Journal of clinical anesthesia
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Randomized Controlled Trial Comparative Study
Epidural analgesia after scoliosis surgery: electrophysiologic and clinical assessment of the effects of bupivacaine 0.125% plus morphine versus ropivacaine 0.2% plus morphine.
To study the electrophysiologic and clinical effects of epidural morphine combined with either bupivacaine 0.125% or ropivacaine 0.2%. ⋯ After epidural administration during the study conditions, bupivacaine 0.125% and ropivacaine 0.2% combined with morphine allow for neurologic examination.
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To determine the practice of members of the Society of Ambulatory Anesthesia (SAMBA) in the management of postoperative nausea and vomiting (PONV) before and after the Food and Drug Administration (FDA) black box warning on droperidol. ⋯ Although most surveyed practitioners believed that the FDA black box warning on droperidol is not justified, the use of this cost-effective agent has significantly declined.
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We investigate an incident in which a carbon dioxide absorber caused difficulty with ventilation. The problem as it developed throughout the anesthetic, and clues that led to the determination that the carbon dioxide canister was the problem, is discussed.
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Biography Historical Article
Lipmann and Anfinsen: Nobel biochemists of Beecher's anesthesia laboratory.
Henry K. Beecher performed blood pH and gas analysis on patients in the 1940s, though the biochemical technology was not widely available until the 1950s. Two of Beecher's biochemist coworkers, Fritz Lipmann and Christian B. Anfinsen, went on to earn Nobel Prizes.
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Case Reports
Massive retrograde acute type B aortic dissection in a postpartum woman with a family history of Marfan syndrome.
Acute aortic dissection is rare but potentially catastrophic complication of pregnancy. Aortic root enlargement, congenital bicuspid aortic valve disease, and Marfan syndrome have been identified as critical risk factors for peripartum aortic dissection. Most of the aortic dissections reported to date involve the ascending aorta and occur before delivery, but only a few cases of postpartum aortic dissection have been described. In this report, we discuss the management of a multigravid parturient with an extensive family history of Marfan syndrome who developed a massive retrograde type B aortic dissection 7 days after a normal spontaneous vaginal delivery.