OBJECTIVE Electrocorticography (ECoG) may be used to guide epilepsy surgery. However, anesthetics can suppress epileptiform activity or induce confounding burst-suppression patterns and the relationship between ECoG results and seizure outcome is controversial. In this study, we evaluated the ECoG activity under several different anesthetics and examined the relationship between ECoG and outcom...

BACKGROUND Dexmedetomidine, a specific α(2) agonist, has an analgesic-sparing effect and reduces emergence agitation. We compared an intraoperative dexmedetomidine infusion with bolus fentanyl to reduce perioperative opioid use and decrease emergence agitation in children with obstructive sleep apnea syndrome undergoing adenotonsillectomy (T&A). METHODS One hundred twenty-two patients with ob...

BACKGROUND Induction of anesthesia and endotracheal intubation often creates a period of hemodynamic instability in hypertensive patients. Endotracheal intubation of the trachea stimulates laryngeal and tracheal sensory receptors, resulting in a marked increase in the elaboration of sympathetic amines. OBJECTIVES This trial aimed to evaluate and compare the efficacy of fentanyl and fentanyl p...

Monitoring fentanyl concentration in saliva and plasma may be useful in pharmacokinetic/pharmacodynamic studies. Salivettes(®) have been used widely for collecting saliva samples. However due to its lipophilicity, fentanyl adsorbs to the cotton dental bud (CDB) used in this device. Furthermore, due to dry mouth being a common adverse effect seen in patients treated with opioids, obtaining enoug...

In March and October 2015, the Drug Enforcement Administration (DEA) and CDC issued nationwide alerts identifying fentanyl, particularly illicitly manufactured fentanyl (IMF), as a threat to public health and safety (1,2). IMF is pharmacologically similar to pharmaceutical fentanyl (PF), but is unlawfully produced in clandestine laboratories, obtained via illicit drug markets, and includes fent...

Introduction: The study compared the effectiveness of opioids: butorphanol, fentanyl and nalbuphine as a part Total Intra Venous Anaesthesia (TIVA) using propofol an inducing agent in all three groups laparoscopic cholecystectomy view haemodynamic stability, analgesia recovery characteristics. Aims: To compare efficacy opioids viz. TIVA Haemodynamics variables, Material Methods: This randomised...

provided the original work is properly cited. CC Intravenous patient-controlled analgesia (IV-PCA) using opioids allows the patient to control the amount of analgesic according to the degree of pain. For effective pain reduction and avoidance of opioid-related complications, studies have investigated methods of combining opioid use with drugs such as NSAIDs, ketamine, clonidine, and dexmedetomi...