Abstract：
STUDY OBJECTIVE:To evaluate the efficacy of thoracic epidural analgesia (TEA) in scoliosis surgery. DESIGN:Descriptive clinical study. SETTING:University hospital. PATIENTS:15 ASA physical status I, II, and III patients undergoing thoracolumbar scoliosis correction. INTERVENTIONS:TEA was performed at three to 5 cm cephalad to the incision, and 5 to 10 mL of 0.125% - 0.2% levobupivacaine was given initially. Then, 5 to 10 mL of levobupivacaine was infused hourly throughout the operation. General anesthesia (GA) was induced with thiopental sodium (5 mg/kg) and fentanyl (one μg/kg) and was maintained with 0.2% sevoflurane and 50% nitrous oxide in oxygen. Intraoperative epidural morphine (two to three mg) was administered, and 0.1% levobupivacaine with morphine (0.04 to 0.08 mg/mL) was infused at two to 4 mL/hr for postoperative analgesia. MEASUREMENTS:Adequacy of anesthesia, postanesthetic recovery and analgesia, adverse effects, and patient satisfaction were recorded. MAIN RESULTS:20% of patients underwent more than 10 levels of correction, and 53% had coexisting morbid diseases. All had adequate anesthesia. Immediately in the Postanesthesia Care Unit (PACU), 67% of patients reached an Aldrete score of 10, and 40% were fully awake and oriented. All patients were arousable to command and able to flex their hips and knees. None had intraoperative recall. 73% reported no pain in the PACU or 6 hours postoperatively. No serious adverse effects occurred. 80% of patients rated their satisfaction as "good". CONCLUSIONS:Preincisional application of TEA with light GA may be used effectively in thoracolumbar scoliosis surgery.
journal_name
J Clin Anesthjournal_title
Journal of clinical anesthesiaauthors
Sundarathiti P,Pasutharnchat K,Jommaroeng Pdoi
10.1016/j.jclinane.2009.10.011subject
Has Abstractpub_date
2010-09-01 00:00:00pages
410-4issue
6eissn
0952-8180issn
1873-4529pii
S0952-8180(10)00185-6journal_volume
22pub_type
杂志文章abstract：STUDY OBJECTIVE:To examine the risk of perioperative stroke on in-hospital morbidity and mortality in staged coronary artery bypass grafting (CABG) and carotid endarterectomy (CEA) procedures. DESIGN:The National Inpatient Sample (NIS) database was used to extract data on all patients who underwent staged CABG CEA pro...
journal_title：Journal of clinical anesthesia
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更新日期：2017-06-01 00:00:00
abstract：STUDY OBJECTIVE:To evaluate the quality of analgesia and the severity of side effects of intrathecal morphine administered for a dose range of 0.0 to 0.4 mg for postcesarean analgesia with low-dose bupivacaine. DESIGN:Double-blind, randomized study. SETTING:University hospital. PATIENTS:100 ASA physical status I and...
journal_title：Journal of clinical anesthesia
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abstract：STUDY OBJECTIVE:To evaluate patient satisfaction and patient reported anaesthesia related outcome parameters after outpatient surgery. DESIGN:A three-year (2013-2016) observational study. SETTING:A surgical day care centre embedded in a tertiary care, university hospital. PATIENTS:Adult Dutch-speaking patients who u...
journal_title：Journal of clinical anesthesia
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更新日期：2017-12-01 00:00:00
abstract：STUDY OBJECTIVES:To compare patients' perception of topical anesthesia (TA) with combined peribulbar and retrobulbar block (PRBB) for cataract surgery. DESIGN:Prospective, randomized, controlled, cross-over observational study. SETTING:Private clinic. PATIENTS:98 ASA physical status I and II patients presenting for ...
journal_title：Journal of clinical anesthesia
pub_type： 临床试验,杂志文章,随机对照试验
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abstract：STUDY OBJECTIVE:To determine if the use of ultrasound guidance (vs non-ultrasound techniques) improves the success rate of nerve blocks. DESIGN:Meta-analysis of randomized controlled trials (RCTs) in the published literature. SETTING:University medical center. MEASUREMENTS:16 RCTs of patients undergoing elective sur...
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更新日期：2014-09-01 00:00:00
abstract：:In conclusion, providing anesthesia for a small child undergoing craniofacial reconstructive surgery is an enormous challenge. Even with the most experienced pediatric anesthesiologist and pediatric surgeons, problems can develop suddenly and lead, as they did in this case, to serious morbidity and even death. It is d...
journal_title：Journal of clinical anesthesia
pub_type： 杂志文章
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journal_title：Journal of clinical anesthesia
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更新日期：2014-03-01 00:00:00
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journal_title：Journal of clinical anesthesia
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jclinane.2008.06.018
更新日期：2009-02-01 00:00:00
abstract：STUDY OBJECTIVE:Obesity has detrimental effects on general health and respiratory function. This study aimed to evaluate respiratory muscle strength in the morbidly obese population, before and after bariatric surgery, and to compare these estimates with the predictive values using different mathematical equations avai...
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更新日期：2016-08-01 00:00:00
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journal_title：Journal of clinical anesthesia
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更新日期：2008-09-01 00:00:00
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journal_title：Journal of clinical anesthesia
pub_type： 杂志文章
doi：10.1016/s0952-8180(00)00133-1
更新日期：2000-05-01 00:00:00
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journal_title：Journal of clinical anesthesia
pub_type： 杂志文章
doi：10.1016/j.jclinane.2009.12.014
更新日期：2011-03-01 00:00:00
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journal_title：Journal of clinical anesthesia
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journal_title：Journal of clinical anesthesia
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journal_title：Journal of clinical anesthesia
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journal_title：Journal of clinical anesthesia
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更新日期：2016-09-01 00:00:00
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pub_type： 临床试验,杂志文章
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更新日期：1998-02-01 00:00:00
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journal_title：Journal of clinical anesthesia
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：2005-05-01 00:00:00
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journal_title：Journal of clinical anesthesia
pub_type： 杂志文章
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更新日期：2009-09-01 00:00:00
abstract：:The need for greater efficiency in OR management will become apparent as hospitals are forced to respond to a myriad of pressures imposed by the external environment. The most effective strategy in dealing with this challenge will be realized by adopting a "systems" approach to OR functions as opposed to the more trad...
journal_title：Journal of clinical anesthesia
pub_type： 杂志文章
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更新日期：1995-11-01 00:00:00
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journal_title：Journal of clinical anesthesia
pub_type： 杂志文章,评审
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更新日期：2011-08-01 00:00:00
abstract：:This is a case of systemic ropivacaine toxicity from a sciatic nerve catheter. A 20-year-old patient after heart transplant with poor systemic perfusion on hemodialysis and multiple medications experienced local anesthetic systemic toxicity 72 hours after placement of a peripheral nerve catheter. The case demonstrates...
journal_title：Journal of clinical anesthesia
pub_type： 杂志文章
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更新日期：2015-06-01 00:00:00
