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Intra venous sedation

B Dinc, U R Gunduz, B Bas, N Ay, U Koc, O Z Oner, I Gomceli
BACKGROUND: Colonic spasm makes colonoscope advancement difficult. This prospective, randomized, double-blind, placebo-controlled study aimed to evaluate the efficacy of hyoscine-N-butylbromide as an antispasmodic during colonoscopy. METHOD: Patients referred for elective colonoscopy were randomized into the study and placebo groups. Before the procedure, the study and placebo groups received 20 mg intra-venous hyoscine-N-butylbromide and intravenous saline solution of the same amount, respectively...
April 2016: Acta Gastro-enterologica Belgica
Pablo Espinosa, Mathieu Spriet, Albert Sole, Naomi J Walker, Betsy Vaughan, Larry D Galuppo
OBJECTIVE: To assess the feasibility of intra-arterial administration of allogeneic mesenchymal stem cells (MSC) in the median artery of standing horses and evaluate the distribution and retention of radiolabeled cells. STUDY DESIGN: In vivo experimental study. ANIMALS: Six research horses. METHODS: Technetium(99m) -HexaMethyl-Propylene-Amine Oxime-labeled MSC were injected under ultrasound guidance in the median artery of 6 front limbs of 3 horses, standing under sedation...
July 2016: Veterinary Surgery: VS
Rui Fang, Zhenfeng Liu, Asila Alijiang, Heng Jia, Yingjie Deng, Yucheng Song, Qingcai Meng
Pain management after total knee arthroplasty (TKA) remains among the most important challenges for patients with TKA. Intra-articular local anesthetic has been shown to reduce postoperative pain following TKA. However, studies report conflicting results. This meta-analysis evaluated the efficacy and safety of single-dose intra-articular local anesthetics for pain control after TKA. Databases (Cochrane Central Register of Controlled Trials, Embase, PubMed, Web of Science, and Chinese Biomedical Databases) were searched to identify randomized, controlled trials comparing local anesthetic with placebo in patients undergoing TKA...
July 1, 2015: Orthopedics
C Huie Lin, Sanyukta Desai, Ramzi Nicolas, Kimberlee Gauvreau, Susan Foerster, Anshuman Sharma, Laurie Armsby, Audrey C Marshall, Kirsten Odegard, James DiNardo, Julie Vincent, Howaida El-Said, James Spaeth, Bryan Goldstein, Ralf Holzer, Jackie Kreutzer, David Balzer, Lisa Bergersen
Sedation/anesthesia is critical to cardiac catheterization in the pediatric/congenital heart patient. We sought to identify current sedation/anesthesia practices, the serious adverse event rate related to airway, sedation, or anesthesia, and the rate of intra-procedural conversion from procedural sedation to the use of assisted ventilation or an artificial airway. Data from 13,611 patients who underwent catheterization at eight institutions were prospectively collected from 2007 to 2010. Ninety-four (0.69 %) serious sedation/airway-related adverse events occurred; events were more likely to occur in smaller patients (<4 kg, OR 4...
October 2015: Pediatric Cardiology
Chloe Barr, Thumuluru Kavitha Madhuri, Pradeep Prabhu, Simon Butler-Manuel, Anil Tailor
INTRODUCTION: We present an unusual complication following robotic assisted radical hysterectomy. CASE REPORT: A 51-year-old female with stage 1B1 cervical cancer underwent a robotic assisted radical hysterectomy. The procedure was prolonged with difficulties dissecting the left parametrium and vaginal fornix with persistent bleeding from the left vaginal vault. Post-operatively the patient was electively sedated and ventilated. Extubation was difficult due to patient agitation but achieved on day 2...
November 2014: Archives of Gynecology and Obstetrics
M E Sellars, A Deganello, P S Sidhu
No abstract text is available yet for this article.
June 2014: Ultraschall in der Medizin
M Spriet, J M Trela, L D Galuppo
REASONS FOR PERFORMING STUDY: Injection of the median artery of horses leads to better distribution and persistence of mesenchymal stem cells than i.v. regional limb perfusion. Due to technical difficulties, intra-arterial injections thus far have only been performed under general anaesthesia. OBJECTIVES: To assess the feasibility of injection of the median artery in standing sedated horses. STUDY DESIGN: Experimental study. METHODS: Six horses were included in the study...
March 2015: Equine Veterinary Journal
E Kotlinska-Hasiec, W Dabrowski, Z Rzecki, B Rybojad, J Pilat, B De Keulenaer, M Lng Malbrain
BACKGROUND: Disorders in cerebral circulation following elevated intra-abdominal pressure (IAP) may lead to silent brain ischemia, which can be serious problem in sedated critically ill patients. The aim of the present study was to analyse the possible association between jugular venous bulb pressure (JVBP) and jugular venous bulb saturation (SjO2) to IAP in critically ill patients. METHODS: Adult septic shock patients with acute kidney injury were studied just after the admission to Intensive Care Unit and after 24 and 48 hours of treatment...
July 2014: Minerva Anestesiologica
Sung-Min Hong, Hyeon-Soo Lee, Suk-Bae Moon
BACKGROUND/PURPOSE: A silicone central venous catheter (CVC) is usually inserted using a percutaneous technique under general anesthesia. However, there are numerous reports on the postoperative adverse effects of general anesthesia in neonates. The aim of this study is to investigate the feasibility of open surgical cutdown (OSC) for central venous access without general anesthesia. METHODS: The medical records of patients who underwent OSC at bedside under sedation and local anesthesia were reviewed...
August 2013: Journal of Pediatric Surgery
Enric Reverter, Annabel Blasi, Juan G Abraldes, Graciela Martínez-Palli, Susana Seijo, Fanny Turon, Annalisa Berzigotti, Jaume Balust, Jaume Bosch, Juan C García-Pagán
BACKGROUND & AIMS: Measurement of the hepatic venous pressure gradient (HVPG) offers valuable prognostic information in patients with cirrhosis. In specific circumstances, (children, agitated patients, TIPS placement) deep sedation is required. This study aims to assess the impact of deep sedation on the accuracy of hepatic/portal pressure measurements. METHODS: Forty-four patients were included. Measurements of baseline HVPG (n = 30), HVPG response to i.v. propranolol (n = 11), portal pressure gradient (PPG) after TIPS (n = 27) and of cardio-pulmonary pressures (n = 25) were obtained in awake conditions and under deep sedation with propofol and remifentanil...
January 2014: Liver International: Official Journal of the International Association for the Study of the Liver
Babak Mahshidfar, Ali Asgari-Darian, Hamed-Basir Ghafouri, Gurkan Ersoy, Mohammad-Reza Yasinzadeh
INTRODUCTION: An appropriate procedural sedation and analgesia (PSA) is crucial to reduce a dislocated shoulder successfully in emergency department. This study compares sedative effect of inhalational Entonox(®) (En) to intra-venous (IV) Midazolam plus Fentanyl (F+M). METHODS: 120 patients with recurrent anterior shoulder dislocation were randomly assigned into two groups. 60 patients (group F+M) received 0.1 mg/kg IV Midazolam plus 3µg/kg IV Fentanyl and 60 patients (group En) received Entonox(®) with self administration face mask on an on-demand basis...
2011: BioImpacts: BI
E J McConnell, E Rioja, L Bester, M G Sanz, G T Fosgate, M N Saulez
REASONS FOR PERFORMING STUDY: Alterations in cerebral haemodynamics may contribute to perianaesthetic complications in horses. Near-infrared spectroscopy (NIRS) is frequently used intraoperatively in man to provide information regarding cerebral perfusion. OBJECTIVES: To determine whether NIRS can identify trends in regional cerebral oxygen saturation (rSO2) in horses and whether there is a correlation between rSO2 and venous oxygen tensions. METHODS: A cerebral oximeter sensor recorded rSO2 from the dorsal sagittal sinus of 6 healthy horses...
July 2013: Equine Veterinary Journal
Daniel J Hall, John E Rush, Armelle M deLaforcade, Scott P Shaw
OBJECTIVE: To determine reference values for kaolin-activated thromboelastography in echocardiographically normal cats. ANIMALS: 30 healthy cats without evidence of cardiomyopathy on echocardiographic examination. PROCEDURES: All cats underwent echocardiographic examination, the findings of which were reviewed by a board-certified cardiologist. Cats that struggled (n = 10) received mild sedation with butorphanol and midazolam IM to permit phlebotomy without interruption in jugular venous blood flow...
June 2012: American Journal of Veterinary Research
L González, R Rodríguez, S Mencía, M Gil-Ruiz, E Sanavia, J López Herce
OBJECTIVE: To assess the usefulness of intra-abdominal pressure (IAP) measurement, by the intra-vesical method, in order to identify those patients at risk of developing intra-abdominal hypertension, as well as to analyse the factors that affect the IAP, and to determine their influence on the prognosis in critically ill patients. PATIENTS AND METHODS: Prospective observational study in critically ill children in whom the IAP was monitored as soon as signs of intra-abdominal hypertension appeared...
October 2012: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Fatih Oghan, Tayfun Apuhan, Hakan Terzi, Aysel Kukner, Hakan Coksuer, Fahrettin Yılmaz
To investigate the cytotoxic effects of nasal buserelin on rabbit nasal mucosal tissue, twenty-four female rabbits were studied prospectively. The rabbits were divided into 4 groups including 6 rabbits. The rabbits' left noses were included in the all study groups: 150 μg/puff/day of buserelin acetate was administered topically twice daily during 21, 42 and 63 days. Saline was administered topically twice daily to the left nasal cavity in the control group. The nasal septal mucosal stripe tissue was carefully removed from underlaying cartilage after sedation...
July 2012: European Archives of Oto-rhino-laryngology
Nobuhide Kin, Y Yamada
Anesthesiologists can contribute considerably to prevent both intra- and post-operative complications. Intraoperative transesophageal echocardiography can be utilized to visualize potential hazards at various stages in cardiac surgery; aortic and venous cannulation, left ventricular vent tube insertion and removal of residual air in cardiac chambers. Near infrared spectroscopy is employed for early detection of cerebral ischemia. A more than 20 percent of decrease from the preoperative baseline probably indicates cerebral ischemia and prompts some measures to improve cerebral oxygenation...
July 2008: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Mei-Chi Lin, Jui-Yu Huang, Hsuan-Chih Lao, Pei-Shan Tsai, Chun-Jen Huang
OBJECTIVE: Epidural patient-controlled analgesia (EPCA) with a mixture of low-concentration levobupivacaine (0.0625% or 0.1%) plus fentanyl, with basal infusion, has been extensively used for postoperative analgesia in our allied institutions. To elucidate whether these two EPCA regimens provide satisfactory analgesia, we compared the analgesia efficacy and incidence of drug-related side effects for both EPCA regimens with those of the most widely used postoperative analgesia regimen, intra-venous PCA (IVPCA) with morphine...
June 2010: Acta Anaesthesiologica Taiwanica: Official Journal of the Taiwan Society of Anesthesiologists
P Maitre, J-P Genevois, D Remy, C Carozzo, F Arnault, P Buttin, E Viguier, D Fau
The objective of this study was to investigate the type of chemical restraint used by French practitioners to perform official hip screening radiographs, to determine the proportion of dogs under general anesthesia versus dogs under sedation, and to search for a difference in hip dysplasia (HD) prevalence between the two groups. From September 2005 to August 2008, 3302 conventional ventrodorsal hip extended radiographs sent for official scoring to the same panellist were selected because information related to the type of chemical restraint had been provided...
2010: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
Margaret M Brosnahan, Todd C Holbrook, Lyndi L Gilliam, Jerry W Ritchey, Anthony W Confer
OBJECTIVE: To describe the clinical and pathological findings in 2 adult horses with documented increases in intra-abdominal pressure (IAP), and to describe the direct puncture technique used to measure this pressure. SERIES SUMMARY: Two adult horses developed increases in IAP secondary to large-volume abdominal effusion. A 9-year-old Quarter Horse cross gelding was presented for evaluation of urinary and neurologic signs. Abdominal ultrasonographic examination showed a hepatic abscess along with abdominal effusion...
April 2009: Journal of Veterinary Emergency and Critical Care
E Rickels
The function of the brain is not checkable in comatose or sedated patients. Because secondary brain damage will often cause brain edema it is necessary to recognize the resulting increases in brain pressure. Therefore, measurement of intracranial brain pressure (ICP) is the standard monitoring procedure in neurological intensive care. The procedure with a small drill hole trepanation and the insertion of a micropressure sensor has a comparatively low complication rate and offers continuous monitoring with reliable values...
April 2009: Der Anaesthesist
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