The optimal regional technique for analgesia and improved quality of recovery after video-assisted thoracic surgery (a procedure associated with considerable postoperative pain) has not been established. main objective in this study was to compare patients undergoing serratus plane block (SPB) either ropivacaine or normal saline on the first day. Secondary outcomes were analgesic outcomes, including pain intensity opioid consumption.Ninety randomized receive ultrasound-guided SPB 0.4 mL/kg...

Background: Dexmedetomidine has been reported to have a renal protective effect after adult open heart surgery. The authors hypothesized that intraoperative infusion of dexmedetomidine would attenuate the decrease in function pediatric Methods: Twenty-nine patients (1–6 years) scheduled for atrial or ventricular septal defect repair were randomly assigned receive either continuous normal saline (control group, n = 14) (a bolus dose 0.5 μg/kg and then an μg/kg/h) (dexmedetomidine 15) from...

When an anesthetized patient is turned to the prone position using Wilson frame, dynamic compliance (Cdyn) decreases and peak airway pressure (Ppeak) increases. As pressure-controlled ventilation (PCV) Ppeak, this prospective, randomized study was designed compare effect of PCV volume-controlled (VCV) on lung mechanics in frame during posterior lumbar spine surgery.Forty patients scheduled for surgery were randomly allocated receive mechanical either VCV (n=20) or mode. Respiratory variables...

Background: Emergence agitation is a common problem in paediatric anaesthesia, especially after volatile induction and maintenance anaesthesia (VIMA) with sevoflurane. The purpose of this study was to investigate the effect alfentanil prevent emergence without delayed recovery VIMA sevoflurane children undergoing an adenotonsillectomy. Methods: One hundred five children, aged 3–10 years, were randomly allocated receive normal saline (control group), 10 μg/kg (A10) or 20 (A20) 1 min loss...

Background This prospective, randomised, controlled study was performed to evaluate the usefulness of McGrath VL compared with Macintosh laryngoscopy in children expected normal airway during endotracheal intubation, by comparing time intubation and difficulty intubation. Methods Eighty‐four patients aged 1–10 years who underwent for elective surgery were randomly assigned group ( n = 42) or 42). Anaesthesia induced 2.5–3.0 mg/kg propofol sevoflurane 5–8 vol%. Orotracheal 2 min after...

We compared the effects of pressure-controlled volume-guaranteed ventilation (PCV) and volume-controlled (VCV) on respiratory mechanics mechanical power (MP) in elderly patients undergoing laparoscopy. Fifty aged 65–80 years scheduled for laparoscopic cholecystectomy were randomly assigned to either VCV group (n = 25) or PCV 25). The ventilator had same settings both modes. change MP over time was insignificant between groups (p 0.911). significantly increased during pneumoperitoneum with...

Remimazolam has advantages such as hemodynamic stability and rapid onset. We investigated the effects of induction doses on hemodynamics recovery profiles for remimazolam compared to propofol in older patients. Sixty-nine patients aged >65 years were randomly assigned either anesthesia group (P group) or with an dose 6 mg/kg/h (R6 12 (R12 group), followed by 1 mg/kg/h. P was anesthetized 4 µg/mL effect-site concentration (Ce) target-control infusion, 2.5–3 Ce. The primary outcome...

The pectoral nerve block type II (Pecs block) can provide adequate perioperative analgesia in breast surgery. surgical pleth index (SPI) is used to monitor the nociception balance using pulse oximetry. We investigated remifentanil-sparing effect of Pecs under SPI guided during total intravenous anesthesia (TIVA). Thirty-nine patients undergoing surgery remifentanil-propofol were randomly assigned intervention group, n = 20) or control group (n 19). Remifentanil and propofol concentrations...

Intravenous administration of fentanyl derivatives can induce cough paradoxically. This study examined the incidence and severity after a bolus alfentanil remifentanil.Four hundred sixty-five patients, aged 18-70 years, were allocated randomly to three groups receive 10 microg/kg, remifentanil 1 microg/kg or an equal volume 0.9% saline intravenously over s. Any episode was classified as coughing graded mild (1-2), moderate (3-4) severe (5 more).The overall higher in opioid than group. The...

Summary We investigated the effects of 10 cmH 2 O positive end‐expiratory pressure on cerebral haemodynamics and oxygenation in patients undergoing laparoscopic lower abdominal surgery 30° Trendelenburg position during desflurane anaesthesia. Twenty‐six were enrolled this study. After anaesthesia induction, pneumoperitoneum was applied position. Twenty minutes later, applied. There no change regional oxygen saturation (p = 0.376). Cerebral perfusion decreased significantly over time <...

Background: The McGrath videolaryngoscope (VL) provides excellent laryngoscopic views, but directing an endotracheal tube can be difficult, and thus the routine use of a stylet is recommended. goal this study to determine appropriate angle (60° vs 90°) when using VL by comparing time intubation (TTI). Methods: One hundred forty patients aged 19 70 years (American Society Anesthesiologists classification I or II) who required tracheal for elective surgery were randomly allocated 1 2 groups,...