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Articles de revues sur le sujet « Postoperative Anestesi »

Auteur : Grafiati

Publié le 4 juin 2021

Mis à jour le 7 février 2022

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1

Karnina, Resiana, and Mayinda Nabilla Ismah. "Gambaran Kejadian Postoperative Nausea and Vomiting (PONV) pada Pasien Pasca Tindakan Dilatasi Kuretase dengan Anestesi Umum di RSIA B pada Tahun 2019." Muhammadiyah Journal of Midwifery 2, no. 1 (2021): 10. http://dx.doi.org/10.24853/myjm.2.1.10-20.

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Latar Belakang: Anestesi umum merupakan salah satu jenis anestesi yang banyak digunakan untuk tindakan dilatasi dan kuretase. Meskipun demikian, anestesi umum memiliki komplikasi salah satunya yaitu kejadian Postoperative Nausea and Vomiting (PONV). Tujuan: Mengetahui gambaran kejadian Postoperative Nausea and Vomiting (PONV) pada pasien pasca tindakan dilatasi dan kuretase menggunakan anestesi umum di RSIA B pada tahun 2019. Metode: Desain penelitian ini adalah penelitian deskriptif observasional, data diambil dari catatan rekam medis pasien pasca tindakan dilatasi dan kuretase dengan anestes

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Rahardjo, Sri, and Mahmud Mahmud. "Scalp block untuk Kraniotomi dan Penanganan Nyeri Membandel Pasca Kraniotomi." Jurnal Neuroanestesi Indonesia 9, no. 1 (2020): 51–59. http://dx.doi.org/10.24244/jni.v9i1.255.

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Pemberian anestesi lokal dari saraf kulit kepala disebut sebagai “Scalp block”. Teknik ini telah diperkenalkan beberapa abad lalu, sempat tidak popular kemudian popular kembali pada era anestesi modern dalam manajemen anestesi intra operatif dan post operatif. Indonesia telah memasuki era pelayanan kesehatan dengan universal health coverage melalui Badan Penyelenggara Jaminan Sosial (BPJS), menyebabkan pemberi layanan anestesi harus familiar dengan prinsip dasar ekonomi medis dan ikut berperan aktif dalam mengendalikan biaya untuk tata kelola anestesi. Pelayanan anestesi memiliki banyak kesemp

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Supraptomo, RTH. "Manajemen Anestesi untuk Seksio Sesarea pada Pasien Pre Eklampsia Berat yang Terinfeksi Covid-19." Jurnal Anestesi Obstetri Indonesia 4, no. 1 (2021): 18–25. http://dx.doi.org/10.47507/obstetri.v4i1.59.

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Komplikasi hipertensi tercatat 6–8% pada kehamilan dan menjadi kontributor yang signifikan morbiditas dan mortalitas maternal dan perinatal. Di Amerika Serikat, preeklamsia menjadi satu dari tiga besar penyebab utama kematian ibu hamil. Penanganan yang tidak sesuai dengan standar, sering menjadi penyebab utama yang menyebabkan peningkatan morbiditas dan mortalitas pada ibu hamil. Seorang wanita 30 tahun early warning score (EWS) score 6 dengan preeklampsia pada sekundigravida (G2P1A0) hamil preterm belum dalam persalinan, riwayat seksio sesarea 1x pro seksio sesarea transperitoneal emergensi d

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Adli, Muhamad, and Caroline Wullur. "Laporan Kasus: Anestesi Blok Peribulbar pada Pasien dengan Gagal Jantung Kongestif yang Dilakukan Enukleasi." Jurnal Anestesi Perioperatif 7, no. 2 (2019): 134–38. http://dx.doi.org/10.15851/jap.v7n2.1775.

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Seorang pria berusia 73 tahun datang ke Instalasi Gawat Darurat Pusat Mata Nasional Rumah Sakit Mata Cicendo pada bulan November 2018 dengan keluhan nyeri mata yang mengeluarkan darah dan disertai dengan keluhan sesak. Pemeriksaan mata menunjukkan prolaps okuli dan direncanakan untuk dilakukan enukleasi. Ahli kardiologi mendiagnosis sebagai hypertensive heart disease, congestive heart failure functional class IV, moderate mitral regurgitation, moderate aortic regurgitation. Laporan kasus ini bertujuan memaparkan keberhasilan tata laksana anestesi pada pasien usia lanjut dengan gagal jantung ko

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Rosana, Desvita, Dedi Fitri Yadi, and Ricky Aditya. "Perbandingan Sevofluran dengan Propofol Target Controlled Infusion (TCI) sebagai Rumatan Anestesi terhadap Waktu pulih Sadar dan Komplikasi Mual Muntah pada Operasi Timpanoplasti." Jurnal Anestesi Perioperatif 7, no. 1 (2019): 58–67. http://dx.doi.org/10.15851/jap.v7n1.1620.

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Praktik anestesi membutuhkan kualitas anestesi yang baik, efek samping minimal, serta pemulihan cepat. Propofol dan sevofluran memiliki efek farmakologis pemulihan pascaanestesi yang cepat. Penelitian ini bertujuan mengetahui perbandingan sevofluran dengan propofol target controlled infusion (TCI) sebagai rumatan anestesi terhadap waktu pulih sadar dan komplikasi mual muntah pada operasi timpanoplasti. Penelitian dilakukan periode Agustus–November 2018 di RSUP Dr. Hasan Sadikin Bandung. Penelitian merupakan prospektif eksperimental menggunakan uji klinis acak buta tunggal terhadap 44 subjek ya

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Suharto, Gusti muhammad Fuad, and Rory Denny Saputra. "Efektivitas Blok Transversus Abdominis Plane Pasca Operasi Caesar." Jurnal Anestesi Obstetri Indonesia 3, no. 1 (2020): 59–71. http://dx.doi.org/10.47507/obstetri.v3i1.23.

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Operasi caesar merupakan prosedur bedah yang paling umum dilakukan di seluruh dunia. Operasi ini menyebabkan nyeri pasca operatif sedang hingga berat sebagai akibat insisi pfannenstiel yang umumnya dikaitkan dengan rasa nyeri pada uterus dan somatik pada dinding abdomen. Analgesia pasca operasi yang memadai pada pasien obstetrik sangat penting karena mereka memiliki kebutuhan pemulihan bedah yang berbeda, yaitu meliputi menyusui dan perawatan bayi baru lahir, hal ini dapat terganggu jika analgesia yang diberikan tidak memuaskan. Rejimen analgesik pasca operasi yang ideal harus efektif tanpa me

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Sahana, Syahpikal, Iwan Abdul Rachman, and Dewi Yulianti Bisri. "Perbandingan Postoperative Cognitive Dysfunction (POCD) Fase Akut Pasca Joint Arthroplasty pada Pasien Usia Lanjut Antara Anestesi Umum dan Anestesi Epidural." Jurnal Anestesi Perioperatif 8, no. 1 (2020): 32–39. http://dx.doi.org/10.15851/jap.v8n1.1990.

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Ayu Rosema Sari, Dewi Yulianti Bisri, and Yusmein Uyun. "Perioperatif Anestesia pada Pasien Seksio Sesarea dengan Skizofrenia." Jurnal Anestesi Obstetri Indonesia 3, no. 2 (2020): 89–95. http://dx.doi.org/10.47507/obstetri.v3i2.46.

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Pasien hamil dengan gangguan kejiwaan menjadi kasus yang menantang bagi ahli anestesi obstetri. Seorang ahli anestesi obstetri harus menyadari aspek hukum, etika, dan medis dari kondisi tersebut dan menyelesaikan setiap masalah secara individual. Penilaian pra operasi dan persiapan harus disesuaikan dengan jenis gangguan pasien. Pilihan teknik anestesi tergantung pada status mental pasien, dan perawatan pasca operasi (pemberian obat anti nyeri dan kelanjutan terapi medis penyakit kejiwaan) harus dikelola dengan baik. Seorang wanita 37 tahun, G2P1A0 hamil 40 minggu dengan skizofrenia dilakukan

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Djamaludin, Djunizar, and Eka Yudha Chrisanto. "Pengaruh mengunyah permen karet xylitol terhadap timbulnya motilitas usus pasca operasi dengan general anestesi." Holistik Jurnal Kesehatan 15, no. 1 (2021): 48–55. http://dx.doi.org/10.33024/hjk.v15i1.1532.

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Xylitol gum chewing to achieve early postoperative restoration of bowel motility after surgery under general anesthesiaBackground: The problem that is often encountered in the use of general anesthesia in major surgery is the Post-Operative Ileus (POI). POI is a temporary loss of gastrointestinal propulsion activity characterized by no sounding of bowel sounds and abdominal discomfort and distension. Providing nutrition oral or enteral when bowel sounds begin to sound has a weakness where it was reported that in this intervention the incidence of bloating, nausea and vomiting was mostly experi

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Yulianti Bisri, Dewi, and Tatang Bisri. "Pengelolaan Anestesi untuk Seksio Sesarea Kehamilan Triplet dengan Skor LAS Intraoperatif 6." Jurnal Anestesi Obstetri Indonesia 4, no. 1 (2021): 35–42. http://dx.doi.org/10.47507/obstetri.v4i1.56.

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Triplet (kembar tiga) dan kehamilan kembar yang lebih banyak lagi (higher multiple gestations) dihubungkan dengan peningkatan morbiditas ibu dan anak dibandingkan dengan kehamilan ganda atau kehamilan tunggal. Seksio sesarea adalah rute yang disukai untuk melahirkan pasien dengan kehamilan triplet. Seorang wanita, 31 tahun, G1P0A0 gravida aterm triplet hasil inseminasi, BB 72,5 kg, TB 168 cm, Mallampati 1, tekanan darah 130/90 mmHg, laju nadi 97x/menit, SpO2 100% dengan kanul binasal. Induksi dengan propofol 140 mg, atracurium 35 mg, intubasi dengan pipa endotrakheal no 6,5. Ventilasi mekanik

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Syamsuddin, Asniah. "Pemberian kompres hangat efektif untuk pemulihan peristaltik usus pasien post operasi dengan anestesi umum." Jurnal SAGO Gizi dan Kesehatan 2, no. 1 (2021): 95. http://dx.doi.org/10.30867/gikes.v2i1.468.

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Background: Almost every patient with major surgery or surgery who uses general anesthesia after surgery does not take any action to help with intestinal peristalsis. Giving warm compresses is one way to reduce muscle spasms, increase and increase blood flow.Objectives: The purpose of this study was to study the solution of warm compresses to postoperative intestinal peristalsis recovery with general anesthesia.Methods: The design of this study was a quasi-experimental design with nonequivalent control group design, a sample of 16 respondents who were taken by consecutive sampling technique. T

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Ilhamsyah, Rakhmat, Syafruddin Gaus, Faisal Muchtar, and Abdul Wahab. "Perbandingan Tiga Dosis Gabapentin Oral terhadap Nyeri Pascabedah, Sedasi, dan Mual-Muntah pada Histerektomi Total dengan Anestesi Spinal." Jurnal Anestesi Obstetri Indonesia 4, no. 1 (2021): 1–10. http://dx.doi.org/10.47507/obstetri.v4i1.62.

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Latar Belakang: Gabapentin dapat mencegah nyeri nosiseptif, nyeri neuropatik, inflamasi akut dan mengurangi nyeri pasca operasi. Tujuan: penelitian ini membandingkan tiga dosis gabapentin oral pada operasi histerektomi total dengan anestesi spinal untuk efeknya pada sedasi, mual-muntah, dan nyeri pascabedahSubjek dan Metode: Desain yang digunakan pada penelitian ini adalah uji klinis acak tersamar tunggal. Sampel terbagi dalam kelompok G600: gabapentin 600 mg, kelompok G750 gabapentin 750 mg dan kelompok G900: gabapentin 900 mg dengan jumlah sampel masing-masing 14 orang. Data dianalisis mengg

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Kurniawan, Arief, and Ardi Zulfariansyah. "Tatalaksana Pasien Post Ventriculo Peritoneal (VP) Shunt et causa Meningitis disertai Aspirasi Pneumonia dan Gagal Napas di Ruang Rawat Intensif." Jurnal Neuroanestesi Indonesia 9, no. 2 (2020): 87–91. http://dx.doi.org/10.24244/jni.v9i2.245.

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Ventriculo Peritoneal (VP) Shunt adalah tindakan operasi pemasangan kateter yang menghubungkan ventrikel otak dan rongga peritoneum. Tindakan VP Shunt bertujuan menurunkan tekanan intrakranial yang tinggi pada hidrosefalus. Pasien hidrosefalus akibat meningitis sering mengalami gagal napas akibat gangguan otak atau aspirasi pneumonia. Terapi ventilasi mekanik diperlukan sebelum, selama dan setelah operasi VP Shunt. Laporan kasus laki-laki 21 tahun datang ke rumah sakit karena gangguan kesadaran dan didiagnosis dengan meningitis. Pasien mengalami gagal napas akibat aspirasi pneumonia dan mendap

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Fransisca, Arna, Iwan Fuadi, and Dewi Yulianti Bisri. "Perbandingan Aromaterapi Pepermin dengan Ondansetron Intravena sebagai Terapi Rescue Mual Muntah Pascaoperasi Mastektomi." Jurnal Anestesi Perioperatif 7, no. 1 (2019): 25–32. http://dx.doi.org/10.15851/jap.v7n1.1587.

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Mual muntah pascaoperasi merupakan salah satu komplikasi anestesi dan operasi yang menjadi perhatian khusus karena memengaruhi kualitas pelayanan kesehatan, memperpanjang lama perawatan, dan meningkatkan angka morbiditas perioperatif. Pascaoperasi payudara berkaitan dengan angka kejadian mual muntah pascaoperasi yang tinggi. Beberapa konsensus penatalaksanaan mual muntah pascaoperasi merekomendasikan pemberian terapi nonfarmakologi dengan aromaterapi sebagai terapi rescue untuk mengatasi mual muntah pascaoperasi. Tujuan penelitian ini adalah membandingkan aromaterapi pepermin dengan ondansetro

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Haq, Rosma Karinna, Suhartini Ismail, and Meira Erawati. "Studi Eksplorasi Manajemen Nyeri pada Pasien Post Operasi dengan Ventilasi Mekanik." Jurnal Perawat Indonesia 3, no. 3 (2019): 191. http://dx.doi.org/10.32584/jpi.v3i3.307.

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Nyeri sebagai salah satu respon yang muncul pada pasien post operasi dapat menimbulkan dampak yang tidak adekuat pada pasien seperti penyembuhan luka yang lama, ketidakpuasan pasien, rawat inap yang lebih lama, dan meningkatnya biaya perawatan. Pasien post operasi dengan indikasi perawatan di ruang ICU seringkali mendapatkan bantuan pernafasan dengan ventilasi mekanik karena masih dalam pengaruh obat anestesi atau terjadi distres pernafasan. Pasien dengan ventilasi mekanik rentan terhadap faktor-faktor yang menimbulkan stres, karena pasien tidak dapat menyesuaikan pernafasan dengan ventilasi m

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Fadinie, Wulan, Dadik Wahyu Wijaya, and Hasanul Arifin. "Perbandingan Efek Analgesi Infiltrasi Morfin 10 Mg dan Bupivakain 0,5% 2 Mg/KgBB pada Seksio Sesarea dengan Teknik Anestesi Spinal." Jurnal Anestesi Obstetri Indonesia 3, no. 2 (2020): 73–9. http://dx.doi.org/10.47507/obstetri.v3i2.45.

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Latar Belakang: Persalinan dengan seksio sesarea sangat umum dilakukan dan setiap intervensi yang dapat mengurangi rasa sakit pasca operasi layak diteliti lebih lanjut. Cara terbaik untuk mengurangi rasa sakit dengan memberikan analgesi yang langsung bekerja pada area luka. Telah diketahui morfin memiliki reseptor perifer sehingga pemberian secara subkutan dapat menjadi metode yang sangat efektif dalam manajemen nyeri pasca operasiTujuan: Membandingkan efek analgesi dari infiltrasi lokal morfin 10 mg dengan bupivakain 2mg/kgBB 0,5% pada pasca seksio sesarea dengan anestesi spinal. Subjek dan M

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Fahriyani, Fitri, Dino Irawan, and Eka Bebasari. "Gambaran Kejadian Nyeri Tenggorok dan Serak pada Pasien yang Menjalani Anestesi Umum Endotrakeal di RSUD Arifin Achmad Pekanbaru." Jurnal Ilmu Kedokteran 8, no. 2 (2017): 91. http://dx.doi.org/10.26891/jik.v8i2.2014.91-100.

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Sore throat and hoarseness are common complications after endotracheal intubation. The incidence of sore throat andhoarseness after endotracheal intubation varies from 14 to 75%. Although regarded as minor complications, sorethroat and hoarseness contribute to postoperative morbidity and patient dissatisfaction. The aim of this study were todetermine the incidence of sore throat and hoarseness after endotracheal general anesthesia and to describe associatedrisk factors at Arifin Achmad Public Hospital. This study used a descriptive cross sectional method. A total of 88patients who underwent en

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Putri, Dini Handayani, Iwan Abdul Rachman, and Sri Rahardjo. "Ventilasi Mekanik yang Memanjang pada Pasien Cedera Otak Traumatik Berat dengan Subdural Hematoma." Jurnal Neuroanestesi Indonesia 9, no. 2 (2020): 92–101. http://dx.doi.org/10.24244/jni.v9i2.253.

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Cedera otak traumatik (COT) adalah suatu proses patologis pada otak yang berasal dari luar tubuh, yang dapat menyebabkan kerusakan permanen atau sementara dari fungsi otak. Salah satu perdarahan otak yang sering menyertai terjadinya COT berat adalah subdural hematoma (SDH). Pasien laki-laki 41 tahun, datang ke rumah sakit dengan penurunan kesadaran GCS E2M2V2 akibat kecelakaan. Pasien dilakukan tatalaksana dan diintubasi di IGD, hasil CT-Scan memperlihatkan SDH, dan edema serebri. Pasien dilakukan evakuasi hematom dengan anestesi umum, diinduksi dengan fentanil 100 μgr, propofol 20 mg dan atra

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Sørensen, Heidi, Rannveig Fuskeland, Mariann Fossum, and Olav Johannes Hovland. "Anestesisykepleieres metoder for å kontrollere cufftrykk – en observasjonsstudie." iNSPIRA 16, no. 1 (2021): 85–99. http://dx.doi.org/10.23865/inspira.v16.3322.

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Bakgrunn: Forskning viser at pasienter i generell anestesi som har fått sine luftveier sikret med en larynxmaske eller en endotrakealtube opplever postoperative pharyngolaryngeale komplikasjoner. Et kontrollert cufftrykk har vist reduksjon i komplikasjoner. Hensikt: Hensikten med studien var å undersøke hvilke metoder anestesisykepleiere bruker for å kontrollere cufftrykk, og hvilke begrunnelser de har for å bruke cufftrykkmanometer. Metode: Totalt 45 anestesisykepleiere ble observert når de kontrollerte cufftrykket i en endotrakealtube og en larynxmaske. Anestesisykepleierne ble i tillegg spu

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Wang, Xian-Xue, Quan Zhou, Dao-Bo Pan, et al. "Comparison of Postoperative Events between Spinal Anesthesia and General Anesthesia in Laparoscopic Cholecystectomy: A Systemic Review and Meta-Analysis of Randomized Controlled Trials." BioMed Research International 2016 (2016): 1–9. http://dx.doi.org/10.1155/2016/9480539.

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Background. Laparoscopic cholecystectomy is usually carried out under general anesthesia. There were a few studies which have found spinal anesthesia as a safe alternative. We aimed to evaluate the postoperative events between spinal anesthesia and general anesthesia in patients undergoing laparoscopic cholecystectomy.Methods. We searched PubMed, Embase, and Cochrane Library (from inception to January 2016) for eligible studies. The primary outcome was the visual analogue scale score. Secondary outcomes included postoperative nausea and vomiting and urine retention 24 hours postoperatively. We

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Tombeng, Marthinson A., Eko Prasetyo, Nico A. Lumintang, and Maximillian Ch Oley. "Penetrating Facial Injury by a Tree Branch: a Case Report." JURNAL BIOMEDIK (JBM) 11, no. 2 (2019): 85. http://dx.doi.org/10.35790/jbm.11.2.2019.23319.

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Abstrak: Cedera tembus wajah dapat berbahaya karena adanya struktur-struktur penting pada wajah yang membutuhkan penanganan dengan cepat dan tepat. Benda asing organik dapat menyebabkan risiko tinggi infeksi luka. Kami memresentasikan suatu kasus yang jarang ditemukan yaitu seorang laki-laki berusia 19 tahun dengan luka tembus wajah oleh patahan cabang pohon akibat kecelakaan sepeda motor. Panjang cabang pohon 25 cm dengan diameter sekitar 4 cm, menembus melalui sisi depan kanan wajah, tepat di samping hidung, dan menjorok keluar melalui sudut kanan mandibula. Evaluasi dan penatalaksanaan cede

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Norris, Edward J., Charles Beattie, Bruce A. Perler, et al. "Double-masked Randomized Trial Comparing Alternate Combinations of Intraoperative Anesthesia and Postoperative Analgesia in Abdominal Aortic Surgery." Anesthesiology 95, no. 5 (2001): 1054–67. http://dx.doi.org/10.1097/00000542-200111000-00006.

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Background Improvement in patient outcome and reduced use of medical resources may result from using epidural anesthesia and analgesia as compared with general anesthesia and intravenous opioids, although the relative importance of intraoperative versus postoperative technique has not been studied. This prospective, double-masked, randomized clinical trial was designed to compare alternate combinations of intraoperative anesthesia and postoperative analgesia with respect to postoperative outcomes in patients undergoing surgery of the abdominal aorta. Methods One hundred sixty-eight patients un

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Marinkovic, Dragan, Jovana Simin, Biljana Draskovic, Ivana Kvrgic, and Marina Pandurov. "Efficiency of ultrasound guided lower limb peripheral nerve blocks in perioperative pain management for knee arthroscopy in children: A randomized study." Medical review 69, no. 1-2 (2016): 5–10. http://dx.doi.org/10.2298/mpns1602005m.

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Introduction. Ultrasound guided lower limb peripheral nerve blocks are efficient for perioperative pain treatment in children. The aim was to see if lower limb peripheral nerve blocks reduced the amount of propofol and opioid analgesics used intraoperatively, as well as the level of pain and consumption of systemic analgesics postoperatively. Material and Methods. A randomized, prospective clinical trial was carried out. It included 60 children between 11 and 18 years of age scheduled for elective knee arthroscopy. The patients were divided into two groups. Group A received general anesthesia,

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Zolotareva, L. S., O. N. Paponov, S. M. Stepanenko, A. V. Adler, E. S. Feduleeva, and E. V. Silina. "Prevention of cognitive disorders in the postoperative period in preschoolers." Voprosy praktičeskoj pediatrii 15, no. 4 (2020): 92–99. http://dx.doi.org/10.20953/1817-7646-2020-4-92-99.

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Surgeries under general anesthesia may result in reduced cognitive functions in children, which is important for child development Objective. To assess the incidence of cognitive disorders in children aged 3 to 7 years after intraoperative combined balanced anesthesia and to evaluate the efficacy of Cytoflavin in preventing them. Patients and methods. This study included 85 children who had undergone surgery (adenoidectomy and/or tonsillectomy) under general combined balanced anesthesia (sevoflurane, nitrous oxide, rocuronium bromide, fentanyl, and dexamethasone). The patients were randomized

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Bakış, Murat. "The effect of anesthesia type on the postoperative complications of major lower extremity surgery." Dicle Medical Journal/Dicle Tıp Dergisi 41, no. 1 (2014): 191–94. http://dx.doi.org/10.5798/diclemedj.0921.2014.01.0397.

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Feng, Xiaomei, Vincent Degos, Lauren G. Koch, et al. "Surgery Results in Exaggerated and Persistent Cognitive Decline in a Rat Model of the Metabolic Syndrome." Anesthesiology 118, no. 5 (2013): 1098–105. http://dx.doi.org/10.1097/aln.0b013e318286d0c9.

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Abstract Background: Postoperative cognitive decline can be reproduced in animal models. In a well-validated rat model of the Metabolic Syndrome, we sought to investigate whether surgery induced a more severe and persistent form of cognitive decline similar to that noted in preliminary clinical studies. Methods: In rats that had been selectively bred for low and high exercise endurance, the low capacity runners (LCR) exhibited features of Metabolic Syndrome (obesity, dyslipidemia, insulin resistance, and hypertension). Tibial fracture surgery was performed under isoflurane anesthesia in LCR an

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Hossain, Muhammad Sazzad, Mohammad Mamunur Rashid, Syed Ariful Islam, Md Anisur Rahman Babu, and Muhammad Alamgir Mandal. "Dexamethasone for Prevention of Postoperative Shivering: A Prospective Clinical Study." KYAMC Journal 10, no. 2 (2019): 81–84. http://dx.doi.org/10.3329/kyamcj.v10i2.42784.

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Background: Postoperative shivering (POS) is one of the common problems following general anesthesia and with different unpleasant and stressful consequences for patients. Hence, its proper management is necessary for both prevention and treatment. Objectives: The aim of this study was to find out the prophylactic effect of intravenous dexamethasone in preventing postoperative shivering after general anesthesia. Materials and methods: Patients aged from 20 to 50 years were taken for study whohas been scheduled for elective surgery under general anesthesia and they were randomized i

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Townsend, Janice A., Steven Ganzberg, and S. Thikkurissy. "The Effect of Local Anesthetic on Quality of Recovery Characteristics Following Dental Rehabilitation Under General Anesthesia in Children." Anesthesia Progress 56, no. 4 (2009): 115–22. http://dx.doi.org/10.2344/0003-3006-56.4.115.

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Abstract This study is a randomized, prospective, double-blind study to evaluate the effects of the combination of local anesthetics and an intravenous nonsteroidal anti-inflammatory drug (NSAID) vs NSAID alone on quality of recovery following dental rehabilitation under general anesthesia (GA). Twenty-seven healthy children aged 3–5.5 years underwent dental rehabilitation under GA. Fifteen children in the experimental group received oral infiltration of local anesthetic in addition to intravenous ketorolac tromethamine, while 12 children in the control group received intravenous ketorolac tro

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Kamtikar, Subodh S., and Sangamesh B. Kunakeri. "Evaluation of intravenous magnesium sulphate on postoperative pain after spinal anesthesia." Asian Pacific Journal of Health Sciences 2, no. 4 (2015): 87–91. http://dx.doi.org/10.21276/apjhs.2015.2.4.19.

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Klimek, Markus, Jaap W. Hol, Stephan Wens, et al. "Inflammatory Profile of Awake Function-Controlled Craniotomy and Craniotomy under General Anesthesia." Mediators of Inflammation 2009 (2009): 1–8. http://dx.doi.org/10.1155/2009/670480.

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Background. Surgical stress triggers an inflammatory response and releases mediators into human plasma such as interleukins (ILs). Awake craniotomy and craniotomy performed under general anesthesia may be associated with different levels of stress. Our aim was to investigate whether those procedures cause different inflammatory responses.Methods. Twenty patients undergoing craniotomy under general anesthesia and 20 patients undergoing awake function-controlled craniotomy were included in this prospective, observational, two-armed study. Circulating levels of IL-6, IL-8, and IL-10 were determin

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Naesh, O., J. T. Friis, I. Hindberg, and K. Winther. "Platelet Function in Surgical Stress." Thrombosis and Haemostasis 54, no. 04 (1985): 849–52. http://dx.doi.org/10.1055/s-0038-1660146.

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SummaryTen patients for elective cholecystectomy were studied pre-, per- and postoperatively. All had neurolept anesthesia. Plasma concentrations of β-TG, TXB2 and 5-HT and intraplatelet 5-HT were measured. Aggregation to ADP was recorded.Serum cortisol concentration was used as index of the stress response, showing peroperative increase and postoperative decrease. Closely related to this we observed a significant increase in P-β-TG and P-TXB2 with postoperative normalization in 6 patients without complications. P-5-HT had a peak peropera-tively and remained elevated postoperatively. A negativ

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Miller, Andrew, Nayoung Kim, and Asif M. Ilyas. "Prospective Evaluation of Opioid Consumption Following Hand Surgery Performed Wide Awake Versus With Sedation." HAND 12, no. 6 (2016): 606–9. http://dx.doi.org/10.1177/1558944716677536.

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Background: We prospectively evaluated opioid consumption postoperatively following trigger finger release (TFR) and open carpal tunnel release (CTR), and hypothesized that cases performed wide awake with local anesthesia and no tourniquet (WALANT) would result in increased opioid consumption compared with cases performed under monitored anesthesia care (MAC). Methods: Postoperative opioid consumption following CTR and TFR was prospectively collected over 6 months. The primary end points of the study were: (1) total opioid consumption; and (2) the number of days an opioid was used for both gro

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Fatima, Fatima, Erwin Pradian, and Dedi Fitri Yadi. "Efek Pemberian Magnesium Sulfat 45 Mg/kgBB terhadap Kualitas Tindakan Intubasi Endotrakeal Tanpa Obat Pelumpuh Otot dan Perubahan Respons Hemodinamik." Jurnal Anestesi Perioperatif 7, no. 1 (2019): 48–57. http://dx.doi.org/10.15851/jap.v7n1.1590.

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Intubasi endotrakeal merupakan tindakan berisiko tinggi yang menghasilkan stimulasi adrenergik. Intubasi endotrakeal menggunakan obat pelumpuh otot sebagai standar baku dapat menimbulkan efek samping berupa reaksi anafilaksis dan rekurisasi pascabedah. Intubasi endotrakeal tanpa obat pelumpuh otot ditujukan untuk prosedur pembedahan yang singkat, membutuhkan identifikasi saraf, dan terdapat kontraindikasi pemberian obat pelumpuh otot. Tujuan penelitian ini mengkaji pemberian magnesium sulfat 45 mg/kgBB terhadap kualitas intubasi dan respons hemodinamik pada tindakan intubasi endotrakeal tanpa

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Bernado, Pedro, Prihartiningsih Prihartiningsih, and Cahya Yustisia Hasan. "Penatalaksanaan Fraktur Kompleks Zygomatikomaksilaris Sinistra dengan Miniplate Osteosynthesis." Majalah Kedokteran Gigi Indonesia 20, no. 2 (2015): 161. http://dx.doi.org/10.22146/majkedgiind.7954.

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Wajah terletak lebih ke anterior secara anatomis oleh sebab itu mudah mendapatkan trauma. Os Zigoma merupakan tulang yang menonjol pada wajah dan akan menahan gaya bentur terbesar pada wajah. Tulisan ini melaporkan penatalaksanan fraktur kompleks zigomatikomaksilaris sinistra dengan miniplate osteosynthesis.Seorang laki-laki 22 tahun dirujuk ke Bagian Bedah Mulut RSUP Dr Sardjito dengan riwayat kecelakaan lalulintas tiga minggu sebelum masuk RS. Pasien mengeluh daerah pipi kiri terasa tebal dan dirasa lebih datar dari pipi kanan. Pemeriksaan klinis terdapat parestesi nervus infraorbita sinistr

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Buggy, Donal J., and Michael J. Kerin. "Paravertebral Analgesia with Levobupivacaine Increases Postoperative Flap Tissue Oxygen Tension after Immediate Latissimus Dorsi Breast Reconstruction Compared with Intravenous Opioid Analgesia." Anesthesiology 100, no. 2 (2004): 375–80. http://dx.doi.org/10.1097/00000542-200402000-00029.

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Background Directly measured tissue oxygen tension (Pto2) reflects the adequacy of local tissue oxygenation and influences surgical wound healing. Epidural analgesia increases Pto2 compared with intravenous morphine analgesia after abdominal surgery. The authors tested the hypothesis that paravertebral regional anesthesia and analgesia would increase Pto2 compared with intravenous opioid-based anesthesia and analgesia. Methods Twenty patients scheduled to undergo mastectomy with immediate latissimus dorsi breast reconstruction were randomized to receive either general anesthesia with postopera

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Arbous, M. Sesmu, Anneke E. E. Meursing, Jack W. van Kleef, et al. "Impact of Anesthesia Management Characteristics on Severe Morbidity and Mortality." Anesthesiology 102, no. 2 (2005): 257–68. http://dx.doi.org/10.1097/00000542-200502000-00005.

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Background Quantitative estimates of how anesthesia management impacts perioperative morbidity and mortality are limited. The authors performed a study to identify risk factors related to anesthesia management for 24-h postoperative severe morbidity and mortality. Methods A case-control study was performed of all patients undergoing anesthesia (1995-1997). Cases were patients who either remained comatose or died during or within 24 h of undergoing anesthesia. Controls were patients who neither remained comatose nor died during or within 24 hours of undergoing anesthesia. Data were collected by

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ÇAKAR TURHAN, K. Sanem, Zekeriyya ALANOĞLU, and Yeşim ATEŞ. "The Effects of Bispectral Index Monitorization on Quality of Intraoperative Anesthesia and Postoperative Analgesia." Turkiye Klinikleri Journal of Anesthesiology Reanimation 13, no. 2 (2015): 69–77. http://dx.doi.org/10.5336/anesthe.2014-42100.

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Yao, Yusheng, Hao Li, Qiaolan He, Tingting Chen, Yihang Wang, and Xiaochun Zheng. "Efficacy of ultrasound-guided erector spinae plane block on postoperative quality of recovery and analgesia after modified radical mastectomy: randomized controlled trial." Regional Anesthesia & Pain Medicine 45, no. 1 (2019): 5–9. http://dx.doi.org/10.1136/rapm-2019-100983.

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BackgroundErector spinae plane block (ESPB) is a novel regional anesthesia technique that is gaining popularity for postoperative pain management. This randomized controlled trial evaluated the effect of ESPB on quality of recovery (QoR) in patients undergoing modified radical mastectomy.MethodsEighty-two female patients undergoing modified radical mastectomy were included. Patients were randomly assigned to receive preoperative ultrasound-guided ESPB with either 0.5% ropivacaine or saline. The primary outcome was QoR, assessed 24 hours postoperatively using the 15-item QoR questionnaire (QoR-

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M, Bhawathi, and Santhosh K. "Intravenous Magnesium Sulfate can be Infused in Spinal Anesthesia for Postoperative Analgesia." Indian Journal of Anesthesia and Analgesia 6, no. 5 (P-2) (2019): 1685–92. http://dx.doi.org/10.21088/ijaa.2349.8471.6519.28.

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Plaschke, Konstanze, Anne Weiskircher, Laura Benner, et al. "Depth of anesthesia by Narcotrend® and postoperative characteristics in children undergoing cardiac surgery under extracorporeal circulation: a retrospective comparison of two anesthetic regimens." Perfusion 35, no. 5 (2020): 427–35. http://dx.doi.org/10.1177/0267659119895447.

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Background: Depth of anesthesia may be insufficient in pediatric cardiac anesthesia if a total intravenous anesthetic regimen with opioids and midazolam is used during cardiopulmonary bypass. The advantages of sevoflurane-based balanced anesthesia may be (1) a more graduated regulation of the depth of anesthesia during cardiopulmonary bypass and (2) a reduction in postoperative ventilation time for children in comparison with total intravenous anesthesia. Aim: To evaluate a possibly positive effect of sevoflurane-based balanced anesthesia in children undergoing cardiac surgery we analyzed whet

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De Lott, Lindsey B., Samantha Zerafa, Kerby Shedden, et al. "Multiple sclerosis relapse risk in the postoperative period: Effects of invasive surgery and anesthesia." Multiple Sclerosis Journal 26, no. 11 (2019): 1437–40. http://dx.doi.org/10.1177/1352458519860304.

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Background: Postoperative multiple sclerosis (MS) relapses are a concern among patients and providers. Objective: To determine whether MS relapse risk is higher postoperatively. Methods: Data were extracted from medical records of MS patients undergoing surgery at a tertiary center (2000–2016). Conditional logistic regression estimated within-patient unadjusted and age-adjusted odds of postoperative versus preoperative relapse. Results: Among 281 patients and 609 surgeries, 12 postoperative relapses were identified. The odds of postoperative versus preoperative relapse in unadjusted (odds rati

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Degirmenci, Erdem, Kutay Engin Ozturan, Yasin Emre Kaya, Akcan Akkaya, and İstemi Yucel. "Effect of sedation anesthesia on kinesiophobia and early outcomes after total knee arthroplasty." Journal of Orthopaedic Surgery 28, no. 1 (2020): 230949901989565. http://dx.doi.org/10.1177/2309499019895650.

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Background: Total knee arthroplasty (TKA) operation is an effective treatment method in severe osteoarthritis worldwide. However, the number of patients with chronic pain and functional limitations in the postoperative period will continue to increase. Kinesiphobia is an important factor that affects the functional outcomes postoperatively. The aim of this study is to investigate the effects of intraoperative consciousness of the patients during surgery on kinesiophobia development and early functional outcomes of TKA. Methods: Sixty patients with the diagnosis of primary knee osteoarthritis w

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He, Jian, Lei Zhang, Dong L. Li, et al. "Ultrasound-Guided Pudendal Nerve Block Combined with Propofol Deep Sedation versus Spinal Anesthesia for Hemorrhoidectomy: A Prospective Randomized Study." Pain Research and Management 2021 (February 26, 2021): 1–10. http://dx.doi.org/10.1155/2021/6644262.

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Background and Objectives. Several anesthesia techniques were applied to hemorrhoidectomy, but postoperative pain and urinary retention were still two unsolved problems. The aim of this prospective randomized study was to evaluate the effect of ultrasound-guided pudendal nerve block (PNB) combined with deep sedation compared to spinal anesthesia for hemorrhoidectomy. Methods. One hundred and twenty patients undergoing Milligan–Morgan hemorrhoidectomy were randomized to receive PNB combined with deep sedation using propofol (Group PNB, n = 60) or spinal anesthesia (Group SA, n = 60). Pain inten

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McNally, J. Dayre, Kusum Menon, Pranesh Chakraborty, et al. "Impact of Anesthesia and Surgery for Congenital Heart Disease on the Vitamin D Status of Infants and Children." Anesthesiology 119, no. 1 (2013): 71–80. http://dx.doi.org/10.1097/aln.0b013e31828ce817.

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Abstract Background: Vitamin D is recognized as a pleiotropic hormone important for the functioning of organ systems, including those central to critical illness pathophysiology. Recent studies have reported associations between vitamin D status and outcome among critically ill adults and children. Preoperative vitamin D status, impact of operative techniques, and relationship between immediate postoperative vitamin D levels and clinical course have not been described in the pediatric congenital heart disease (CHD) population. The objective of this study was to describe the impact of CHD surge

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Baldini, Gabriele, Hema Bagry, Armen Aprikian, Franco Carli, David S. Warner, and Mark A. Warner. "Postoperative Urinary Retention." Anesthesiology 110, no. 5 (2009): 1139–57. http://dx.doi.org/10.1097/aln.0b013e31819f7aea.

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Urinary retention is common after anesthesia and surgery, reported incidence of between 5% and 70%. Comorbidities, type of surgery, and type of anesthesia influence the development of postoperative urinary retention (POUR). The authors review the overall incidence and mechanisms of POUR associated with surgery, anesthesia and analgesia. Ultrasound has been shown to provide an accurate assessment of urinary bladder volume and a guide to the management of POUR. Recommendations for urinary catheterization in the perioperative setting vary widely, influenced by many factors, including surgical fac

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Khan, Ahsan Ali, Lukui Chen, Xiaoyuan Guo, et al. "Resection of Intramedullary Spinal Cord Tumor under Awake Anesthesia: A Novel Approach to Minimize Postoperative Motor Deficits." Translational Neuroscience and Clinics 3, no. 1 (2017): 28–34. http://dx.doi.org/10.18679/cn11-6030_r.2017.004.

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Objective To observe advantages and disadvantages of the resection of intramedullary spinal cord tumor under awake anesthesia. Methods Two patients with intramedullary spinal cord tumor underwent resection under awake anesthesia and followed up post-operatibely for any motor deficits. Results Patients who underwent tumor resection under awake (AAA) anesthesia combined with intraoperative NPM had no motor deficits postoperatively. More accurate and nondelayed responses were observed in the awake cycle of anesthesia and helped guide surgery, thus avoiding injuries to the spinal cord. Conclusion

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Celiker, Hande, Levent Karabas, and Ozlem Sahin. "A Comparison of Topical or Retrobulbar Anesthesia for 23-Gauge Posterior Vitrectomy." Journal of Ophthalmology 2014 (2014): 1–5. http://dx.doi.org/10.1155/2014/237028.

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Background. To compare the efficacy and safety of topical anesthesia versus retrobulbar anesthesia in 23-gauge vitreoretinal surgery.Materials and Methods. A total of 63 patients scheduled for 23 G posterior vitrectomy without scleral buckling procedures were included in the study. The patients were randomly assigned to receive either topical (Group 1,n=31) or retrobulbar anesthesia (Group 2,n=32). Postoperatively, patients were shown a visual analogue pain scale (VAPS) from 1 (no pain or discomfort) to 4 (severe pain or discomfort) to rate the levels of pain.Results. There was more discomfort

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Mamdouh, Ahmed. "Effect of the Modified Surgeon Assisted Bilateral Transversus Abdominis Plane Block on Time Required for First Analgesic Dose after Cesarean Section under Spinal Anesthesia: Randomized placebo-control." Women Health Care and Issues 4, no. 3 (2021): 01–05. http://dx.doi.org/10.31579/2642-9756/055.

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Background: The transverses abdominis plane block (TAP block) is one of the widely used regional analgesic techniques in cesarean section. There are different variations of the procedure. The aim of the present study was to evaluate the analgesic effect of the modified surgeon assisted bilateral TAP block in patients undergoing cesarean section Patients&Methods: Sixty patients undergoing cesarean section under spinal anesthesia were randomized into two groups to receive either TAP block with 40 ml of bupivacaine 0.25%(study group) or 40 ml normal saline as placebo after obtaining informed

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Kain, Zeev N., Linda C. Mayes, Shu-Ming Wang, and Maura B. Hofstadter. "Postoperative Behavioral Outcomes in Children." Anesthesiology 90, no. 3 (1999): 758–65. http://dx.doi.org/10.1097/00000542-199903000-00018.

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Background Although multiple studies document the effect of sedative premedication on preoperative anxiety in children, there is a paucity of data regarding its effect on postoperative behavioral outcomes. Methods After screening for recent stressful life events, children undergoing anesthesia and surgery were assigned randomly to receive either 0.5 mg/kg midazolam in 15 mg/kg acetaminophen orally (n = 43) or 15 mg/kg acetaminophen orally (n = 43). Using validated measures of anxiety, children were evaluated before and after administration of the intervention and during induction of anesthesia

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Chen, Xiaohong, Bingqian Liu, Xiaoling Liang, et al. "The Combination of Ketorolac with Local Anesthesia for Pain Control in Day Care Retinal Detachment Surgery: A Randomized Controlled Trial." Journal of Ophthalmology 2017 (2017): 1–8. http://dx.doi.org/10.1155/2017/3464693.

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This study aims to evaluate the efficacy of ketorolac with local anesthesia compared to local anesthesia alone for perioperative pain control in day care retinal detachment surgery. The randomized controlled trial included 59 eyes of 59 participants for retinal detachment surgery who were randomly assigned (1 : 1) into the ketorolac (K) group and control (C) group. All participants underwent conventional local anesthesia while patients in the K group received an extra administration of preoperative ketorolac. Participants in the K group had a statistically significantly lower intraoperative NR

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