abstract：:Two patients are presented who underwent successful combined L1 and L2 paravertebral blocks as part of an anesthetic technique for hip arthroscopy. ...

journal_title：Journal of clinical anesthesia

authors： Lee EM,Murphy KP,Ben-David B

更新日期：2008-09-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the effects on systemic hemodynamics of sequential pneumatic compression of the lower limbs in healthy volunteers. DESIGN:Prospective, self-controlled, volunteer study. SETTING:University teaching hospital. PATIENTS:11 healthy volunteers, aged 25 +/- 1.3 years. INTERVENTIONS AND MEASUREM...

journal_title：Journal of clinical anesthesia

authors： Fanelli G,Zasa M,Baciarello M,Mazzani R,Di Cianni S,Rossi M,Casati A

更新日期：2008-08-01 00:00:00

abstract：:We report two patients with a history of dural puncture who developed paradoxical postural cerebrospinal fluid leak-induced headache. The patients' headache worsened when they were in the recumbent position, and it improved when they were placed upright. Both patients had a history of migraine headache. The patients w...

journal_title：Journal of clinical anesthesia

authors： Liu H,Kaye AD,Comarda N,Li M

更新日期：2008-08-01 00:00:00

abstract：STUDY OBJECTIVE:To correlate tracheal width as measured by ultrasound with width measured by computed tomography (CT), and to evaluate the possible role of ultrasound in the selection of the proper size of left-sided double-lumen endotracheal tubes (LDLTs). DESIGN:Two independent, prospective, observational clinical s...

journal_title：Journal of clinical anesthesia

authors： Sustić A,Miletić D,Protić A,Ivancić A,Cicvarić T

更新日期：2008-06-01 00:00:00

abstract：:We describe the anesthetic management of a morbidly obese patient with obstructive sleep apnea who underwent awake craniotomy. The patient's personal continuous positive airway pressure (CPAP) machine was used to support ventilation intraoperatively. Dexmedetomidine was used as the primary sedative. During cortical ma...

journal_title：Journal of clinical anesthesia

authors： Huncke T,Chan J,Doyle W,Kim J,Bekker A

更新日期：2008-06-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the quality of analgesia and the severity of side effects of intrathecal morphine administered for a dose range of 0.0 to 0.4 mg for postcesarean analgesia with low-dose bupivacaine. DESIGN:Double-blind, randomized study. SETTING:University hospital. PATIENTS:100 ASA physical status I and...

journal_title：Journal of clinical anesthesia

authors： Girgin NK,Gurbet A,Turker G,Aksu H,Gulhan N

更新日期：2008-05-01 00:00:00

abstract：:The most frequent and acute complications of subclavian vein catheterization are arterial puncture to the subclavian artery and pneumothorax. We report an arterial puncture directly to the pulmonary artery in infant during subclavian vein catheterization. ...

journal_title：Journal of clinical anesthesia

authors： Lu WH,Huang TC,Pan JY,Wang HP,Lin CC,Chen YY,Hsieh KS

更新日期：2008-05-01 00:00:00

abstract：STUDY OBJECTIVE:To test the hypothesis that emotional intelligence, as measured by the Bar-On Emotional Quotient Inventory (EQ-I) 125 (Multi Health Systems, Toronto, Ontario, Canada) personal inventory, would correlate with resident performance. DESIGN:Prospective survey. SETTING:University-affiliated, multiinstituti...

journal_title：Journal of clinical anesthesia

authors： Talarico JF,Metro DG,Patel RM,Carney P,Wetmore AL

更新日期：2008-03-01 00:00:00

abstract：:Visualization of thromboembolic material in the pulmonary artery is often difficult on transesophageal echocardiography, especially in the left pulmonary artery, because of the position of the left main bronchus. We present a case in which thromboembolic material within the midleft pulmonary artery was incidentally di...

journal_title：Journal of clinical anesthesia

authors： Nowak M,Shernan SK,Eltzschig HK,Rosenberger P

更新日期：2008-03-01 00:00:00

abstract：:We investigate an incident in which a carbon dioxide absorber caused difficulty with ventilation. The problem as it developed throughout the anesthetic, and clues that led to the determination that the carbon dioxide canister was the problem, is discussed. ...

journal_title：Journal of clinical anesthesia

authors： Bagdasarian LA,Shah NK,Sharif MK

更新日期：2008-02-01 00:00:00

abstract：STUDY OBJECTIVE:To show that a complex motor skill can be taught without requiring active expert faculty participation. DESIGN:Prospective descriptive study. SETTING:Simulation laboratory of an academic anesthesiology department. SUBJECTS:Novice users of the Bullard laryngoscope, predominantly residents. INTERVENTI...

journal_title：Journal of clinical anesthesia

authors： Pott LM,Santrock D

更新日期：2007-12-01 00:00:00

abstract：:We present the case of a patient who first presented with unexpected difficult laryngoscopy and intubation after induction of general anesthesia. After multiple failed attempts using direct laryngoscopy, tracheal intubation was successfully performed with the Intubating Laryngeal Mask Airway. He returned to the operat...

journal_title：Journal of clinical anesthesia

authors： Hagberg CA,Vogt-Harenkamp CC,Iannucci DG

更新日期：2007-12-01 00:00:00

abstract：:Hemodynamic instability as a result of altered baroreflex mechanism is common in surgeries involving manipulation around the carotid sheath. We report a case in which hypertensive crisis was associated with laryngectomy during general anesthesia. Perioperative use of vasoactive agents such as alpha(2) agonists may hel...

journal_title：Journal of clinical anesthesia

authors： Venkatesan T,Pillai R,Subramani K

更新日期：2007-11-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether a new Sonoclot-based, aprotinin-insensitive activated clotting time (aiACT) assay yields stable results over a broad range of aprotinin concentrations. DESIGN:Prospective trial conducted on in vitro blood samples. SETTING:Tertiary-care teaching medical center. PARTICIPANTS:19 hea...

journal_title：Journal of clinical anesthesia

authors： Dong Y,Nuttall GA,Oliver WC Jr,Agarwal S,Ereth MH

更新日期：2007-09-01 00:00:00

abstract：:Malignant hyperthermia (MH) is a rare complication that often leads to adverse outcomes, catastrophic events, or death. Although various risk factors and underlying diseases are associated with this condition, unusual presentations may be missed. Malignant hyperthermia is an uncommon complication encountered during th...

journal_title：Journal of clinical anesthesia

authors： Baluch AR,Oommen SP

更新日期：2007-09-01 00:00:00

abstract：:We report a series of successful awake fiberoptic intubations in patients with critical (unstable, difficult) airways using the alpha(2)-agonist, dexmedetomidine. Dexmedetomidine has several desirable pharmacologic properties, including sedation, anxiolysis, hypnosis, analgesia, amnesia, antisialagogue effects, and a ...

journal_title：Journal of clinical anesthesia

authors： Abdelmalak B,Makary L,Hoban J,Doyle DJ

更新日期：2007-08-01 00:00:00

abstract：STUDY OBJECTIVE:To assess the clinical impact of paravertebral blocks (PVBs) on the immediate outcome of patients undergoing radical prostatectomy. DESIGN:Retrospective review. SETTING:Urology ward of a university medical center. MEASUREMENTS:Records of 100 consecutive patients who underwent a radical prostatectomy ...

journal_title：Journal of clinical anesthesia

authors： Ben-David B,Swanson J,Nelson JB,Chelly JE

更新日期：2007-06-01 00:00:00

abstract：:We report a 31-year-old woman scheduled for a right frontal craniotomy and debulking of a recurrent grade 3 astrocytoma. Mannitol was given at the request of the surgeons. Peaked T waves were noted on electrocardiography, and electrolyte analysis showed hyperkalemia and hyponatremia. ...

journal_title：Journal of clinical anesthesia

authors： Hassan ZU,Kruer JJ,Fuhrman TM

更新日期：2007-06-01 00:00:00

abstract：STUDY OBJECTIVE:To compare the ease of cannulation, success/failure rate, and complication rate between ulnar and radial arteries. DESIGN:Randomized, controlled study. SETTING:Operating room. PATIENTS:100 ASA physical status I, II, and III patients undergoing general anesthesia and requiring arterial cannulation. I...

journal_title：Journal of clinical anesthesia

authors： Karacalar S,Ture H,Baris S,Karakaya D,Sarihasan B

更新日期：2007-05-01 00:00:00

abstract：STUDY OBJECTIVE:To investigate the effects of tympanometric changes on the frequency of postoperative nausea and vomiting (PONV). DESIGN:Prospective, observational study. SETTING:University hospital. PATIENTS:49 ASA physical status I, nonpremedicated children undergoing elective strabismus surgery. INTERVENTIONS:Fr...

journal_title：Journal of clinical anesthesia

authors： Karaaslan K,Kocoglu H,Yilmaz F,Koybasi S,Celebi S,Ekerbicer H

更新日期：2007-03-01 00:00:00

abstract：:Posterior reversible encephalopathy syndrome refers to a neuroradiologic disorder in which seizure activity (multiple seizures are more common than single events) is commonly the initial presenting symptom. We describe a case of posterior reversible encephalopathy syndrome in a previously healthy parturient who presen...

journal_title：Journal of clinical anesthesia

authors： Long TR,Hein BD,Brown MJ,Rydberg CH,Wass CT

更新日期：2007-03-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate patient acceptability of continued versus divided anesthetic care. DESIGN:Patient satisfaction ratings with continuous and divided anesthetic care were assessed by patient questionnaire. In addition, the effect of training anesthesia personnel in communication regarding divided anesthesia c...

journal_title：Journal of clinical anesthesia

authors： Harms C,Nübling M,Langewitz W,Kindler CH

更新日期：2007-02-01 00:00:00

abstract：:A young, healthy adult man exhibited naloxone-reversible, prolonged apnea after a 4-hour infusion of remifentanil, which was used as the opioid component of a general endotracheal anesthetic. Clinical experience and pharmacokinetic simulations indicate that the apnea was clearly atypical. ...

journal_title：Journal of clinical anesthesia

authors： Nelson RY,Bretz B,Egan TD

更新日期：2007-02-01 00:00:00

abstract：OBJECTIVE:To evaluate the effects of epidural, spinal, and general anesthesia on pain after lower-limb amputation. DESIGN:Cross-sectional survey. SETTING:Postamputation clinic. PATIENTS:150 patients who were evaluated one to 24 months after their lower-limb amputation. INTERVENTIONS:Patients received epidural, spin...

journal_title：Journal of clinical anesthesia

authors： Ong BY,Arneja A,Ong EW

更新日期：2006-12-01 00:00:00

abstract：STUDY OBJECTIVE:To perform an analysis of the Medicare claims database in patients undergoing lung resection to determine whether there is an association between postoperative epidural analgesia and mortality. DESIGN:Retrospective cohort (database) design. SETTING:University hospital. MEASUREMENTS:We examined a coho...

journal_title：Journal of clinical anesthesia

authors： Wu CL,Sapirstein A,Herbert R,Rowlingson AJ,Michaels RK,Petrovic MA,Fleisher LA

更新日期：2006-11-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the accuracy and precision of estimation of partial pressure of carbon dioxide (Pa(CO2)) using end-tidal or transcutaneous CO2 (TcP(CO2)) measurements during mechanical ventilation in the elderly patient. DESIGN:A prospective, observational study was conducted. SETTINGS:The study was done ...

journal_title：Journal of clinical anesthesia

authors： Casati A,Squicciarini G,Malagutti G,Baciarello M,Putzu M,Fanelli A

更新日期：2006-09-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the incidence and impact on clinical outcome of complications observed during high-frequency jet ventilation (HFJV) at interventional bronchoscopy and to identify the perioperative factors that may be associated to an increased incidence of such complications. DESIGN:Observational retrospec...

journal_title：Journal of clinical anesthesia

authors： Fernandez-Bustamante A,Ibañez V,Alfaro JJ,de Miguel E,Germán MJ,Mayo A,Jimeno A,Pérez-Cerdá F,Escribano PM

更新日期：2006-08-01 00:00:00

abstract：OBJECTIVE:To evaluate changes in cardiac troponin-I levels after major vascular surgery and their association with early and late postoperative cardiac complications. DESIGN:Prospective, observational investigation. SETTING:University teaching hospital. PATIENTS:75 consecutive patients undergoing major vascular surg...

journal_title：Journal of clinical anesthesia

authors： Barbagallo M,Casati A,Spadini E,Bertolizio G,Kepgang L,Tecchio T,Salcuni P,Rolli A,Orlandelli E,Rossini E,Fanelli G

更新日期：2006-06-01 00:00:00

abstract：STUDY OBJECTIVE:To test the hypothesis that the change of body and head position affects upper airway patency during midazolam sedation. DESIGN:Clinical study using 30 healthy subjects. SETTING:Research unit for sleep study. INTERVENTIONS:We used a pressure-flow relationship to evaluate critical closing pressure (Pc...

journal_title：Journal of clinical anesthesia

authors： Ikeda H,Ayuse T,Oi K

更新日期：2006-05-01 00:00:00

abstract：:We present a case of postoperative cardiac arrest caused by extrinsic occlusion of the right coronary artery by an aortic pseudoaneurysm. Extrinsic impingement upon the coronary arteries may result from several etiologies and lead to cardiac symptoms identical to those caused by intrinsic coronary disease. Extrinsic c...

journal_title：Journal of clinical anesthesia

authors： Peters CW,Layon AJ

更新日期：2006-05-01 00:00:00

abstract：PURPOSE:The aim of this study was to evaluate the effect of neuraxial blocks on surgical blood losses and on the number of patients requiring blood transfusion. METHODS:A search of the American National Library of Medicine's PubMed up to November 12, 2004, was performed. Twenty-four studies could be kept for analysis....

journal_title：Journal of clinical anesthesia

authors： Guay J

更新日期：2006-03-01 00:00:00

abstract：STUDY OBJECTIVE:To compare 4 different anesthesia induction protocols, in a simulated model of rapid-sequence induction, in controlled hypertensive patients. DESIGN:Prospective, randomized, double-blind, clinical investigation. SETTING:Large metropolitan university hospital. PATIENTS:120 ASA II-III adult hypertensiv...

journal_title：Journal of clinical anesthesia

authors： Alanoğlu Z,Ateş Y,Yilmaz AA,Tüzüner F

更新日期：2006-02-01 00:00:00

abstract：STUDY OBJECTIVE:To describe our systematic approach to securing the airway in patients with laryngeal tumors, developed over a 10-year period. DESIGN:Retrospective analysis. SETTING:University-affiliated veterans administration medical center. PATIENTS:Eight hundred one patients presenting for laryngeal tumor surger...

journal_title：Journal of clinical anesthesia

authors： Moorthy SS,Gupta S,Laurent B,Weisberger EC

更新日期：2005-12-01 00:00:00

abstract：PURPOSE:Anesthesiologists are often involved in the early management and resuscitation of patients who have sustained cervical spine injuries (CSIs). The most crucial step in managing a patient with suspected CSI is the prevention of further insult to the cervical spine (C-spine). In this review, important factors rela...

journal_title：Journal of clinical anesthesia

authors： Ghafoor AU,Martin TW,Gopalakrishnan S,Viswamitra S

更新日期：2005-12-01 00:00:00

abstract：STUDY OBJECTIVE:To assess bispectral index (BIS) monitoring on decision making during cardiac surgery with cardiopulmonary bypass (CPB) by measuring the number of preset standardized comments with and without knowing the BIS value and by classifying the interventions following the BIS data. DESIGN:Prospective, randomi...

journal_title：Journal of clinical anesthesia

authors： Vretzakis G,Ferdi E,Argiriadou H,Papaziogas B,Mikroulis D,Lazarides M,Bitzikas G,Bougioukas G

更新日期：2005-11-01 00:00:00

abstract：:Homocystinuria, a rare autosomal recessive genetic disease, is generally classified into 3 types (types I-III). Extremely rare type III is from a defect of the enzyme tetrahydrofolate reductase which converts homocysteine to methionine. The anesthetic problem of type III homocystinuria is the elevation of serum homocy...

journal_title：Journal of clinical anesthesia

authors： Yamada T,Hamada H,Mochizuki S,Sutoh M,Tsuji M,Kawamoto M,Yuge O

更新日期：2005-11-01 00:00:00

abstract：STUDY OBJECTIVE:Morbid obesity is associated with significant comorbidities. Desflurane has a low fat-blood solubility coefficient and may be better suited in this population to achieve a rapid emergence; however, sevoflurane has favorable cardiorespiratory properties that might also prove advantageous in the morbidly ...

journal_title：Journal of clinical anesthesia

authors： Arain SR,Barth CD,Shankar H,Ebert TJ

更新日期：2005-09-01 00:00:00

abstract：:Horner syndrome is considered a common finding after epidural analgesia or anesthesia in obstetric patients. Conversely, Horner syndrome is very uncommon in nonobstetric patients. We report 2 cases of Horner syndrome after attempted epidural lumbar anesthesia in 2 patients undergoing peripheral vascular surgery. Spina...

journal_title：Journal of clinical anesthesia

authors： Rodríguez J,Bárcena M,Taboada-Muñiz M,Alvarez J

更新日期：2005-09-01 00:00:00

abstract：:We report a case of recurrent ST-segment elevations totaling 7 times over 3 hours during subtotal gastrectomy and the early postoperative period in a patient with no history of coronary artery disease. Possible contributing factors include cold stimulus, epidural anesthesia, and inadequate depth of anesthesia. The fir...

journal_title：Journal of clinical anesthesia

authors： Iida R,Yazaki S,Saeki S,Ogawa S

更新日期：2005-08-01 00:00:00

abstract：STUDY OBJECTIVE:To determine which patient parameters best predict left bronchial width (LBW) when selecting the correct size double-lumen tube (DLT). If LBW is known, a DLT that will fit that bronchus can be chosen. DESIGN:Prospective study. SETTING:University medical center. PATIENTS:Three hundred twenty-one conse...

journal_title：Journal of clinical anesthesia

authors： Brodsky JB,Lemmens HJ

更新日期：2005-06-01 00:00:00