Comparison of extradural and intravenous diamorphine as a supplement to extradural bupivacaine.

Abstract:

:The influence of route of administration (extradural as compared with intravenous) of diamorphine 0.5 mg/hour as a supplement to extradural bupivacaine (0.125% at 15 ml/hour) was investigated in two groups of 20 patients who underwent major abdominal gynaecological surgery. Significantly more patients in the intravenous group withdrew because of inadequate analgesia (p less than 0.05). Those in the extradural group were significantly more drowsy throughout the study (p less than 0.01), but no major side effects were encountered.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Lee A,McKeown D,Brockway M,Bannister J,Wildsmith JA

doi

10.1111/j.1365-2044.1991.tb11680.x

subject

Has Abstract

pub_date

1991-06-01 00:00:00

pages

447-50

issue

6

eissn

0003-2409

issn

1365-2044

journal_volume

46

pub_type

临床试验,杂志文章,随机对照试验
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    abstract::Dose response curves were constructed for edrophonium and neostigmine when used to antagonise pancuronium, 0.07 mg/kg during thiopentone-nitrous oxide-halothane anaesthesia. The antagonist was given when 10% twitch height had been restored and the effect was measured 10 minutes later. Recoveries to 50% and 90% twitch ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1985.tb11044.x

    authors: Breen PJ,Doherty WG,Donati F,Bevan DR

    更新日期:1985-09-01 00:00:00

  • A comparison of low vs conventional-dose heparin for minimal cardiopulmonary bypass in coronary artery bypass grafting surgery.

    abstract::The biocompatibility of minimal extracorporeal circuits has improved; however, anticoagulation is still required. We compared standard high-dose anticoagulation with a low-dose heparin regimen in a retrospective study of patients who underwent coronary bypass surgery using minimal cardiopulmonary bypass. One hundred p...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2011.06709.x

    authors: Fromes Y,Daghildjian K,Caumartin L,Fischer M,Rouquette I,Deleuze P,Bical OM

    更新日期:2011-06-01 00:00:00

  • The use of the Cape Minor ventilator with the circle absorber system.

    abstract::Various methods by which the Cape Minor ventilator may be used in the circle absorber system are described and the problems of the circuits described are considered. A new valve system is described which overcomes most of the problems encountered with other circuits. The economic advantages of an inexpensive ventilato...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1978.tb08327.x

    authors: James MF

    更新日期:1978-11-01 00:00:00

  • Communication skills for the anaesthetist.

    abstract::Anaesthetists have traditionally focused on technological and pharmacological advances when considering the provision of anaesthetic care. Anaesthetists are expected to be able to communicate effectively with peers, patients, their families and others in the medical community; however, few details are provided regardi...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2009.05887.x

    authors: Cyna AM,Andrew MI,Tan SG

    更新日期:2009-06-01 00:00:00

  • Normocapnic anaesthesia with trichloroethylene for intraocular surgery.

    abstract::Measurements of intraocular pressure (IOP) by applanation tonometry in twelve patients undergoing lens extraction showed that a normocapnic anaesthetic technique using 0.4% trichloroethylene with controlled ventilation of the lungs (IPPV) with large tidal volumes (14 ml/kg) reduced IOP by 13--20%. There was only a sma...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1979.tb06336.x

    authors: Adams AP,Freedman A,Dart JK

    更新日期:1979-06-01 00:00:00

  • Effect of amniotic fluid on coagulation and platelet function in pregnancy: an evaluation using thromboelastography.

    abstract::Amniotic fluid embolism is a rare obstetric complication. The exact pathogenesis of this syndrome remains unknown and significant controversy exists whether coagulopathy should always be present. We used thromboelastography to assess the effect of amniotic fluid on coagulation and platelet function in pregnant women. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2005.04373.x

    authors: Harnett MJ,Hepner DL,Datta S,Kodali BS

    更新日期:2005-11-01 00:00:00

  • Dutch case-control study of anaesthesia-related morbidity and mortality. Rationale and methods.

    abstract::To date, anaesthesia-related mortality, morbidity and risk factors have almost exclusively been studied qualitatively rather than quantitatively. Therefore, knowledge of the relative risk associated with many anaesthesia-related factors is still lacking. Recently, a quantitative study of the determinants and preventio...

    journal_title:Anaesthesia

    pub_type: 杂志文章,多中心研究

    doi:10.1046/j.1365-2044.1998.00303.x

    authors: Arbous MS,Grobbee DE,van Kleef JW,Meursing AE

    更新日期:1998-02-01 00:00:00

  • Epidural infusion of levobupivacaine and sufentanil following thoracotomy.

    abstract::A prospective, randomised, double-blind study was conducted to compare the efficacy of two doses of levobupivacaine combined with sufentanil for continuous epidural infusion following thoractomy. A total of 72 patients undergoing lobectomy or pneumonectomy were enrolled. An epidural catheter was inserted between the l...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2007.05184.x

    authors: De Cosmo G,Congedo E,Mascia A,Adducci E,Lai C,Aceto P

    更新日期:2007-10-01 00:00:00

  • Anabolic steroid abuse: physiological and anaesthetic considerations.

    abstract::This review summarises the physiological and pharmacological effects of the anabolic steroids used to enhance performance in sports. The anabolic steroids promote muscle growth and protein synthesis. Side-effects of anabolic steroids include cardiomyopathy, atherosclerosis, hypercoagulopathy, hepatic dysfunction, and ...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.2005.04218.x

    authors: Kam PC,Yarrow M

    更新日期:2005-07-01 00:00:00

  • Evaluation of a novel Surgicric® cricothyroidotomy device for emergency tracheal access in a porcine model.

    abstract::A can't intubate, can't ventilate scenario can result in morbidity and death. Although a rare occurrence (1:50 000 general anaesthetics), it is crucial that anaesthetists maintain the skills necessary to perform cricothyroidotomy, and are well-equipped with appropriate tools. We undertook a bench study comparing a new...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13275

    authors: King W,Teare J,Vandrevala T,Cartwright S,Mohammed KB,Patel B

    更新日期:2016-02-01 00:00:00

  • Consensus guidelines for managing the airway in patients with COVID-19: Guidelines from the Difficult Airway Society, the Association of Anaesthetists the Intensive Care Society, the Faculty of Intensive Care Medicine and the Royal College of Anaesthetist

    abstract::Severe acute respiratory syndrome-corona virus-2, which causes coronavirus disease 2019 (COVID-19), is highly contagious. Airway management of patients with COVID-19 is high risk to staff and patients. We aimed to develop principles for airway management of patients with COVID-19 to encourage safe, accurate and swift ...

    journal_title:Anaesthesia

    pub_type: 杂志文章,实务指引

    doi:10.1111/anae.15054

    authors: Cook TM,El-Boghdadly K,McGuire B,McNarry AF,Patel A,Higgs A

    更新日期:2020-06-01 00:00:00

  • The alkalinisation of bupivacaine for intercostal nerve blockade.

    abstract::A double-blind randomised study was performed to investigate the effect of pH adjustment of bupivacaine, with adrenaline 1:200,000, on the duration of block and pain relief after intercostal nerve blockade following thoracotomy. One group (n = 10) received bupivacaine with adrenaline 1:200,000 (pH = 4.1) and the other...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1991.tb09402.x

    authors: Swann DG,Armstrong PJ,Douglas E,Brockway M,Bowler GM

    更新日期:1991-03-01 00:00:00

  • The prevalence and association with transfusion, intensive care unit stay and mortality of pre-operative anaemia in a cohort of cardiac surgery patients.

    abstract::Anaemia is increasingly prevalent in the United Kingdom. Despite recommendations to the contrary, many patients undergo cardiac surgery with undiagnosed and untreated anaemia. According to the World Health Organization definition, 1463/2688 (54.4%) patients undergoing cardiac surgery between 2008 and 2009 in our insti...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2011.06819.x

    authors: Hung M,Besser M,Sharples LD,Nair SK,Klein AA

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  • Convection warmers--not just hot air.

    abstract::We sought to determine whether the forced air convection warmers (nine Bair Huggers, Augustine Medical, and one Warm Touch, Mallinkrodt Medical) used in our operating theatres could be a source of microbial pathogens. Agar plates were placed directly in the air stream of the warmers. Four of these grew potentially pat...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1997.250-az0384.x

    authors: Avidan MS,Jones N,Ing R,Khoosal M,Lundgren C,Morrell DF

    更新日期:1997-11-01 00:00:00

  • Failed extradural anaesthesia for caesarean section. Complication of subsequent spinal block.

    abstract::Two cases of unexpected high spinal anaesthesia following failed extradural anaesthesia for Caesarean section are described. In both cases rapid and unexpected advance of blockade, after the subarachnoid injection of moderate doses of local anaesthetic, required tracheal intubation. In one of the cases 15 ml of 0.9% s...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1992.tb02393.x

    authors: Beck GN,Griffiths AG

    更新日期:1992-08-01 00:00:00

  • The use of low dose plain solutions of local anaesthetic agents for spinal anaesthesia in the prone position: bupivacaine compared with levobupivacaine.

    abstract::In this study, we aimed to test the hypothesis that 1-ml plain solution of 0.5% bupivacaine or 0.5% levopubivacaine administered in a subarachnoid block can provide adequate anaesthesia and operating conditions for pilonidal cyst/sinus operations performed in the prone position. There were no significant differences b...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2008.05680.x

    authors: Cuvas O,Gulec H,Karaaslan M,Basar H

    更新日期:2009-01-01 00:00:00

  • Scapular and proximal humeral head fractures. An unusual complication of cardiopulmonary resuscitation.

    abstract::We report a patient who sustained fractures of the scapula and proximal humeral head as a result of cardioversion during cardiopulmonary resuscitation. It is postulated that the fractures were the result of tetanic muscular contractions involving the proximal humeral heads and the shoulder girdles. This appears to be ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1994.tb04355.x

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    更新日期:1994-12-01 00:00:00

  • Propofol infusion for sedation in intensive care.

    abstract::Ten patients, with a range of illness severity, received a continuous 8-hour infusion of undiluted propofol for sedation while undergoing mechanical ventilation in a general intensive care unit. The level of sedation was assessed hourly and measurements were made of haemodynamic, respiratory, haematological and bioche...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1987.tb05362.x

    authors: Newman LH,McDonald JC,Wallace PG,Ledingham IM

    更新日期:1987-09-01 00:00:00

  • Temazepam in fast dispensing dosage form as a premedication for children.

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    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1985.tb10792.x

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  • Prediction of prolonged laryngoscopy.

    abstract::Duration of laryngoscopy must be kept as short as possible to prevent disturbances of oxygenation and ventilation. Because the factors associated with prolonged laryngoscopy are not well known, we studied 1000 patients undergoing tracheal intubation under general anaesthesia to determine the possible effects of their ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2001.02084-5.x

    authors: Saghaei M,Safavi MR

    更新日期:2001-12-01 00:00:00

  • Hypotension, subarachnoid block and the elderly patient.

    abstract::This article reviews the current literature on the management of hypotension during subarachnoid block in the elderly. Hypotension results from blockade of the sympathetic nervous system, which causes decreases in both systemic vascular resistance and cardiac output. Abolition of normal cardiovascular reflexes is also...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.1996.tb15051.x

    authors: Critchley LA

    更新日期:1996-12-01 00:00:00

  • A survey of physicians' attitudes to transfusion practice in critically ill patients in the UK.

    abstract::This study aimed to examine the attitudes of intensivists and haematologists to the use of blood and blood products using a scenario-based postal questionnaire. One hundred and sixty-two intensivists and 77 haematologists responded to the survey. In four scenarios, the baseline haemoglobin thresholds for red cell tran...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2002.02509_1.x

    authors: Boraless H,Rao MP,Morgan C,Soni N,Goldhill DR,Brett SJ,Boralessi H,Contreras M

    更新日期:2002-06-01 00:00:00

  • The safety of atropine premedication in children with Down's syndrome.

    abstract::Forty-five operative procedures were performed in 32 patients with Down's syndrome at the Royal Alexandra Hospital for Children, Sydney in a single year recently. Atropine premedication was administered to 25 patients with Down's syndrome on 38 occasions. Three dosage regimes of atropine were used: 20 micrograms/kg, 1...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1983.tb12253.x

    authors: Wark HJ,Overton JH,Marian P

    更新日期:1983-09-01 00:00:00

  • Effects of nitrous oxide on liver haemodynamics and oxygen consumption in the greyhound.

    abstract::The effects of increasing concentrations of nitrous oxide 30, 50 and 70% on the hepatic circulation and hepatic oxygen consumption were investigated in seven normocapnic greyhounds. Hepatic arterial and portal venous blood flows were measured continuously using electromagnetic flow probes, and mean arterial pressure a...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1982.tb01225.x

    authors: Thomson IA,Hughes RL,Fitch W,Campbell D

    更新日期:1982-05-01 00:00:00

  • Comparison of rocuronium and suxamethonium for use during rapid sequence induction of anaesthesia.

    abstract::This study was designed to compare the tracheal intubating conditions during a rapid sequence induction of anaesthesia using rocuronium 0.6 (n = 61) or 1.0 mg.kg-1 (n = 130) or suxamethonium 1.0 mg.kg-1 (n = 127) as the neuromuscular blocking drugs. Anaesthesia was induced with fentanyl 1-2 micrograms.kg-1 and thiopen...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.1998.00342.x

    authors: McCourt KC,Salmela L,Mirakhur RK,Carroll M,Mäkinen MT,Kansanaho M,Kerr C,Roest GJ,Olkkola KT

    更新日期:1998-09-01 00:00:00

  • Total intravenous anaesthesia for neurosurgery and neuroradiology.

    abstract::A method of total intravenous anaesthesia for neurosurgery and neuroradiology is described using a continuous infusion of alphaxalone/alphadolone (Althesin) with analgesics and muscle relaxants. It has been used successfully on 272 occasions in 243 patients. The reasons for using such a technique and the advantages a...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1980.tb03823.x

    authors: Dallas SH

    更新日期:1980-05-01 00:00:00

  • The effect of midazolam premedication on implicit memory activation during alfentanil-nitrous oxide anaesthesia.

    abstract::Eighty-three patients were given midazolam 0.1 mg.kg-1 by intramuscular injection as premedication before general anaesthesia with alfentanil-nitrous oxide. During anaesthesia patients were presented (through headphones) with either statements about common facts of some years ago (group A) (n = 43) or new verbal assoc...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1995.tb04553.x

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  • A comparison of different modes of noninvasive ventilatory support: effects on ventilation and inspiratory muscle effort.

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    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1994.tb14173.x

    authors: Elliott MW,Aquilina R,Green M,Moxham J,Simonds AK

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  • Adverse reaction to methohexitone and gallamine.

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    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1981.tb08597.x

    authors: Harrison GR,Thompson ID

    更新日期:1981-01-01 00:00:00

  • Effect of single-dose omeprazole on intragastric acidity and volume during obstetric anaesthesia.

    abstract::Various antacid or antisecretory agents are used to reduce the risk to patients of aspiration of gastric contents during general anaesthesia and a trial of the gastric proton pump inhibitor, omeprazole, is reported here. Twenty women admitted for elective Caesarean section under general anaesthesia received a single 8...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1989.tb11441.x

    authors: Moore J,Flynn RJ,Sampaio M,Wilson CM,Gillon KR

    更新日期:1989-07-01 00:00:00