Use of a chlorhexidine dressing to reduce microbial colonization of epidural catheters.

Abstract:

:We performed a prospective randomized controlled trial to assess the efficacy of a chlorhexidine dressing in reducing the microbial flora at the insertion site of epidural catheters. These catheters were used for acute pain management and were dressed either by a standardized method or with a CHX/urethane sponge composite. Microbial colonization of the catheter developed in 9 of 31 controls (29.0%) and 1 of 26 (3.8%) catheters with the CHX dressing (P less than 0.05%). The CHX dressing caused no adverse effects. The data suggest that delivery of antiseptic to the catheter wound site reduces catheter colonization with a possible reduction in the risk of epidural catheter-related infection.

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Shapiro JM,Bond EL,Garman JK

doi

10.1097/00000542-199010000-00007

subject

Has Abstract

pub_date

1990-10-01 00:00:00

pages

625-31

issue

4

eissn

0003-3022

issn

1528-1175

journal_volume

73

pub_type

临床试验,杂志文章,随机对照试验
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    abstract:BACKGROUND:Exposure of rhesus macaque fetuses for 24 h or neonates for 9 h to ketamine anesthesia causes neuroapoptosis in the developing brain. The current study clarifies the minimum exposure required for and the extent and spatial distribution of ketamine-induced neuroapoptosis in rhesus fetuses and neonates. METHO...

    journal_title:Anesthesiology

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    authors: Brambrink AM,Evers AS,Avidan MS,Farber NB,Smith DJ,Martin LD,Dissen GA,Creeley CE,Olney JW

    更新日期:2012-02-01 00:00:00

  • Back pain after epidural anesthesia with chloroprocaine.

    abstract:BACKGROUND:Chloroprocaine has been associated with severe back pain after epidural anesthesia. Factors proposed to contribute to this problem are: 1) the preservative disodium ethylenediaminetetraacetic acid (EDTA), 2) large volumes of chloroprocaine, 3) low pH of chloroprocaine, and 4) local infiltration with chloropr...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199303000-00013

    authors: Stevens RA,Urmey WF,Urquhart BL,Kao TC

    更新日期:1993-03-01 00:00:00

  • Growth cone collapsing effect of lidocaine on DRG neurons is partially reversed by several neurotrophic factors.

    abstract:BACKGROUND:Local anesthetics were suggested to have a potential for neurotoxicity in both clinical reports and laboratory experiments. Growing neurons have been shown to be susceptible to the toxic effects of local anesthetics in culture. These findings have generated the interest in factors that would rescue the neuro...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200209000-00017

    authors: Radwan IA,Saito S,Goto F

    更新日期:2002-09-01 00:00:00

  • Halothane-induced lipid peroxidation and glucose-6-phosphatase inactivation in microsomes under hypoxic conditions.

    abstract::Halothane-induced lipid peroxidation was studied in microsomes from phenobarbital-pretreated male rats at defined steady state oxygen partial pressures (PO2). At PO2 less than 10 mmHg on addition of halothane to NADPH-reduced microsomes, significant increases in malondialdehyde (MDA) formation, oxygen uptake, and conj...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198501000-00009

    authors: de Groot H,Noll T

    更新日期:1985-01-01 00:00:00

  • Pharmacokinetic-pharmacodynamic modeling of the respiratory depressant effect of alfentanil.

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    pub_type: 杂志文章

    doi:10.1097/00000542-199907000-00023

    authors: Bouillon T,Schmidt C,Garstka G,Heimbach D,Stafforst D,Schwilden H,Hoeft A

    更新日期:1999-07-01 00:00:00

  • Concentration-effect relation of succinylcholine chloride during propofol anesthesia.

    abstract:BACKGROUND:The pharmacokinetics and pharmacodynamics of succinylcholine were studied simultaneously in anesthetized patients to understand why the drug has a rapid onset and short duration of action. A quantitative model describing the concentration-effect relation of succinylcholine was proposed. The correlation betwe...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200211000-00009

    authors: Roy JJ,Donati F,Boismenu D,Varin F

    更新日期:2002-11-01 00:00:00

  • Volatile versus Total Intravenous Anesthesia for Cancer Prognosis in Patients Having Digestive Cancer Surgery.

    abstract:BACKGROUND:Previous experimental and clinical studies have shown that anesthetic agents have varying effects on cancer prognosis; however, the results were inconsistent among these studies. The authors compared overall and recurrence-free survival in patients given volatile or intravenous anesthesia for digestive tract...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000003440

    authors: Makito K,Matsui H,Fushimi K,Yasunaga H

    更新日期:2020-10-01 00:00:00

  • Electrocardiographic exercise stress testing for cardiac risk assessment in patients undergoing noncardiac surgery.

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    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200101000-00011

    authors: Gauss A,Röhm HJ,Schäuffelen A,Vogel T,Mohl U,Straehle A,Meierhenrich R,Georgieff M,Steinbach G,Schütz W

    更新日期:2001-01-01 00:00:00

  • Developmental effects of neonatal isoflurane and sevoflurane exposure in rats.

    abstract:BACKGROUND:The general anesthetics, isoflurane and sevoflurane, cause developmental abnormalities in neonatal animal models via incompletely understood mechanisms. Despite many common molecular targets, isoflurane and sevoflurane exhibit substantial differences in their actions. The authors sought to determine whether ...

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    pub_type: 杂志文章

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    authors: Seubert CN,Zhu W,Pavlinec C,Gravenstein N,Martynyuk AE

    更新日期:2013-08-01 00:00:00

  • Time-dependent inhibition of G protein-coupled receptor signaling by local anesthetics.

    abstract:BACKGROUND:Several beneficial effects of local anesthetics (LAs) were shown to be due to inhibition of G protein-coupled receptor signaling. Differences in exposure time might explain discrepancies in concentrations of LAs required to achieve these protective effects in vivo and in vitro (approximately 100-fold higher)...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200404000-00015

    authors: Hollmann MW,Herroeder S,Kurz KS,Hoenemann CW,Struemper D,Hahnenkamp K,Durieux ME

    更新日期:2004-04-01 00:00:00

  • Preoperative pain sensitivity and its correlation with postoperative pain and analgesic consumption: a qualitative systematic review.

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    pub_type: 杂志文章,评审

    doi:10.1097/ALN.0b013e3181f85ed2

    authors: Abrishami A,Chan J,Chung F,Wong J

    更新日期:2011-02-01 00:00:00

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    journal_title:Anesthesiology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/ALN.0b013e3181cf892d

    authors: Cohen SP,Hayek SM,Datta S,Bajwa ZH,Larkin TM,Griffith S,Hobelmann G,Christo PJ,White R

    更新日期:2010-03-01 00:00:00

  • Cytochrome P-450 2B6 is responsible for interindividual variability of propofol hydroxylation by human liver microsomes.

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    pub_type: 杂志文章

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    authors: Court MH,Duan SX,Hesse LM,Venkatakrishnan K,Greenblatt DJ

    更新日期:2001-01-01 00:00:00

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    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200503000-00010

    authors: Talke P,Stapelfeldt C,Lobo E,Brown R,Scheinin M,Snapir A

    更新日期:2005-03-01 00:00:00

  • Length-dependent regulation of left ventricular function in coronary surgery patients.

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    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199908000-00011

    authors: De Hert SG,Gillebert TC,Ten Broecke PW,Moulijn AC

    更新日期:1999-08-01 00:00:00

  • Isoflurane anesthesia and circadian temperature cycles in humans.

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    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199112000-00010

    authors: Sessler DI,Lee KA,McGuire J

    更新日期:1991-12-01 00:00:00

  • Poor intraoperative blood glucose control is associated with a worsened hospital outcome after cardiac surgery in diabetic patients.

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    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200510000-00006

    authors: Ouattara A,Lecomte P,Le Manach Y,Landi M,Jacqueminet S,Platonov I,Bonnet N,Riou B,Coriat P

    更新日期:2005-10-01 00:00:00

  • A two-handed jaw-thrust technique is superior to the one-handed "EC-clamp" technique for mask ventilation in the apneic unconscious person.

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    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ALN.0b013e3181ec6414

    authors: Joffe AM,Hetzel S,Liew EC

    更新日期:2010-10-01 00:00:00

  • A Central Amygdala-Ventrolateral Periaqueductal Gray Matter Pathway for Pain in a Mouse Model of Depression-like Behavior.

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    journal_title:Anesthesiology

    pub_type: 杂志文章

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    authors: Yin W,Mei L,Sun T,Wang Y,Li J,Chen C,Farzinpour Z,Mao Y,Tao W,Li J,Xie W,Zhang Z

    更新日期:2020-05-01 00:00:00

  • Effect of parecoxib, a novel intravenous cyclooxygenase type-2 inhibitor, on the postoperative opioid requirement and quality of pain control.

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    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200206000-00007

    authors: Tang J,Li S,White PF,Chen X,Wender RH,Quon R,Sloninsky A,Naruse R,Kariger R,Webb T,Norel E

    更新日期:2002-06-01 00:00:00

  • Variations in pancuronium requirement, plasma concentration, and urinary excretion induced by cardiopulmonary bypass with hypothermia.

    abstract::To determine the effects of cardiopulmonary bypass (CPB) and hypothermia on the neuromuscular blockade produced by pancuronium, this relaxant was infused intravenously into 10 anesthetized patients to produce and maintain 90% depression of the twitch tension of the adductor pollicis muscle following supramaximal ulnar...

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    pub_type: 杂志文章

    doi:10.1097/00000542-198306000-00004

    authors: d'Hollander AA,Duvaldestin P,Henzel D,Nevelsteen M,Bomblet JP

    更新日期:1983-06-01 00:00:00

  • Free Fatty Acid Receptor G-protein-coupled Receptor 40 Mediates Lipid Emulsion-induced Cardioprotection.

    abstract:BACKGROUND:We have previously shown that intralipid (lipid emulsion) protects the heart against ischemia/reperfusion injury and bupivacaine-induced cardiotoxicity. However, the precise underlying mechanisms are not fully understood. Here we explored the hypothesis that free fatty acid receptor-1 or G-protein-coupled re...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000002195

    authors: Umar S,Li J,Hannabass K,Vaillancourt M,Cunningham CM,Moazeni S,Mahajan A,Eghbali M

    更新日期:2018-07-01 00:00:00

  • Neuroprotective effect of epidural electrical stimulation against ischemic spinal cord injury in rats: electrical preconditioning.

    abstract:BACKGROUND:Electroconvulsion therapy is likely to serve as an effective preconditioning stimulus for inducing tolerance to ischemic brain injury. The current study examines whether electrical stimuli on the spinal cord is also capable of inducing tolerance to ischemic spinal cord injury by transient aortic occlusion. ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200507000-00015

    authors: Kakinohana M,Harada H,Mishima Y,Kano T,Sugahara K

    更新日期:2005-07-01 00:00:00

  • Benefit versus Severe Side Effects of Opioid Analgesia: Novel Utility Functions of Probability of Analgesia and Respiratory Depression.

    abstract:BACKGROUND:Previous studies integrated opioid benefit and harm into one single function-the utility function-to determine the drug toxicity (respiratory depression) in light of its wanted effect (analgesia). This study further refined the concept of the utility function using the respiratory and analgesic effects of th...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000002138

    authors: Roozekrans M,van der Schrier R,Aarts L,Sarton E,van Velzen M,Niesters M,Dahan A,Olofsen E

    更新日期:2018-05-01 00:00:00

  • The incidence of pneumocephalus after supratentorial craniotomy. Observations on the disappearance of intracranial air.

    abstract:BACKGROUND:Pneumocephalus occurs in a variety of clinical settings and has important anesthetic implications, particularly if N2O is used. One common cause of pneumocephalus is a craniotomy or craniectomy, and therefore, patients undergoing these neurosurgical procedures may be at increased risk for the development of ...

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    pub_type: 杂志文章

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    更新日期:1994-05-01 00:00:00

  • Recurrent hypoxia in rats during development increases subsequent respiratory sensitivity to fentanyl.

    abstract:BACKGROUND:In children with a history of significant obstructive sleep apnea who undergo adenotonsillectomy, postsurgical administration of opiates has been alleged to be associated with an increased risk for respiratory complications, including respiratory depression. The authors hypothesize that this association is d...

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    authors: Moss IR,Brown KA,Laferrière A

    更新日期:2006-10-01 00:00:00

  • Perioperative systemic magnesium to minimize postoperative pain: a meta-analysis of randomized controlled trials.

    abstract:BACKGROUND:Systemic magnesium has been used to minimize postoperative pain with conflicting results by clinical studies. It remains unknown whether the administration of perioperative systemic magnesium can minimize postoperative pain. The objective of the current investigation was to evaluate the effect of systemic ma...

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    pub_type: 杂志文章,meta分析,评审

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    abstract::Positive pressure ventilation can affect hemodynamic stability by neuroreflex-mediated activity. Inhalational anesthesia is known to attenuate the arterial baroreflex function; however, little information is known about the effect of volatile anesthetics on the lung inflation reflex. The influence of isoflurane on sta...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199206000-00017

    authors: Cheng EY,Kay J,Hoka S,Bosnjak ZJ,Coon RL,Kampine JP

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  • The effect of clonidine on cerebral blood flow velocity, carbon dioxide cerebral vasoreactivity, and response to increased arterial pressure in human volunteers.

    abstract:BACKGROUND:Because patients may be taking clonidine chronically or may be receiving it as a premedication before surgery, the authors investigated its effect on cerebral hemodynamics. METHODS:In nine volunteers, middle cerebral artery mean blood flow velocity (Vm) was measured using transcranial Doppler ultrasonograph...

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    pub_type: 杂志文章

    doi:10.1097/00000542-199709000-00015

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    更新日期:1997-09-01 00:00:00

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    journal_title:Anesthesiology

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    doi:10.1097/00000542-200001000-00025

    authors: Rygh LJ,Green M,Athauda N,Tjølsen A,Dickenson AH

    更新日期:2000-01-01 00:00:00