Journal of clinical anesthesia
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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.
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Observational Study
Fiberoptic assessment of the Laryngeal Mask Airway (Laryseal) position after one hour of positive pressure ventilation: an observational study.
To determine, by fiberoptic endoscope, malpositioning of the Laryngeal Mask Airway (LMA) and other extraglottic devices. ⋯ LMA position may change spontaneously with time during PPV, especially when the LMA position is not optimum at the time of insertion. The LMA should be adequately inserted with all possible measures in cases with general anesthesia and PPV. Fiberoptic assessment of LMA position intraoperatively may be advantageous.
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A patient with refractory trigeminal neuralgia (tic douloureux) was treated by intravenous magnesium sulfate successfully. Parenteral magnesium sulfate is an analgesic that expresses its analgesic effects through a noncompetitive blockade of the N-methyl-D-aspartate (NMDA) receptors, which in turns inhibits calcium entry into the cells.