Fentanyl-etomidate anesthesia for cardioversion
| Autor: | D. W.Th. Smalbraak, F. Hagemeijer, R. Van Mechelen |
|---|---|
| Rok vydání: | 1982 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Electric Countershock Amnesia Endotracheal intubation Cardioversion Fentanyl Etomidate Naloxone medicine Humans Anesthesia Aged Clinical Trials as Topic Diazepam business.industry Imidazoles Middle Aged Surgery Blood pressure Female medicine.symptom Cardiology and Cardiovascular Medicine business medicine.drug |
| Zdroj: | European Heart Journal. 3:155-158 |
| ISSN: | 1522-9645 0195-668X |
| DOI: | 10.1093/oxfordjournals.eurheartj.a061278 |
| Popis: | The effectiveness and safety of anesthesia with fentanyl and etomidate were evaluated in 44 patients undergoing elective cardioversion. No drop in blood pressure was observed; endotracheal intubation was never necessary, and ambu bag assisted ventilation was needed in only five patients. Anesthesia was induced within 7 min in all patients with a mean dose of0.9 mg of fentanyl and 15.4 mg of etomidate. After cardioversion, naloxone 0.2 mg intravenously was used to antagonize fentanyl; patients were fully awake on average 9 min after the last cardioversion discharge. Complete amnesia was observed in all patients, both 1 hour after cardioversion and the next morning. For cardioversion, fentanyl-etomidate is as safe, more effective and less time-consuming than diazepam. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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