abstract：STUDY OBJECTIVE:To examine contemporary practices and opinions regarding preoperative testing requirements, with special emphasis on perioperative pregnancy recognition and consequences thereof. DESIGN AND SETTING:Anonymous questionnaire survey distributed to 300 (almost exclusively American) physicians attending the ...

journal_title：Journal of clinical anesthesia

authors： Kempen PM

更新日期：1997-11-01 00:00:00

abstract：:In conclusion, providing anesthesia for a small child undergoing craniofacial reconstructive surgery is an enormous challenge. Even with the most experienced pediatric anesthesiologist and pediatric surgeons, problems can develop suddenly and lead, as they did in this case, to serious morbidity and even death. It is d...

journal_title：Journal of clinical anesthesia

authors： Liang BA

更新日期：1997-11-01 00:00:00

abstract：STUDY OBJECTIVE:To compare the prophylactic administration of ondansetron with droperidol or placebo to determine its effectiveness in reducing postoperative nausea and vomiting after middle ear procedures. DESIGN:Prospective, randomized, double-blind study. SETTING:Inpatient otolaryngology service at a university me...

journal_title：Journal of clinical anesthesia

authors： Jellish WS,Thalji Z,Fluter E,Leonetti JP

更新日期：1997-09-01 00:00:00

abstract：:Bilateral sequential pulmonary atelectasis occurred during median sternotomy for metastasis resection in a 19-year-old women with asthma. Collapse was secondary to mucus plugging and resolved with mechanical ventilation, suctioning, and treatment for bronchospasm. ...

journal_title：Journal of clinical anesthesia

authors： Nesbitt EH,Temeck BK,Williams KS

更新日期：1997-09-01 00:00:00

abstract：:Multiple drugs are used to provide anesthesia. Volatile anesthetics are commonly combined with opioids. Several studies have demonstrated that small doses of opioid (i.e., within the analgesic range) result in a marked reduction in minimum alveolar concentration (MAC) of the volatile anesthetic that will prevent purpo...

journal_title：Journal of clinical anesthesia

authors： Glass PS,Gan TJ,Howell S,Ginsberg B

更新日期：1997-09-01 00:00:00

abstract：STUDY OBJECTIVES:To examine the effect of timing of an intravenous (i.v.) dose (intraoperative vs. postoperative) of ketorolac tromethamine on pain scores and overall outcome after total abdominal hysterectomy (TAH) and myomectomy. DESIGN:Prospective, randomized, placebo-controlled study. PATIENTS:248 ASA physical st...

journal_title：Journal of clinical anesthesia

authors： Balestrieri P,Simmons G,Hill D,Brown J,Jackson A,Brull SJ,Maneatis TJ,Shefrin A,Bynum L,O'Hara DA

更新日期：1997-08-01 00:00:00

abstract：STUDY OBJECTIVE:To determine if intrathecal opioid decreases time to extubation after coronary artery bypass surgery without compromising postoperative analgesia. DESIGN:Prospective randomized trial. SETTING:Veterans Affairs Hospital. PATIENTS:21 ASA physical status III and IV men scheduled for elective coronary byp...

journal_title：Journal of clinical anesthesia

authors： Shroff A,Rooke GA,Bishop MJ

更新日期：1997-08-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the safety and efficacy of single inferior injection peribulbar block administered by anesthesiologists prior to cataract surgery. DESIGN:Retrospective chart review. SETTING:Freestanding surgery center (teaching). PATIENTS:1,074 consecutive patients who were treated over a two-year period...

journal_title：Journal of clinical anesthesia

authors： Hendrick SW,Rosenberg MK,Lebenbom-Mansour MH

更新日期：1997-06-01 00:00:00

abstract：:The neurologic implications of diabetic hyperglycemia depend on whether the ischemic insult is permanent or temporary. Laboratory studies show that following permanent focal ischemia, a situation analogous to stroke, diabetic hyperglycemia is protective in the penumbral region, whereas it may slightly increase infarct...

journal_title：Journal of clinical anesthesia

authors： Sieber FE

更新日期：1997-06-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the safety and efficacy of monitored anesthesia care (MAC) in patients who undergo a novel treatment for hepatocellular cancer in which procedure-related hemodynamic instability is problematic. DESIGN:Nonrandomized open study. SETTING:University cancer center operating room. PATIENTS:Nine...

journal_title：Journal of clinical anesthesia

authors： Dougherty TB,Mikolajek JA,Curley SA

更新日期：1997-05-01 00:00:00

abstract：STUDY OBJECTIVE:To investigate the effects of intravenous (IV) versus oral clonidine on alterations of heart rate (HR), mean arterial pressure (MAP), cardiac output (CO), and plasma-catecholamines due to endotracheal intubation. DESIGN:Randomized, double-blind, placebo-controlled study. SETTING:University hospital su...

journal_title：Journal of clinical anesthesia

authors： Zalunardo MP,Zollinger A,Spahn DR,Seifert B,Radjaipour M,Gautschi K,Pasch T

更新日期：1997-03-01 00:00:00

abstract：STUDY OBJECTIVES:To test the hypothesis that for major gynecologic surgery the combination of propofol for induction, ondansetron, and dexamethasone would be a more effective antiemetic combination than propofol for induction, ondansetron, and saline; and to determine if a propofol induction of anesthesia improved our ...

journal_title：Journal of clinical anesthesia

authors： McKenzie R,Riley TJ,Tantisira B,Hamilton DL

更新日期：1997-02-01 00:00:00

abstract：:We report the use of high-frequency oscillatory ventilation in the operating room during repair of multiple bronchopleural fistulae in a 9-year-old boy. In addition, we used principles of permissive hypercapnia to further minimize barotrauma. There were no cardiovascular consequences due to either the high-frequency v...

journal_title：Journal of clinical anesthesia

authors： Tietjen CS,Simon BA,Helfaer MA

更新日期：1997-02-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the postoperative analgesic efficacy of, and the effects on, intraoperative inhalational anesthetic requirements of preincisional caudal epidural block versus postincisional infiltration of local anesthetic following umbilical herniorrhaphy in children. DESIGN:Randomized, double-blind, pro...

journal_title：Journal of clinical anesthesia

authors： Tobias JD

更新日期：1996-12-01 00:00:00

abstract：:Opioids decrease the sympathetic and somatic responses to noxious stimulation and can be given in high doses without negative inotropic effects, even in patients with impaired cardiac function. With currently available opioids, precise titration of dose to effect is difficult, and high doses result in drug accumulatio...

journal_title：Journal of clinical anesthesia

authors： Michelsen LG,Hug CC Jr

更新日期：1996-12-01 00:00:00

abstract：STUDY OBJECTIVE:To define the optimal dose of lidocaine to be added to propofol to reduce the incidence of pain during its injection. DESIGN:Double-blind, randomized, placebo-controlled study. SETTING:Medical center operating rooms. PATIENTS:135 ASA I and II female patients undergoing minor outpatient surgery. INTE...

journal_title：Journal of clinical anesthesia

authors： Gajraj NM,Nathanson MH

更新日期：1996-11-01 00:00:00

abstract：STUDY OBJECTIVE:To compare esophageal, tympanic membrane, and forehead skin temperatures in patients undergoing elective surgeries. DESIGN:Prospective clinical study. SETTING:Operating room and postanesthesia care unit of a tertiary care teaching hospital. PATIENTS:40 adult ASA status I, II and III patients requirin...

journal_title：Journal of clinical anesthesia

authors： Patel N,Smith CE,Pinchak AC,Hagen JF

更新日期：1996-09-01 00:00:00

abstract：STUDY OBJECTIVES:To evaluate the efficacy of intravenous lidocaine and two doses of esmolol for attenuating the cardiovascular responses to laryngoscopy and intubation, and to assess whether a combination of both drugs is more effective than either drug alone. DESIGN:Randomized, prospective, double-blind, placebo-cont...

journal_title：Journal of clinical anesthesia

authors： Kindler CH,Schumacher PG,Schneider MC,Urwyler A

更新日期：1996-09-01 00:00:00

abstract：:We present a case in which an anemic patient with religious objections to blood transfusion experienced three episodes of severe myocardial ischemia during the perioperative period. The first episode of ischemia was successfully treated by discontinuing isoflurane and resolving the hypotension. The second and third ep...

journal_title：Journal of clinical anesthesia

authors： Botero C,Smith CE,Morscher AH

更新日期：1996-08-01 00:00:00

abstract：STUDY OBJECTIVES:To determine alfentanil levels with a specific radioimmunoassay in serum and ovarian follicular fluid. DESIGN:Observational study. SETTING:University hospital. PATIENTS:14 ASA status I women undergoing oocyte retrieval for in vitro fertilization. INTERVENTIONS:General anesthesia was induced with al...

journal_title：Journal of clinical anesthesia

authors： Shapira SC,Chrubasik S,Hoffmann A,Laufer N,Lewin A,Magora F

更新日期：1996-06-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether vasodilators such as sodium nitroprusside (SNP) and trimethaphan (TMP) produce a pressure difference between the radial artery and the brachial artery during epidural plus general anesthesia or simple general anesthesia. DESIGN:Randomized study and prospective study. SETTING:Opera...

journal_title：Journal of clinical anesthesia

authors： Nagata N,Takasaki M,Ibusuki S,Taniguchi M,Kondo O

更新日期：1996-05-01 00:00:00

abstract：STUDY OBJECTIVE:To determine if autologous blood reinfusion influences overall hemostatic function following aortocoronary artery bypass graft (CABG) surgery, and if so, where the predominant area of this influence lies. DESIGN:Prospective, with control values on each patient. SETTING:Cardiac operating room of a majo...

journal_title：Journal of clinical anesthesia

authors： Whitten CW,Allison PM,Latson TW,Ivy R,Burkhardt D,Gulden RH,Cochran RP

更新日期：1996-05-01 00:00:00

abstract：STUDY OBJECTIVE:To ascertain the optimal dose of trimethaphan camsylate administered by intravenous (i.v.) bolus injection for the control of hypertension and tachycardia during electroconvulsive therapy (ECT). DESIGN:Prospective, double blind, within-subject study. SETTING:Treating room of the psychiatric unit of th...

journal_title：Journal of clinical anesthesia

authors： Petrides G,Maneksha F,Zervas I,Carasiti I,Francis A

更新日期：1996-03-01 00:00:00

abstract：:We anesthesized a patient susceptible to malignant hyperthermia (MH) three different times by epidural anesthesia with different types of local anesthetics. His skinned fiber test showed a marked acceleration of calcium (Ca2+)-induced Ca2+ release (CICR). When ester type local anesthetic was used for ankle contracture...

journal_title：Journal of clinical anesthesia

authors： Motegi Y,Shirai M,Arai M,Kato S,Kawana Y,Goto F

更新日期：1996-03-01 00:00:00

abstract：:The anesthetic management of a parturient with a circulating lupus anticoagulant and an anticardiolipin antibody presenting to the obstetric suite taking heparin and aspirin is discussed. Issues concerning placement of a regional anesthetic with recent aspirin ingestion and heparin therapy are discussed. Documentation...

journal_title：Journal of clinical anesthesia

authors： Fahy BG,Malinow AM

更新日期：1996-02-01 00:00:00

abstract：:The need for greater efficiency in OR management will become apparent as hospitals are forced to respond to a myriad of pressures imposed by the external environment. The most effective strategy in dealing with this challenge will be realized by adopting a "systems" approach to OR functions as opposed to the more trad...

journal_title：Journal of clinical anesthesia

authors： Jeon AA

更新日期：1995-11-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the immediate effect of epidural blood patch (EBP) on the hearing loss that can accompany postdural puncture headache (PDPH). DESIGN:Prospective open study. SETTING:Anesthetic and otolaryngologic departments at a university hospital. SUBJECTS:16 patients who developed severe PDPH followi...

journal_title：Journal of clinical anesthesia

authors： Lybecker H,Andersen T,Helbo-Hansen HS

更新日期：1995-09-01 00:00:00

abstract：:Oxymetazoline nasal spray is a potent alpha 1-adrenergic agonist commonly used to vasoconstrict blood vessels in the nasal mucosa. In this incident, oxymetazoline nasal spray 0.025% was administered to a 2-year-old patient during general anesthesia for nasal endoscopy. Severe hypertension with reflex bradycardia progr...

journal_title：Journal of clinical anesthesia

authors： Thrush DN

更新日期：1995-09-01 00:00:00

abstract：STUDY OBJECTIVE:To ascertain current anesthesia utilization of esophageal and precordial stethoscopes in U.S. anesthesia training programs. DESIGN:Prospective, single-blind, incidence study. SETTING:Operating rooms of three tertiary care hospitals with major academic anesthesiology departments. SUBJECTS:Anesthesia f...

journal_title：Journal of clinical anesthesia

authors： Prielipp RC,Kelly JS,Roy RC

更新日期：1995-08-01 00:00:00

abstract：:Pneumothorax may be a medical emergency. Iatrogenic pneumothorax is more common than all other forms of spontaneous pneumothorax, and surgical procedures involving the breast are a frequent setting for this. A 32-year-old, 60 kg, woman without any significant medical history underwent a bilateral breast augmentation a...

journal_title：Journal of clinical anesthesia

authors： Kaye AD,Eaton WM,Jahr JS,Nossaman BD,Youngberg JA

更新日期：1995-08-01 00:00:00

abstract：:Arterial misplacement of the Swan-Ganz catheter occurs occasionally and usually can be easily detected. However, in some special clinical settings, the problem may become more complicated. We report a case of chronic obstructive pulmonary disease in which, because of severe hypoxemia, systemic hypotension, and pulmona...

journal_title：Journal of clinical anesthesia

authors： Lee TS,Wu Y

更新日期：1995-06-01 00:00:00

abstract：STUDY OBJECTIVE:To compare the efficacy of patient-controlled analgesia (PCA) to physician-controlled analgesia in patients undergoing extracorporeal shock wave lithotripsy (ESWL). DESIGN:Prospective, randomized trial. SETTING:New Jersey Kidney Stone Treatment Center at Robert Wood Johnson University Hospital, New Br...

journal_title：Journal of clinical anesthesia

authors： Kortis HI,Amory DW,Wagner BK,Levin R,Wilson E,Levin A,Pitchford DE,Pollak P

更新日期：1995-05-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the cardiovascular changes following induction of anesthesia, laryngoscopy, and intubation in patients receiving a bolus dose of either eltanolone or propofol. DESIGN:Randomized, controlled, blind, prospective clinical study. SETTING:General operating theaters of a university hospital. PA...

journal_title：Journal of clinical anesthesia

authors： Sear JW,Jewkes C,Wanigasekera V

更新日期：1995-03-01 00:00:00

abstract：STUDY OBJECTIVE:To determine if acquired long QT syndrome following right or left, radical or modified, neck dissections result in malignant arrhythmias or deaths. DESIGN:Prospective study. SETTING:Inpatient head and neck service of the Massachusetts Eye and Ear Infirmary. PATIENTS:69 patients who underwent extensiv...

journal_title：Journal of clinical anesthesia

authors： Acquadro MA,Nghiem TX,Beach TP,Donlon JV Jr,Joseph MP,Ahern DK

更新日期：1995-02-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate and compare the efficacy of various pretreatment agents to attenuate or prevent opioid-induced muscle rigidity using a well-established, previously described clinical protocol. DESIGN:Prospective, controlled, single-blind, partially randomized study. SETTING:Large medical center. PATIENTS...

journal_title：Journal of clinical anesthesia

authors： Sanford TJ Jr,Weinger MB,Smith NT,Benthuysen JL,Head N,Silver H,Blasco TA

更新日期：1994-11-01 00:00:00

abstract：:The acceptance of new and increasingly expensive technologies is a major component of the rising costs of health care. While the practice of anesthesia has been relatively immune from the effects of cost containment, it is inevitable that practitioners will have to justify costly practices. Available pharmacoeconomic ...

journal_title：Journal of clinical anesthesia

authors： DeMonaco HJ,Shah AS

更新日期：1994-09-01 00:00:00

abstract：:Approximately 2 million closed head injuries (CHIs) occur yearly in the United States. Twenty-five percent of these injuries require hospitalization, and 70,000 to 90,000 of those hospitalized suffer long-term disability. This case conference details one such case of CHI in which the patient ultimately died. Close att...

journal_title：Journal of clinical anesthesia

authors： Stachniak J,Layon AJ

更新日期：1994-09-01 00:00:00

abstract：:This article focuses on anesthesiology practice in the context of Belgian health care. The first part describes the organization of Belgian health care, the role of private and public initiatives, the division of responsibilities between the different health authorities, the financing mechanisms, and the central role ...

journal_title：Journal of clinical anesthesia

authors： Vleugels AM

更新日期：1994-07-01 00:00:00

abstract：:Swedish anesthesiology is greatly indebted to the preeminent American anesthesiologist, and first professor of anesthesiology in the world, Ralph M. Waters. It was in part because of the influence and teaching of this great pioneer that modern anesthesiology became firmly established in Sweden. Approximately 60 reside...

journal_title：Journal of clinical anesthesia

authors： Gordh T

更新日期：1994-05-01 00:00:00

abstract：STUDY OBJECTIVE:To document the effects of compromised respiratory function on oxygen saturation (SpO2) after cesarean section via the telemetric pulse oximetry network (TPON) for 24 continuous hours. DESIGN:Prospective study. SETTING:Postpartum ward of a university hospital. PATIENTS:ASA physical status I or II par...

journal_title：Journal of clinical anesthesia

authors： Pan PH,James CF

更新日期：1994-03-01 00:00:00