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PURPOSE Midazolam has only sedative properties. However, dexmedetomidine has both analgesic and sedative properties that may prolong the duration of sensory and motor block obtained with spinal anesthesia. This study was designed to compare intravenous dexmedetomidine with midazolam and placebo on spinal block duration, analgesia, and sedation in patients(More)
PURPOSE This prospective, randomized, double-blind study was designed to assess whether intraoperative infusion of dexmedetomidine provides effective postoperative analgesia. Postoperative pain scores and morphine consumption were compared in a treated group and a placebo group, both of which received patient-controlled morphine after total abdominal(More)
STUDY OBJECTIVE To determine the influence of timing of systemic ketamine administration on postoperative morphine consumption. DESIGN Prospective randomized study. SETTING Operating rooms, postanesthesia care unit, and gynecology service of a university hospital. PATIENTS Forty-five patients undergoing laparotomy for benign gynecologic pathologies(More)
Methylene blue is used to check tubal patency during laparoscopy. A case of methemoglobinemia which was induced by methylene blue is presented. Methemoglobinemia is usually treated with methylene blue; however, in patients with glucose-6-phosphate dehydrogenase deficiency, methylene blue can induce methemoglobinemia.
Pneumonia is a rare but serious complication of varicella in adults. We report a case of a previously healthy 32-year-old man with varicella pneumonia that was complicated by acute respiratory distress syndrome. He was treated successfully with acyclovir and intravenous immunoglobulin in addition to mechanical ventilation. We conclude that intravenous(More)
The most important dilemma in the diagnosis of ventilator-associated pneumonia (VAP) based on only clinical findings is overdiagnosis. The aim of the study is to prospectively evaluate the Clinical Pulmonary Infection Score (CPIS) in relation to VAP diagnosis. Design. Prospective, in a cohort of mechanically ventilated patients. Setting. The intensive care(More)
BACKGROUND AND OBJECTIVE To compare the application of the cuffed oropharyngeal airway and the laryngeal mask airway on anaesthetized adult patients undergoing minor outpatient surgery. METHODS One hundred patients received intravenous fentanyl, propofol and N20 for the induction and maintenance of anaesthesia. The patients were randomly divided into two(More)
OBJECTIVE To determine the effect of esmolol on the frequency and severity of pain and withdrawal reactions after injection of rocuronium and to compare it with lidocaine and placebo. DESIGN Prospective, randomized, double-blind, placebo-controlled study. SETTING Single university hospital. PATIENTS 120 ASA physical status I and II patients undergoing(More)
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