abstract：:The perioperative care system is a continuum that includes preoperative patient evaluation, operating room scheduling, the operation itself, and postoperative care. This costly fast-paced system requires its various components to function efficiently and interact effectively. This review explores the interrelation bet...

journal_title：Journal of clinical anesthesia

authors： Weissman C

更新日期：2005-06-01 00:00:00

abstract：STUDY OBJECTIVE:To assess intubating conditions without neuromuscular blocking drugs, to determine the relation between the dose of rocuronium and the probability of achieving excellent or at least good (good or excellent) intubating conditions with the intubating laryngeal mask airway (ILMA), and finally, to determine...

journal_title：Journal of clinical anesthesia

authors： Sastry SG,Lemmens HJ

更新日期：2005-05-01 00:00:00

abstract：:A 53-year-old healthy man underwent elective laparoscopic, extraperitoneal, right-sided herniorrhaphy. Postoperatively, he complained of chest pain on inspiration. Chest x-ray and computed tomographic scan revealed a pneumomediastinum and a right-sided pneumothorax. Previous case reports and possible etiologies are re...

journal_title：Journal of clinical anesthesia

authors： Bartelmaos T,Blanc R,De Claviere G,Benhamou D

更新日期：2005-05-01 00:00:00

abstract：:Turner syndrome is a complex and common genetic disorder that affects women and is associated with a wide variety of anatomic and physiological disorders. These abnormalities, especially those relating to the airway and cardiovascular system, pose a challenge to the anesthesiologist. We report a case of Turner syndrom...

journal_title：Journal of clinical anesthesia

authors： Mashour GA,Sunder N,Acquadro MA

更新日期：2005-03-01 00:00:00

abstract：STUDY OBJECTIVE:The purpose of this study is to determine whether routine preoperative testing has a usefulness not previously recognized in a small preliminary study to decide if such a hypothesis might be worthy of testing in a larger study. DESIGN:Single-observer, prospective, observational study. SETTING:Tertiary...

journal_title：Journal of clinical anesthesia

authors： Mantha S,Roizen MF,Madduri J,Rajender Y,Shanti Naidu K,Gayatri K

更新日期：2005-02-01 00:00:00

abstract：STUDY OBJECTIVES:To examine whether epidural administration of neostigmine reduces the stress and inflammatory responses thereby improving postoperative pain status. DESIGN:Randomized, double-blinded clinical study. SETTING:Operating rooms and wards of a university hospital. PATIENTS:40 ASA physical status I patient...

journal_title：Journal of clinical anesthesia

authors： Masaki E,Saito H,Shoji K,Matsushima M

更新日期：2004-11-01 00:00:00

abstract：:Kearns-Sayre syndrome (KSS) is a rare mitochondrial myopathy and often involves cardiac conduction abnormality and muscle weakness. We report a patient with KSS who had an implantable cardioverter-defibrillator (ICD) implanted during general anesthesia with propofol and nitrous oxide (N2O). These anesthetics did not s...

journal_title：Journal of clinical anesthesia

authors： Hara K,Sata T,Shigematsu A

更新日期：2004-11-01 00:00:00

abstract：:We report an 11-year-old male with undiagnosed myopathy, who developed cardiac arrest secondary to severe rhabdomyolysis and hyperkalemia following succinylcholine administration. The patient required extracorporeal membrane oxygenation support from which he was eventually weaned successfully. He died eleven days afte...

journal_title：Journal of clinical anesthesia

authors： Al-Takrouri H,Martin TW,Mayhew JF

更新日期：2004-09-01 00:00:00

abstract：:Spinal epidural hematoma in the absence of coagulopathy or anticoagulation therapy is an extremely rare occurrence, with a reported incidence of less than 1 in 1 million. We present seven cases of documented epidural hematoma in the absence of coagulopathy or anticoagulation therapy to alert the clinician to consider ...

journal_title：Journal of clinical anesthesia

authors： Cullen DJ,Bogdanov E,Htut N

更新日期：2004-08-01 00:00:00

abstract：STUDY OBJECTIVE:To study patients' requirement for propofol dosages during the course of repeated deep sedation for electroconvulsive therapy (ECT). DESIGN:Prospective study. SETTING:Outpatient psychiatric clinic in a tertiary-care, university-affiliated, 1100-bed metropolitan hospital. PATIENTS:30 patients undergoi...

journal_title：Journal of clinical anesthesia

authors： Cohen Y,Feldinger E,Ogorek D,Weinbroum AA

更新日期：2004-06-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the significance of pain and other symptoms on the recovery process after ambulatory surgery, by surveying pain, analgesic use, and related aspects of recovery in the first 48 hours after discharge from an ambulatory surgery unit. DESIGN:Prospective, observational, surveillance survey. PA...

journal_title：Journal of clinical anesthesia

authors： Pavlin DJ,Chen C,Penaloza DA,Buckley FP

更新日期：2004-05-01 00:00:00

abstract：STUDY OBJECTIVES:To evaluate the effects of fentanyl on the cardiorespiratory system in elderly patients undergoing cataract surgery with phacoemulsification method. DESIGN:Randomized, prospective, double-blind study. SETTING:University hospital. PATIENTS:70 ASA physical status I, II, and III patients (>60 years) wh...

journal_title：Journal of clinical anesthesia

authors： Aydin ON,Ugur B,Kir E,Ozkan SB

更新日期：2004-03-01 00:00:00

abstract：:A 37-year-old patient undergoing operative hysteroscopy developed noncardiogenic pulmonary edema after fluid absorption of 6 L of Ringer's lactate distension solution. No electrolyte or neurologic sequelae were associated with this fluid absorption. A subsequent 35-year-old patient having similar surgery in which a de...

journal_title：Journal of clinical anesthesia

authors： Grove JJ,Shinaman RC,Drover DR

更新日期：2004-02-01 00:00:00

abstract：:Informed consent is a cornerstone and routine component of the ethical practice of modern medicine. Its full theoretical application to specific clinical situations, however, presents a number of ethical dilemmas for health care providers. Obstetric anesthesia, in particular, presents many unique challenges to the pro...

journal_title：Journal of clinical anesthesia

authors： Hoehner PJ

更新日期：2003-12-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the applicability and reliability of a screening questionnaire to detect patients at high-risk of latex allergy; to assess the importance of other allergies such as profilin allergies (pollinosis) for presence of latex sensitization; and to determine the clinical effectiveness of preemptive...

journal_title：Journal of clinical anesthesia

authors： Haeberle HA,Lupic D,Midoro-Horiuti T,Kiefer RT,Schroeder TH,Unertl K,Dieterich HJ

更新日期：2003-11-01 00:00:00

abstract：:A rare case of postoperative cardiac arrest in an otherwise healthy, 49-year-old female patient who had a laparoscopic hysterectomy, is presented. The cause of cardiac arrest was due to massive pulmonary embolism, which was detected by transesophageal echocardiography. Laparoscopic surgery is regarded as a less invasi...

journal_title：Journal of clinical anesthesia

authors： Hsieh SW,Lan KM,Luk HN,Wang CS,Jawan B

更新日期：2003-11-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the profile of molecular hemostatic markers in patients receiving either spinal or balanced general anesthesia for total hip arthroplasty. DESIGN:Open, randomized, observational study. SETTING:Orthopedic unit and central laboratory of a university hospital. PATIENTS:26 consenting ASA phys...

journal_title：Journal of clinical anesthesia

authors： Brueckner S,Reinke U,Roth-Isigkeit A,Eleftheriadis S,Schmucker P,Siemens HJ

更新日期：2003-09-01 00:00:00

abstract：:Fever is a common clinical problem in labor and delivery suites. It can result from a variety of infectious microorganisms, tissue trauma, malignancy, drug administration, and endocrine and immunologic disorders. Infection is the most common cause of fever, reflecting the effect of pyrogens on the hypothalamus. The di...

journal_title：Journal of clinical anesthesia

authors： Kuczkowski KM,Reisner LS

更新日期：2003-09-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the onset time, success rate, and recovery profile of unilateral spinal anesthesia produced with 4 mg, 6 mg, and 8 mg of 0.5% hyperbaric bupivacaine. DESIGN:Prospective, randomized, blinded study. SETTING:Outpatient anesthesia unit at a University Hospital. PATIENTS:90 ASA physical status...

journal_title：Journal of clinical anesthesia

authors： Borghi B,Stagni F,Bugamelli S,Paini MB,Nepoti ML,Montebugnoli M,Casati A

更新日期：2003-08-01 00:00:00

abstract：:Spinal cord injuries continue to be a devastating medical problem. By impairing voluntary and involuntary nervous system function, virtually every body system function is affected. However, pulmonary function alteration and respiratory complications continue to be the major causes of morbidity and mortality in patient...

journal_title：Journal of clinical anesthesia

authors： Urdaneta F,Layon AJ

更新日期：2003-08-01 00:00:00

abstract：STUDY OBJECTIVE:To develop a rapid online test of graft liver function during liver transplantation. DESIGN:Prospective, observational study. SETTING:University hospital transplant unit. PATIENTS:17 adult patients with end-stage liver disease who underwent liver transplantation surgery. INTERVENTIONS:Rocuronium inf...

journal_title：Journal of clinical anesthesia

authors： Gao L,Ramzan I,Baker B

更新日期：2003-06-01 00:00:00

abstract：:Horner's syndrome is a complication of epidural analgesia and anesthesia, encountered more commonly in pregnant women than in other patients. Previous reports described the appearance of Horner's syndrome following epidural injection of concentrated local anesthetic solutions. We report unilateral Horner's syndrome oc...

journal_title：Journal of clinical anesthesia

authors： Chandrasekhar S,Peterfreund RA

更新日期：2003-05-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether postoperative wound infiltration with local anesthetics combined with fentanyl improves analgesia following breast surgery; and to investigate awakening and postoperative nausea/vomiting. DESIGN:Prospectively randomized clinical study. SETTING:University hospital. PATIENTS:45 ASA...

journal_title：Journal of clinical anesthesia

authors： Johansson A,Kornfält J,Nordin L,Svensson L,Ingvar C,Lundberg J

更新日期：2003-03-01 00:00:00

abstract：:This case describes a postoperative complication after single-lung ventilation in a 10-year-old patient scheduled for scoliosis repair. This patient underwent an anterior thoracoscopic excision of several vertebral discs followed by a posterior double-rod fixation of her spine. The postoperative course was complicated...

journal_title：Journal of clinical anesthesia

authors： Frölich MA,Janelle GM

更新日期：2003-03-01 00:00:00

abstract：:Alzheimer's disease is a form of dementia that is estimated to affect approximately 3 to 4 million Americans. Given the substantial number of people affected with this disease, it is likely that anesthesiologists will encounter many patients with Alzheimer's disease. Questions as to potential problems including inform...

journal_title：Journal of clinical anesthesia

authors： Fernandez CR,Fields A,Richards T,Kaye AD

更新日期：2003-02-01 00:00:00

abstract：:Acoustic reflectometry can be used to distinguish between a tracheal and an esophageal intubation based on an area-distance profile. In a patient undergoing laparoscopic surgery, acoustic reflectometry was used to detect a bronchoscopically confirmed endobronchial intubation in the presence of equal bilateral breath s...

journal_title：Journal of clinical anesthesia

authors： Raphael DT,Lee H

更新日期：2003-02-01 00:00:00

abstract：:In December 2001, the United States Food and Drug Administration (FDA) added a "black box" warning to the labeling for droperidol stating that all doses, even those typically used for postoperative nausea and vomiting, were potentially associated with malignant ventricular dysrhythmias, including torsade de pointes. T...

journal_title：Journal of clinical anesthesia

authors： Dershwitz M

更新日期：2002-12-01 00:00:00

abstract：:This report highlights transient Horner's syndrome and trigeminal nerve palsy following labor epidural analgesia. A 29-year-old primigravida had a lumbar epidural catheter placed for analgesia in labor. The analgesia was maintained by infusion of a dilute local anesthetic/opioid mixture and turned off after achieving ...

journal_title：Journal of clinical anesthesia

authors： Narouze SN,Basali A,Mandel M,Tetzlaff JE

更新日期：2002-11-01 00:00:00

abstract：STUDY OBJECTIVE:To compare postoperative nausea, emesis, analgesia, and recovery between propofol-ketamine and propofol-fentanyl in outpatient laparoscopic tubal ligations with general anesthesia. STUDY DESIGN:Prospective, randomized, blinded study. SETTING:Tertiary-care women's hospital. PATIENTS:120 ASA physical s...

journal_title：Journal of clinical anesthesia

authors： Vallejo MC,Romeo RC,Davis DJ,Ramanathan S

更新日期：2002-09-01 00:00:00

abstract：:Horner's syndrome is a rare side effect of epidural analgesia. In association with ipsilateral brachial plexus block, it has only been reported once before, in French. Unilateral blockade has also been reported, although its etiology is unclear and may be multifactorial. The patient described here experienced an asymm...

journal_title：Journal of clinical anesthesia

authors： Holzman RS

更新日期：2002-09-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the consequences of opioid use for postoperative pain management and the degree to which these consequences may be reduced or minimized with opioid-sparing or opioid-replacement techniques. DESIGN:Literature review relating to the economics of postoperative pain management. Comparisons betw...

journal_title：Journal of clinical anesthesia

authors： Philip BK,Reese PR,Burch SP

更新日期：2002-08-01 00:00:00

abstract：STUDY OBJECTIVE:To estimate the optimal endotracheal tube (ETT) length in orotracheally intubated patients. DESIGN:Prospective study. SETTING:Operating room of a medical center hospital. PATIENTS:293 ASA physical status I and II patients (150 male and 143 female), requiring general anesthesia and orotracheal intubat...

journal_title：Journal of clinical anesthesia

authors： Cherng CH,Wong CS,Hsu CH,Ho ST

更新日期：2002-06-01 00:00:00

abstract：STUDY OBJECTIVES:To compare the efficacy of diclofenac sodium with ketorolac tromethamine in reducing postoperative morphine use after major orthopedic surgery. DESIGN:Double-blind, randomized, placebo-controlled study. SETTING:Major teaching institution. PATIENTS:102 ASA physical status II patients undergoing hip a...

journal_title：Journal of clinical anesthesia

authors： Alexander R,El-Moalem HE,Gan TJ

更新日期：2002-05-01 00:00:00

abstract：:This case report describes a patient who became asystolic after electroconvulsive therapy. The report describes the prolonged resuscitative events that lasted 54 minutes and discusses the effectiveness of chest compressions and the importance of monitoring the acid-base balance. The report also stresses the importance...

journal_title：Journal of clinical anesthesia

authors： Gabrielli A,Layon AJ,Cole P,Holbert R,Modell JH

更新日期：2002-05-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the effects of respiratory acidosis and alkalosis by mechanical ventilation on the onset, duration, and recovery times of vecuronium. DESIGN:Randomized, prospective study. SETTING:Operating rooms in the Sapporo Medical University Hospital and Kitami Red Cross Hospital. PATIENTS:90 ASA ph...

journal_title：Journal of clinical anesthesia

authors： Yamauchi M,Takahashi H,Iwasaki H,Namiki A

更新日期：2002-03-01 00:00:00

abstract：STUDY OBJECT:To investigate the changes in hemodynamics and hypnotic levels during propofol infusion and tracheal intubation with and without fentanyl. DESIGN:Randomized, double-blinded study. SETTING:Teaching hospital. PATIENTS:40 ASA physical status I adult patients scheduled for elective surgery. INTERVENTIONS:P...

journal_title：Journal of clinical anesthesia

authors： Nakayama M,Ichinose H,Yamamoto S,Kanaya N,Namiki A

更新日期：2002-03-01 00:00:00

abstract：:Endometriosis occurs in 5% to 10% of women of childbearing age and involves the proliferation of endometrial tissue outside the uterine cavity. Thoracic endometriosis is the most frequent extrapelvic manifestation of endometriosis, numbering some 100 reported cases. It may include spontaneous pneumothorax, hemoptysis,...

journal_title：Journal of clinical anesthesia

authors： Gamaleldin H,Tetzlaff JE,Whalley D

更新日期：2002-02-01 00:00:00

abstract：:Acute respiratory failure in the perioperative period represents a frequent challenge to the anesthesiologist. The differential diagnosis is extensive and includes alterations on the pulmonary parenchyma, pulmonary vessels, airway, and cardiac system. Occasionally, two or more pathophysiological process superimpose. W...

journal_title：Journal of clinical anesthesia

authors： Azocar RJ,Talmor D,Kaynar AM,Lisbon A

更新日期：2001-12-01 00:00:00

abstract：:We present a case of abrupt hemodynamic and mental status changes that occurred during shoulder surgery. During interscalene anesthesia for rotator cuff repair, there was abrupt onset of altered mental status and hemodynamic changes, which had a variety of possible contributing causes. Complete recovery occurred durin...

journal_title：Journal of clinical anesthesia

authors： Ayad S,Tetzlaff JE

更新日期：2001-11-01 00:00:00

abstract：STUDY OBJECTIVE:To ascertain if coughing during emergence from general anesthesia can be suppressed with a modified endotracheal tube. DESIGN:Randomized, double-blind, controlled study. SETTING:Operating rooms at a university hospital. PATIENTS:46 adult ASA physical status I, II, and III patients requiring elective ...

journal_title：Journal of clinical anesthesia

authors： Diachun CA,Tunink BP,Brock-Utne JG

更新日期：2001-09-01 00:00:00