Journal of clinical anesthesia
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Comparative Study Clinical Trial
A clinical assessment of the Glidescope videolaryngoscope in nasotracheal intubation with general anesthesia.
To evaluate the efficacy and safety of the Glidescope videolaryngoscope as a device to aid nasotracheal intubation, and to determine whether the GSVL provides a better laryngeal view in patients with difficult laryngoscopy compared with the Macintosh laryngoscope. ⋯ The GSVL is an effective device for nasotracheal intubation and may be incorporated easily into routine clinical practice. Compared with the Macintosh laryngoscope, the GSVL can provide an improved laryngeal view in the patient with difficult airway.
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Smoking is the single most cause of preventable disease and premature death in the United States. We discuss potential hazards that the anesthesiologist should be aware of when caring for patients who abuse tobacco. A review of recent preoperative smoking cessation initiatives is also provided in addition to recommendations on how anesthesiologists may use the preoperative visit as an opportunity to play a more active role in reducing the burden of tobacco-related disease.
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Randomized Controlled Trial
Effects of mannitol in the prevention of lipid peroxidation during liver resection with hepatic vascular exclusion.
To examine the efficacy of mannitol in the prevention of lipid peroxidation during major liver resections performed during hepatic inflow occlusion. ⋯ Mannitol has an antioxidant activity, but we were unable to confirm a positive impact on the postoperative clinical course.
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Randomized Controlled Trial
Improved postoperative analgesia with coadministration of preoperative epidural ketamine and midazolam.
To assess postoperative pain regulation and pharmacokinetic effects of preoperative administration of ketamine and midazolam. ⋯ Preoperative epidural coadministration of a low dose of ketamine with midazolam is more effective in relieving postoperative pain than using ketamine alone. In addition, epidural midazolam prolongs the elimination of ketamine.
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Randomized Controlled Trial Comparative Study
Extubation time, hemodynamic stability, and postoperative pain control in patients undergoing coronary artery bypass surgery: an evaluation of fentanyl, remifentanil, and nonsteroidal antiinflammatory drugs with propofol for perioperative and postoperative management.
To compare three anesthetic strategies with respect to the time of extubation after coronary artery bypass graft (CABG) surgery and to assess patient satisfaction with the procedure. ⋯ Intravenous propofol with bolus doses of IV fentanyl intraoperatively in combination with postoperative nonsteroidal antiinflammatory drugs had the best recovery profile in patients undergoing primary CABG than did the other two regimens studied.