Showing papers in "Journal of Clinical Anesthesia in 1998"

TL;DR: The overall incidence of anesthesia-related aspiration in this series was twice that reported in studies of adults, and four times higher for those at highest risk, and routine prophylactic administration of histamine blockers or propulsive drugs in healthy pediatric patients is unwarranted.

TL;DR: The prone position caused LVV to decrease, and this change was probably due to a decrease in the venous return due to inferior vena caval compression, and decreased left ventricular compliance due to increased intrathoracic pressure in the prone position.

TL;DR: The combination of convective and fluid warming was associated with a decreased likelihood of patients leaving the operating room hypothermic and care must be taken to avoid overheating the patient when both warming modalities are employed together.

TL;DR: Thoracic epidural anesthesia depressed the sympathetic response presumably by blocking afferent sympathetic pathways under the conditions of this study, but it did not attenuate an increase in cortisol, one of the hypothalamic-pituitary-adrenal stress hormones, during carbon dioxide laparoscopic cholecystectomy in this study.

TL;DR: The clinical picture suggests a reflex cause, possibly associated with low right-sided cardiac filling pressure, in patients who suffered severe sinus bradycardia or asystole during spinal or epidural anesthesia over a 5-year period.

TL;DR: While ondansetron is an effective antiemetic with minimal adverse effects, the data obtained on the numbers needed to be treated calculation for prophylaxis of postoperative vomiting should be considered in future cost-effective strategies of postoperatively management.

TL;DR: After instituting performance standards, the performance for first case start times improved and Anesthesia-related delays in turnaround times stabilized at a 16% defective rate.

TL;DR: Spinal anesthesia is an effective alternative to general anesthesia for lumbar spine surgery and has a reduced rate of minor complications.

TL;DR: In this paper, a survey was carried out to provide "benchmark" data on current practices of in-hospital perioperative pain management, including institutional policies and practice patterns.

TL;DR: Hematic compression and positive inspiratory hold effectively dilate the RIJV in supine patients and can be used when the Trendelenburg position is not advisable or possible.

TL;DR: The study supports the use of albumin in patients at risk for thrombosis, and saline in patients with a need for normal hemostasis, after differing ex vivo effects of three different intravascular fluids thrombelastography assessed coagulation are found.

TL;DR: Cerebral oximetry reflects CBF, and it may be an effective, noninvasive method of monitoring regional cerebral oxygenation changes during CEA, and significant reductions in regional SaO2 may be tolerated without evidence of brain failure.

TL;DR: Recovery indices and psychomotor function are marginally but not significantly better with sevoflurane than desflurane while using as part of a balanced anesthetic technique.

TL;DR: Clinical pathway regional anesthesia care for outpatient orthopedics may have a significant role in simultaneously containing costs and improving both process efficiency and patient outcomes.

TL;DR: At the doses studied, remifentanil was more effective than propofol in minimizing pain without producing excessive sedation and should be further decreased an additional 50% in the elderly to minimize adverse effects.

TL;DR: SPV is a dynamic measurement, which, by revealing the response to small cyclical changes in left ventricular pre load that occur during the controlled mechanical respiratory cycle, is a better predictor than central filling pressures of the response of CO to acute decreases in preload that occur as a result of acute blood loss.

TL;DR: In patients undergoing major abdominal surgery, plasma IL-10 levels were elevated during and after operation, and may modulate the inflammatory responses in the perioperative period.

TL;DR: Assessment of cardiovascular and pulmonary history needs refinement to improve prediction of patient responses postoperatively and organizational factors may be a more important predictor of prolonged PACU stay.

TL;DR: In healthy pediatric patients undergoing mask induction of general anesthesia with sevoflurane, the induction time can be significantly shortened without an increase in the frequency of airway or vital sign complications using a high concentration, primed circuit technique compared with a conventional, incremental induction method.

TL;DR: The upper thoracic intervertebral spaces appeared to provide a greater margin of safety for insertion of epidural catheters to treat cervicobrachial radiculopathy and the "hump pad" appears to be thicker in obese patients.

TL;DR: Recall of risks by parturients is similar to the recall ofisks by other patients, and it does not appear to be affected by parity or the reported level of pain.

TL;DR: Both the blind and directed approaches resulted in successful left mainstem placement of the endobronchial tube in the majority of patients but either method may fail when used alone.

TL;DR: The combination of oral clonidine with intravenous ketamine to a burn patient to control severe pain produced good analgesia and sedation and counterbalanced the sympathetic stimulation of ketamine by virtue of its action in reducing sympathetic outflow.

TL;DR: Prolonged length of stay and unplanned hospital admissions were uncommon outcomes following pediatric outpatient surgery, however, the impact of such outcomes on hospital staffing and family convenience may have implications related to cost containment and patient satisfaction.

TL;DR: The acute hyperdynamic response to ECT was most effectively controlled by nicardipine 2.5 to 5 mg i.v. bolus, in combination with labetalol 10 mg I.v, which was the most effective pretreatment regimen for preventing the acute hyperDynamic response for ECT.

TL;DR: Deep cortical cerebral arteries down to a diameter of 0.57 mm seem to act merely as conductance vessels, which may offer an explanation for the changes in cerebral blood flow and cerebral flow velocity recorded by others and usually attributed to cerebral vasodilatation.

TL;DR: Preanesthetic oral clonidine (150 micrograms but not diazepam (10 mg) reduced the total requirement of propofol while stabilizing hemodynamic parameters, and attenuates the hemodynamic responses associated with tracheal intubation.

TL;DR: Mild hypothermia is a simple and useful procedure for improving the circulation of postcardiac surgical patients with severe heart failure despite the use of IABP.

TL;DR: Single oral doses of dolasetron, administered 1 to 2 hours before induction of anesthesia, are safe and effective for preventing postoperative nausea and vomiting in this patient sample.

TL;DR: Clinical pathway patient management systems in anesthesia care are likely to produce useful outcome data of current practice patterns when compared with historical controls and this management tool may be useful in simultaneously containing costs and improving process efficiency and patient outcomes.