<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Erwin Mulyawan</style></author><author><style face="normal" font="default" size="100%">Clarissa Jasmine Aurelia</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Efficacy and Safety of Propofol Drip versus Thiopental with Midazolam in Children Undergoing Magnetic Resonance Imaging Studies</style></title><secondary-title><style face="normal" font="default" size="100%">Pharmacognosy Journal</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Children</style></keyword><keyword><style  face="normal" font="default" size="100%">MRI</style></keyword><keyword><style  face="normal" font="default" size="100%">Propofol</style></keyword><keyword><style  face="normal" font="default" size="100%">Thiopental</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2025</style></year><pub-dates><date><style  face="normal" font="default" size="100%">June 2025</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">17</style></volume><pages><style face="normal" font="default" size="100%">289-292</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p class=&quot;rtejustify&quot;&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Pediatrics often require sedatives during Magnetic Resonance Imaging (MRI) due to its lengthy, loud, and restricted space. This study aims to compare efficacy and safety of propofol drip and thiopental with midazolam for children undergoing MRI. &lt;strong&gt;Methods: &lt;/strong&gt;This randomised double-blinded cohort study was conducted in patients aged 3-10 years old with ASA status I-II scheduled for outpatient MRI. Exclusion criteria include airway abnormalities, allergic reactions to anesthetic agents, renal, hepatic, and seizure history, or was pre-medicated. Patients were administered propofol (group PF) or midazolam with thiopental (group TH). Data including patient history, physiologic parameters, duration, recovery, discharge time, and adverse events were recorded. Data was statistically analysed using Chi Square and Student T-test. &lt;strong&gt;Results: &lt;/strong&gt;A total of 34 patients were included in this study, 18 in PF and 16 TH. Sedation onset, recovery time, and mean discharge was significantly shorter in PF versus TH (6 vs 10 mins (p &amp;lt;0.0001); 8 vs 13 mins (p &amp;lt;0.0001), and 69 vs 89 mins (p &amp;lt;0.0001)). No significant differences in duration and physiologic parameters between both groups were found. No adverse events occurred in both groups. 6.25% of patients in group PF and 33.33% in group TH had inadequate sedation. &lt;strong&gt;Conclusion: &lt;/strong&gt;This study found PF has faster sedation onset and recovery time in comparison to TH for children undergoing MRI with no significant differences in physiologic parameters and adverse events. Further studies conducted on a larger population investigating efficacy and adverse events of alternative sedatives is recommended.&lt;/p&gt;
</style></abstract><issue><style face="normal" font="default" size="100%">3</style></issue><work-type><style face="normal" font="default" size="100%">Original Article</style></work-type><section><style face="normal" font="default" size="100%">289</style></section><auth-address><style face="normal" font="default" size="100%">&lt;p class=&quot;rtejustify&quot;&gt;&lt;strong&gt;Erwin Mulyawan&lt;sup&gt;1*&lt;/sup&gt;, Clarissa Jasmine Aurelia&lt;sup&gt;2&lt;/sup&gt; &lt;/strong&gt;&lt;/p&gt;

&lt;p class=&quot;rtejustify&quot;&gt;&lt;sup&gt;1&lt;/sup&gt;Department of Anesthesiology and Intensive Care, Faculty of Medicine, Pelita Harapan University, Tangerang, Banten, 15810, INDONESIA.&lt;/p&gt;

&lt;p class=&quot;rtejustify&quot;&gt;&lt;sup&gt;2&lt;/sup&gt;Faculty of Medicine, Pelita Harapan University, Tangerang, Banten, 15810, INDONESIA.&lt;/p&gt;
</style></auth-address></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Erwin Mulyawan</style></author><author><style face="normal" font="default" size="100%">Clarissa Jasmine Aurelia</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">The Effect of Glycopyrrolate to Support Fentanyl on Reducing Airway Irritation during Inhalation Induction with Desflurane and Nitrous Oxide in Adult Patients</style></title><secondary-title><style face="normal" font="default" size="100%">Pharmacognosy Journal</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Airway Irritation</style></keyword><keyword><style  face="normal" font="default" size="100%">Desflurane</style></keyword><keyword><style  face="normal" font="default" size="100%">Fentanyl</style></keyword><keyword><style  face="normal" font="default" size="100%">Glycopyrrolate</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2024</style></year><pub-dates><date><style  face="normal" font="default" size="100%">February 2024</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">16</style></volume><pages><style face="normal" font="default" size="100%">42-45</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p class=&quot;rtejustify&quot;&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Inhalational induction of anesthesia is occasionally used in adults. Desflurane is not used for the induction of anesthesia despite its favorable pharmacokinetic characteristics as it causes airway irritation. This study aims to identify a reduction of airway irritation with pretreatment using fentanyl and glycopyrrolate. &lt;strong&gt;Methods: &lt;/strong&gt;A total of 80 adults were randomized into two groups to receive fentanyl and glycopyrrolate (FG group) or fentanyl only (FS group) prior to desflurane administration. Time between desflurane administration and loss of consciousness was recorded as well as expired desflurane concentration. Signs of airway irritation including coughing, apnea, laryngospasm, and excitatory movements at time of induction was also recorded. Unpaired t test, Fisher’s Exact test, and Chi-square test were used to analyze parametric data and all non-parametric data was analyzed using the Mann– Whitney test.&lt;strong&gt; Results: &lt;/strong&gt;This study found time to loss of consciousness was 4 minutes. Incidence of airway irritation in Group FS vs FG including cough, apnea, excitatory movements, and laryngospasm was (20% vs 2.5%), (0% vs 0%), (5% vs 5%), and (7.5% vs 0%) respectively. Total airway irritation was 32.5% in FS compared to 7.5% in FG, with P value 0.0103.&lt;strong&gt; Conclusion:&lt;/strong&gt; Use of fentanyl and glycopyrrolate decreases airway irritation incidence caused by desflurane in comparison to use of fentanyl alone. This opens the possibility to commonly use desflurane as inhalation induction of anesthesia as its favorable pharmacokinetics may be utilized whilst limiting the adverse effects it causes.&lt;/p&gt;
</style></abstract><issue><style face="normal" font="default" size="100%">1</style></issue><work-type><style face="normal" font="default" size="100%">Original Article</style></work-type><section><style face="normal" font="default" size="100%">42</style></section><auth-address><style face="normal" font="default" size="100%">&lt;p class=&quot;rtejustify&quot;&gt;&lt;strong&gt;Erwin Mulyawan&lt;sup&gt;1&lt;/sup&gt;*, Clarissa Jasmine Aurelia&lt;sup&gt;2&lt;/sup&gt;&lt;/strong&gt;&lt;/p&gt;

&lt;p class=&quot;rtejustify&quot;&gt;&lt;sup&gt;1&lt;/sup&gt;Department of Anesthesiology, Faculty of Medicine, Pelita Harapan University, Tangerang, Banten, 15810, INDONESIA.&lt;/p&gt;

&lt;p class=&quot;rtejustify&quot;&gt;&lt;sup&gt;2&lt;/sup&gt;Faculty of Medicine, Pelita Harapan University, Tangerang, Banten, 15810, INDONESIA.&lt;/p&gt;
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