Sevoflurane vs. propofol in post-operative catheter-related bladder discomfort: a prospective randomized study.

Abstract:

BACKGROUND:Post-operative catheter-related bladder discomfort (CRBD) causes increased emergence agitation. Muscarinic receptor activation is a major mechanism in CRBD development. Experimental studies showed that sevoflurane has anti-muscarinic effects whereas propofol does not. Our hypothesis was that sevoflurane anaesthesia would reduce the incidence of CRBD following bladder surgery. METHODS:In total, 82 patients undergoing transurethral bladder tumour excision (TURBT) were assigned randomly to two groups according to the maintenance anaesthetic agent received: sevoflurane (n = 41) or propofol (n = 41). The incidence of CRBD was evaluated at 0, 1, 6 and 24 h post-operatively. The number of patients treated with a rescue medication (tramadol) for CRBD was noted. RESULTS:The incidence of CRBD at post-operative 1 h was lower in the sevoflurane group than that in the propofol group (59% vs. 85%; P = 0.007). The differences in CRBD were 27% and 22% at 0 and 6 h post-operatively (P = 0.008 and 0.047, respectively). CRBD occurred in 27 (66%) patients in the sevoflurane group vs. 38 (93%) in the propofol group from 0 to 24 h post-operatively (P = 0.005). The number of patients treated with tramadol was lower in the sevoflurane group (13 [22%] vs. 22 [54%]; P = 0.044). CONCLUSION:Sevoflurane, as a maintenance in general anaesthesia, decreased the incidence of early post-operative CRBD and tramadol requirements in patients undergoing TURBT, compared with propofol.

authors

Kim HC,Park HP,Lee J,Jeong MH,Lee KH

doi

10.1111/aas.12922

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

773-780

issue

7

eissn

0001-5172

issn

1399-6576

journal_volume

61

pub_type

杂志文章,随机对照试验
  • Contributions of myocardial ischemia and heart rate to ST segment changes in patients with or without coronary artery disease.

    abstract:BACKGROUND:ST changes related to ischemia at different heart rates (HRs) have not been well described. We aimed to analyze ST dynamic changes by vectorcardiography (VCG) during pacing-induced HR changes for subjects with proven coronary artery disease (CAD) and without (non-CAD). METHODS:Symptomatic CAD patients sched...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2007.01507.x

    authors: Häggmark S,Haney MF,Johansson G,Reiz S,Näslund U

    更新日期:2008-02-01 00:00:00

  • Resveratrol attenuates NF-κB-binding activity but not cytokine production in mechanically ventilated mice.

    abstract:BACKGROUND:Mechanical ventilation (MV) can result in inflammation and subsequent lung injury. Toll-like receptor (TLR)4 and NF-κB are proposed to play a crucial role in the MV-induced inflammatory response. Resveratrol (RVT) exhibits anti-inflammatory effects in vitro and in vivo supposedly by interfering with TLR4 sig...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.12276

    authors: Van der Wal SE,Vaneker M,Kox M,Braak G,Van Hees HW,Van den Brink IA,Van de Pol FM,Heunks LM,Van der Hoeven JG,Joosten LA,Vissers KC,Scheffer GJ

    更新日期:2014-04-01 00:00:00

  • Intermittent pneumatic foot compression can activate blood fibrinolysis without changes in blood coagulability and platelet activation.

    abstract:BACKGROUND:Intermittent pneumatic foot compression (IPC) is a useful technique for prophylaxis of peri-operative venous thromboembolism. The aim of this study was to determine the effect of IPC on blood coagulation/fibrinolysis and platelet function using a blood viscometer (Sonoclot) and a platelet aggregation monitor...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1399-6576.2005.00661.x

    authors: Kohro S,Yamakage M,Sato K,Sato JI,Namiki A

    更新日期:2005-05-01 00:00:00

  • Epidural analgesia following upper abdominal surgery: United Kingdom practice.

    abstract:BACKGROUND:Epidural Analgesia (EA) may be used to provide pain relief after upper abdominal surgery. A variety of drugs and combinations may be used. Potential side effects lead some to believe EA should be restricted to high care areas. METHOD:The use of EA following upper abdominal surgery is surveyed in 214 hospita...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1997.tb04608.x

    authors: Cook TM,Eaton JM,Goodwin AP

    更新日期:1997-01-01 00:00:00

  • Design and implementation of a closed-loop control system for infusion of propofol guided by bispectral index (BIS).

    abstract:BACKGROUND:This study describes the design of a hypnosis closed-loop control system with propofol. The controller used a proportional-integral (PI) algorithm with the bispectral index (BIS) as the feedback signal. Our hypothesis was that a PI closed-loop control could be applied in clinical practice safely keeping the ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2012.02738.x

    authors: Reboso JA,Méndez JA,Reboso HJ,León AM

    更新日期:2012-09-01 00:00:00

  • Long-term infusion of atrial natriuretic peptide (ANP) improves renal blood flow and glomerular filtration rate in clinical acute renal failure.

    abstract:BACKGROUND:Short-term infusion of atrial natriuretic peptide (ANP) increases renal blood flow (RBF) and glomerular filtration rate (GFR) in patients with acute renal dysfunction. In the present study we evaluated the effects of long-term infusion (>48 h) of ANP on (RBF) and (GFR) in 11 postcardiac surgical patients req...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1034/j.1399-6576.2001.045005536.x

    authors: Swärd K,Valson F,Ricksten SE

    更新日期:2001-05-01 00:00:00

  • Clonidine abolishes the adverse effects on apoptosis and behaviour after neonatal ketamine exposure in mice.

    abstract:BACKGROUND:An increasing amount of both experimental and epidemiological data indicates that neonatal anaesthesia causes disruption of normal brain development in rodents and primates, as manifested by acute increased apoptosis and long-lasting altered behaviour and learning. It is necessary to seek strategies that avo...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2012.02722.x

    authors: Pontén E,Viberg H,Gordh T,Eriksson P,Fredriksson A

    更新日期:2012-09-01 00:00:00

  • Recovery from sufentanil anaesthesia for outpatient arthroscopy: a comparison with isoflurane.

    abstract::This study compares the recovery from sufentanil and isoflurane anaesthesia in patients undergoing outpatient arthroscopy of the knee under general anaesthesia. In 40 unpremedicated patients, divided at random into two groups, anaesthesia was induced with methohexitone and vecuronium bromide and, after intubation, mai...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1987.tb02539.x

    authors: Zuurmond WW,van Leeuwen L

    更新日期:1987-02-01 00:00:00

  • Diminished interleukin-6 and C-reactive protein responses to laparoscopic versus open cholecystectomy.

    abstract:BACKGROUND:Cytokines and their inhibitors are thought to be involved in many of the pathophysiological changes associated with trauma and infection. The magnitude of the trauma and the degree of tissue damage have an impact on the trauma response. The purpose of the study was to examine cytokine and hormonal responses ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1034/j.1399-6576.1999.430205.x

    authors: Kristiansson M,Saraste L,Soop M,Sundqvist KG,Thörne A

    更新日期:1999-02-01 00:00:00

  • Mivazerol prevents the tachycardia caused by emergence from halothane anesthesia partly through activation of spinal alpha 2-adrenoceptors.

    abstract:BACKGROUND:Mivazerol (MIV) is an alpha 2-adrenoceptor agonist designed to prevent adverse cardiac outcome in perioperative patients. The present study was undertaken to determine whether the hyperdynamic state observed at emergence from halothane (HAL) anesthesia in rats could be modulated by MIV and to explore the mod...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1998.tb05116.x

    authors: Guyaux M,Gobert J,Noyer M,Vandevelde M,Wülfert E

    更新日期:1998-02-01 00:00:00

  • Can the "sympatho-galvanic reflex" (skin conductance response) be used to evaluate the extent of sympathetic block in spinal analgesia?

    abstract::The skin conductance response (SCR) (the "sympatho-galvanic reflex") was studied in volunteers and in a few patients undergoing spinal analgesia. Electrical stimulation over the clavicle, breath-holding during inspiration, a short, deep breath and a sharp sound provoked a marked change in conductance not only in the h...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1984.tb02123.x

    authors: Löfström JB,Malmqvist LA,Bengtsson M

    更新日期:1984-10-01 00:00:00

  • Stimulating or conventional perineural catheters after hallux valgus repair: a double-blind, pharmaco-economic evaluation.

    abstract:BACKGROUND:We prospectively evaluated direct analgesia-related costs of continuous sciatic nerve block using either a stimulating or conventional catheter after hallux valgus repair. METHODS:The perineural catheter was inserted through a stimulating introducer either blindly (group Conventional, n= 38) or while stimul...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2006.01101.x

    authors: Casati A,Fanelli G,Danelli G,Baciarello M,Ghisi D,Nobili F,Chelly JE

    更新日期:2006-11-01 00:00:00

  • Distant effects of nitric oxide inhalation in lavage-induced lung injury in anaesthetised pigs.

    abstract:BACKGROUND:Inhalation of nitric oxide (INO) exerts both local and distant effects. INO in healthy pigs causes down-regulation of endogenous nitric oxide (NO) production and vasoconstriction in lung regions not reached by INO, especially in hypoxic regions, which augments hypoxic pulmonary vasoconstriction. In contrast,...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.12030

    authors: Nilsson MC,Hambraeus-Jonzon K,Alving K,Wiklund P,Bergquist M,Fredén F

    更新日期:2013-03-01 00:00:00

  • Cervical epidural steroid injection for cervicobrachialgia.

    abstract::Fifty patients with chronic resistant cervicobrachialgia were randomly divided into two groups. Twenty-five patients (group A) were treated with cervical epidural steroid/lidocaine injections and 17 patients (group B) were treated with steroid/lidocaine injections into the posterior neck muscles. Another eight patient...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1993.tb03765.x

    authors: Stav A,Ovadia L,Sternberg A,Kaadan M,Weksler N

    更新日期:1993-08-01 00:00:00

  • Effects of organic nitrate vasodilators on platelet function before and after cardiopulmonary bypass.

    abstract::Various in vitro, ex vivo and in vivo tests have shown that organic nitrates attenuate platelet function. Because organic nitrates are commonly administered to patients undergoing cardiac surgery, the postoperative bleeding tendency observed in these patients might be strengthened by nitrates. Therefore, we compared t...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1995.tb04137.x

    authors: Muikku O,Kuitunen A,Hynynen M

    更新日期:1995-07-01 00:00:00

  • Risk factors for failure to extend labor epidural analgesia to epidural anesthesia for Cesarean section.

    abstract:AIM:To identify parturients at risk of inability to extend labor epidural analgesia in whom alternative methods of anesthesia should be considered for Cesarean section (CS). METHODS:For 6 months, we prospectively studied women undergoing CS with a functioning epidural catheter in place from the delivery ward. All part...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2006.01083.x

    authors: Orbach-Zinger S,Friedman L,Avramovich A,Ilgiaeva N,Orvieto R,Sulkes J,Eidelman LA

    更新日期:2006-08-01 00:00:00

  • Fluctuating PEEP (F-PEEP) versus conventional PEEP in dogs with asymmetrical lung injury.

    abstract::Fluctuating PEEP (F-PEEP) is a newly developed PEEP in which end-expiratory pressure (EEP) is periodically changed within a certain range. In a dog model with unilateral lung injury induced by the introduction of hydrochloric acid, F-PEEP in which the EEP was periodically changed from 0.5 to 1.5 kPa at periods of 6 mi...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1988.tb02748.x

    authors: Inaba H,Sato J,Uchida H,Sakurada M,Ohwada T,Mizuguchi T

    更新日期:1988-07-01 00:00:00

  • Comparison of pituitary-adrenocortical response to hypoglycaemia and surgery.

    abstract::The hypothalamic-pituitary-adrenocortical (HPA) responses to the hypoglycaemic stimulus and to operation (laparotomy) are compared. The studies were carried out in eight patients who were subjected to insulin-induced hypoglycaemia on the day before elective abdominal surgery. Plasma corticotrophin (ACTH) and plasma co...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1979.tb01428.x

    authors: Blichert-Toft M,Christiansen C,Engquist A,Kehlet H,Lindholm J,Hummer L,Dinesen B

    更新日期:1979-02-01 00:00:00

  • Effects of olprinone, a new phosphodiesterase inhibitor, on gastric intramucosal acidosis and systemic inflammatory responses following hypothermic cardiopulmonary bypass.

    abstract:BACKGROUND:Phosphodiesterase (PDE) III inhibitors have both an inotropic and a peripheral vasodilatory effect, and also inhibit the activation of macrophages. Thus a newly developed PDE III inhibitor, olprinone, could modify gastric intramucosal pH (pHi), systemic oxygen consumption, and systemic inflammatory responses...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1034/j.1399-6576.2001.045004427.x

    authors: Yamaura K,Akiyoshi K,Irita K,Taniyama T,Takahashi S

    更新日期:2001-04-01 00:00:00

  • Scandinavian glutamine trial: a pragmatic multi-centre randomised clinical trial of intensive care unit patients.

    abstract:BACKGROUND:Low plasma glutamine concentration is an independent prognostic factor for an unfavourable outcome in the intensive care unit (ICU). Intravenous (i.v.) supplementation with glutamine is reported to improve outcome. In a multi-centric, double-blinded, controlled, randomised, pragmatic clinical trial of i.v. g...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1399-6576.2011.02453.x

    authors: Wernerman J,Kirketeig T,Andersson B,Berthelson H,Ersson A,Friberg H,Guttormsen AB,Hendrikx S,Pettilä V,Rossi P,Sjöberg F,Winsö O,Scandinavian Critical Care Trials Group.

    更新日期:2011-08-01 00:00:00

  • Midazolam does not potentiate the effect of vecuronium in patients.

    abstract::Reports of midazolam interaction with vecuronium in animals prompted us to compare midazolam (0.25 mg kg-1) with thiopentone (5 mg kg-1) for possible interactions with vecuronium in patients, when used for induction of anaesthesia. After the administration of either of the two induction agents, the patients received v...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1989.tb02908.x

    authors: Husby P,Vamnes JS,Rodt SA,Rørvik K,Koller ME,Gramstad L

    更新日期:1989-05-01 00:00:00

  • Paramedic helicopter emergency service in rural Finland - do benefits justify the cost?

    abstract:BACKGROUND:The benefit of the Helicopter Emergency Medical Service (HEMS) is not well documented. The aim of our study was to investigate the potential health benefits of HEMS, and their relation to cost of the service in a rural area in Finland. We also evaluated whether the patient benefit is due to early Advanced Li...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2002.460704.x

    authors: Kurola J,Wangel M,Uusaro A,Ruokonen E

    更新日期:2002-08-01 00:00:00

  • Adjusting positive end-expiratory pressure and tidal volume in acute respiratory distress syndrome according to the pressure-volume curve.

    abstract:BACKGROUND:Management of acute respiratory distress syndrome (ARDS) patients implies the selection of the adequate ventilatory parameters, essentially PEEP and tidal volume (Vt), to prevent ventilator-induced lung injury. These parameters should be reset as the lung injury evolves. Among the different methods proposed ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1034/j.1399-6576.2003.00011.x

    authors: Pestaña D,Hernández-Gancedo C,Royo C,Uña R,Villagrán MJ,Peña N,Criado A

    更新日期:2003-03-01 00:00:00

  • Rapid reversal of global left ventricular dysfunction after accidental injection of 0.75 mg epinephrine in a 20-year-old patient.

    abstract::We report an accidental injection of epinephrine before spinal anaesthesia in a 20-year-old patient who subsequently developed immediate myocardial ischemia and global left ventricular dysfunction (ejection fraction of 20%). Hemodynamic status dramatically improved after nitroglycerin, calcium antagonists, acetyl sali...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.0001-5172.2004.00428.x

    authors: Meaudre E,Barbou F,Sallaberry M,Cantais E,Petit D,Palmier B

    更新日期:2004-08-01 00:00:00

  • The cardiovascular response to ketamine: the effects of clonidine and lignocaine.

    abstract::The effectiveness of clonidine or lignocaine in reducing the cardiostimulatory effects of ketamine was studied. A double-blind, randomized design was used in three groups of 20 patients each, of ASA grade 1 or 2 presenting for minor elective surgery. The clonidine group received 0.3 mg clonidine orally with the premed...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1993.tb03602.x

    authors: Munro HM,Sleigh JW,Paxton LD

    更新日期:1993-01-01 00:00:00

  • Cardiorespiratory effects of nalbuphine and morphine premedication in adult cardiac surgical patients.

    abstract::Premedication for cardiac surgical patients attempts to achieve relief of anxiety with minimal or no cardiorespiratory changes. Nalbuphine (NUBAIN) and morphine produced similar decreases in respiratory rate (1-3 breaths per min) and PaO2 (averaging 1.34 kPa), and increases in arterial PaCO2 (averaging 0.56 kPa). Card...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1984.tb02066.x

    authors: Lake CL,Duckworth EN,DiFazio CA,Magruder MR

    更新日期:1984-06-01 00:00:00

  • Is development of hyperalgesia, allodynia and myoclonus related to morphine metabolism during long-term administration? Six case histories.

    abstract:BACKGROUND:Recently, clinical reports have suggested a relationship between the occurrence of hyperalgesia, allodynia and/or myoclonus and treatment with high doses of morphine in humans. Although few clinical descriptions of these phenomena are available, experimental work supports the notion that high doses of morphi...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1998.tb05378.x

    authors: Sjøgren P,Thunedborg LP,Christrup L,Hansen SH,Franks J

    更新日期:1998-10-01 00:00:00

  • Laryngeal papillomatosis with airway obstruction in an infant.

    abstract::Laryngeal papillomatosis in infants and children is a benign condition, but the location and a marked tendency for recurrence makes the disease both dangerous and troublesome. This case report deals with a little girl who had suffered hoarseness and wheezing since she was born. The diagnosis of laryngeal papillomatosi...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2001.045005645.x

    authors: Mikkelsen PG

    更新日期:2001-05-01 00:00:00

  • Prostaglandin E1 at clinically relevant concentrations inhibits aggregation of platelets under synergic interaction with endothelial cells.

    abstract:BACKGROUND:The inhibitory effect of prostaglandin E1 (PGE1) on platelet aggregation is considered an important characteristic of this agent. However, the concentration of PGE1 to inhibit aggregation in vitro is higher than those of clinical use (1 ng/ml). To clarify whether PGE1 at clinically relevant concentrations in...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2002.460810.x

    authors: Koga T,Az-ma T,Yuge O

    更新日期:2002-09-01 00:00:00

  • Effect of ipratropium bromide aerosol on respiratory function in patients under ventilator treatment.

    abstract::Twenty patients, 36-78 years old, with a history of chronic obstructive lung disease, and immediately after operation mostly for cardiac disease, were treated with ipratropium bromide (IB, 15 cases) or placebo (5 cases). A metered dose inhaler with a new adapter was used during postoperative ventilator treatment. In t...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1399-6576.1987.tb02638.x

    authors: Wegener T,Wretman S,Sandhagen B,Nyström SO

    更新日期:1987-10-01 00:00:00