The Mount Sinai journal of medicine, New York
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A case of subarachnoid hemorrhage following spinal anesthesia for prostate radioactive seed implantation is reported. The implications of the differential diagnosis of post-dural puncture headache are discussed.
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Historical Article
The surgical intensive care unit of The Mount Sinai Hospital: a brief history focusing on contributions to academic critical care medicine and excellence in patient care.
The Mount Sinai Hospital Surgical Intensive Care Unit (SICU) was founded in 1969. Drs. ⋯ Since it was founded, the SICU has been an integral part of the Mount Sinai Medical Center, providing a wide variety of clinical services including critical care, central line placement, and nutritional consultation. As one of the largest training programs in the United States and a frequent contributor to the medical literature, the SICU has also played a vital role in academic critical care medicine.
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Historical Article
The evolution of intraoperative transesophageal echocardiography.
In this article, the development of intraoperative transesophageal echocardiography (TEE) is reviewed. It took two decades to develop the present clinical applications of TEE. This modality will continue to serve as a monitor and diagnostic tool to ensure better care of patients in the operating room and the intensive care units.
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Randomized Controlled Trial Clinical Trial
Preemptive epidural analgesia for thoracic surgery.
The purpose of this study was to determine if preemptive epidural analgesia performed before thoracotomy incision and during the operation reduces postoperative pain. Patients in the treatment group received 8 mL of 0.25% bupivacaine and 2 mL of fentanyl (50 microg/mL) via the epidural route prior to skin incision, followed by an infusion of bupivacaine 0.1% and fentanyl 10 microg/mL at 6 mL/hr. ⋯ The patients in the treatment group required less isoflurane intraoperatively and had lower maximum pain scores in the first 6 hours postoperatively. No significant differences were noted after the first 6 hours.
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New trends in pediatric anesthesia for ambulatory surgery will be described. Preoperative preparation as well as care of pediatric patients requiring sedation outside of the operating room are emphasized.