scholarly journals Comparison of sevoflurane and desflurane on effect-site concentration of remifentanil for preventing anesthetic emergence cough in elderly female patients undergoing laparoscopic cholecystectomy

2018 ◽  
Vol Volume 13 ◽  
pp. 1769-1777 ◽  
Author(s):  
Ha Yeon Kim ◽  
Yeo Rae Moon ◽  
Suhyun Seok ◽  
Bora Kim ◽  
Ji Eun Kim ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Female Patients ◽  
Elderly Female ◽  
Effect Site ◽  
Effect Site Concentration

scholarly journals Remifentanil Alleviates Propofol-Induced Burst Suppression without Affecting Bispectral Index in Female Patients: A Randomized Controlled Trial

2019 ◽  
Vol 8 (8) ◽  
pp. 1186
Author(s):  
Dahye Jung ◽  
Sungwon Yang ◽  
Min Soo Lee ◽  
Yoonki Lee
Keyword(s):  
Bispectral Index ◽  
Suppression Ratio ◽  
Controlled Trial ◽  
Burst Suppression ◽  
Remifentanil Infusion ◽  
Female Patients ◽  
Effect Site ◽  
Effect Site Concentration ◽  
American Society ◽  
American Society Of Anesthesiologists

The bispectral index is affected by various factors, such as noxious stimuli and other drugs, such as muscle relaxants. The burst suppression ratio from bispectral index monitoring is correlated with electroencephalographic burst suppression, which is associated with deep anesthesia, metabolic disorders, and brain injury. We assessed patients undergoing total intravenous anesthesia and examined the effects of remifentanil on the bispectral index, burst suppression ratio, and hemodynamic changes immediately after loss of consciousness with propofol. Seventy American Society of Anesthesiologists physical status class I and II Korean female patients scheduled for general anesthesia were administered propofol with an effect-site concentration of 5 μg/mL, using a target-controlled infusion (TCI). After losing consciousness, patients received either saline or remifentanil at an effect-site concentration of 5 ng/mL for 10 min. During this period, we recorded the bispectral index values, including burst suppression ratio, blood pressure, and heart rate. With remifentanil infusion, burst suppression ratios were lower (p < 0.01) but bispectral values were not different. The burst suppression ratio was significantly different at 6, 7, 8, and 10 min after remifentanil infusion (p < 0.05). In female patients with propofol-induced unconsciousness, remifentanil alleviated the burst suppression ratio without affecting the bispectral value.

Pain on injection does not affect the effect site concentration of propofol at loss of consciousness

2007 ◽  
Vol 24 (Supplement 39) ◽  
pp. 119
Author(s):  
S. Hagihira ◽  
H. Yamanaka ◽  
O. Nagata ◽  
M. Ozaki ◽  
T. Mashimo
Keyword(s):  
Loss Of Consciousness ◽  
Pain On Injection ◽  
Effect Site ◽  
Effect Site Concentration

scholarly journals Basal Cell Carcinoma of the Head and Neck Region in Ethnic Chinese

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Velda Ling Yu Chow ◽  
Jimmy Yu Wai Chan ◽  
Richie Chiu Lung Chan ◽  
Joseph Hon Ping Chung ◽  
William Ignace Wei
Keyword(s):  
Neck Region ◽  
Surgical Excision ◽  
Chinese Patients ◽  
Skin Closure ◽  
Recurrence Rates ◽  
Tumour Control ◽  
Female Patients ◽  
Ethnic Chinese ◽  
Elderly Female ◽  
Tertiary Centre

Objectives.This study aims to report our experience in the management of HNBCC in ethnic Chinese over a 10-year period.Methods.A retrospective review of all ethnic Chinese patients with HNBCC treated in a tertiary centre from 1999 to 2009.Results.From 1999 to 2009, 225 patients underwent surgical excision for HNBCC. Majority were elderly female patients. Commonest presentation was a pigmented (76.2%) ulcer (64.8%) over the nose (31.6%). Median skin margin taken on tumour excision was 2.0 mm; primary skin closure was achieved in 51.8%. Postresection skin margin was clear in 75.4%. Of those with inadequate skin margins, 56.7% opted for further treatment, 43.4% for observation. Recurrence rates were 2.6% and 13.8%, respectively (). Overall recurrence rate was 5.5%.Conclusions.HNBCC commonly presented as pigmented ulcers over the nose of elderly female patients in our locality. Adequate tumour excision ± reconstruction offered the best chance of cure. Reexcision of those with inadequate skin margins improved local tumour control.

scholarly journals Operative and Postoperative Complications of Laparoscopic Cholecystectomy: Experience from a Tertiary Care Hospital of Bangladesh

2017 ◽  
Vol 5 (1) ◽  
pp. 11-16 ◽  
Author(s):  
Tapash Kumar Maitra ◽  
Mahmud Ekram Ullah ◽  
Faruquzzaman ◽  
Samiran Kumar Mondol
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Postoperative Complications ◽  
Gall Bladder ◽  
Acute Cholecystitis ◽  
Invasive Technique ◽  
Favorable Result ◽  
Age Group ◽  
Open Conversion ◽  
Female Patients ◽  
Complications Of Laparoscopic Cholecystectomy

Background: The technique of laparoscopic surgery has rapidly become popular because of its several advantages over conventional open surgery. The reduction of postoperative pain provided positive human impact, and the reduction of length of hospital stay as well as the earlier return to work generated a positive socioeconomic impact. However, in spite of being a minimally invasive technique, this procedure has different peroperative and postoperative complications which cannot be disregarded.Objective: To evaluate the complications of laparoscopic cholecystectomy in symptomatic and asymptomatic cholelithiasis and other benign gall bladder diseases.Methodology: 172 patients who underwent laparoscopic cholecystectomy were included in this prospective study on the basis of non-randomized convenient sampling from a period of September 30, 2014 to September 30, 2016 in BIRDEM General Hospital, Dhaka, Bangladesh. Data of the patients regarding outcomes and complications were analyzed.Result: Results of this study suggests that 35.5% cases were male and 64.5% patients were female. In male group, most of the patients (18.0%) were in 41-50 years of age group followed by 9.9% in 51-60 years age group, whereas among the female patients these were 33.1% and 15.7% respectively. Mean±SD of age were46±1.7 and 42±1.3 years in case of male and female patients respectively.In 119 (69.2%) out of total 172 cases, laparoscopic cholecystectomy was done for chronic cholecystitis and in 18.6% (32 out of total 172) cases, it was performed for acute cholecystitis. Intra-operative bile leak(11.0%) was found to be the most frequent complications during laparoscopic cholecystectomy. The incidence rates of perforation of gall bladder, stone spillage were 9.3% and 5.2% respectively. Trocar site, vascular, and hepatic bed hemorrhages were 7.0%, 4.7% and 4.0% respectively. Open conversion was done in 17 cases (9.9%). Port site infection and post cholecystectomy syndrome developed in 5.2% and 4.7% cases respectively. The overall mortality was approximately 1.1%. Serious complications likebowel injury and bile duct injury were recorded in 0.6% and 1.2% cases respectively.The results of this study suggest that gender, age, co-morbidities, previous abdominal surgery, acute cholecystitis, obesity, thickened gall bladder wall on ultrasound, history of preoperative ERCPare probablyimportant and clinically significant relevant factors for open conversion of laparoscopic cholecystectomy.Conclusion: In our study, complications of laparoscopic cholecystectomy were similar to those of different centres in western countries. We found laparoscopic cholecystectomy as a safe and effective procedure in almost all patients with cholelithiasis. Proper preoperative work up, awareness of possible complications and adequate training on laparoscopic technique make this operation a safe procedure with favorable result and lesser complications.Bangladesh Crit Care J March 2017; 5(1): 11-16

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