No abstract available.
Fentanyl ; Syringes

No abstract available.
Amides ; Arthroplasty ; Fentanyl ; Knee

Effect of marcaine plus fentanyl combination for lumbar epidural anesthesia was investigated in random series of 33 patients who were undergoing lumbar discectomy. Patients received 1mg/kg marcaine with 1mcg/kg fentanyl. The volume of local anesthetic solution was calculated basing on the number of segments that needed to block: 1.5 - 1.6ml per segment. It was found that the marcaine plus fentanyl combination provided high effect (100%) on epidural anesthesia, rapid onset (7.51.8 min), long working duration (33070 min), caused milder hemodynamic changes, decreased the incidence of adverse events and produced satisfactory operating condition.
Bupivacaine ; Fentanyl ; Anesthesia, Epidural

A prospective study involved 64 patients (43 men, 21 women) aged from 20 to 62 years with lumbar disc herniation who had operated at Military Hospital 103. These patients were divided into 2 groups. Group 1 received marcaine (0.25%-0.375%) plus fentanyl, group 2 received marcaine (0.35% - 0.5%) alone for lumbar epidural anesthesia. The volume of local anesthetic solutions injected epidurally was calculated based on number of segments that had to block, with dose of 1.5 - 1.6 ml per segment. The results showed that compare with marcaine alone, the combination of marcaine and fentanyl provided better analgesic effect, faster onset and longer duration of action, caused milder hemodynamic changes, decreased the incidence of adverse effects and produced satisfactory post-operative condition
Bupivacaine ; Fentanyl ; Analgesia, Epidural

Diprivan is intravenous anesthetic agent with many advantages. 20 patients received the diprivan for abdominal fatty removal. The results have shown that the homodynamic during operation was stable. The hypotension occurred only during preanasthesics. The heart beat was also reduced due to the change of sensitivity of sensory focus and pressure reflex, this reduction was corresponded with hypotension but within allowed range. These easily controlled and were stable throughout an operation
Propofol ; Fentanyl ; surgery

No abstract available.
Fentanyl ; Intensive Care Units ; Miliaria*

BACKGROUND: There are many reports showing that a thoracic paravertebral block (TPB) can be used for post-thoracotomy pain control. However, the proper concentration of local anesthetics for TPB has not been established. The aim of this study was to define the proper concentration of bupivacaine for TPB after a thoracotomy. METHODS: Sixty patients were allocated randomly into one of the following three groups: thoracic paravertebral 0.5%, 0.25%, or 0.125% bupivacaine at a rate of 0.1 ml/kg/h (kg: ideal body weight). The resting and coughing visual analogue scale (VAS) score, cumulative dose of fentanyl, and the 5 point satisfaction scale were checked. RESULTS: 0.5% and 0.25% bupivacaine showed lower VAS score and cumulative dose of fentanyl than 0.125%. There was no difference in the satisfaction scale between the 3 groups. There was no difference between the 0.5% and 0.25% bupivacaine in all parameters measured. CONCLUSIONS: 0.25% bupivacaine used for TPB is more effective when used for pain control after a thoracotomy than 0.5% and 0.125% bupivacaine.
Anesthetics, Local ; Bupivacaine* ; Cough ; Fentanyl ; Humans ; Thoracotomy*

BACKGROUND: Rocuronium bromide is a monoquaternary amino steroidal muscle relaxant. Rocuronium is structurally stable and no metabolites of rocuronium have not been observed in humans. The manufacturer recommends that rocuronium can be stored in room temperature for 12 weeks. The aim of this study was to determine if the storage temperature of rocuronium could influence the pharmacodynamics of rocuronium. METHODS: One hundred of patients with a class I or II ASA physical status were enrolled in this study. It was divided to two groups. One (Group '0', n = 50) consists of those who had intravenously administered the rocuronium which had been stored in refrigerator and the other (Group '14', n = 50) consists of those who had intravenously administered the rocuronium which had been stored in room temperature (20-29degrees C, median 25.1degrees C) for 14 days. Before an anesthesia was induced, TOF-Watch(R) was attached and calibrated. The anesthesia was induced with 1microgram/kg of fentanyl and 1.5 mg/kg of propofol intravenously. While the 0.1 Hz of single twitch was applied, 0.45 mg/kg of rocuronium, which is appointed to each group, was injected. Intubation is performed 90 seconds after injection of rocuronium and evaluated the intubating condition as excellent, good, poor, and impossible. RESULTS: There was a statistically significant difference in intubating condition at 90 seconds between two groups. The onset time to twitch depression of 0% in group '14' was prolonged compared to group '0' (P < 0.05). Clinical duration was also shortened in group '14' (P < 0.05). CONCLUSIONS: Compared with the use of rocuronium stored in refrigerator, that stored at room temperature can be expected to have unfavorable intubating condition at 90 seconds after rocuronium injection. Therefore, the storage temperature has some influences on the efficacy of rocuronium.
Anesthesia ; Depression ; Fentanyl ; Humans ; Intubation ; Propofol

BACKGROUND: We designed this study to find the appropriate dose of fentanyl for the prevention of emergence agitation in pediatric tonsillectomy patients under sevoflurane anesthesia. METHODS: Sixty pediatric patients receiving sevoflurane anesthesia for tonsillectomy was assigned to 3 groups. Fentanyl 0.5microgram/kg (group 1), 1.0microgram /kg (group 2), or 1.5microgram/kg (group 3) was administered intravenously 10 min before the end of surgery. Agitation score was checked at the postanesthesia care unit. RESULTS: The results showed a lower incidence of severe agitation in groups 2 and 3 than in group 1. There was no difference between groups 2 and 3. CONCLUSIONS: For preventing emergence agitation after sevoflurane anesthesia, we recommend using fentanyl in a dose of more than 1.0micrgram/kg.
Anesthesia* ; Dihydroergotamine* ; Fentanyl* ; Humans ; Incidence ; Tonsillectomy*

In a randomized study of 16 pediatric patients undergone open-heart surgery, the postoperative recovery time and ventilatory support time of the patients anesthetized with fentany (fentanyl group, n=8) was compared with those of the patients anesthetized with morphine (morphine group, n=8). All patients were premedicated with 0.1 mg/kg of morphine and 0.008mg/kg of glycoppyrolate i.m. 1hr prior to anesthesia. In morphine group, anesthesia was induced with morphine 0.5mg/kg and thiopental 3 mg/kg and in fentanyl group with fentanyl 5 ug/kg and thiopental 3 mg/kg. Anesthesia was maintained with assigned opiate based upon cardiovascular signs. The total doses of opiates are 3.2mg/kg in morphine group and 34.3pg/kg in fentanyl group. In fentanyl group the time to regain consciousness (107+/-53min), ventilatory support time (209+/-53min) and the time from end of operation to extubation (589+/-82min) are significantly shorter than in morphine group (142+/-41min, 838+/-220min, 1470+/-269min, respectively). From the above results fentanyl is more suitable i.v. anesthetic agent for open-heart surgry in respect of postoperative ventilatory care.
Anesthesia ; Consciousness ; Fentanyl* ; Heart* ; Humans ; Morphine* ; Thiopental