Remifentanil tolerance and hyperalgesia: short-term gain, long-term pain?

abstract：:Although epidural analgesia is routinely used in many institutions for patients undergoing hepatic resection, there are unresolved issues regarding its safety and efficacy in this setting. We performed a review of papers published in the area of anaesthesia and analgesia for liver resection surgery and selected four a...

journal_title：Anaesthesia

authors： Tzimas P,Prout J,Papadopoulos G,Mallett SV

更新日期：2013-06-01 00:00:00

abstract：:The hourly urine volume and urine concentration of seven patients undergoing major abdominal surgery were measured during the operative and postoperative periods. From these, the hourly osmolar output was calculated. The results show that the osmolar output, 700 mOsm/day, in the peri-operative period is less than that...

journal_title：Anaesthesia

authors： Zideman DA,Dudley HA,Bevan DR

更新日期：1978-10-01 00:00:00

abstract：:We studied the potentiation of analgesia for labour by the addition of clonidine to epidural low-concentration levobupivacaine with sufentanil in a randomised, double-blinded study. We enrolled primiparous women who were in spontaneous labour. The study solutions, made of 100 ml levobupivacaine 0.0625% plus sufentanil...

journal_title：Anaesthesia

authors： Bazin M,Bonnin M,Storme B,Bolandard F,Vernis L,Lavergne B,Pereira B,Bazin JE,Dualé C

更新日期：2011-09-01 00:00:00

abstract：:We describe a patient with type 2N von Willebrand's disease scheduled for elective coronary artery bypass graft for severe three-vessel coronary artery disease with involvement of the left main stem. He was given a pre-operative bolus of 3000 IU factor VIII/Willebrand factor concentrate (approximately 40 IU.kg(-1)), f...

journal_title：Anaesthesia

authors： Gerling V,Lahpor JR,Buhre W

更新日期：2007-04-01 00:00:00

abstract：:A fit 27-year-old man presented with severe facial trauma following an industrial accident. Initial assessment showed severe swelling around the lower jaw and haemorrhage from the mouth, nose, scalp and left ear. The patient was conscious with a Glasgow Coma Score of 13 but in respiratory distress. Following adoption ...

journal_title：Anaesthesia

authors： Neal MR,Groves J,Gell IR

更新日期：1996-11-01 00:00:00

abstract：:Eighty day patients for the vaginal termination of pregnancy were randomly allocated to receive thiopentone, propofol, methohexitone or etomidate as intravenous induction agents. The same anaesthetist administered the anaesthesia and all the observers were blind to the agents used. The results show that thiopentone an...

journal_title：Anaesthesia

authors： Heath PJ,Kennedy DJ,Ogg TW,Dunling C,Gilks WR

更新日期：1988-05-01 00:00:00

abstract：:In a previous paper, one of the authors (JBC) used a chi-squared method to analyse the means (SD) of baseline variables, such as height or weight, from randomised controlled trials by Fujii et al., concluding that the probabilities that the reported distributions arose by chance were infinitesimally small. Subsequent ...

journal_title：Anaesthesia

authors： Carlisle JB,Dexter F,Pandit JJ,Shafer SL,Yentis SM

更新日期：2015-07-01 00:00:00

abstract：:We conducted a national postal survey of trauma anaesthetists in the UK to ascertain current practice for the peri-operative anaesthetic management in patients with fractured necks of femur. We received 155 replies from 218 questionnaires sent (71.1% response rate). Regional anaesthesia was preferred by 75.8% of respo...

journal_title：Anaesthesia

authors： Sandby-Thomas M,Sullivan G,Hall JE

更新日期：2008-03-01 00:00:00

abstract：:Crude delivery rate is used to calculate requirements for consultant anaesthetic sessions in the UK, but this calculation is arbitrary and ignores differences in case-mix between units. The term 'epidural rate' is commonly used to indicate regional anaesthetic activity but has never been defined. We challenge both the...

journal_title：Anaesthesia

authors： Yentis SM,Robinson PN

更新日期：1999-10-01 00:00:00

abstract：:A double-blind, randomised study was conducted to examine the efficacy of a single bolus dose of esmolol in treating surgically-induced tachycardia. Anaesthetic technique was identical in all patients, and consisted of premedication with midazolam and glycopyrronium, induction with thiopentone followed by suxamethoniu...

journal_title：Anaesthesia

authors： Whirley-Diaz J,Gold MI,Helfman SM,deLisser EA

更新日期：1991-03-01 00:00:00

abstract：:This study was designed to measure anxiety levels in 91 partners of women undergoing elective Caesarean section under regional anaesthesia and to outline potential relieving factors. Twenty-eight percent of partners were pathologically anxious. There was a positive association between anxiety and prior attendance at t...

journal_title：Anaesthesia

authors： Taylor IR,Bullough AS,van Hamel JC,Campbell DN

更新日期：2002-06-01 00:00:00

abstract：:Pre-operative radionuclide angiography, a non-invasive technique for evaluating ventricular function, was performed on 34 consecutive patients undergoing aortobifemoral bypass grafting for abdominal aortic occlusive disease, to determine whether pre-existing coronary artery disease causes significant modification of c...

journal_title：Anaesthesia

authors： Commin P,Coriat P,Fauchet M,Kural S,Menasche P,Romary D,Echter E

更新日期：1984-04-01 00:00:00

abstract：:The Fontan procedure is performed for patients with a hypoplastic right ventricle, and pregnancies following this palliative surgery are likely to increase. We present a parturient with the Fontan physiology who successfully underwent two consecutive caesarean deliveries; the first under general anaesthesia for emerge...

journal_title：Anaesthesia

authors： Eid L,Ginosar Y,Elchalal U,Pollak A,Weiniger CF

更新日期：2005-11-01 00:00:00

abstract：:The management of a case of status asthmaticus complicated by surgical emphysema is described. In view of voice changes, intubation was necessary but intermittent positive pressure ventilation was considered unwise, because of the surgical emphysema. A means of maintaining adequate sedation in an intubated patient whi...

journal_title：Anaesthesia

authors： Mather SJ,Edbrooke DL,Newby DM

更新日期：1982-07-01 00:00:00

abstract：:We conducted a randomised controlled trial comparing the laryngeal mask airway Supreme(™) with the laryngeal mask airway Unique(™) in children. Fifty children presenting for elective surgery were randomly assigned to receive either the laryngeal mask airway Supreme or laryngeal mask airway Unique. The outcomes measure...

journal_title：Anaesthesia

authors： Jagannathan N,Sohn LE,Sawardekar A,Chang E,Langen KE,Anderson K

更新日期：2012-02-01 00:00:00

abstract：:We describe the use of aprotinin in two patients to control life threatening haemorrhage due to coagulopathy when other therapeutic measures had failed. We review the use of aprotinin and give a rationale for its use in acute coagulopathy. ...

journal_title：Anaesthesia

authors： Valentine S,Williamson P,Sutton D

更新日期：1993-05-01 00:00:00

abstract：:Laryngeal mask airways and tracheal tubes were studied to determine both their resistance to constant gas flows and additional inspiratory work during simulated inspiration. Laryngeal mask airways imposed less resistance and required lower additional inspiratory work compared with the corresponding sized tracheal tube...

journal_title：Anaesthesia

authors： Bhatt SB,Kendall AP,Lin ES,Oh TE

更新日期：1992-04-01 00:00:00

abstract：:This paper and the one that preceded it1 have traced the development of the design and use of negative pressure ventilators from their origins in the early nineteenth century to the present day. Their maximum use was in the nineteen-forties and the early fifties after which they were quite rapidly replaced in the trea...

journal_title：Anaesthesia

authors： Woollam CH

更新日期：1976-06-01 00:00:00

abstract：:The extent of airborne environmental bacterial contamination which occurs following tracheal suction has been investigated in patients undergoing intermittent positive pressure ventilation in the intensive therapy unit. Two methods of performing suction, one using a conventional open technique and one using a closed s...

journal_title：Anaesthesia

authors： Cobley M,Atkins M,Jones PL

更新日期：1991-11-01 00:00:00

abstract：:Sixty-seven patients undergoing general anaesthesia for exodontia as outpatients were studied in order to measure the levels of oxygen saturation. Both the anaesthesia and extractions were performed by fourth year dental undergraduates working under direct supervision. Falls in oxygen saturation in excess of 5% were f...

journal_title：Anaesthesia

authors： Walsh JF

更新日期：1984-11-01 00:00:00

abstract：:The measurement of extravascular lung water is a relatively new technology which has not yet been well validated as a clinically useful tool. We studied its utility in patients undergoing pulmonary endarterectomy as they frequently suffer reperfusion lung injury and associated oedematous lungs. Such patients are there...

journal_title：Anaesthesia

authors： Butchart AG,Zochios V,Villar SS,Jones NL,Curry S,Agrawal B,Jenkins DP,Klein AA

更新日期：2019-10-01 00:00:00

abstract：:Anaesthesia is a critical and complex process that extends from the pre-operative assessment through to the postoperative management of patients. Handover of responsibility for logistical as opposed to patient-orientated reasons may compromise that process of care. If such handover becomes inevitable with shift-based ...

journal_title：Anaesthesia

authors： Horn J,Bell MD,Moss E

更新日期：2004-07-01 00:00:00

abstract：:In a prospective study of 51 young male outpatients given spinal anaesthesia through a 25-gauge needle, we found a 37.2% incidence of postdural puncture headache. In addition, 54.9% complained of backache after surgery. Occurrence of headache significantly prolonged the sick-leave from work. General anaesthesia would ...

journal_title：Anaesthesia

authors： Flaatten H,Raeder J

更新日期：1985-11-01 00:00:00

abstract：:Cardiac output (CO) determination based on partial CO(2) rebreathing has recently been introduced into clinical practice. The determination of flow is crucial for exact CO readings and the physical properties of xenon, i.e. high density and viscosity, may influence flow readings. This study compared echocardiography-d...

journal_title：Anaesthesia

authors： Bein B,Hanne P,Hanss R,Renner J,Weber B,Steinfath M,Scholz J,Tonner PH

更新日期：2004-11-01 00:00:00

abstract：:Hallervorden-Spatz disease is a rare autosomal recessive disorder in which dopaminergic deficiency in the substantia nigra and its nigrostriatal projection has been identified. It is characterised by a slow but progressive course culminating in death. This case report describes a 13-year-old male, with a clinical diag...

journal_title：Anaesthesia

authors： Hayashi K,Chihara E,Sawa T,Tanaka Y

更新日期：1993-06-01 00:00:00

abstract：:This study was to determine whether general anaesthesia plus retrobulbar block would be a better anaesthetic technique than general anaesthesia alone in retinal detachment surgery. Twenty-eight patients were allocated randomly to either general anaesthesia with retrobulbar block or general anaesthesia alone. The anaes...

journal_title：Anaesthesia

authors： Chung F,Westerling D,Chisholm LD,Squires GW

更新日期：1988-11-01 00:00:00

abstract：:Thirteen patients were monitored for nocturnal body position (supine vs. side) and arterial oxygen saturation pre-operatively and on the second postoperative night after major abdominal surgery. The number of positional changes were significantly decreased after operation (p < 0.05) with a trend towards more time spen...

journal_title：Anaesthesia

authors： Rosenberg-Adamsen S,Stausholm K,Edvardsen L,Zwarts M,Kehlet H,Rosenberg J

更新日期：1997-06-01 00:00:00

abstract：:Intravenous morphine and diamorphine are routinely used for postoperative analgesia but the relative histamine releasing abilities of these drugs have not been compared in man. Thirty-eight patients were randomly allocated to receive morphine (0.16 mg.kg-1) or diamorphine (0.08 mg.kg-1) after abdominal surgery. Blood ...

journal_title：Anaesthesia

authors： Withington DE,Patrick JA,Reynolds F

更新日期：1993-01-01 00:00:00

abstract：:Twenty five patients were treated with an epidural blood patch for persistent headache, following a known or suspected dural puncture. Fifteen to 20 ml blood was injected into the epidural space through a catheter inserted one space away from the dural puncture. The catheter technique was useful in confirming the clin...

journal_title：Anaesthesia

authors： Shah JL,Veness AM

更新日期：1985-11-01 00:00:00

abstract：:The aim of this study was to determine whether permitting women in labour to eat a light diet would: (i) alter their metabolic profile, (ii) influence the outcome of labour, and (iii) increase residual gastric volume and consequent risk of pulmonary aspiration. Women were randomised to receive either a light diet (eat...

journal_title：Anaesthesia

authors： Scrutton MJ,Metcalfe GA,Lowy C,Seed PT,O'Sullivan G

更新日期：1999-04-01 00:00:00