CONTEXT Studies in the area of health economics are still poorly explored and it is known that the cost savings in this area is becoming more necessary, provided that strict criteria. OBJECTIVE To perform a cost-effectiveness analysis of spinal anesthesia versus local anesthesia plus sedation for loop colostomy closure. METHODS This was a randomized clinical trial with 50 patients undergoin...

BACKGROUND Continuous spinal anaesthesia with spinal catheters allows incremental dosing of local anaesthetic and, consequently, less haemodynamic changes. However, little is known about the required doses. Therefore, we designed a study to assess the minimum effective local anaesthetic dose (MLAD) of levobupivacaine and ropivacaine in this context. METHODS Forty-one patients undergoing hip r...

OBJECTIVE The aim of this study was to investigate factors preventing delayed hemorrhage after the loop electrosurgical excisional procedure (LEEP). METHODS Medical records of patients who underwent LEEP at one university affiliated hospital from October 2013 to January 2015 were reviewed. Patients with or without delayed hemorrhage were classified. LEEP was performed either in an operating r...

CONTEXT Recent studies have shown that local anesthesia for loop colostomy closure is as safe as spinal anesthesia for this procedure. OBJECTIVES Randomized clinical trial to compare the results from these two techniques. METHODS Fifty patients were randomized for loop colostomy closure using spinal anesthesia (n = 25) and using local anesthesia (n = 25). Preoperatively, the bowel was evalu...

BACKGROUND There has been only 1 study on postoperative pain after external dacryocystorhinostomy (DCR) that compared pain between 2 groups of patients; 1 group received local anesthesia and the other received general anesthesia. To further characterize the relationship between these 2 types of anesthesia and postoperative pain, we designed a study in which a single patient received these 2 dif...

5 ml aliquots of chloroform: methanol (2:1) containing 5 mg of cephalin (animal)/ml w e r e agitated for 10 rain with 2.0 ml aqueous solution containing NaC1 116 n~ , KCI 2.5 raM, CaCI2 1.5 m.~, and MgC12 in concentrations ranging from 0.7 up to 16 mM at pH 6.0. After centrifugation and separation of the two phases Ca ++ and Mg ++ concentrations were determined in the upper (water -b methanol) ...

Background The Norwegian situation In 2002, the Norwegian parliament decided to ban castration in Norway from January 1 2009. From August 2002 and until the implementation of the ban, castration is only allowed by veterinarians, and anaesthesia is mandatory. If the piglets are older than 7 days, additional long term pain relief should be used. No further specification is given about type and ad...

BACKGROUND Previous studies reported that, contrary to local anesthesia, cataract surgery under inhalational anesthesia is associated with substantial adrenergic activation. We tested the hypothesis that total intravenous anesthesia (TIVA) with propofol and alfentanil produces less or comparable adrenergic activation during cataract surgery than local anesthesia. METHODS Patients were randoml...

• Few tests compared local dental anesthesia with vasoconstrictor versus no vasoconstrictor. The vasoconstrictor seems to improve the effectiveness and the duration of the anesthesia. • Anesthetic associations containing 1/200,000 adrenaline concentration seem to present the most favourable balance benefit-risks. At this concentration, the quantities of adrenaline injected during everyday denta...