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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
|
pubmed:dateCreated |
1991-5-23
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pubmed:abstractText |
Fifty-three unpremedicated outpatients undergoing elective extracorporeal shock wave lithotripsy using an unmodified Dornier HM-3 lithotriptor received one of two different intravenous sedation-analgesia techniques. Both intravenous midazolam-alfentanil and fentanyl-propofol techniques produced conditions comparable to those achieved with epidural anesthesia during immersion lithotripsy. Of the two sedative-analgesic techniques, midazolam-alfentanil was associated with greater intraoperative amnesia (81% vs 38%), whereas fentanyl-propofol produced less cardiorespiratory depression and fewer postoperative side effects (e.g., pruritus). Compared with a standard epidural anesthesia technique, the mean anesthesia and recovery times were significantly shorter with the two intravenous sedation-analgesia techniques (57-62 min vs 105 min and 143-147 min vs 199 min, respectively). These data suggest that combinations of either midazolam and alfentanil or fentanyl and propofol are viable alternatives to epidural anesthesia for outpatient immersion lithotripsy.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0003-2999
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
72
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
616-21
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2018218-Adult,
pubmed-meshheading:2018218-Alfentanil,
pubmed-meshheading:2018218-Ambulatory Surgical Procedures,
pubmed-meshheading:2018218-Analgesia,
pubmed-meshheading:2018218-Anesthesia,
pubmed-meshheading:2018218-Anesthesia, Epidural,
pubmed-meshheading:2018218-Anesthesia Recovery Period,
pubmed-meshheading:2018218-Female,
pubmed-meshheading:2018218-Fentanyl,
pubmed-meshheading:2018218-Hemodynamics,
pubmed-meshheading:2018218-Humans,
pubmed-meshheading:2018218-Infusions, Intravenous,
pubmed-meshheading:2018218-Intraoperative Period,
pubmed-meshheading:2018218-Lithotripsy,
pubmed-meshheading:2018218-Male,
pubmed-meshheading:2018218-Midazolam,
pubmed-meshheading:2018218-Middle Aged,
pubmed-meshheading:2018218-Propofol
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pubmed:year |
1991
|
pubmed:articleTitle |
Comparison of intravenous sedative-analgesic techniques for outpatient immersion lithotripsy.
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pubmed:affiliation |
Department of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri 63110.
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pubmed:publicationType |
Journal Article,
Comparative Study
|