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The treatment of postanaesthetic shivering: a double blind comparison between alfentanil and pethidine
TLDR
The high incidence of reshivering indicates that alfentanil is unlikely to supercede pethidine in the treatment of PAS, but its initial success rate implies that pethazine's anti‐shivering effect is likely to be mediated via kappa‐opioid receptors.
Decrease in bispectral index preceding intraoperative hemodynamic crisis: evidence of acute alteration of propofol pharmacokinetics.
TLDR
A case of unrecognized venous hemorrhage with a fatal outcome during total intravenous anesthesia for elective abdominal aortic aneurysm repair is reported, and it is proposed that BIS-derived data may provide early insights into altered drug pharmacokinetics due to hemorrhage.
Mood evaluation and outpatient anaesthesia
TLDR
The overall impression of the investigators was that propofol patients had a definite sense of well‐being after anaesthesia, and mood state was less affected postoperatively in patients induced with prop ofol than with thiopentone.
Radial artery cannulation — A prospective study
TLDR
Percutaneous radial artery cannulation was studied prospectively in 200 patients undergoing elective cardiac surgery and factors associated with an increased incidence of an impalpable pulse were female sex and prolonged cannulation.
Intrathecal morphine in labour—Efficacy and side effects
TLDR
Intrathecal morphine provides effective analgesia in labour and further carefully designed studies are warranted.
Use of the oxygen cost of breathing as an index of weaning ability from mechanical ventilation
TLDR
There was a significant exponential correlation between the oxygen cost of breathing in ml/m2/min and the oxygencost of breathing as a percentage of total oxygen consumption during spontaneous ventilation and the duration of weaning in days.
Extradural bupivacaine: A neurological complication
TLDR
A left-sided Homer’s syndrome, weakness of the small muscles of the left hand and anaesthesia of the ulnar border of theleft forearm and hand occurred 10 minutes after the fifth injection of Bupivacaine 0.5% Plain into an indwelling lumbar extradural catheter.