Journal of clinical anesthesia
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Randomized Controlled Trial Comparative Study
Spinal anesthesia protects against perioperative hyperglycemia in patients undergoing hip arthroplasty.
To determine whether spinal anesthesia blunts surgical stress reactions and results in less perioperative hyperglycemia. ⋯ Spinal anesthesia attenuates the hyperglycemic response to surgical stimuli in diabetics and nondiabetic patients.
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Randomized Controlled Trial
Betamethasone in prevention of postoperative nausea and vomiting following breast surgery.
To investigate whether betamethasone decreases the incidence of postoperative nausea/vomiting (PONV) and reduces postoperative pain following partial mastectomy. ⋯ Preoperative betamethasone reduces the severity of PONV and pain in patients undergoing elective breast surgery.
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Randomized Controlled Trial Comparative Study
Comparison of the didactic lecture with the simulation/model approach for the teaching of a novel perioperative ultrasound curriculum to anesthesiology residents.
To expose residents to two methods of education for point-of-care ultrasound, a traditional didactic lecture and a model/simulation-based lecture, which focus on concepts of cardiopulmonary function, volume status, and evaluation of severe thoracic/abdominal injuries; and to assess which method is more effective. ⋯ A model/simulation-based based lecture series may be more effective in teaching the skills needed to perform a point-of-care ultrasound examination to anesthesiology residents.
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Randomized Controlled Trial Comparative Study
Does the type of anesthetic agent affect remifentanil effect-site concentration for preventing endotracheal tube-induced cough during anesthetic emergence? Comparison of propofol, sevoflurane, and desflurane.
To investigate whether the type of anesthetic agent administered affects the antitussive effect of remifentanil. ⋯ Remifentanil administration for cough suppression during emergence should be customized to the anesthetic agent.
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A multidisciplinary approach to the preterm delivery of a preeclamptic parturient with severe left ventricular (LV) noncompaction and pulmonary hypertension using transesophageal echocardiography (TEE) as a monitor of hemodynamic status in lieu of a pulmonary artery catheter during general anesthesia for Cesarean section is presented. This case adds to the available literature on LV noncompaction with pulmonary hypertension in preeclamptic parturients, and addresses the anesthetic concerns and approaches to management using echocardiography in these highly complex patients.