• Many reports are available that show the superiority of combined anesthesia (inhalant plus neuroaxial blocks) over solely inhalant or total intravenous anesthesia (TIVA). (biomedcentral.com)
  • Randomized controlled trial of total intravenous anesthesia with propofol versus inhalation anesthesia with isoflurane-nitrous oxide: postoperative nausea with vomiting and economic analy-sis. (jocpd.com)
  • Cerebral hypoxia was monitored using NIRS monitoring in patients who underwent controlled hypotension with total intravenous anesthesia (TIVA) or balanced general anesthesia, and the effect of anesthesia methods on postoperative cognitive function change was investigated. (clinmedjournals.org)
  • The topic of whether or not to use sedation and/or anesthesia for diagnostic orthopedic radiographs recently came up on the RR-folk email discussion list. (rrcus.org)
  • Table 1: CANINE SEDATION/ANALGESIA DOSE TABLE: Intravenous (IV) and intramuscular (IM) dosing on the basis of body weight. (nih.gov)
  • The conventional dose of remifentanil combined with dexmedetomidine anesthesia has a good anesthetic effect in clinical applications, but at the same time, drug-related side effects are strong, and even excessive sedation of patients occurs, which is not conducive to patient safety [ 4 ]. (hindawi.com)
  • Patients are randomized to reduced depth of anesthesia in the context of spinal anesthesia with targeted sedation using processed electroencephalogram monitoring versus general anesthesia without processed electroencephalogram monitoring. (biomedcentral.com)
  • The results of this study will examine whether reduced depth of anesthesia using spinal anesthesia with targeted depth of sedation represents a modifiable intervention to reduce the incidence of delirium and other long-term outcomes. (biomedcentral.com)
  • Sedation is essential during invasive mechanical ventilation, and conventionally intravenous analgesic and sedative drugs are used. (ijccm.org)
  • Sedation with inhaled anesthetics using anesthesia conserving device (ACD) is an alternative. (ijccm.org)
  • Fifty patients received isoflurane infusion for a median of 720 (IQR 630-900) minutes, and all remained in the target sedation range. (ijccm.org)
  • Target sedation levels were achieved with initial boluses of isoflurane using AnaConDa™-S. Isoflurane sedation delivery using AnaConDa™-S is safe and feasible. (ijccm.org)
  • Shah PN, Dongre V, Patil V, Pandya S, Mungantiwar A, Chouliwar A. Comparison of perioperative ICU sedation between dexmedetomidine and propofol in Indian population. (ijccm.org)
  • Prolonged isoflurane sedation of intensive care unit patients with the Anesthetic Conserving Device. (ijccm.org)
  • Narcolepsy, Anesthesia, and Sedation: A Survey of the Perioperative Experience of Patients With Narcolepsy. (stopbang.ca)
  • Dogs and cats with respiratory disease may require sedation or anesthesia for diagnostic or surgical procedures that are either related or unrelated to the primary problem. (veteriankey.com)
  • The level of anesthesia achieved ranges on a continuum of depth of consciousness from minimal sedation to general anesthesia. (wikidoc.org)
  • In comparison to general anesthesia, brachial plexus block is easier to administer, requires less anesthetic medication, has a minimal effect on the entire body, maintains stable circulation, and provides prolonged postoperative analgesia compared to local infiltration anesthesia, and the analgesic effect and intraoperative treatment are superior. (hindawi.com)
  • Results: Sevoflurane resulted in statistically significant shorter times to emergence (-3.3 min), response to command (-3.1 min), orientation (4.0 min) and first analgesic (-8.9 min) but not time to eligibility for discharge (-1.7 min) compared to isoflurane (mean difference). (wgtn.ac.nz)
  • Propofol is not considered an analgesic, so opioids such as fentanyl may be combined with propofol to alleviate pain. (neurosurgery.directory)
  • This study attempted to compare the surgical field scores, according to the extent of the preoperative surgical lesions, for a group that used propofol/remifentanil (PR), reported to reduce the amount of bleeding to obtain a visible surgical field to a group that used sevoflurane/remifentanil, and to a group that used desflurane/remifentanil (DR). (ekja.org)
  • 5.24 cases in inhalation anesthesia, preoperative complications and severe hypotension. (curehunter.com)
  • RESULTS: On postoperative Day 1, in patients of the study group, lactate decreased to preoperative levels, while in the control group, lactate content increased as compared to both preoperative levels and the levels immediately after liver resection. (bvsalud.org)
  • In MMSE test score, there was no decrease in both groups in the preoperative and postoperative period. (clinmedjournals.org)
  • The patient was evaluated prior to surgery by a cardiologist and the preoperative anesthesia clinic without any comment on the abnormal P wave morphology on electrocardiogram. (stanford.edu)
  • The rapid, smooth recovery from anesthesia is probably Propofol's most important attribute. (rrcus.org)
  • This study compared surgical field condition between propofol/remifentanil (PR) based anesthesia and desflurane/remifentanil (DR) based anesthesia. (ekja.org)
  • Fast-track eligibility after ambula-tory anesthesia: a comparison of desflurane, sevoflurane, and propofol. (jocpd.com)
  • Aldrete recovery score and NIRS values were was higher and blood pressure and heart rate values were lower in the desflurane group. (clinmedjournals.org)
  • There was a moderate positive correlation between blood pressure values and NIRS in a certain part of the operation in the desflurane group. (clinmedjournals.org)
  • We think that, the desflurane group be preferred as a priority with less remifentanil expenditure, lower blood pressure values, higher rSO 2 values, no 20% decrease in rSO 2 values, faster extubation, and statistically significant early recovery. (clinmedjournals.org)
  • The patients were randomly divided into two groups, Group D (desflurane) and Group P (propofol). (clinmedjournals.org)
  • There are those used as premedicants for general anesthesia, those used to induce general anesthesia, those used to maintain anesthesia, and those used for pain relief alone (analgesics). (rrcus.org)
  • Anesthetic induction agents are designed to rapidly induce unconsciousness that is free from excitement and struggling, and which will allow the placement of an endotracheal tube, if necessary, for maintenance of general gas anesthesia. (rrcus.org)
  • Thiopental is often used as an induction agent to rapidly induce anesthesia in patients undergoing neurosurgical procedure s. (neurosurgery.directory)
  • Eight hours exposure to isoflurane, known to induce HIF, may have influenced this. (naccs.org.uk)
  • In another study that used the Lund-Mackay (LM) score from computed tomography (CT) findings to compare the extent of sinusitis and anesthesia in a severe sinusitis patient group, less bleeding and a better visible surgical field was noted in the group that received intravenous anesthetic with propfol than the group that received sevoflurane inhalation anesthesia [ 9 ]. (ekja.org)
  • In the study group (n = 41), preconditioning with sevoflurane inhalation was provided 30 minutes prior to liver resection. (bvsalud.org)
  • The aim of the study was to compare the effects of pharmacological preconditioning with sevoflurane and propofol-based intravenous anesthesia on the postoperative function of the liver as the primary end-point. (bvsalud.org)
  • Furthermore, extended general anesthesia may lead to significant consequences such aspiration pneumonia, delayed recovery, postoperative nausea and vomiting, hypoventilation, and acute atelectasis. (hindawi.com)
  • We evaluated anesthesia depth, cerebral oxygenation and postoperative cognitive functions with NIRS and BIS monitoring and Mini-Mental State Examination (MMSE) score. (clinmedjournals.org)
  • Randomized, Double-Blind, Placebo-Controlled Study of Intravenous Amisulpride as Treatment of Established Postoperative Nausea and Vomiting in Patients Who Have Had No Prior Prophylaxis. (stopbang.ca)
  • Postoperative sore throat (POST) is a common complication after general anesthesia. (springeropen.com)
  • Sedative analgesics such as remifentanil and dexmedetomidine have been demonstrated in studies to improve the impact of local nerve block and extend the duration of analgesia and have therefore become important adjuvants during surgical anesthesia. (hindawi.com)
  • Induction of anesthesia is accomplished by using high doses of opioid (usually fentanyl or remifentanil) to minimize the dose of propofol, etomidate, or thiopental and thereby maximize cardiovascular stability. (medscape.com)
  • Methods: The study was approved by the local ethics committee, including data from 60 patients scheduled for ambulatory surgery undergoing general anaesthesia with propofol and remifentanil, using TCI. (researchgate.net)
  • There were no significant differences in remifentanil or propofol effect-site concentrations for movers vs. non-movers. (researchgate.net)
  • Conclusion: The qCON was able to reliably detect LOC during general anaesthesia with propofol and remifentanil. (researchgate.net)
  • The level of analgesia was recorded continuously using the proprietary index IOC2 (Index of consciousness 2,namely qNOX) (Angel-6000D Multi-parameter Anesthesia Monitor, Shenzhen Weihaokang Medical Technology Co., Ltd, Guangdong, China). (researchgate.net)
  • Clinical studies of anesthesia for thoracic surgery including provision and maintenance of safe one-lung ventilation and postthoracotomy analgesia. (stanford.edu)
  • The primary aim of this study is to determine whether reduced depth of anesthesia using spinal anesthesia reduces the incidence of delirium after lumbar fusion surgery compared with general anesthesia. (biomedcentral.com)
  • Spinal Cord Injuries (SCI) can affect any age group, but is more prevalent in young males. (naccs.org.uk)
  • In order to explore the reliable clinical anesthesia effect, this paper uses experimental investigation methods to study the effect of dexmedetomidine in clinical surgery of replantation of severed fingers. (hindawi.com)
  • Non-pharmacological methods in the form of appropriate size of endotracheal tube, presence or absence of cuff or use of airway adjuncts like stylet or bougie, and pharmacological methods which includes various drugs administered intravenous or topically. (springeropen.com)
  • Methods: Sevoflurane was compared to isoflurane in eight studies (N = 2,008) and to propofol in three studies (N = 436). (wgtn.ac.nz)
  • This article will discuss anesthesia and the drugs used for its maintenance in general, the potential reasons for using an anesthetic protocol for our pets when undergoing diagnostic and/or emergency radiographs for various conditions, as well as the use of anesthesia in obtaining OFA view and Penn-Hip diagnostic radiographs. (rrcus.org)
  • Premedicating the patient, pre-oxygenating prior to induction, and maintaining an intravenous catheter and administering IV fluids during general anesthesia can improve the relative safety of any drug or drug combination. (rrcus.org)
  • It has been proven that the factor that greatly influences the CS outcome is the length of time the fetuses remain under anesthesia i.e. the time from induction of general anesthesia until newborns' extraction from uterus (induction-delivery time-IDT). (biomedcentral.com)
  • The period of emergence from general anesthesia , where different elements of consciousness return at different rates. (lookformedical.com)
  • DEXDOMITOR is also indicated for use as a preanesthetic to general anesthesia in dogs and cats. (nih.gov)
  • 3. Roeters J, Burgersdijk R. The need for general anesthesia for the dental treatment of mentally handicapped patients: a follow-up study. (jocpd.com)
  • General anesthesia protocol for the dental patient: emphasis for older adults. (jocpd.com)
  • Propofol: an alternative general anesthetic for outpatient oral surgery. (jocpd.com)
  • While the mechanism of general anesthesia has been extensively studied, the underlying neural circuitry has yet to be fully understood. (bvsalud.org)
  • The parabrachial nucleus (PBN) plays a crucial role in modulating wakefulness and promoting arousal from general anesthesia. (bvsalud.org)
  • However, the specific role of PBN projections in the process of general anesthesia remains unclear. (bvsalud.org)
  • Conversely, photoinhibition of these pathways prolonged the recovery time, with no notable difference observed during the induction phase.In summary, our results demonstrate that the PBN-LH and PBN-BF pathways are crucial for promoting arousal from isoflurane general anesthesia, but do not have a pronounced impact on the induction phase. (bvsalud.org)
  • We investigated changes in social and anxiety-related brain functional connectivity induced by sleep deprivation, and the potential therapeutic effects of the general anaesthetics propofol and sevoflurane in rats. (bvsalud.org)
  • General anesthetic, local infiltration anesthesia, and brachial plexus block are the most used anesthetic procedures for finger replantation at the moment. (hindawi.com)
  • General anesthesia can address the need for a longer operation duration for severed finger replantation while also providing a superior anesthetic effect. (hindawi.com)
  • Furthermore, studies have shown that using general anesthesia for upper limb surgery increases the risk of deep vein thrombosis while simultaneously increasing the expense of general anesthesia. (hindawi.com)
  • As a result, in the replantation of severed fingers, basic general anesthesia is seldom employed. (hindawi.com)
  • Sevoflurane is contraindicated in patients in whom general anesthesia is contraindicated. (medicines.org.uk)
  • However, previous studies have generally not focused on reducing the depth of anesthesia beyond levels consistent with general anesthesia. (biomedcentral.com)
  • ISOFLURANE is a widely used general anesthetic that is well suited for rapid induction and recovery because of its pharmacokinetic properties and relative level of safety. (silverchair.com)
  • General anesthesia: "Drug-induced loss of consciousness during which patients are not arousable, even by painful stimulation. (wikidoc.org)
  • Patients undergoing general anesthesia often cannot maintain their own airway and breathe on their own. (wikidoc.org)
  • While usually administered with inhalational agents, general anesthesia can be achieved with intravenous agents, such as propofol . (wikidoc.org)
  • Following induction of general anesthesia, his cardiac rhythm changed to a Mobitz type II pattern. (stanford.edu)
  • 7. Cillo JE, Propofol anaesthesia for outpatient oral and maxillo-facial surgery. (jocpd.com)
  • Richard Novak, MD is a Stanford physician board certified in anesthesiology and internal medicine.Dr. Novak is an Adjunct Clinical Professor in the Department of Anesthesiology, Perioperative and Pain Medicine at Stanford University, the Medical Director at Waverley Surgery Center in Palo Alto, California, and a member of the Associated Anesthesiologists Medical Group in Palo Alto, California. (theanesthesiaconsultant.com)
  • The present study was undertaken to compare efficacy of equal dose of dexamethasone in preventing POST via three different routes, i.e., intravenous, topical, and nebulization before surgery. (springeropen.com)
  • Patients in group N were nebulized with 8 mg dexamethasone prior to surgery, patients in group I received intravenous dexamethasone (8 mg) before induction of anesthesia, while patients in group C were intubated with endotracheal tube which was pretreated (cuff soaked in dexamethasone 8 mg). (springeropen.com)
  • We evaluated a database that included recovery endpoints from controlled, randomized, prospective studies sponsored by Abbott Laboratories that compared sevoflurane to isoflurane or propofol when extubation was planned immediately after completion of elective surgery in adult patients. (wgtn.ac.nz)
  • The patient was cleared to proceed with anesthesia and surgery. (stanford.edu)
  • We calculated the time it took for anesthesia induction and emergence, simultaneously monitoring changes in the burst-suppression ratio using electroencephalogram recording. (bvsalud.org)
  • Our findings indicate that optogenetic activation of the PBN-LH and PBN-BF projections plays a significant role in promoting both cortical and behavioral emergence from isoflurane inhalation, without significantly affecting the induction time. (bvsalud.org)
  • Emergence times are generally short following sevoflurane anesthesia. (medicines.org.uk)
  • it also might cause faster emergence times than for propofol-based anesthesia. (wgtn.ac.nz)
  • The concentration of inhalation maintenance anesthetic will be reduced between 40% and 60%, depending on the dose of dexmedetomidine. (nih.gov)
  • Finally, this paper verifies the reliability of dexmedetomidine in replantation of severed finger through comparative analysis and verifies that the anesthesia method proposed in this paper has certain user satisfaction through parameter survey. (hindawi.com)
  • Brachial plexus block commonly used in finger replantation has the advantages of simple operation, small side effects, and stable circulation, but it has inherent problems such as imperfect block range, slow onset of anesthesia, and short maintenance time of anesthesia. (hindawi.com)
  • Therefore, when performing CS, it seems justified to aim at lowering the dose of propofol (which may not be feasible) or lengthening the time between the induction and delivery of the newborn, in order to allow the concentration of circulating propofol to be reduced to a less depressive level for the newborn. (biomedcentral.com)
  • In the operating room, intravenous (IV) administration of a small dose of midazolam before arterial line insertion can also reduce anxiety, tachycardia, and hypertension. (medscape.com)
  • In Reply: Optimal Propofol Induction Dose in Morbidly Obese Patients: Bispectral Index Guidance is Not the Answer. (stopbang.ca)
  • Optimal Propofol Induction Dose in Morbidly Obese Patients: A Randomized Controlled Trial Comparing the Bispectral Index and Lean Body Weight Scalar. (stopbang.ca)
  • Isoflurane dose-dependently increased the decay-time constant of miniature inhibitory postsynaptic currents. (silverchair.com)
  • Anesthesia caused by the breathing of anesthetic gases or vapors or by insufflating anesthetic gases or vapors into the respiratory tract. (curehunter.com)
  • Isoflurane anesthesia produces cardiovascular and respiratory depression, although the specific mechanisms are not fully understood. (silverchair.com)
  • Perfusion bath samples were taken in each experiment to measure isoflurane concentrations by gas chromatography-mass spectrometry. (silverchair.com)
  • At greater than 300 mum isoflurane, the amplitude of miniature inhibitory postsynaptic currents was decreased, but the frequency of events remained unaffected, whereas at equivalent isoflurane concentrations, the frequency of miniature excitatory postsynaptic currents was decreased. (silverchair.com)
  • Once the patient has fallen asleep an endotracheal tube is inserted into their trachea through their mouth to facilitate the administration of oxygen and a gaseous anesthetic called isoflurane. (oakdaleveterinarygroup.com)
  • The objective of this study was to evaluate the relationship between the mode of anesthesia, the time form the induction to the extraction of a puppy and the immediate postnatal vitality and umbilical cord blood gases parameters in cesarean section derived-puppies. (biomedcentral.com)
  • The combination of isoflurane anesthesia and mechanical ventilation reduces urinary output and promotes redistribution of a crystalloid bolus into the extravascular space. (silverchair.com)
  • The authors hypothesized that mechanical ventilation rather than isoflurane causes this alteration. (silverchair.com)
  • Isoflurane, but not mechanical ventilation, decreased urinary excretion and increased interstitial fluid volume. (silverchair.com)
  • ALTHOUGH the practicing anesthesiologist uses anesthesia, mechanical ventilation, and fluid therapy nearly every working day, the effects of anesthesia and mechanical ventilation on fluid therapy and their interactions are not well defined or appreciated. (silverchair.com)
  • An ether is an organic chemical that contains an ether group-an oxygen atom connected to two (substituted) alkyl groups. (wikipedia.org)
  • Induction with sevoflurane may be achieved by inhalation of 0.5-1.0% sevoflurane in oxygen (O 2 ) with or without nitrous oxide (N 2 O), increasing by increments of 0.5-1.0% sevoflurane, to a maximum of 8% in adults and children until the required depth of anaesthesia is achieved. (medicines.org.uk)
  • It is occasionally administered as continuous IV infusions (for maintenance of anesthesia or for refractory seizure-cases) or repeated boluses. (rrcus.org)
  • Volume kinetic analysis demonstrated extravascular fluid accumulation associated with isoflurane anesthesia similar to the calculated interstitial accumulation of 20.2 +/- 0.5 and 26.5 +/- 0.3 ml/kg in the ISOSV and ISOMV protocols, respectively. (silverchair.com)
  • The higher concentration of isoflurane with the longer time of exposure had a negative effect on the initial newborn vitality as well as the umbilical cord blood gas parameters. (biomedcentral.com)
  • It has been shown that after a single bolus of propofol it exhibits an immediate plasma concentration peak, followed by a rapid decline [ 11 , 13 ]. (biomedcentral.com)
  • Intravenous antibiotics are started to build up the concentration of antibiotics in the patient's bloodstream. (oakdaleveterinarygroup.com)
  • It does, however, have flaws such as a limited block range, a sluggish onset of anesthesia, and a short duration of anesthesia. (hindawi.com)
  • Isoflurane at greater than 300 mum increased the latency to onset and rate of synaptic failures of ST-evoked excitatory postsynaptic currents. (silverchair.com)
  • Surgical levels of anaesthesia may be maintained by inhalation of 0.5-3% sevoflurane in O 2 with or without concomitant use of N 2 O. (medicines.org.uk)
  • Anesthesia or anaesthesia (from Greek αν- an- "without" + αἲσθησις aisthesis "sensation") has traditionally meant the condition of having the feeling of pain and other sensations blocked. (wikidoc.org)
  • Optimizing the depth of anesthesia may represent a modifiable strategy for delirium prevention. (biomedcentral.com)
  • Optimizing depth of anesthesia may represent a modifiable strategy for the prevention of delirium, with the hypothesis that excessive depth of anesthesia may have deleterious consequences for older adults. (biomedcentral.com)
  • ST-evoked and miniature excitatory postsynaptic currents as well as miniature inhibitory postsynaptic currents were measured during isoflurane exposure. (silverchair.com)
  • A short acting barbiturate or other intravenous induction agent may be administered followed by inhalation of sevoflurane. (medicines.org.uk)
  • Propofol IV produces rapid hypnosis, usually within 40 seconds. (medscape.com)
  • Incidence of POST decreased in all patients with maximum decrease in group N (18%), while 30.8% in group I and 30.4% in group C. This decrease was not statistically significant when compared to group I ( p 0.14) as well as group C ( p 0.15). (springeropen.com)
  • Topical dexamethasone (group C) is as effective as intravenous dexamethasone in decreasing incidence of POST, while both the techniques are not effective in decreasing hoarseness of voice. (springeropen.com)
  • Previous studies suggest that dexamethasone is effective in decreasing the incidence of POST when given via different routes, i.e., intravenous (Subedi et al. (springeropen.com)
  • Regional anesthesia: Loss of pain sensation, with varying degrees of muscle relaxation, in certain regions of the body. (wikidoc.org)