Journal of clinical anesthesia
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Clinical Trial Controlled Clinical Trial
Epidemiology of the adverse hemodynamic events occurring during "clonidine anesthesia": a prospective open trial of intraoperative intravenous clonidine.
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The anesthesiologist is frequently responsible for administering antibiotics in the immediate preoperative and intraoperative periods. Anesthesiologists often are not trained in the administration of antibiotics, which can be associated with both acute and long-term complications including potentiation of neuromuscular blocking agents, allergic reactions, and end-organ toxicity. The indications for perioperative antibiotics, proper method of administration, and occurrence and treatment of major side effects of the more commonly recommended prophylactic antibiotics are discussed.
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Comparative Study
Labor epidural catheter reactivation or spinal anesthesia for delayed postpartum tubal ligation: a cost comparison.
To evaluate the costs and resource consumption associated with utilizing epidural catheters placed during labor versus spinal anesthesia for postpartum tubal ligation. To examine maternal demographics, anesthetic management variables, and time interval from delivery until surgery for association with epidural catheter reactivation success rate. ⋯ Spinal anesthesia for postpartum tubal ligation was associated with lower anesthesia professional fees and OR charges compared with attempted reactivation of epidural catheters placed during labor. Anesthesiologists should weigh the cost advantages of spinal anesthesia against the small, but increased probability of headache after dural puncture.
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To determine whether saline soaked pledgets would protect the cuffs of polyvinylchloride (PVC) endotracheal tubes from carbon dioxide (CO2) laser-induced combustion. ⋯ Under the conditions of this experiment, saline soaked pledgets protected PVC endotracheal tube cuffs from the CO2 laser.
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Randomized Controlled Trial Comparative Study Clinical Trial
Hemodynamic comparison of direct vision versus blind oral endotracheal intubation.
To determine the hemodynamic response to airway manipulation and endotracheal intubation by comparing the direct oral method of the Macintosh laryngoscope to the blind oral method of the Augustine guide. ⋯ The Augustine guide, a new technique for orally intubating patients blindly and when head and neck manipulations are contraindicated, had less of an effect on HR compared with the Macintosh laryngoscope. Minimal lifting of the tongue and mandible required with the Augustine guide could account for the decreased HR response. The Augustine guide appears to be a promising new addition to the airway armamentarium and deserves further testing.