No abstract available.
Fentanyl ; Syringes

No abstract available.
Amides ; Arthroplasty ; Fentanyl ; Knee

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

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

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

BACKGROUND: This study compared the efficacy of intravenous fentanyl with lidocaine as a pretreatment for the prevention of a withdrawal response after a rocuronium injection. METHODS: Eighty patients were divided into four groups according to the drugs used for pretreatment as follows: group I: normal saline, group II: lidocaine 0.5 mg/kg, group III: lidocaine 1.0 mg/kg, group IV: fentanyl 1microgram/kg. Twenty seconds after inducing anesthesia, each pretreatment drug was injected. After twenty seconds, rocuronium was injected. The incidence and severity of the withdrawal responses was assessed. The BIS value and heart rate was recorded at each point (T0: baseline, T1: pretreatment drug injection, T2: 10 seconds after pretreatment drug injection, T3: rocuronium injection, T4: 10 seconds after rocuronium injection, T5: 20 seconds after rocuronium injection). RESULTS: The incidence of withdrawal movement was significantly lower in groups II and III than in groups I and IV (P = 0.002). The BIS was significantly lower in group IV than in groups I, II and III at T2 and group I at T3 (P < 0.05). The heart rate at T4 was significantly lower in group IV than in group II (P < 0.05). An assessment of BIS at the withdrawal movements showed a significantly higher value in the severe group than in the none and mild groups at T5 (P < 0.05). CONCLUSIONS: A pretreatment with 0.5 mg/kg or 1.0 mg/kg of lidocaine effectively reduced the incidence of a withdrawal response by the rocuronium injection. However, 1.0 mg/kg of lidocaine most effectively prevented the withdrawal response without causing any significant changes in heart rate.
Anesthesia ; Fentanyl* ; Heart Rate ; Humans ; Incidence ; Lidocaine*

The effects of fentanyl anesthesia on the changes of hemodynamic(HR, BP), blood suger, electrolytes and ABGA during induction of anesthesia and cardiopumonary bypass under fentanyl anesthesia were studied in three groups of 30 patients. The results were as follows: 1) The changes of HR & BP were significatly decreased under fentanyl anesthesia compaired to morphine anesthesia. 2) The level of blood sugar was increased during whole procedures in all groups and it was the least in large dose fentanyl group. 3) The changes of electrolyte and arterial blood gas value during CPB were not remakable.
Anesthesia* ; Blood Glucose* ; Electrolytes ; Fentanyl* ; Humans ; Morphine

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

The influence of clonidine on the analgesic effect of epidural fentanyl was investigated in 45 patients who underwent total abdominsl hysterectomy by epidural admistration of fentanyl 100 g alone, clonidine 150ug alone, or in combination of the two drugs. Changes in the mean arteral pressure and pulse rate were observed after drug administration, and the analgesic effects was assessed by measuring analgesic duration, pain score, sedation score, and side effects. Analgesic duration was prolonged with improved quality by adding 150 ug of clonidine to 100 ug of epidural fentanyl. Mean arteral pressure and pulse rate were decreased more in fentanyl plus clonidine group than each drug alone group. But these changes were restored rapidly by injection of small dose of vasopressor. The clonidine alone group showed the least analgesic effect among three groups indicatings that clonidine would not be a sole analgesic agent and would be used as an adjunct to other opiate such as fentanyl.
Clonidine* ; Fentanyl* ; Heart Rate ; Humans ; Hysterectomy