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Publikováno v:
Anesthesiology. 111:547-555
Background: Dream recall is reportedly more common after propofol than after volatile anesthesia, but this may be due to delayed emergence or more amnesia after longer-acting volatiles. The electroencephalographic signs of dreaming during anesthesia
Autor:
David R. Sinclair, Reginald Edward, Leonid Kayumov, Frances Chung, Colin M. Shapiro, Henry J. Moller
Publikováno v:
Anesthesiology. 103:951-956
Background: Ambulatory surgical patients are advised to refrain from driving for 24 h postoperatively. However, currently there is no strong evidence to show that driving skills and alertness have resumed in patients by 24 h after general anesthesia.
Autor:
Satoki Inoue, Toshisuke Sakaki, Hiroyuki Nakase, Hitoshi Furuya, Toshinori Horiuchi, Kakimoto M, Yuri Yamamoto, Masahiko Kawaguchi
Publikováno v:
Anesthesiology. 102:733-738
Background Neuromuscular blockade can suppress myogenic motor evoked potentials (MEPs). The authors hypothesized that tetanic stimulation (TS) of the peripheral nerve before transcranial stimulation may enhance myogenic MEPs during neuromuscular bloc
Autor:
Gregory J. Torr, Robert A. Dyer, Josef Farbas, Michael F. M. James, Ilse Els, Leann K. Schoeman
Publikováno v:
Anesthesiology. 99:561-569
Background There are no randomized studies on neonatal outcome after spinal versus general anesthesia for cesarean delivery in preeclamptic patients with a nonreassuring fetal heart trace. This study examined both markers of neonatal hypoxia and mate
Publikováno v:
Anesthesiology. 96:583-587
Background During offset of nondepolarizing neuromuscular block, a train-of-four (TOF) fade ratio of 0.70 or greater is considered to reliably indicate the return of single twitch height (T1) to its control value. Studies using mechanomyography or el
Autor:
Kazuyuki Ikeda, Takasumi Katoh, Tatsuaki Iwamoto, Hiromichi Bito, Akira Suzuki, Syunji Kobayashi
Publikováno v:
Anesthesiology. 90:398-405
Background Fentanyl produces a reduction in the minimum alveolar concentration (MAC) of isoflurane and desflurane needed to blockade adrenergic response (BAR) to surgical incision in 50% of patients (MAC-BAR). MAC-BAR of sevoflurane and the reduction
Publikováno v:
Anesthesiology. 89:838-843
Background Controversy exists regarding the effectiveness of propofol to prevent postoperative nausea and vomiting. This prospective, randomized, single-blinded study was designed to evaluate the antiemetic effectiveness of 0.5 mg/kg propofol when ad
Autor:
Geneviève Côté, Sarah Bouchard
Publikováno v:
Anesthesiology. 107:843-845
HALOGENATED anesthetic agents have been associated with perioperative liver dysfunction and injury. Most cases of hepatotoxicity reported involve halothane exposure. Halothane produces two types of hepatotoxicity. A mild, transient syndrome with mode
Autor:
Takahisa Goto, Shigeho Morita, Fumito Ichinose, Hayato Saito, Yoshinori Nakata, Masahiro Shinkai
Publikováno v:
Anesthesiology. 86:1273-1278
Background Xenon, an inert gas with anesthetic properties (minimum alveolar concentration [MAC] = 71%), has an extremely low blood:gas partition coefficient (0.14). Therefore, we predicted that xenon would provide more rapid emergence from anesthesia
Publikováno v:
Anesthesiology. 80:364-371
Background The ability of opioids to produce complete general anesthesia is controversial. Nitrous oxide (N2O) is often added to fentanyl-based anesthetics to produce unconsciousness and amnesia. The addition of N2O may adversely affects fentanyl's h