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161. Use of Local Anesthesia for Pediatric Dental Patients

of local anesthetics and also elevate arterial carbon dioxide, both of which will increase CNS sensitivity to convulsions. In addition, narcotics such as meperidine have convulsant properties when excessive doses are administered. For patients undergoing general anesthesia, the anesthesia care provider needs to be aware of the concomitant use of a local anesthetic containing epinephrine, as epinephrine can produce dysrhythmias when used with halogenated hydro- carbons (e.g., halothane). 1 Local

2015 American Academy of Pediatric Dentistry

162. Perinatal substance use: maternal

to online version, destroy printed copies after use Page 7 of 29 1.2 Commonly used/misused substances Table 2. Substances commonly used/misused Opioids 5 (CNS depressants) Agonists 5 • Codeine 9 • Fentanyl • Heroin (Diacetyl morphine/Diamorphine) • Hydromorphone • Morphine • Methadone • Meperidine • Oxycodone • Propoxyphene Antagonists • Naltrexone Mixed agonist–antagonists • Buprenorphine (Subutex) 9 • Butorphanol • Nalbuphine • Pentazocine CNS stimulants Psycho stimulants • Caffeine 5 • Cocaine 5,9,10

2016 Queensland Health

163. Effectiveness of Sedoanalgesia in Percutaneous Liver Biopsy Premedication Full Text available with Trip Pro

were divided into three premedication groups as control, Meperidine, and Midazolam. Hospital Anxiety and Depression Scale (HADS) was used to measure each subject's anxiety level. Fifteen minutes before the biopsy, 1 mL 0.9% NaCl subcutaneously (sc), 1 mg/kg (max 100 mg) Meperidine sc, or 0.1 mg/kg (max 5 mg) Midazolam intravenously was administered to patients respectively. Then PLB was done with 16 G Menghini needle. The day after, the patients were asked about feelings regarding biopsy.Groups (...) were similar by gender and age. The HADS scores prior to PLB and on visual analog scale (VAS, 1-10 points) score during PLB were similar. In the three groups, 7, 12, and 7 patients, respectively, experienced no pain. Other patients explained pain as mild or moderate or severe. The number of patients who agreed for possible rebiopsy was higher in Meperidine and Midazolam groups than in the control group.Premedication with Meperidine or Midazolam in PLB would improve patients' tolerance, comfort

2017 Euroasian journal of hepato-gastroenterology Controlled trial quality: uncertain

164. Effect of Different Sedation Regimes on Cognitive Functions in Colonoscopy Full Text available with Trip Pro

Effect of Different Sedation Regimes on Cognitive Functions in Colonoscopy To compare the effects of propofol/remifentanil and meperidine/midazolam on postprocedure cognitive function.A total of 100 American Society of Anesthesiologists (ASA) score I to III patients undergoing elective colonoscopy were taken into the study and divided into two groups. Exclusion criteria were patient refusal, mini mental test (MMT) <26, The Amsterdam Preoperative Anxiety and Information Scale (APAIS) >10 (...) , advanced cardiopulmonary or psychiatric disease, chronic alcohol abuse, morbid obesity, and known allergy to study drugs. In group MM, 2 mg midazolam and 20 mg meperidine was given intravenously and additional 1 to 2 mg midazolam and 20 mg meperidine (with a maximum total of 5 mg midazolam and 50 mg meperidine) was given when bispectral index (BIS) was >80. In group RP, 100 μg/kg/minute propofol infusion and 1 μg/kg remifentanil bolus was administered and additional 0.5 μg/kg remifentanil bolus

2017 Euroasian journal of hepato-gastroenterology Controlled trial quality: uncertain

165. Liver Disease and Pregnancy

recommendation, low level of evidence). Computed tomography scans carry a risk of teratogenesis and childhood hematologic malignancies but may be used judiciously with minimized radiation protocols (2–5 rads; conditional recommendation, very low level of evidence). Endoscopy in pregnancy Endoscopy is safe in pregnancy but should be deferred until the second trimester if possible (strong recommendation, low level of evidence). Meperidine and propofol can be used for endoscopic sedation (strong recommendation (...) trimester if possible (strong recommendation, low level of evidence). 6. Meperidine and propofol can be used for endoscopic seda- tion (strong recommendation, moderate level of evidence). Although clinical studies on the safety and eff ectiveness of endoscopy for the pregnant patient have been limited, endo- scopy can be safe and eff ective if careful assessment of the risks, benefi ts, and clinical rationale is performed. One of the most important clinical issues in endoscopy of the pregnant patient

2016 American College of Gastroenterology

166. Clinical Practice Guidelines for Sustained Neuromuscular Blockade in the Adult Critically Ill Patient

. However, related research in other populations may be extrapolated to the setting of therapeutic hypothermia following cardiac arrest. In an open-label randomized study of 20 patients following hypothermic cardiopulmonary bypass, vecuronium (0.1 mg/kg bolus followed by 1 µg·kg –1 ·min –1 for 4 hr) eliminated shivering in 100% of patients, compared with 50% of patients who received meperidine (25 mg every 15 min until no shivering was observed or a total dose of 75 mg was administered) ( p < 0.05 (...) ) ( ). Vecuronium eliminated shivering without lowering systolic blood pressure, as occurred with meperidine ( p < 0.02), and eliminated shivering in the five patients whose shivering was uncontrolled by meperidine. As was noted in nonrandomized studies involving pancuronium for the prevention of shivering in patients following cardiopulmonary bypass ( , ), vecuronium administration was associated with consistent and statistically significant decreases in oxygen consumption and CO 2 production, effects not seen

2016 Society of Critical Care Medicine

173. Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice Full Text available with Trip Pro

(forced air warming systems, circulating water garments or warmed i.v. solutions). Combined strategies, and among the others preoperative warming, should be considered in vulnerable groups such as older patients with cardiorespiratory diseases, and surgery of long duration. Rewarming should be performed to a core temperature of 35.5–36.0°C before emergence from anaesthesia, and every effort should be made to avoid shivering by using meperidine 0.25–0.5 mg/kg. Alternatively clonidine 1–2 μg/kg i.v. can

2015 ERAS Society

176. Risk factors for postoperative delirium in patients undergoing lower extremity joint arthroplasty: a retrospective population-based cohort study. (Abstract)

data from the all-payer Premier Healthcare database containing detailed billing information from >25% nationwide hospitalizations. Patients undergoing elective total hip/knee arthroplasty surgery (2006-2016) were included.The primary outcome was postoperative delirium, while potential risk factors included age, gender, race, insurance type, and modifiable exposures including anesthesia type, opioid prescription dose (low/medium/high), benzodiazepines, meperidine, non-benzodiazepine hypnotics

2019 Regional Anesthesia and Pain Medicine

177. Effects of preincisional analgesia with surgical site infiltration of ketamine or levobupivacaine in patients undergoing abdominal hysterectomy under general anesthesia; A randomized double blind study. Full Text available with Trip Pro

score in ketamine group was significantly lower than that in the levobupivacaine group 8, 10, and 24 h postoperatively. Ketamine group showed delayed request of additional opioid analgesia (P < 0.001) with significantly less opioid consumption (P < 0.001) as compared to levobupivacaine. The total dose of meperidine consumed during the 24 postoperative h was significantly smaller in ketamine group (P < 0.001).Surgical site infiltration of ketamine is a promising preemptive analgesic method

2019 Saudi journal of anaesthesia Controlled trial quality: uncertain

178. Opioid Management in Older Adults with Chronic Kidney Disease: A Review. (Abstract)

, transdermal buprenorphine, transdermal fentanyl, and oral hydromorphone are the most tolerable opioids in these patients; hydrocodone, oxycodone, and methadone are useful but require careful monitoring; and tramadol, codeine, morphine, and meperidine should be avoided due to risk of accumulation and adverse events. Because older adults with nondialysis chronic kidney disease are at increased risk for adverse events, vigilant monitoring of opioid prescription is critical. Lastly, collaboration among

2019 American Journal of Medicine

179. Usage of Intravenous Lidocaine Infusion with Enhanced Recovery Pathway in Patients Scheduled for Open Radical Cystectomy: A Randomized Trial. (Abstract)

%. Postoperative pain scores, rescue analgesic consumption, times to return of bowel sounds, first flatus, first defecation, resuming of regular diet, length of hospital stay, in-hospital complications, and patient satisfaction were recorded.Patients in the lidocaine group experienced significantly lower pain scores after surgery at 6 hours (P = 0.005) and 12 hours (P = 0.001) at rest, and in the first 18 hours during mobilization (P < 0.05), with less paracetamol (P = 0.04) and meperidine (P = 0.02

2019 Pain physician Controlled trial quality: predicted high

180. Comparison of Effects of Hemostatic Gelatin Sponge Impregnated with Ropivacaine versus Normal Saline Applied on the Transverse Process of the Operated Vertebrae on Postoperative Pain in Patients Undergoing Spinal Instrumentation Surgery: A Randomized Clin (Abstract)

postoperatively in the 2 groups (ropivacaine vs. normal saline). The total amount of postoperative opioid use was also recorded.The VAS score was significantly lower in patients receiving hemostatic gelatin sponge impregnated with local anesthetics as compared with patients receiving gelatin sponge impregnated with normal saline 48 hours postoperatively; the mean total dose of meperidine given in the first 48 hours postoperatively was significantly lower (53.5 ± 51.0 mg) in patients receiving gelatin sponge

2019 World neurosurgery Controlled trial quality: uncertain

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