当前位置： SCI文献检索 > JOURNAL OF CLINICAL ANESTHESIA期刊下所有文献 > Remifentanil infusion during emergence moderates hemodynamic and cough responses to the tracheal tube: A randomized controlled trial.

Remifentanil infusion during emergence moderates hemodynamic and cough responses to the tracheal tube: A randomized controlled trial.

Abstract：

OBJECTIVE:To examine the severity of cough and straining at the time of emergence from anesthesia. DESIGN:Double-blind randomized, placebo-controlled study. SETTING:University-affiliated hospital. PATIENTS:Sixty-two American Society of Anesthesiologists 2 patients undergoing craniotomy and excision of supratentorial cerebral tumors. INTERVENTION:Intravenous infusion of remifentanil (REM) at 0.05 μg/kg/min or normal saline (NS) upon termination of the surgical procedure. MEASUREMENTS:Heart rate (HR) and mean arterial pressure (MAP) along with the frequency and severity of cough response (Modified Minogue Scale) to the endotracheal tube were recorded at different time points. The frequency of cough and straining was analyzed with χ(2) tests. HRs and MAP were analyzed by repeated-measures analysis of variance between REM and NS groups. MAIN RESULTS:There was no case of significant cough in the REM group, and all of the patients in the NS group developed some extent of cough varying from mild retching to severe coughing episodes (P < .001). Both the HR and MAPs were consistently lower in the REM group compared to the NS group. CONCLUSION:Infusion of REM at the end of craniotomy procedures results in significant reduction of the frequency and severity of coughing and straining. Compared to placebo, REM moderates increases in MAP upon emergence from general anesthesia until the time of extubation.

journal_name

J Clin Anesth

journal_title

Journal of clinical anesthesia

authors

Ghodraty MR,Hasani V,Bagheri-Aghdam A,Zamani MM,Pournajafian A,Rokhtabnak F,Kholdebarin A,Nader ND

doi

10.1016/j.jclinane.2015.09.001

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

514-20

eissn

0952-8180

issn

1873-4529

pii

S0952-8180(15)00296-2

journal_volume

33

pub_type

杂志文章,随机对照试验

相关文献

JOURNAL OF CLINICAL ANESTHESIA文献大全
  • QRS-activated ventilation during general anesthesia for extracorporeal shock wave lithotripsy.

    abstract：:High frequency ventilation has been claimed to improve the efficiency of extracorporeal shock wave lithotripsy (ESWL) by minimizing the movement of urinary stones during the procedure. A ventilatory mode, QRS-activated ventilation, was developed in which the stones remain motionless during the delivery of shock waves....

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/0952-8180(89)90025-1

    authors： Perel A,Segal E,Pizov R,Lenkovskey Z,Mahler Y

    更新日期：1989-01-01 00:00:00

  • Sevoflurane-induced arrhythmia in healthy adult.

    abstract：:Inhalatory anesthetic agents are frequently used for anesthesia maintenance. Sevoflurane is considered one of the safest regarding its cardiac effects. We report a case of a cardiac arrhythmia induced by sevoflurane in an otherwise healthy adult and discuss sevoflurane's cardiac effects. ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2016.06.028

    authors： Santos J,Santos V,Gago P,Cortez-Dias N

    更新日期：2016-11-01 00:00:00

  • Remifentanil versus fentanyl in total intravenous anesthesia for lumbar spine surgery: a retrospective cohort study.

    abstract：STUDY OBJECTIVE:The aim of this study was to compare the speed of anesthetic recovery and the perioperative analgesic requirements in patients who received total intravenous anesthesia (TIVA) with either remifentanil-propofol or fentanyl-propofol for lumbar spine surgery. DESIGN:Retrospective cohort study. SETTING:Op...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2015.03.024

    authors： Thomas B

    更新日期：2015-08-01 00:00:00

  • Anesthetic management of high-risk cardiac patients undergoing noncardiac surgery under the support of intraaortic balloon pump.

    abstract：:Patients with severely impaired left ventricular function, an uncorrectable coronary artery disease, and a recent myocardial infarction are at high risk of cardiac complications after major noncardiac surgery. We present two patients with extensive three-vessel coronary artery disease who underwent intraperitoneal sur...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/s0952-8180(99)00048-3

    authors： Masaki E,Takinami M,Kurata Y,Kagaya S,Ahmed A

    更新日期：1999-06-01 00:00:00

  • The versatile August Bier (1861-1949), father of spinal anesthesia.

    abstract：:"A professor is a gentleman with a different point of view." This characteristic and sarcastic statement was often recited by August Bier (1861-1949) and can also be aptly applied to him. As the father of spinal and intravenous regional neural blockade, Bier had a tremendous impact on surgery and anesthesia. It took h...

    journal_title：Journal of clinical anesthesia

    pub_type： 传,历史文章,杂志文章

    doi：10.1016/s0952-8180(00)00202-6

    authors： Goerig M,Agarwal K,Schulte am Esch J

    更新日期：2000-11-01 00:00:00

  • Airway management for glossopexy in infants with micrognathia and obstructive breathing.

    abstract：STUDY OBJECTIVES:To identify airway management and tracheal intubation techniques for glossopexy in infants with preexisting airway obstruction under general anesthesia. DESIGN:Retrospective, observational study. SETTINGS:Operating room of a university hospital between January 2003 and March 2015. All operations were...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2016.10.019

    authors： Morimoto Y,Ohyamaguchi A,Inoue M,Yokoe C,Hanamoto H,Imaizumi U,Sugimura M,Niwa H

    更新日期：2017-02-01 00:00:00

  • Use of the DCI video laryngoscope system in a pediatric patient with amniotic band syndrome and craniofacial abnormalities affecting the airway.

    abstract：:A 14 month old, 19 kg female infant with aminotic band syndrome and severe craniofacial malformations presented for placement of an open gastrostomy tube. Spontaneous ventilation was maintained while an "awake look" was performed with the video laryngoscope using intravenous propofol (30 mg total) for sedation. A Grad...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2011.07.004

    authors： Verchere S,Khalil B,Maddukuri V,Hagberg CA

    更新日期：2012-03-01 00:00:00

  • Effect of tracheal intubation or laryngeal mask airway insertion on intraocular pressure using balanced anesthesia with sevoflurane and remifentanil.

    abstract：STUDY OBJECTIVES:To study the effect of tracheal intubation or laryngeal mask airway (LMA) insertion on intraocular pressure (IOP) in strabismus patients undergoing balanced anesthesia with sevoflurane and remifentanil. DESIGN:Open, prospective, randomized study. SETTING:Tertiary care academic medical institution. P...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0952-8180(01)00259-8

    authors： Eltzschig HK,Darsow R,Schroeder TH,Hettesheimer H,Guggenberger H

    更新日期：2001-06-01 00:00:00

  • The predictive value of pre-recruitment achievement on resident performance in anesthesiology.

    abstract：STUDY OBJECTIVE:Selecting candidates for residency positions is challenging and there is little research on the correlation between commonly used selection criteria and subsequent performance in anesthesiology. This study examined the association between the selection measures and post-recruitment performance in reside...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2017.03.052

    authors： Chen F,Arora H,Martinelli SM,Teeter E,Mayer D,Zvara DA,Passannante A,Smith KA

    更新日期：2017-06-01 00:00:00

  • Perioperative blood glucose management in patients undergoing tumor hepatectomy.

    abstract：STUDY OBJECTIVE:To determine whether our institutional insulin management (modified Atlanta) protocol is efficient and safe in controlling blood glucose levels in the perioperative period in surgical patients undergoing tumor hepatectomy. DESIGN:Retrospective study. SETTING:Large community hospital. PATIENTS:20 cons...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2008.09.006

    authors： Cammu G,Vermeiren K,Lecomte P,De Gendt S,Deloof T,Foubert L

    更新日期：2009-08-01 00:00:00

  • Horner's syndrome and trigeminal nerve palsy after lumbar epidural analgesia for labor and delivery.

    abstract：:This report highlights transient Horner's syndrome and trigeminal nerve palsy following labor epidural analgesia. A 29-year-old primigravida had a lumbar epidural catheter placed for analgesia in labor. The analgesia was maintained by infusion of a dilute local anesthetic/opioid mixture and turned off after achieving ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/s0952-8180(02)00406-3

    authors： Narouze SN,Basali A,Mandel M,Tetzlaff JE

    更新日期：2002-11-01 00:00:00

  • Anemia and perioperative myocardial ischemia in a Jehovah's Witness patient.

    abstract：:We present a case in which an anemic patient with religious objections to blood transfusion experienced three episodes of severe myocardial ischemia during the perioperative period. The first episode of ischemia was successfully treated by discontinuing isoflurane and resolving the hypotension. The second and third ep...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/0952-8180(96)00086-4

    authors： Botero C,Smith CE,Morscher AH

    更新日期：1996-08-01 00:00:00

  • Interaction of an implanted pacemaker with a transesophageal atrial pacemaker: report of a case.

    abstract：:We report an interaction of a transesophageal atrial pacemaker (TAP) with a permanently implanted pacemaker in a cardiac patient who had undergone ablative therapy for atrial tachyarrhythmia 5 years earlier. The patient's permanent A-V pacemaker was completely inhibited by the TAP, and there was loss of ventricular co...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/s0952-8180(99)00107-5

    authors： Mychaskiw G 2nd,Eichhorn JH

    更新日期：1999-12-01 00:00:00

  • The incidence of coring with blunt versus sharp needles.

    abstract：:With the advent of safety needles to prevent inadvertent needle sticks in the operating room (OR), a potentially new issue has arisen. These needles may result in coring, or the shaving off of fragments of the rubber stopper, when the needle is pierced through the rubber stopper of the medication vial. These fragments...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2013.10.007

    authors： Wani T,Wadhwa A,Tobias JD

    更新日期：2014-03-01 00:00:00

  • Management of airway in patients with laryngeal tumors.

    abstract：STUDY OBJECTIVE:To describe our systematic approach to securing the airway in patients with laryngeal tumors, developed over a 10-year period. DESIGN:Retrospective analysis. SETTING:University-affiliated veterans administration medical center. PATIENTS:Eight hundred one patients presenting for laryngeal tumor surger...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2004.12.019

    authors： Moorthy SS,Gupta S,Laurent B,Weisberger EC

    更新日期：2005-12-01 00:00:00

  • Noninvasive positive pressure ventilation in the management of acute respiratory failure due to osteogenesis imperfecta.

    abstract：:The development of acute respiratory failure (ARF) secondary to respiratory tract infection is a common event in patients affected with osteogenesis imperfecta type III. Noninvasive positive pressure ventilation (NPPV) is increasingly administered to treat severe ARF of various origin. The use of NPPV in two patients ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2011.04.011

    authors： Arcaro G,Braccioni F,Gallan F,Marchi MR,Vianello A

    更新日期：2012-02-01 00:00:00

  • Droperidol: should the black box be light gray?

    abstract：:In December 2001, the United States Food and Drug Administration (FDA) added a "black box" warning to the labeling for droperidol stating that all doses, even those typically used for postoperative nausea and vomiting, were potentially associated with malignant ventricular dysrhythmias, including torsade de pointes. T...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/s0952-8180(02)00445-2

    authors： Dershwitz M

    更新日期：2002-12-01 00:00:00

  • Blood, bone, and dura: anesthesia responsibility and pediatric neurosurgery.

    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

    doi：10.1016/s0952-8180(97)00162-1

    authors： Liang BA

    更新日期：1997-11-01 00:00:00

  • Anesthetic management of Turner syndrome: a systematic approach.

    abstract：:Turner syndrome is a complex and common genetic disorder that affects women and is associated with a wide variety of anatomic and physiological disorders. These abnormalities, especially those relating to the airway and cardiovascular system, pose a challenge to the anesthesiologist. We report a case of Turner syndrom...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2004.06.010

    authors： Mashour GA,Sunder N,Acquadro MA

    更新日期：2005-03-01 00:00:00

  • Oral clonidine blunts the hemodynamic responses to brief but not prolonged laryngoscopy.

    abstract：STUDY OBJECTIVE:To determine whether a 300 micrograms dose of oral clonidine given 90 minutes prior to laryngoscopy and intubation provides hemodynamic protection from the stress of a brief (15-second) and/or a prolonged (45-second) laryngoscopy. DESIGN:Randomized, double-blind, placebo-controlled study. SETTING:Inpa...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/0952-8180(93)90089-w

    authors： Laurito CE,Baughman VL,Becker GL,Cunningham F,Pygon BH,Citron GM

    更新日期：1993-01-01 00:00:00

  • Posterior reversible encephalopathy syndrome during pregnancy: seizures in a previously healthy parturient.

    abstract：:Posterior reversible encephalopathy syndrome refers to a neuroradiologic disorder in which seizure activity (multiple seizures are more common than single events) is commonly the initial presenting symptom. We describe a case of posterior reversible encephalopathy syndrome in a previously healthy parturient who presen...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2006.07.004

    authors： Long TR,Hein BD,Brown MJ,Rydberg CH,Wass CT

    更新日期：2007-03-01 00:00:00

  • Anesthesiologists' interest in neonatal resuscitation certification.

    abstract：STUDY OBJECTIVE:To survey graduates from our residency program to determine their involvement and their interest in becoming certified in neonatal resuscitation. DESIGN:Survey questionnaire. SETTING:Graduates from the University of Pennsylvania Anesthesia Program between 1989 and 1999. SUBJECTS:212 individuals compl...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/s0952-8180(01)00285-9

    authors： Gaiser R,Lewin SB,Cheek TG,Guttsche BB

    更新日期：2001-08-01 00:00:00

  • Comparison of cisatracurium-induced neuromuscular blockade between immediate postpartum and nonpregnant patients.

    abstract：STUDY OBJECTIVES:To evaluate and compare cisatracurium-induced neuromuscular blockade and intubating conditions between immediate postpartum (PP) and nonpregnant (NP) patients. DESIGN:Prospective control study. SETTINGS:University Hospital Center. PATIENTS:44 ASA physical status I and II patients: 22 immediate postp...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0952-8180(01)00226-4

    authors： Pan PH,Moore C

    更新日期：2001-03-01 00:00:00

  • Gender difference in mask ventilation training of anesthesia residents.

    abstract：STUDY OBJECTIVE:To investigate whether gender difference has an effect on an anesthesia resident's ability to perform successful mask ventilation. DESIGN:Cohort study. SETTING:Surgical operation theater of a university-affiliated hospital. PATIENTS:839 ASA physical status I, II, and III patients undergoing general a...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2008.06.037

    authors： Koga T,Kawamoto M

    更新日期：2009-05-01 00:00:00

  • Comparison of postoperative analgesic efficacy of intraoperative single-dose intravenous administration of dexketoprofen trometamol and diclofenac sodium in laparoscopic cholecystectomy.

    abstract：STUDY OBJECTIVE:The aim of this study is to compare the effects of intravenous single-dose dexketoprofen trometamol and diclofenac sodium 30 minutes before the end of the surgery on relief of postoperative pain in patients undergoing laparoscopic cholecystectomy. DESIGN:A randomized fashion. SETTING AND PATIENTS:Sixt...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jclinane.2016.02.020

    authors： Anıl A,Kaya FN,Yavaşcaoğlu B,Mercanoğlu Efe E,Türker G,Demirci A

    更新日期：2016-08-01 00:00:00

  • Transorbital endotracheal intubation: a nonstandard approach to a difficult airway.

    abstract：:We present the case report of a 49-year-old gentleman with a history of adenoid cystic carcinoma of the left nare status post curative bifrontal craniotomy, left lateral rhinotomy and medial maxillectomy, adjuvant radiotherapy, and orbital exenteration for optic neuropathy, complicated by medial wall dehiscence. His c...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2016.05.005

    authors： Waldron NH,Stolp BW,Ogilvie MP,Powers DB,Shaughnessy MR

    更新日期：2016-11-01 00:00:00

  • Ulnar artery versus radial artery approach for arterial cannulation: a prospective, comparative study.

    abstract：STUDY OBJECTIVE:To compare the ease of cannulation, success/failure rate, and complication rate between ulnar and radial arteries. DESIGN:Randomized, controlled study. SETTING:Operating room. PATIENTS:100 ASA physical status I, II, and III patients undergoing general anesthesia and requiring arterial cannulation. I...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jclinane.2006.10.012

    authors： Karacalar S,Ture H,Baris S,Karakaya D,Sarihasan B

    更新日期：2007-05-01 00:00:00

  • Cerebral oxygenation in the beach chair position before and during general anesthesia in patients with and without cardiovascular risk factors.

    abstract：STUDY OBJECTIVES:To evaluate changes in cerebral tissue oxygen index (TOI) values under the beach chair position before and during general anesthesia in surgical patients with or without cardiovascular risk factors. DESIGN:Prospective study. SETTING:Operating room in the university hospital. PATIENTS:Ninety-one pati...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2015.06.007

    authors： Mori Y,Yamada M,Akahori T,Hatakeyama N,Yamazaki M,Fujiwara Y,Kinoshita H

    更新日期：2015-09-01 00:00:00

  • Successful management of a thoracic cerebrospinal fluid cutaneous fistula in a two year old child using a thoracic epidural blood patch.

    abstract：:A case of persistent thoracic cerebrospinal fluid cutaneous fistula in a toddler following radiographically confirmed epidural catheter placement is reported. Treatment of the fistula with a thoracic epidural blood patch was successful. ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2012.11.012

    authors： Franklin AD,Hays SR

    更新日期：2013-06-01 00:00:00

  • Three balanced anesthetic techniques for neuroanesthesia: infusion of thiopental sodium with sufentanil or fentanyl compared with inhalation of isoflurane.

    abstract：STUDY OBJECTIVE:To compare emergence from anesthesia and the hemodynamic and respiratory depressant effects of thiopental sodium infusion plus sufentanil or fentanyl with those of isoflurane as the primary component of a balanced technique for neuroanesthesia. DESIGN:Randomized, double-blind, prospective study. SETTI...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/0952-8180(92)90158-w

    authors： Grundy BL,Pashayan AG,Mahla ME,Shah BD

    更新日期：1992-09-01 00:00:00