Journal of clinical anesthesia
-
To examine the relationship between social adaptability, cognitive abilities, and other personality characteristics to perioperative anxiety. ⋯ Anesthesiologists need to pay close attention to the families of pediatric surgical children who are socially maladjusted, shy and inhibited, and have anxious parents.
-
Comparative Study
An evaluation of a new continuous blood pressure monitoring system in critically ill patients.
To determine if the DxTek monitor, which is a device that measures blood pressure (BP) noninvasively and continuously by means of pulse velocity and wave shapes derived from the pulse oximeter optical plethysmograph and electrocardiogram is as accurate as an oscillometric cuff device when compared with intraarterial BP measurement. ⋯ The DxTek monitor provides continuous, noninvasive BP measurements with an accuracy comparable to oscillometric devices.
-
Two cases of inadvertent dural puncture in patients at high risk for dural puncture headache are presented. These patients were managed with an immediate epidural blood patch through a catheter placed at another level with placement of this catheter occurring immediately following the dural puncture. Following the blood patch, the patients were anesthetized with the epidural catheter being used for supplementation of the general anesthetic and for postoperative pain management. Neither patient required further management of a dural puncture headache nor did it appear that the blood interfered with the patients receiving adequate postoperative analgesia through the use of this epidural catheter.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Evaluation of the cardiovascular responses to fiberoptic orotracheal intubation with television monitoring: comparison with conventional direct laryngoscopy.
To evaluate and compare cardiovascular responses to a new method of orotracheal intubation incorporating TV monitoring, with conventional orotracheal intubation via rigid blade laryngoscopy. ⋯ Insertion of an endotracheal tube may itself be the most invasive stimulus during intubation procedures.