The Laryngoscope
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Randomized Controlled Trial Comparative Study Clinical Trial Controlled Clinical Trial
Improved postoperative pain control in pediatric adenotonsillectomy with dextromethorphan.
A prospective, randomized, double-blinded, placebo-controlled protocol. ⋯ Dextromethorphan syrup is a safe, non-narcotic medication that significantly reduced the requirement of intravenous morphine after pediatric adenotonsillectomy. Its routine use in this manner is recommended.
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Randomized Controlled Trial Comparative Study Clinical Trial
Use of dexamethasone on the prophylaxis of nausea and vomiting after tympanomastoid surgery.
The aim of this study was to evaluate the prophylactic effect of dexamethasone on postoperative nausea and vomiting (PONV) in patients undergoing tympanomastoid surgery. ⋯ Dexamethasone at a dosage of 10 mg administered intravenously is effective in preventing PONV in patients undergoing tympanomastoid surgery.
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Review Comparative Study
Melanoma of the head and neck: current concepts in diagnosis and management.
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As we enter the third millennium, there are in the United States 24 medical specialties recognized by the American Board of Medical Specialties. The majority of the members of each of these specialties have their education, training, and knowledge "certified" by an examining board unique to their specialty. ⋯ At the turn of the 20th century, nearly all physicians practiced all of medicine. How and why did this evolution occur and what controls evolved to contain this? The goal of this presentation is to review the rise of medical specialties and the board examination system and describe some of the many organizations, often known by acronyms, which deal with this now complex architecture.