Journal of clinical anesthesia
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To determine the blood propofol concentration of anesthesiologists who were exposed to the expired gases of patients receiving propofol-based intravenous (IV) sedation. ⋯ This experiment did not detect propofol in the blood of anesthesiologists who administered propofol-based IV sedation to patients.
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To determine whether intubation using an Aintree Intubation Catheter (AIC), fiberoptic intubation (FOB), and Laryngeal Mask Airway (LMA) is safe and effective for securing the airway in patients who are difficult to intubate after induction of general anesthesia. ⋯ The LMA-AIC-FOB technique is safe and effective for patients who are difficult to intubate after induction of anesthesia.
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To determine the experience, attitudes, and opinions of anesthesia providers in recovery from addiction to anesthetic agents, who subsequently undergo surgery or who require opioid analgesics for injuries or other conditions. ⋯ Anesthesia care providers in recovery from addiction to anesthetic agents may undergo subsequent exposure to these agents due to medical necessity. Participation in a program of recovery with support from family members may decrease the risk of relapse but does not eliminate it.
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Facemask ventilation has been associated with the development of postoperative nausea and vomiting, increasing the risk of tracheal aspiration; development of gastric distension that further impairs alveolar ventilation; perforation of gastric and duodenal ulcers; development of pneumothorax; extrabronchial air dissection; and development of cardiac dysrhythmias, including bradycardia from indirect vagal nerve stimulation. An unusual complication that occurred during prolonged facemask ventilation is presented: development of a pseudo-obstruction of the intrathoracic airway due to the presence of entrained esophageal air.