Journal of clinical anesthesia
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To identify the frequency, outcome, and factors associated with unplanned endotracheal extubation (UE) in the intensive care unit (ICU). ⋯ Patients should be observed closely after unplanned extubation, although many may not require reintubation. Reintubation can be quite difficult, necessitating highly skilled airway management. Attention to associated risk factors may decrease the incidence of both accidental and self-extubation.
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Randomized Controlled Trial Comparative Study Clinical Trial
Efficacy and safety of divided dose administration of mivacurium for a 90-second tracheal intubation.
To compare the safety and effectiveness of 0.25 mg divided doses of mivacurium chloride to succinylcholine for a 90-second tracheal intubation. ⋯ When Sch is not desirable, mivacurium 0.25 mg/kg given as a divided dose provides good to excellent intubation conditions 90 seconds after the initial dose without significant changes in MAP or HR. It can be an appropriate alternative for short surgical procedures. It must be emphasized that this conclusion does not apply to rapid-sequence induction-intubation.
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Randomized Controlled Trial Clinical Trial
Effect of oral clonidine premedication on anesthetic requirement, hormonal response, hemodynamics, and recovery in coronary artery bypass graft surgery patients.
To examine how premedication with clonidine affects opioid use, hemodynamic effects, hormonal responses, and recovery effects. ⋯ Clonidine decreases opioid use and lowers hormonal response while maintaining stable hemodynamics in patients undergoing CABG with sufentanil anesthesia.
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Randomized Controlled Trial Comparative Study Clinical Trial
Incidence of nausea and vomiting in outpatients undergoing general anesthesia in relation to selection of intraoperative opioid.
To measure the incidence of nausea and vomiting in outpatients in relation to selection of, or withholding of, intraoperative opioid. ⋯ Opioid administration at the doses employed during induction of anesthesia does not promote postoperative nausea or vomiting, nor increase length of stay in the PACU.
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Randomized Controlled Trial Comparative Study Clinical Trial
Prospective, randomized comparison of the Flotem Iie and Hotline fluid warmers in anesthetized adults.
To compare the fluid warming capabilities of the Hotline and Flotem IIe devices in surgical patients, and whether warming intravenous (i.v.) fluids with the Hotline device resulted in less hypothermia and less need for other warming methods compared with the Flotem IIe device. ⋯ The Hotline device delivered fluids to the patient at consistently warmer temperatures compared with the Flotem IIe device during actual clinical conditions. This was associated with maintenance of near normal core temperatures throughout the procedure in the Hotline group, and a decreased need for interventions such as forced-air warming and treatment for severe shivering.