Use of remifentanil in comparison with sodium nitroprusside for controlled hypotension during rhinoplasty: Randomized controlled trail

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Remifentanil and controlled hypotension; comparison with nitroprusside or esmolol during tympanoplasty.

PURPOSE To determine whether remifentanil, combined with propofol, could induce controlled hypotension, reduce middle ear blood flow (MEBF) measured by laser-Doppler flowmetry, provide a "dry" operative field, and could be compared with nitroprusside or esmolol combined with alfentanil and propofol. METHODS Thirty patients undergoing tympanoplasty and anesthetized with 2.5 mg x kg(-1) propofo...

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Evaluation of sodium nitroprusside for controlled hypotension in children during surgery

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The cerebral response to sodium nitroprusside and trimethaphan controlled hypotension.

THE EFFECTS of altered arterial blood pressure on cerebral blood flow ( CBF ) have been well documented by Lassen 1'2 and Olesen 3 in man, and by Rapela, 4 Waltz ~ and Yashon 6 in dogs. The critical determinants of cerebral blood flow are the cerebral perfusion pressure (CPP) and the cerebrovascular resistance (CVR). The CPP is the difference between the driving force of the mean arterial press...

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Central and Regional Haemodynamics during Controlled Hypotension Produced by Adenosine, Sodium Nitroprusside and Nitroglycerin

Induced hypotension during anaesthesia was introduced by Gardner in 1946 [1]. Reasons for the use of deliberate hypotension during surgery are to facilitate the surgery and to decrease blood loss [2]. However, in a retrospective series [3] there was an overall incidence of complications of more than 3%, and there is always a risk of underperfusion of vital organs—a hazard that the anaesthetist ...

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Target-controlled infusions of remifentanil and propofol during laparoscopic cholecystectomy

We have had this study to evaluate the clinical profile of target-controlled infusion-based anesthesia using remifentanil and propofol. 116 ASA I-II patients undergoing elective laparoscopic cholecystectomy (LCH) were enrolled. TCI Remifentanil was set at 8 micrograms. L - 1 as target and TCI propofol at 4 mcg/ml throughout the whole procedure. The hemodynamics during induction of anesthesia an...

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ژورنال

عنوان ژورنال: Egyptian Journal of Anaesthesia

سال: 2015

ISSN: 1110-1849

DOI: 10.1016/j.egja.2015.06.003