Effect of abruptly increased intrathoracic pressure on coronary blood flow velocity in patients

Kern, Morton J.; Gudipati, Chalapathirao; Tatineni, Satyam; Aguirre, Frank V.; Serota, Harvey; Deligönül, Ubeydullah

doi:10.1016/s0002-8703(05)80324-2

Cited by 28 publications

(10 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Since the possible influence of distraction as a pain-reducing method on stress induced alterations on the sympathetic nervous system [1] and a sudden rise in blood pressure caused by coughing has been associated with pain relief [21,22], lack of evaluation concerning vital signs during each step of cervical biopsy seems to be the major limitation of the present study.…”

Section: Discussionmentioning

confidence: 99%

Analgesic Efficacy of Forced Coughing versus Local Anesthesia during Cervical Punch Biopsy

Naki

Api

Acioglu

et al. 2011

Gynecol Obstet Invest

View full text Add to dashboard Cite

Background/Aims: To compare local anesthesia and forced coughing in terms of subjective pain perception during cervical punch biopsy. Methods: In this randomized controlled trial, 114 patients (mean age: 38.9 ± 9.0 years) scheduled for colposcopically directed cervical punch biopsy were randomly assigned to local anesthesia (n = 39), forced coughing (n = 39) and control (n = 36) groups. Pain perception was measured on a 10-cm visual analog scale (VAS) during the insertion of the speculum, injection of the local anesthetic to the cervix and the taking of the first cervical biopsy, as well as for the overall pain perceived during the entire procedure. Results: Experimental groups were similar in age, gravidity, parity and prior curettage. The pain score obtained during the first cervical biopsy was significantly lower if local anesthesia was applied (p = 0.016). Groups were similar in other pain subscores. The duration of the entire procedure was significantly longer (p < 0.001) in the local anesthesia group, while it was not significantly different in forced coughing patients compared to controls. Conclusion: Local anesthesia, but not forced coughing, provides significant pain relief during cervical biopsy. Based on similarity to control data in terms of pain relief and shortening of the operation, forced coughing per se seems related neither to pain relief nor a faster cervical biopsy.

show abstract

Section: Discussionmentioning

confidence: 99%

Analgesic Efficacy of Forced Coughing versus Local Anesthesia during Cervical Punch Biopsy

Naki

Api

Acioglu

et al. 2011

Gynecol Obstet Invest

View full text Add to dashboard Cite

show abstract

“…23,24 In addition, cough from tracheal irritation by the endotracheal tube causes elevation of sympathetic tone and plasma catecholamine release resulting in HR and blood pressure elevation. 1 In this study, though remifentanil was better for suppressing cough during emergence, this result did not lead to more hemodynamic stability in group R. After extubation, HR decreased in group D rather than in group R. This might have been because of the continued maintaining effect of dexmedetomidine in group D, and, maybe because the effect of remifentanil rapidly diminished in group R. In addition, we observed elevated blood pressure in group D at the T 1 and T 2 points; this might have happened because administration of singledose dexmedetomidine temporarily increases blood pressure.…”

Section: Discussionmentioning

confidence: 99%

A Randomized Comparison of Remifentanil Target-Controlled Infusion Versus Dexmedetomidine Single-Dose Administration

Park

Kim

Lee

et al. 2016

American Journal of Therapeutics

View full text Add to dashboard Cite

Remifentanil target-controlled infusion and dexmedetomidine single-dose administration are known to reduce airway response and hemodynamic stimulation during anesthetic recovery. We compared the effects of 2 drugs on the prevention of cough during emergence. We enrolled 70 female patients aged 20-60 years with American Society of Anesthesiologists (ASA) I-II who underwent general anesthesia for elective thyroidectomy. The patients were randomly assigned to remifentanil (group R) or dexmedetomidine (group D). Anesthesia was maintained with sevoflurane and effect-site target-controlled infusion of remifentanil. In group D, remifentanil was discontinued, and dexmedetomidine 0.5 μg/kg was given 10 minutes before the end of surgery. In group R, remifentanil target-controlled infusion at an effective-site concentration of 2.0 ng/mL was maintained during emergence until extubation. The cough grade, hemodynamic values, respiration, and other recovery profiles were evaluated during the periextubation period. The proportion of patients with no cough or just a single cough during extubation was significantly higher in group R than in group D (96.8% vs. 55.9%). The change of mean arterial pressure and heart rate were not significantly different during extubation in both groups. Respiratory rate and the incidence of residual sedation after extubation were lower in group R. There were no desaturation events and no differences in time to extubation or duration of postanesthesia care unit stay in both groups. Remifentanil target-controlled infusion reduces emergence cough from general anesthesia more effectively than single-dose dexmedetomidine. However, a single-dose of dexmedetomidine has the effect with respect to respiratory and hemodynamic stability during emergence.

show abstract

“…Extubation occurred when all the patients were awake and had stable hemodynamics, and this intervention did not extend the time of extubation. With the emergence of new technology and new drugs, the anesthesiologist can unhurriedly face many adverse events with the use of lidocaine, esmolol, dilthiazem, verapamil, and opioids to treat hypertension, tachycardia, and heart disorders during extubation (Steinhaus and Gaskin, 1963;Kern et al, 1990;De Castro et al, 2003). The intravenous administration of butorphanol tartrate or nefopam hydrochloride can treat shivering caused for various reasons after anesthesia (Juneja et al, 1992;Yarmush et al, 1997;Piper et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

Effects of maintaining intravenous infusion of remifentanil or propofol on anesthesia and palinesthesia during anesthesia and analepsia

Zhao

Jin

et al. 2014

Genet. Mol. Res.

View full text Add to dashboard Cite

Effect of abruptly increased intrathoracic pressure on coronary blood flow velocity in patients

Cited by 28 publications

References 19 publications

Analgesic Efficacy of Forced Coughing versus Local Anesthesia during Cervical Punch Biopsy

Analgesic Efficacy of Forced Coughing versus Local Anesthesia during Cervical Punch Biopsy

A Randomized Comparison of Remifentanil Target-Controlled Infusion Versus Dexmedetomidine Single-Dose Administration

Effects of maintaining intravenous infusion of remifentanil or propofol on anesthesia and palinesthesia during anesthesia and analepsia

Contact Info

Product

Resources

About