-01 00:00:00

abstract：:The analgesic, respiratory and haemodynamic effects of epidural sufentanil 75 micrograms (Group 1) or sufentanil 75 micrograms with adrenaline 75 micrograms (Group 2) were studied in 20 patients following abdominal surgery in a double-blind randomized trial. Pain relief, assessed on a linear analogue scale, sedation, ...

journal_title：European journal of anaesthesiology

authors： Verborgh C,Van der Auwera D,Noorduin H,Camu F

更新日期：1988-05-01 00:00:00

abstract：BACKGROUND AND OBJECTIVE:The intubating laryngeal mask is designed to act as a ventilatory device and as an aid to blind tracheal intubation in adults. The aim of this study was to evaluate the efficacy of the intubating laryngeal mask for ventilation of the lungs and tracheal intubation in children using video-endosco...

journal_title：European journal of anaesthesiology

authors： Weiss M,Schwarz U,Dillier C,Fischer J,Gerber AC

更新日期：2001-11-01 00:00:00

abstract：BACKGROUND AND OBJECTIVE:In most studies of cardiac output changes after spinal anaesthesia, the time-resolution is limited. The aim of this study was to demonstrate cardiac output changes with high time-resolution during onset of spinal anaesthesia in elderly patients. METHODS:We investigated 32 patients aged 60 yr s...

journal_title：European journal of anaesthesiology

authors： Meyhoff CS,Hesselbjerg L,Koscielniak-Nielsen Z,Rasmussen LS

更新日期：2007-09-01 00:00:00

abstract：BACKGROUND AND OBJECTIVE:To investigate whether the administration of ketamine before induction with propofol produces a smaller decrease in arterial pressure. METHODS:Twenty-two patients were assigned to one of two groups to receive either propofol with ketamine (n = 11) or propofol alone (n = 11, control). Anaesthes...

journal_title：European journal of anaesthesiology

authors： Furuya A,Matsukawa T,Ozaki M,Nishiyama T,Kume M,Kumazawa T

更新日期：2001-02-01 00:00:00

abstract：BACKGROUND AND OBJECTIVE:Transurethral prostatectomy is routinely performed under spinal anaesthesia. This technique can cause hypotension, which is particularly undesirable in the elderly. The objective was to compare spinal anaesthesia for transurethral prostatectomy using hyperbaric bupivacaine 15 mg (control group)...

journal_title：European journal of anaesthesiology

authors： Walsh KH,Murphy C,Iohom G,Cooney C,McAdoo J

更新日期：2003-07-01 00:00:00

abstract：:The influence of etomidate on post-ischaemic cerebral metabolism was examined in 1-year-old male Wistar rats. Ten rats were randomly allocated to each of three groups. Group 1 animals received etomidate for 60 min without undergoing cerebral ischaemia. In Group 2, there was a 60-min recovery period following 15 min of...

journal_title：European journal of anaesthesiology

authors： Böhrer H,Hoyer S,Krier C

更新日期：1991-05-01 00:00:00

abstract：:The effect of the administration of a 50 mg dose of an angiotensin converting enzyme inhibitor (captopril) on the mean arterial pressure following sternotomy in 13 patients undergoing coronary artery bypass surgery was indistinguishable from the response in 13 patients who had not received the drug. ...

journal_title：European journal of anaesthesiology

authors： Cashman JN,Jones RM,Thompson MA

更新日期：1984-09-01 00:00:00

abstract：BACKGROUND AND OBJECTIVE:To examine whether prophylactic use of haloperidol in addition to dexamethasone decreased the incidence of postoperative nausea and vomiting in high-risk patients undergoing ambulatory surgery. METHODS:One hundred and sixty nonsmoking women aged between 18 and 50 years receiving a standardized...

journal_title：European journal of anaesthesiology

authors： Chaparro LE,Gallo T,Gonzalez NJ,Rivera MF,Peng PW

更新日期：2010-02-01 00:00:00

abstract：BACKGROUND:Infants undergoing general anaesthesia have an increased risk of severe respiratory and cardiovascular critical events. Awake caudal anaesthesia is an alternative for small infants undergoing minor lower abdominal surgery. While clinical experience has shown stable intra-operative haemodynamic conditions, th...

journal_title：European journal of anaesthesiology

authors： Beck CE,Sümpelmann R,Nickel K,Keil O,Kuebler JF,Boethig D,Witt L,Dennhardt N

更新日期：2020-08-01 00:00:00

abstract：:A 17-year-old victim of a road traffic accident presented. Following investigation diagnoses of fractured first cervical vertebra, aortic transection, diffuse cerebral oedema, fractured right ribs 2-4 and pubic rami were made. Management of this case presented a number of anaesthetic dilemmas: management of the airway...

journal_title：European journal of anaesthesiology

authors： Griffin MJ,Harnett M,Kenefick P

更新日期：1998-07-01 00:00:00

abstract：:In this review, we shall consider the oral and intravenous fluid management of pregnant women during labour and operative delivery in the context of neuroaxial blockade. We shall also discuss the use of blood transfusion in the peripartum period, especially during postpartum haemorrhage. Current management of military...

journal_title：European journal of anaesthesiology

authors： Ickx BE

更新日期：2010-12-01 00:00:00

abstract：BACKGROUND:Robot-assisted thoracoscopic thymectomy has brought new challenges to the anaesthesiologists. Here we present a study of 17 patients undergoing robotic thymectomy. PATIENTS AND METHODS:The present study was a prospective study, which included 17 patients with myasthenia gravis scheduled for robot-assisted t...

journal_title：European journal of anaesthesiology

authors： Pandey R,Garg R,Chandralekha,Darlong V,Punj J,Sinha R,Jyoti B,Mukundan C,Elakkumanan LB

更新日期：2010-05-01 00:00:00

abstract：BACKGROUND AND OBJECTIVE:Laparoscopic and open surgery have been compared with conflicting results regarding their systemic responses. The sensitivity of biochemical markers that are used to discriminate between the stress responses to different types of surgery varies from study to study. We wanted to evaluate the str...

journal_title：European journal of anaesthesiology

authors： Rorarius MG,Kujansuu E,Baer GA,Suominen P,Teisala K,Miettinen A,Ylitalo P,Laippala P

更新日期：2001-08-01 00:00:00

abstract：BACKGROUND:Arterial pressure monitoring using the a continuous noninvasive arterial pressure (CNAP) device during general anaesthesia is known to be interchangeable with continuous invasive arterial pressure (CIAP) monitoring. Agreement with invasive measurements in cardiovascular postsurgical intensive care patients h...

journal_title：European journal of anaesthesiology

authors： Ilies C,Grudev G,Hedderich J,Renner J,Steinfath M,Bein B,Haake N,Hanss R

更新日期：2015-01-01 00:00:00