Modified patient-controlled remifentanil bolus delivery regimen for labour pain*.

Abstract:

:To improve the analgesic efficiency and to simplify the administration of remifentanil for systemic analgesia in labour, we contrived a modified delivery regimen with a specific infusion profile and variable dosing and conducted a single-blind randomised crossover study to compare it with the previous 'classical' regimen. Parturients received both regimens in interchangeable sets, each with five contractions. We compared pain and satisfaction scores, maternal and fetal vital parameters, side-effects and other events. Twenty-three parturients completed the study. No differences in observed parameters were noticed except for slightly lower blood pressure with the modified regimen. Pain estimates were lower in women starting with the modified regimen (p = 0.005), and there were fewer requests for analgesia within the lockout period (31 vs 69, p = 0.041) and bolus adjustments (0 vs 25, p < 0.001) with the modified regimen.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Jost A,Ban B,Kamenik M

doi

10.1111/anae.12038

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

245-52

issue

3

eissn

0003-2409

issn

1365-2044

journal_volume

68

pub_type

杂志文章,随机对照试验
  • The relationship between obstructive sleep apnoea and postoperative delirium and pain: an observational study of a surgical cohort.

    abstract::Patients with obstructive sleep apnoea are at increased risk of adverse postoperative outcomes, such as cardiac and respiratory complications. It has been hypothesised that obstructive sleep apnoea also increases the risk for postoperative delirium and acute postoperative pain. We conducted a retrospective, observatio...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.14855

    authors: Strutz PK,Kronzer V,Tzeng W,Arrington B,McKinnon SL,Ben Abdallah A,Haroutounian S,Avidan MS

    更新日期:2019-12-01 00:00:00

  • Cardioversion in late pregnancy. The anaesthetic management of a case of Wolff-Parkinson-White syndrome.

    abstract::A case history is presented of a woman with known Wolff-Parkinson-White syndrome who, in late pregnancy, developed repeated supraventricular tachycardia, requiring direct current cardioversion. The anaesthetic problems and some pharmacological aspects of the management are discussed. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1981.tb10325.x

    authors: Klepper I

    更新日期:1981-06-01 00:00:00

  • Anaesthesia in a patient with Noonan's syndrome and cardiomyopathy.

    abstract::A 5-year-old girl with Noonan's syndrome and a hypertrophic cardiomyopathy presented for myelography and subsequently, laminectomy. The anaesthetic management of the patient is described and the potential problems of the facial, cardiovascular and skeletal abnormalities associated with the condition are discussed. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1992.tb02010.x

    authors: Campbell AM,Bousfield JD

    更新日期:1992-02-01 00:00:00

  • Neutral head position for placement of internal jugular vein catheters.

    abstract::A new approach to the internal jugular vein is described which keeps the head and neck in the neutral position and uses bony and cartilaginous landmarks for guidelines. Venous puncture is made along an axial line drawn superiorly from the lateral edge of the bony depression caused by the insertion of the sternocleidom...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1994.tb03421.x

    authors: Willeford KL,Reitan JA

    更新日期:1994-03-01 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

    authors: Kam AC,Kam PC

    更新日期:1994-12-01 00:00:00

  • The effect of dobutamine on blood flow of free tissue transfer flaps during head and neck reconstructive surgery*.

    abstract:SUMMARY:In view of the controversy over the use of inotropes in free tissue transfer surgery, we assessed the effect of different intra-operative dobutamine infusion rates on blood flow in the anastomosed recipient artery. Twenty patients undergoing head and neck tumour resection and immediate reconstructive surgery wi...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2009.06055.x

    authors: Scholz A,Pugh S,Fardy M,Shafik M,Hall JE

    更新日期:2009-10-01 00:00:00

  • An international consensus statement on the management of postoperative anaemia after major surgical procedures.

    abstract::Despite numerous guidelines on the management of anaemia in surgical patients, there is no pragmatic guidance for the diagnosis and management of anaemia and iron deficiency in the postoperative period. A number of experienced researchers and clinicians took part in a two-day expert workshop and developed the followin...

    journal_title:Anaesthesia

    pub_type: 共识发展会议,杂志文章,评审

    doi:10.1111/anae.14358

    authors: Muñoz M,Acheson AG,Bisbe E,Butcher A,Gómez-Ramírez S,Khalafallah AA,Kehlet H,Kietaibl S,Liumbruno GM,Meybohm P,Rao Baikady R,Shander A,So-Osman C,Spahn DR,Klein AA

    更新日期:2018-11-01 00:00:00

  • Effect of premedication on the induction dose of thiopentone in children.

    abstract::The effective dose of thiopentone in 90% ( ED90 ) of unpremedicated children is 10.5 mg/kg. This is significantly greater (p less than 0.01) than in premedicated children. The ED90 in children premedicated with TDP (a mixture of trimeprazine , droperidol and physeptone with atropine) is 4.2 mg/kg which is significantl...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1984.tb07309.x

    authors: Duncan BB,Zaimi F,Newman GB,Jenkins JG,Aveling W

    更新日期:1984-05-01 00:00:00

  • Acute cardiac herniation after radical pleuropneumonectomy.

    abstract::Acute cardiac herniation after radical pneumonectomy is extremely rare and is associated with an immediate mortality greater than 50%. We report a patient in whom cardiac herniation produced no signs or symptoms. The heart was returned to its correct position and the pericardial defect was repaired. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.1999.00611.x

    authors: Self RJ,Vaughan RS

    更新日期:1999-06-01 00:00:00

  • Awareness during anaesthesia for implantable cardioverter defibrillator implantation. Recall of defibrillation shocks.

    abstract::Implantable cardioverter defibrillator implantation is performed under general anaesthesia. This report describes awareness or recall in two of 33 patients scheduled for implantation. After induction, anaesthesia was maintained using continuous infusions of propofol and atracurium and intermittent boluses of alfentani...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1995.tb06107.x

    authors: Moerman A,Herregods L,Foubert L,Poelaert J,Jordaens L,D'Hont L,Rolly G

    更新日期:1995-08-01 00:00:00

  • The management of metformin overdose.

    abstract::Only two cases of deliberate self-poisoning with metformin have been described in the literature. We report the management of three cases, all of which presented with severe lactic acidosis. Two cases had a fatal outcome. The options for treatment and previous cases reported in the literature are reviewed. Recommendat...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.1998.436-az0549.x

    authors: Teale KF,Devine A,Stewart H,Harper NJ

    更新日期:1998-07-01 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

  • Nitrous oxide sedation in dentistry. A comparison between Rotameter settings, pharyngeal concentrations and blood levels of nitrous oxide.

    abstract::Nitrous oxide concentrations (V/V) at the delivery Rotameters block, nasal mask, pharynx and venous blood, were compared. There was a dilution of approximately 50% of the delivered nitrous oxide at the nasal mask which was further reduced in the pharynx. Venous blood concentrations 10 minutes after inhalation of nitro...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1984.tb07233.x

    authors: Sher AM,Braude BM,Cleaton-Jones PE,Moyes DG,Mallett J

    更新日期:1984-03-01 00:00:00

  • Meta-analysis on the effect of dopexamine on in-hospital mortality.

    abstract::The objective of the study was to determine whether dopexamine alters in-hospital mortality. The following databases were searched, Embase (1974-July 2007), Medline (1950-July 2007), CINAHL, PubMed and Cochrane Clinical Register of Controlled Trials (CENTRAL). Two reviewers independently checked the quality of the stu...

    journal_title:Anaesthesia

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/j.1365-2044.2009.05896.x

    authors: Gopal S,Jayakumar D,Nelson PN

    更新日期:2009-06-01 00:00:00

  • The differential effects of recombinant brain natriuretic peptide, nitroglycerine and dihydralazine on systemic oxygen delivery and gastric mucosal microvascular oxygenation in dogs.

    abstract::Brain natriuretic peptide has vasodilatory properties and may thus increase splanchnic perfusion and oxygenation. We compared the effects of recombinant brain natriuretic peptide on gastric mucosal microvascular haemoglobin oxygenation (reflectance spectrophotometry) and systemic variables with those of equi-hypotensi...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2011.07047.x

    authors: Schwarte LA,Schwartges I,Scheeren TW,Schober P,Picker O

    更新日期:2012-05-01 00:00:00

  • Anaesthetic manpower in the future in the UK.

    abstract::The short-term objective of the DHSS of a 1:1 consultant: junior ratio by 1988 is compatible with current trends in consultant expansion and implies no reduction in registrars before then. The target of doubling the number of consultants in 15 years cannot be met in anaesthesia without a fairly sharp, and relatively s...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1982.tb01862.x

    authors: Vickers MD

    更新日期:1982-09-01 00:00:00

  • Improving the efficiency of the drawover anaesthetic breathing system.

    abstract::We investigated modifications to the reservoir tube usually used in drawover anaesthetic breathing systems as a method of improving its efficiency and performance. The resulting oxygen concentration was recorded at different oxygen flow rates whilst an artificial lung was being ventilated over a range of minute volume...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2007.05224.x

    authors: Eales M,Rowe P,Tully R

    更新日期:2007-11-01 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

  • Spinal narcotics and central nervous system depression.

    abstract::A case of central nervous system depression which developed 7 hours after an intrathecal injection of 4 mg of morphine is described. The patient lapsed into coma with bradypnoea and "pin-point' pupils and there was no response to naloxone 0.4 mg. Treatment was continued for 3 hours. No postoperative analgesics were re...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1981.tb08679.x

    authors: Sidi A,Davidson JT,Behar M,Olshwang D

    更新日期:1981-11-01 00:00:00

  • A new method of predicting pulmonary capillary wedge pressure: the arterial pressure ratio.

    abstract::The response of arterial blood pressure to an increase in intrathoracic pressure has been shown to be predictive of pulmonary capillary wedge pressure. We devised a new method, which we termed the arterial pressure ratio. We defined arterial pressure ratio as the ratio of systolic blood pressure of the final beat duri...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2000.055002113.x

    authors: Uehara H,Takenaka I,Aoyama K,Kadoya T,Sata T,Shigematsu A

    更新日期:2000-02-01 00:00:00

  • Physical distress suffered by terminal cancer patients in hospital.

    abstract::The incidence severity, and degree of relief obtained from treatment has been estimated and evaluated in 117 patients suffering from terminal cancer. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1977.tb10026.x

    authors: Hardy TK,Pritchard RI

    更新日期:1977-07-01 00:00:00

  • Assessment of a hygroscopic heat and moisture exchanger for paediatric use.

    abstract::A laboratory study of a widely available heat and moisture exchanger marketed for paediatric use was undertaken. The deadspace, measured by volume displacement, was 12 ml, similar to that of a standard catheter mount for paediatric use. Pressure drop across the device was measured at several different flows in five sa...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1991.tb11502.x

    authors: Wilkinson KA,Cranston A,Hatch DJ,Fletcher ME

    更新日期:1991-04-01 00:00:00

  • Pulmonary embolism. Prophylaxis diagnosis and treatment.

    abstract::The natural history diagnosis and immediate treatment of patients suffering from pulmonary embolism has been discussed. Anaesthetists should use their influence to bring about a high standard of prophylactic care against deep venous thrombosis and consequently of pulmonary embolism. They are likely to be involved in t...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1976.tb11905.x

    authors: Price DG

    更新日期:1976-09-01 00:00:00

  • Ultrasound-guided fascial plane blocks of the chest wall: a state-of-the-art review.

    abstract::Ultrasound-guided fascial plane blocks of the chest wall are increasingly popular alternatives to established techniques such as thoracic epidural or paravertebral blockade, as they are simple to perform and have an appealing safety profile. Many different techniques have been described, which can be broadly categoris...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/anae.15276

    authors: Chin KJ,Versyck B,Pawa A

    更新日期:2021-01-01 00:00:00

  • Variables associated with survival in patients with invasive bladder cancer with and without surgery.

    abstract::We recorded the survival of 141 patients assessed for radical cystectomy, which included cardiopulmonary exercise testing. The median Kaplan-Meier survival estimates were: 1540 days for the whole cohort; 2200 days after cystectomy scheduled (n = 108); and 843 days without surgery. The mortality hazard remained double ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.15034

    authors: Longdon E,Mistry H,Pratt O,Donnelly A,O'Neill S,Nachiappan M,Darwin L,Clarke N,Hartley R

    更新日期:2020-07-01 00:00:00

  • Intra-ocular pressure and premedication with oral diazepam.

    abstract::Thirty patients scheduled for routine eye surgery were randomly allocated to receive either diazepam 0.2 mg/kg or ascorbic acid 100 mg orally 90 minutes pre-operatively in a double-blind fashion. Diazepam caused no significant change in intra-ocular pressure. ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1982.tb01112.x

    authors: Trew CT,Manus NJ,Jackson DM

    更新日期:1982-03-01 00:00:00

  • Patient-controlled oral analgesia versus nurse-controlled parenteral analgesia after caesarean section: a randomised controlled trial.

    abstract::We assessed the effectiveness of early patient-controlled oral analgesia compared with parenteral analgesia in a randomised controlled non-inferiority trial of women undergoing elective caesarean section under regional anaesthesia. Seventy-seven women received multimodal paracetamol, ketoprofen and morphine analgesia....

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/anae.13406

    authors: Bonnal A,Dehon A,Nagot N,Macioce V,Nogue E,Morau E

    更新日期:2016-05-01 00:00:00

  • Acid aspiration prophylaxis for emergency Caesarean section.

    abstract::Over a 3.5 year period, 384 patients requiring emergency Caesarean section under general anaesthesia received at random one of six acid aspiration prophylaxis regimens as soon as the decision was made for surgery. In the first phase of the study, sodium citrate administered orally 0.3 M, 30 ml (group C, n = 120) was c...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1996.tb07782.x

    authors: Stuart JC,Kan AF,Rowbottom SJ,Yau G,Gin T

    更新日期:1996-05-01 00:00:00

  • A comparison of opioid solutions for patient-controlled epidural analgesia.

    abstract::Sixty patients took part in a randomised, double-blind study to compare the analgesic and side effects of three opioid-containing solutions for patient-controlled epidural analgesia following abdominal surgery. Patients in group 1 received a solution containing bupivacaine 0.125% with fentanyl 10 micrograms.ml-1, grou...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1996.tb14993.x

    authors: Smith AJ,Haynes TK,Roberts DE,Harmer M

    更新日期:1996-11-01 00:00:00

  • Effect of different surgical positions on the cerebral venous drainage: a pilot study using healthy volunteers.

    abstract::Excessive neck flexion and rotation in certain surgical positions may cause kinking of the internal jugular vein that obstructs cerebral venous blood flow and results in elevated intracranial pressure. The objective of this study was to measure internal jugular vein flow and identify potential impediments to venous fl...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13494

    authors: Yeoh TY,Tan A,Manninen P,Chan VW,Venkatraghavan L

    更新日期:2016-07-01 00:00:00