Anesthesia and analgesia
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Anesthesia and analgesia · Aug 2011
A case series of the anesthetic management of parturients with surgically repaired tetralogy of Fallot.
Most case reports of pregnancies after surgical repair of tetralogy of Fallot have focused on cardiovascular and obstetric concerns, with relatively few authors focusing on specific intrapartum and postpartum anesthetic management strategies. ⋯ Pregnancy outcomes for patients with repaired tetralogy of Fallot were found to be generally favorable. All patients undergoing a trial of labor or cesarean delivery had neuraxial analgesia or anesthesia. Recognition and management of congestive heart failure was necessary in 19% of deliveries.
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Anesthesia and analgesia · Aug 2011
Clinical TrialFactors affecting the decision to defer endotracheal extubation after surgery for congenital heart disease: a prospective observational study.
Fast-tracking and early endotracheal extubation have been described in patients undergoing surgery for congenital heart disease (CHD); however, criteria for patient selection have not been validated in a prospective manner. Our goal in this study was to prospectively identify factors associated with the decision to defer endotracheal extubation in the operating room (OR). ⋯ Preoperatively known factors alone can predict the relative chances of deferring extubation after surgery for CHD. The early extubation strategies applied in the 2 centers were successful in the majority of cases.
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Anesthesia and analgesia · Aug 2011
Performance of the On-Q pain infusion device during hyperbaric therapy.
There are reports in the literature regarding the effects of hyperbaric conditions on various medical devices. In the current study we evaluated the performance of an elastomeric infusion device during exposure to a hyperbaric environment. ⋯ This preliminary investigation demonstrates no clinically significant change in the function of the On-Q pain device during exposure to a hyperbaric environment.
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Anesthesia and analgesia · Aug 2011
An in vitro investigation of the coagulation effects of exogenous oxytocin using thromboelastography in healthy parturients.
We investigated the coagulation effects in vitro of exogenous oxytocin in whole blood of healthy term parturients. ⋯ The results of this in vitro investigation suggest that exogenous oxytocin is associated with modest hypercoagulable effects in the maternal blood of healthy term parturients.