Maternal temperature regulation during extradural analgesia for labour.

Abstract:

:We have studied the effect of analgesia on maternal temperature (oral and tympanic membrane) progression in 53 women during normal spontaneous labour. Three groups were studied: two received extradural analgesia with a continuous infusion of 0.25% bupivacaine with or without the addition of fentanyl; the third group received only parenteral opioid analgesia. All patients were afebrile and without clinical evidence of infection at the beginning of the study. Both groups of patients receiving extradural analgesia had a consistent and significant increase in temperature after approximately 5 h of analgesia; no such trend was observed in the parenteral opioid group. Alterations in mechanisms of heat dissipation may explain these findings.

journal_name

Br J Anaesth

authors

Camann WR,Hortvet LA,Hughes N,Bader AM,Datta S

doi

10.1093/bja/67.5.565

subject

Has Abstract

pub_date

1991-11-01 00:00:00

pages

565-8

issue

5

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)47875-5

journal_volume

67

pub_type

临床试验,杂志文章,随机对照试验
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    abstract:BACKGROUND:Interscalene brachial plexus block (ISBPB) is an effective nerve block for shoulder surgery. However, a 100% incidence of phrenic nerve palsy limits the application of ISBPB for patients with limited pulmonary reserve. We examined the incidence of phrenic nerve palsy with a low-volume ISBPB compared with a s...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/bja/aen229

    authors: Riazi S,Carmichael N,Awad I,Holtby RM,McCartney CJ

    更新日期:2008-10-01 00:00:00

  • General anaesthesia for caesarean section in severe pre-eclampsia. Comparison of the renal and hepatic effects of enflurane and halothane.

    abstract::In a randomized study of patients undergoing Caesarean section, either enflurane (mean 0.24 MAC-h) or halothane (mean 0.23 MAC-h) and 50% nitrous oxide in oxygen were administered to women (n = 12) with severe pre-eclampsia-eclampsia and to 16 healthy pregnant patients with normal renal and hepatic function. No eviden...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/56.6.587

    authors: Crowhurst JA,Rosen M

    更新日期:1984-06-01 00:00:00

  • Gastric and lower oesophageal sphincter (LOS) pressures in early pregnancy.

    abstract::Gastric (GP) and lower oesophageal sphincter pressures (LOSP) were measured in non-pregnant female volunteers (group I) and pregnant women with (group III) or without (group II) heartburn. Patients in early pregnancy had greater gastric pressures than group I. Mean barrier pressure (LOSP-GP) was significantly decrease...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/53.4.381

    authors: Brock-Utne JG,Dow TG,Dimopoulos GE,Welman S,Downing JW,Moshal MG

    更新日期:1981-04-01 00:00:00

  • Cryoprecipitate therapy.

    abstract::Cryoprecipitate, originally developed as a therapy for patients with antihaemophilic factor deficiency, or haemophilia A, has been in use for almost 50 yr. However, cryoprecipitate is no longer administered according to its original purpose, and is now most commonly used to replenish fibrinogen levels in patients with...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1093/bja/aeu158

    authors: Nascimento B,Goodnough LT,Levy JH

    更新日期:2014-12-01 00:00:00

  • Does motor block related to long-acting brachial plexus block cause patient dissatisfaction after minor wrist and hand surgery? A randomized observer-blinded trial.

    abstract:BACKGROUND:Patient dissatisfaction has been previously associated with motor block in shoulder surgery patients receiving brachial plexus block. For elective minor wrist and hand surgery, we tested whether a regional block accelerating the early return of upper extremity motor function would improve patient satisfactio...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/bja/aes266

    authors: Fredrickson MJ,Wolstencroft PJ,Chinchanwala S,Boland MR

    更新日期:2012-11-01 00:00:00

  • Large volume N2O uptake alone does not explain the second gas effect of N2O on sevoflurane during constant inspired ventilation.

    abstract:BACKGROUND:The second gas effect (SGE) is considered to be significant only during periods of large volume N(2)O uptake (VN(2)O); however, the SGE of small VN(2)O has not been studied. We hypothesized that the SGE of N(2)O on sevoflurane would become less pronounced when sevoflurane administration is started 60 min aft...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/bja/ael008

    authors: Hendrickx JF,Carette R,Lemmens HJ,De Wolf AM

    更新日期:2006-03-01 00:00:00

  • Blood propofol concentration and psychomotor effects on driving skills.

    abstract::We studied psychomotor performance in 10 healthy volunteers during recovery after a target-controlled infusion of propofol. Choice reaction time, dual task tracking with secondary reaction time and a within-list recognition task were assessed at target blood propofol concentrations of 0.8, 0.4 and 0.2 microgram ml-1. ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/85.3.396

    authors: Grant SA,Murdoch J,Millar K,Kenny GN

    更新日期:2000-09-01 00:00:00

  • Validation of a system for measurement of metabolic gas exchange during anaesthesia with controlled ventilation in an oxygen consuming lung model.

    abstract::An oxygen consuming lung model was used for evaluation and validation of a technique for metabolic gas exchange measurements during controlled ventilation. The technique comprised a Servo 900 C ventilator (Siemens) and separate oxygen and carbon dioxide analysers (Beckman). Measurements of oxygen consumption and carbo...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/64.3.311

    authors: Svensson KL,Sonander HG,Stenqvist O

    更新日期:1990-03-01 00:00:00

  • Microvascular and macrovascular flow are uncoupled in early polymicrobial sepsis.

    abstract:BACKGROUND:Microvascular dysfunction is considered to play an important pathophysiological role in sepsis. We addressed the hypothesis that macrovascular and microvascular flow are uncoupled in early sepsis, using a rodent model with well-characterized haemodynamic and biochemical markers of severity and subsequent mor...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aes093

    authors: Dyson A,Cone S,Singer M,Ackland GL

    更新日期:2012-06-01 00:00:00

  • Dangers of anaesthesia in Munchausen's syndrome.

    abstract::Patients with Munchausen's syndrome often undergo multiple surgical operations under general anaesthesia. They tend to have multiple exposures to routinely used anaesthetic agents. A patient with Munchausen's syndrome who developed an anaphylactoid reaction to thiopentone is described and the importance of obtaining p...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/59.11.1472

    authors: Frater RA,Lew JK

    更新日期:1987-11-01 00:00:00

  • Placental blood flow during caesarean section under lumbar extradural analgesia.

    abstract::The effect on intervillous blood flow of lumbar extradural analgesia for Caesarean section was studied in nine healthy women using xenon-133. Extradural anaesthesia was performed with lignocaine 1 1/2% 16--20 ml with adrenaline 5 microgram ml-1. Impairment of placental blood flow during the block was observed in seven...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/50.3.275

    authors: Jouppila R,Jouppila P,Kuikka J,Hollmén A

    更新日期:1978-03-01 00:00:00

  • Psychology of pain.

    abstract::This article briefly reviews psychological aspects of pain, paying special attention to chronic pain. The review considers the interruptive and interference effects of pain and its impact on a person's identity. The importance of processes related to interruption, interference, and identity will vary across people and...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1093/bja/aen123

    authors: Morley S

    更新日期:2008-07-01 00:00:00

  • Superficial or deep cervical plexus block for carotid endarterectomy: a systematic review of complications.

    abstract::Carotid endarterectomy is commonly conducted under regional (deep, superficial, intermediate, or combined) cervical plexus block, but it is not known if complication rates differ. We conducted a systematic review of published papers to assess the complication rate associated with superficial (or intermediate) and deep...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,meta分析,评审

    doi:10.1093/bja/aem160

    authors: Pandit JJ,Satya-Krishna R,Gration P

    更新日期:2007-08-01 00:00:00

  • Comparison between oxygen consumption calculated by Fick's principle using a continuous thermodilution technique and measured by indirect calorimetry.

    abstract::We calculated oxygen consumption by the reverse Fick principle (cVO2) using cardiac output measured with a new technique of continuous thermal dilution and compared these values with measurements made at the same time using a gas exchange method (mVO2). We studied nine patients in a stable condition after cardiac surg...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1093/bja/75.6.719

    authors: Bizouarn P,Blanloeil Y,Pinaud M

    更新日期:1995-12-01 00:00:00

  • Pressure recording analytical method for measuring cardiac output in critically ill children: a validation study.

    abstract:BACKGROUND:Pressure recording analytical method (PRAM) is a novel, arterial pulse contour-based method for measuring cardiac output (CO). Validation studies of PRAM in children are few, and have not assessed both absolute accuracy and ability to track changes in CO across a broad case mix. We aimed to compare CO as mea...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aes420

    authors: Saxena R,Durward A,Puppala NK,Murdoch IA,Tibby SM

    更新日期:2013-03-01 00:00:00

  • Pulmonary thromboendarterectomy in a case of hereditary stomatocytosis.

    abstract::We present a case of pulmonary thromboendarterectomy performed successfully in a patient with stomatocytosis. Stomatocytosis is a rare condition of abnormal erythrocyte morphology in which haemolysis and hyperkalaemia occur at cooler temperatures. A 35-yr-old male with stomatocytosis was referred for pulmonary thrombo...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aeg237

    authors: Murali B,Drain A,Seller D,Dunning J,Vuylsteke A

    更新日期:2003-11-01 00:00:00

  • Antinociceptive effect of intrathecal ginsenosides through alpha-2 adrenoceptors in the formalin test of rats.

    abstract:BACKGROUND:We defined the nature of the pharmacological interaction after intrathecal co-administration of ginsenosides with clonidine, and clarified the contribution of the α-2 adrenoceptors on the effect of ginsenosides. METHODS:Pain was evoked by injection of a formalin solution (5%, 50 μl) into the hindpaw of male...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aeq367

    authors: Yoon MH,Huang LJ,Choi JI,Lee HG,Kim WM,Kim CM

    更新日期:2011-03-01 00:00:00

  • Cardiovascular and electroencephalographic effects of laudanosine in "nephrectomized" cats.

    abstract::We studied a cat model simulating laudanosine accumulation in the "anephric" patient. Cardiovascular effects were seen only with the bolus doses of laudanosine 2 mg kg-1, and at plasma laudanosine concentrations unlikely to be achieved clinically. Similarly, EEG and power spectra analysis showed no evidence of epilept...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/58.suppl_1.14s

    authors: Ingram MD,Sclabassi RJ,Cook DR,Stiller RL,Bennett MH

    更新日期:1986-01-01 00:00:00

  • Cerebrovascular effects of isoflurane in man. Intracranial pressure and middle cerebral artery flow velocity.

    abstract::Twelve hydrocephalic patients undergoing hydrodynamic studies and shunt procedures during general anaesthesia were subjected to short term observations of the cerebrovascular effects of isoflurane. Intraventricular pressure (IVP), arterial pressure (AP); cerebral perfusion pressure (CPP = AP-IVP), end-tidal PCO2, Cere...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/59.10.1208

    authors: Lundar T,Lindegaard KF,Refsum L,Rian R,Nornes H

    更新日期:1987-10-01 00:00:00

  • Haemodynamic responses to antagonism of bocurarine block with atropine-neostigmine mixture in children.

    abstract::Following antagonism of tubocurarine block with a mixture of atropine 20 microgram/kg and neostigmine 50 microgram/kg in 20 children, heart rate decreased from a control value of 110.4 beat/min to 90.1 at 5 min and 89.2 at 6 min (P less than 0.02). Stroke volume index did not change during the first 5 min from a contr...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/49.9.901

    authors: Salem MR,Toyama T,Wong AY,Jacobs HK,Bennett EJ

    更新日期:1977-09-01 00:00:00

  • Randomized controlled trial of the haemodynamic and recovery effects of xenon or propofol anaesthesia.

    abstract:BACKGROUND:There is limited clinical experience with xenon in a large number of patients. We present intra- and postoperative haemodynamic and recovery data comparing xenon and total intravenous anaesthesia with propofol. METHODS:A total of 160 patients aged 18-60 years (ASA I and II) undergoing elective surgery took ...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/aei023

    authors: Coburn M,Kunitz O,Baumert JH,Hecker K,Haaf S,Zühlsdorff A,Beeker T,Rossaint R

    更新日期:2005-02-01 00:00:00

  • Challenge of improving postoperative pain management: case studies of three acute pain services in the UK National Health Service.

    abstract:BACKGROUND:Previous national survey research has shown significant deficits in routine postoperative pain management in the UK. This study used an organizational change perspective to explore in detail the organizational challenges faced by three acute pain services in improving postoperative pain management. METHODS:...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,多中心研究

    doi:10.1093/bja/aep066

    authors: Powell AE,Davies HT,Bannister J,Macrae WA

    更新日期:2009-06-01 00:00:00

  • Effects of diazepam and ketamine administered individually or in combination on regional rates of glucose utilization in rat brain.

    abstract::The effects of diazepam, which acts at GABAA receptors to enhance the effects of GABA, and ketamine, a non-competitive N-methyl-D-aspartate receptor antagonist, on local rates of cerebral glucose utilization (ICMRglc) were examined in unrestrained rats. Four groups were studied: vehicle-injected controls; and ketamine...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/82.4.596

    authors: Eintrei C,Sokoloff L,Smith CB

    更新日期:1999-04-01 00:00:00

  • Actions of the hypnotic anaesthetic, dexmedetomidine, on noradrenaline release and cell firing in rat locus coeruleus slices.

    abstract::We have examined the effects of the highly selective alpha 2-adrenoceptor agonist, dexmedetomidine, on noradrenaline release and cell firing in isolated, superfused slices of rat locus coeruleus. Dexmedetomidine decreased both noradrenaline release and cell firing rate in a concentration-dependent fashion, with an EC5...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/71.3.447

    authors: Jorm CM,Stamford JA

    更新日期:1993-09-01 00:00:00

  • Effect of communication on pain during intravenous cannulation: a randomized controlled trial.

    abstract:BACKGROUND:Clinicians frequently warn patients of discomfort before potentially painful procedures, despite the lack of evidence that such communications are helpful. We aimed to compare two communications (one with, and the other without, a warning of a 'sting') immediately before i.v. cannulation in order to measure ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/bja/aem308

    authors: Dutt-Gupta J,Bown T,Cyna AM

    更新日期:2007-12-01 00:00:00

  • Troponin elevations after non-cardiac, non-vascular surgery are predictive of major adverse cardiac events and mortality: a systematic review and meta-analysis.

    abstract:BACKGROUND:Patients undergoing non-cardiac, non-vascular surgery are at risk of major cardiovascular complications. In non-cardiac surgery, troponin elevation has previously been shown to be an independent predictor of major adverse cardiac events and postoperative mortality; however, a majority of studies have focused...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,meta分析,评审

    doi:10.1093/bja/aew321

    authors: Ekeloef S,Alamili M,Devereaux PJ,Gögenur I

    更新日期:2016-11-01 00:00:00

  • Effect of interpleural morphine on postoperative pain and pulmonary function after thoracotomy.

    abstract::We have investigated the effect of interpleural morphine on postoperative pain and pulmonary function after thoracotomy. At the end of surgery, an interpleural catheter was inserted in 17 patients and, in a double-blind and randomized manner, either a bolus of morphine 2.5 mg interpleurally (i.p.) and normal saline i....

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/69.6.637

    authors: Welte M,Haimerl E,Groh J,Briegel J,Sunder-Plassmann L,Herz A,Peter K,Stein C

    更新日期:1992-12-01 00:00:00

  • Cardiovascular and neuromuscular effects of dimethyl tubocurarine in anaesthetized cats and rhesus monkeys.

    abstract::Intravenous dose-response relationships for dimethyl tubocurarine showed that vagal blockade only became appreciable (50-83%) at doses 8-16 times those sufficient for full neuromuscular paralysis in anaesthetized cats (0.0625 mg/kg) and rhesus monkeys (0.125 mg/kg); heart rate was unchanged. Sympathetic function was u...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/48.9.847

    authors: Hughes R,Chapple DJ

    更新日期:1976-09-01 00:00:00

  • Randomized, prospective, observational simulation study comparing residents' needle-guided vs free-hand ultrasound techniques for central venous catheter access.

    abstract:BACKGROUND:Short-axis ultrasound-guided placement of central venous catheters (CVCs) is widely accepted as safe practice. However, utilizing the long-axis approach could further improve safety, as it allows for better visualization of the needle as it is advanced to the target vessel. However, the long-axis approach ha...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/bja/aer329

    authors: Ball RD,Scouras NE,Orebaugh S,Wilde J,Sakai T

    更新日期:2012-01-01 00:00:00

  • Dose-dependent effect of metoclopramide on cholinesterases and suxamethonium metabolism.

    abstract::In obstetric patients undergoing postpartum tubal ligation, we found that metoclopramide produced dose-dependent prolongation of suxamethonium-induced neuromuscular block. Mean block times after suxamethonium 1 mg kg-1 were 8.0 min, 9.83 min and 12.45 min for control and metoclopramide 10 mg and metoclopramide 20 mg g...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1093/bja/65.2.220

    authors: Kao YJ,Tellez J,Turner DR

    更新日期:1990-08-01 00:00:00