Journal of clinical anesthesia
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To determine how controversial the management of a number of clinical scenarios that are labeled as controversial (eg, how to induce anesthesia in the "open eye-full stomach" patient) are among those practicing anesthesia. ⋯ This survey of anesthesiologists regarding these controversial clinical scenarios showed that (a) most scenarios were in fact controversial amongst those in practice, and (b) there were disparities between whether a technique is believed to be acceptable practice and whether it would be used in one's own practice.
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Case Reports Clinical Trial
Hemodynamic changes during laparoscopic cholecystectomy in patients with severe cardiac disease.
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To study the effectiveness of an anesthesiologist-directed preadmission evaluation center (PEC) in our institution. ⋯ A PEC, in which the anesthesiologist primarily orders preoperative tests and approves patients' readiness for surgery, is both an efficient and cost-effective system.
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Comparative Study
Effects of gas flow management on postintubation end-tidal anesthetic concentration and operating room pollution.
To study how different anesthetic practices during the transition from anesthetic delivery by mask to endotracheal intubation affect end-tidal postintubation anesthetic concentration and operating room (OR) pollution. ⋯ In a mechanical model of anesthetic induction, turning the gas flows off before "intubation" and leaving the vaporizer on (the gas off practice) maintained "postintubation" end-tidal drug concentrations close to "preintubation" equilibrium and minimized OR pollution.
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Randomized Controlled Trial Comparative Study Clinical Trial
Priming with rocuronium accelerates the onset of neuromuscular blockade.
To investigate the effects of priming rocuronium on the time course of neuromuscular blockade. ⋯ Priming rocuronium decreased the onset times and thus, the intubating times without increasing the clinical duration of action or recovery index.