Anesthesia and analgesia
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Anesthesia and analgesia · Aug 2007
Comparative StudyAnesthetic preconditioning combined with postconditioning offers no additional benefit over preconditioning or postconditioning alone.
Recent investigations demonstrate that anesthetic preconditioning and postconditioning reduce myocardial infarct size to a degree comparable to that achieved with ischemic preconditioning. We hypothesized that the combination of sevoflurane preconditioning and postconditioning would result in greater preservation of myocardium. ⋯ Sevoflurane postconditioning is as effective as preconditioning in protecting myocardial function after global ischemia. The combination of sevoflurane preconditioning and postconditioning offered no additional benefit over either intervention alone.
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Anesthesia and analgesia · Aug 2007
Multicenter Study Comparative StudyFactors predictive of patient satisfaction with anesthesia.
In this multicenter prospective study, we identified factors associated with satisfaction with anesthesia in patients staying in hospital at least 24 h after surgery. ⋯ Inpatient satisfaction can be improved by an organization in which surgical suite nurses are dedicated only to anesthesia, a written anesthesia information leaflet is given during the preoperative visit and postoperative visits are enhanced.
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Anesthesia and analgesia · Aug 2007
Randomized Controlled Trial Comparative StudyThe effect of leaving dentures in place on bag-mask ventilation at induction of general anesthesia.
The optimum timing for denture removal in edentulous patients before anesthesia and surgery is uncertain. ⋯ We conclude that bag-mask ventilation is easier in edentulate patients when their dentures are left in situ during induction of general anesthesia.
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Anesthesia and analgesia · Aug 2007
Comparative StudyTrendelenburg position, simulated Valsalva maneuver, and liver compression do not alter the size of the right internal jugular vein in patients with a bidirectional Glenn shunt.
Ultrasound is increasingly used to facilitate right internal jugular vein (RIJV) cannulation in children. In children without cardiac disease, position changes and enhancement maneuvers increase RIJV cross-sectional area (CSA) and further facilitate cannulation. We investigated the effect of these maneuvers on RIJV CSA in children with a bidirectional Glenn (BDG) shunt presenting for a Fontan procedure. ⋯ Position changes and enhancement maneuvers are unlikely to facilitate RIJV cannulation in BDG shunt patients presenting for Fontan procedure because these interventions do not increase RIJV CSA.