36 research outputs found
Combined sedation with midazolam/propofol for gastrointestinal endoscopy in elderly patients
<p>Abstract</p> <p>Background</p> <p>Although gastrointestinal endoscopy with sedation is increasingly performed in elderly patients, data on combined sedation with midazolam/propofol are very limited for this age group.</p> <p>Methods</p> <p>We retrospectively analyzed 454 endoscopic procedures in 347 hospitalized patients ≥ 70 years who had received combined sedation with midazolam/propofol. 513 endoscopic procedures in 397 hospitalized patients < 70 years during the observation period served as controls. Characteristics of endoscopic procedures, co-morbidity, complications and mortality were compared.</p> <p>Results</p> <p>Elderly patients had a higher level of co-morbidity and needed lower mean propofol doses for sedation. We observed no major complication and no difference in the number of minor complications. The procedure-associated mortality was 0%; the 28-day mortality was significantly higher in the elderly (2.9% vs. 1.0%).</p> <p>Conclusions</p> <p>In this study on elderly patients with high level co-morbidity, a favourable safety profile was observed for a combined sedation with midazolam/propofol with a higher sensitivity to propofol in the elderly.</p
Fixation using alternative implants for the treatment of hip fractures (FAITH): design and rationale for a multi-centre randomized trial comparing sliding hip screws and cancellous screws on revision surgery rates and quality of life in the treatment of femoral neck fractures
The influence of the type and design of the anesthesia record on ASA physical status scores in surgical patients: paper records vs. electronic anesthesia records
Depression in primary TKA and higher medical comorbidities in revision TKA are associated with suboptimal subjective improvement in knee function
Efficacy of spinetoram as a contact insecticide on different surfaces against stored-product beetle species
Contact toxicity of spinetoram was evaluated in laboratory bioassays on concrete, ceramic tile, galvanized steel, and plywood. The efficacy of spinetoram was assessed at dose rates of 0.025 mg (AI)/cm(2), 0.05 mg (AI)/cm(2), and 0.1 mg (AI)/cm(2) in two series of bioassays. The first series was conducted on concrete surfaces, with adults of Rhyzopertha dominica (F.), Sitophilus oryzae (L.), S. granarius (L.), Tribolium confusum Jacquelin du Val, Oryzaephilus surinamensis (L.), and Cryptolestes ferrugineus (Stephens). The second series was conducted at the same dose rates on all surfaces against adults of R. dominica, S. oryzae, and T. confusum. An equal number of dishes with and without food were used in both bioassay series. Mortality was assessed daily for 7 days for T. confusum and after this interval all live adults were removed and transferred to untreated surfaces with food and held under the same conditions. After the first week of daily evaluation, delayed mortality was evaluated 7 days later. For all the other species, mortality was measured after 5 days of exposure. The results of the first series of bioassays showed that T. confusum was the least susceptible to spinetoram-treated concrete surfaces. In contrast, all the other species were found susceptible, regardless of the dose and the presence of food. Regarding the comparison of different surfaces, our results illustrate that, with the exception of T. confusum, there were no significant differences among surfaces. The results of the present study indicate that spinetoram was effective against various species on several types of surfaces, and the presence of food did not influence its efficacy in most cases