Journal of clinical anesthesia
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Historical Article
Uncertainty by choice: anesthesia and the children of night.
Anesthesiologists sometimes have difficulty discussing uncertainties with patients. The widespread and deeply visceral uncertainty about sleep, dreams, and death--the daily terrain of the anesthesiologist--has its roots in the classical representations of these states as siblings, the children of the goddess Night. The symbolism of mythology can guide the practitioner by recognizing, through allegory, the range of our own and our patients' fears.
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Randomized Controlled Trial Comparative Study Clinical Trial
Randomized comparison of isoflurane and sevoflurane for laparoscopic gastric banding in morbidly obese patients.
To compare the efficacy and recovery profile of sevoflurane and isoflurane as the main anesthetics for morbidly obese patients. ⋯ Sevoflurane provides a safe and effective intraoperative control of cardiovascular homeostasis in morbidly obese patients undergoing laparoscopic gastric banding, with the advantage of a faster recovery and earlier discharge from the postanesthesia care unit than isoflurane.
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Randomized Controlled Trial Clinical Trial
The effect of transdermal nitroglycerin on spinal S(+)-ketamine antinociception following orthopedic surgery.
To determine whether combination of transdermal nitroglycerine (a nitric oxide generator) would enhance analgesia from epidural S(+)-ketamine (a N-methyl-D-aspartate antagonist) in patients undergoing orthopedic surgery with combined spinal anesthesia. ⋯ Epidural S(+)-ketamine resulted in antinociception, which was enhanced by transdermal nitroglycerin.
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Randomized Controlled Trial Clinical Trial
Transcutaneous electrical nerve stimulation does not augment epidural labor analgesia.
To evaluate whether transcutaneous electrical nerve stimulation (TENS) can increase the quality and duration of an initiation dose of bupivacaine used for the establishment of epidural labor analgesia. ⋯ In healthy laboring parturients, the application of a TENS unit did not alter the quality or duration of an initiation dose of bupivacaine utilized for the establishment of epidural labor analgesia.