Recovery after day‐case anaesthesia. A 24‐hour comparison of recovery after thiopentone or propofol anaesthesia

Heath, P. J.; Ogg, T. W.; Gilks, WalterR.

doi:10.1111/j.1365-2044.1990.tb14617.x

Cited by 44 publications

(13 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, Raeder et al [17] found no differences in incidence rates of PONV between their propofol, thiopentone, and metohexitone groups. In another clinical study comparing the effects of propofol and thiopentone, Heath et al [36] found that the women who received propofol as an anesthetic were less tired and drowsy, more alert, and recovered faster regardless of the treatment administered to prevent PONV.…”

Section: Nontraditional Antiemeticsmentioning

confidence: 97%

Prevention of nausea and vomiting during termination of pregnancy

Fujii

2010

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

Section: Nontraditional Antiemeticsmentioning

confidence: 97%

Prevention of nausea and vomiting during termination of pregnancy

Fujii

2010

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

“…Among induction agents, propofol is often used to facilitate LMA insertion because it depresses airway reflexes effectively 1 and makes early recovery possible. 2 A propofol dose ranging from 2.5 to 3 mgÁkg…”

Section: Résumémentioning

confidence: 99%

Topical lidocaine improves conditions for laryngeal mask airway insertion

Changchien¹,

Chen²,

Hsieh³

et al. 2010

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

Purpose We hypothesized that optimal laryngeal mask airway (LMA TM ) insertion conditions might be achieved with topical lidocaine and a smaller dose of propofol. In this study, insertion conditions after topical lidocaine 40 mg followed by propofol 2 mgÁkg -1 were compared with propofol 2 mgÁkg -1 or propofol 3 mgÁkg -1 alone. Methods Ninety patients were recruited for this randomized prospective double-blind study. One group received four sprays of topical lidocaine (40 mg) over the posterior pharyngeal wall followed by propofol 2 mgÁkg -1 (Group 2PL; n = 30). The other two groups received four sprays of 0.9% normal saline followed by propofol 2 mgÁkg -1 (Group 2P; n = 30) or by propofol 3 mgÁkg -1(Group 3P; n = 30). The frequency of optimal insertion conditions (successful insertion at the first attempt without adverse responses) and side effects were recorded. Results The frequency of optimal insertion conditions was greater in Group 2PL (20/30, 67%) and Group 3P (22/ 30, 73%) than in Group 2P (11/20, 37%) (P = 0.009). In Group 3P, the mean blood pressure was lower than in the other groups prior to LMA-Classic TM insertion (P = 0.003) but was similar after insertion. The incidence of apnea was greater in Group 3P patients (17/30, 57%) than in Group 2P (2/30, 7%) or Group 2PL patients (1/30, 3%) (P \ 0.001). Conclusion Topical lidocaine 40 mg followed by propofol 2 mgÁkg -1 can provide optimal insertion conditions of the LMA-Classic comparable to those of propofol 3 mgÁkg -1 , with fewer hemodynamic changes and a lower incidence of apnea. RésuméObjectif Nous avons e´mis l'hypothe`se que des conditions optimales d'insertion du masque larynge( LMA TM ) pourraient eˆtre cre´e´es graˆce a`l'utilisation de lidocaı¨ne topique et une dose moindre de propofol. Dans cette e´tude, nous avons compare´les conditions d'insertion apre`s 40 mg de lidocaı¨ne topique puis 2 mgÁkg -1 de propofol, avec 2 mgÁkg -1 de propofol ou 3 mgÁkg -1 de propofol sans lidocaı¨ne topique. Méthode Quatre-vingt-dix patients ont e´te´recrute´s dans cette e´tude prospective randomise´e à double insu. Un groupe a reçu quatre pulve´risations de lidocaı¨ne topique (40 mg) sur la paroi pharynge´e poste´rieure, puis 2 mgÁkg -1 de propofol (groupe 2PL; n = 30). Les deux autres groupes ont reçu quatre pulve´risations de se´rum physiologique a`0,9 %, puis 2 mgÁkg -1 de propofol (groupe 2P; n = 30) ou 3 mgÁkg -1 de propofol (groupe 3P; n = 30). La fre´quence de conditions d'insertion optimales (insertion re´ussie a`la premie`re tentative sans re´action ne´gative) et les effets secondaires ont e´te´enregistre´s. Résultats La fre´quence de conditions d'insertion optimales e´tait plus e´leve´e dans le groupe 2PL (20/30, 67 %) et le groupe 3P (22/30, 73 %) que dans le groupe 2P (11/30, 37 %) (P = 0,009). Dans le groupe 3P, la tension

show abstract

“…Kubitz and colleagues demonstrated recovery of psychomotor functions within 24 h in patients older than 80 yr scheduled for cataract surgery [2]. In contrast, Heath and colleagues demonstrated reduced memory performance in female patients, 24 h after day case dilatation and curettage [4]. Tzabar and colleagues reported a greater number of cognitive lapses in younger patients when the patients used a cognitive failures questionnaire, which allows self-assessment.…”

Section: Introductionmentioning

confidence: 95%