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Comparison of the effects of perioperative intravenous infusions of esmolol and lidocaine on the quality of postoperative recovery in patients undergoing functional endoscopic sinus surgery: a randomized, double-blind, noninferiority study.
Eur Arch Otorhinolaryngol
November 2024
Department of Anesthesiology, The Affiliated Huaian Hospital of Xuzhou Medical University and Huaian Second People's Hospital, 62 South Huaihai Road, Huaian, 223002, China.
Article Synopsis
- A study aimed to compare the effects of intravenous esmolol and lidocaine on the quality of recovery (QoR) in patients undergoing functional endoscopic sinus surgery (FESS).
- 60 patients were randomly assigned to receive either esmolol or lidocaine infusions, with their recovery assessed using the QoR-15 score and various other parameters.
- The results showed esmolol was comparable to lidocaine for postoperative recovery quality and offered benefits like better surgical field quality and less fluctuation in patient hemodynamics during surgery.
Efficacy and Safety of Esmolol in Neonatal Cardiac Surgery with Cardiopulmonary Bypass (CPB) for d-Transposition of the Great Arteries (d-TGA).
Pediatr Cardiol
October 2024
Pediatric Cardiology, Pediatric Heart Center, Justus-Liebig University Giessen, Giessen, Germany.
Objective: D-Transposition of the great arteries (d-TGA) is the most common congenital heart disease requiring surgical correction within the neonatal period. Sinus tachycardia often persists postoperatively, potentially affecting cardiac function. This study aimed to investigate the efficacy and safety of the short-acting beta-1-selective beta-blocker esmolol in controlling heart rate in neonatal cardiac surgery with cardiopulmonary bypass (CPB).
View Article and Find Full Text PDFEsmolol's Role in Hemodynamic Management During Pheochromocytoma Surgery: A Comprehensive Review.
Cureus
June 2024
Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Pheochromocytoma (PCC) surgery presents significant challenges due to the hemodynamic instability induced by catecholamine release. Effective perioperative management is essential to minimize complications and ensure optimal outcomes. This comprehensive review examines the role of esmolol, a short-acting beta-blocker, in hemodynamic stabilization during PCC surgery.
View Article and Find Full Text PDFPerioperative effects of different hypotensive anesthesia techniques in orthognathic surgery.
Med Oral Patol Oral Cir Bucal
September 2024
Department of Oral and Maxillofacial Surgery Faculty of Dentistry, Erciyes University, Kayseri, Turkiye
Background: This study aimed to investigate the effectiveness of combining sevoflurane with remifentanil, esmolol, or nitroglycerin for hypotensive anesthesia and determine the suitable hypotensive anesthesia method for orthognathic surgery.
Material And Methods: This retrospective study included 60 patients who underwent orthognathic surgery for developmental malocclusion. They were divided into three groups based on the hypotensive agent preferences: Group 1 (n = 20), sevoflurane and remifentanil; Group 2 (n = 20), sevoflurane and esmolol; Group 3 (n = 20), sevoflurane and nitroglycerin.
An Overview of the Pharmacokinetics and Pharmacodynamics of Landiolol (an Ultra-Short Acting β1 Selective Antagonist) in Atrial Fibrillation.
Pharmaceutics
April 2024
Department of Internal Medicine, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.
Landiolol is an ultra-short-acting, selective β1-adrenergic receptor blocker that was originally approved in Japan for the treatment of intraoperative tachyarrhythmias. It has gained attention for its use in the management of tachyarrhythmias and perioperative tachycardia, especially atrial fibrillation for both cardiac and non-cardiac surgeries. It can be the ideal agent for heart rate control due to its high β1-selectivity, potent negative chronotropic effect, a limited negative inotropic potential, and an ultrashort elimination half-life (around 4 min); moreover, it may have a potential therapeutic effects for sepsis and pediatric patients.
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