Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Aug 2003
Comparative StudyUse of deep intravenous sedation with propofol and the laryngeal mask airway during transesophageal echocardiography.
To describe the use of either deep intravenous sedation with propofol or light sedation with midazolam and topical anesthesia during transesophageal echocardiography (TEE) and to report the incidence of respiratory complications and their management. ⋯ Deep sedation with intravenous propofol can provide both excellent patient comfort and optimal conditions for TEE examination, particularly in patients who may require more lengthy procedures or in whom other techniques have failed. Although the incidence of respiratory depression was higher in patients receiving deep sedation with propofol than in patients who were lightly sedated (17.6% versus 12.5%, respectively), all six patients who had respiratory depression while under deep sedation with propofol were successfully ventilated using the LMA trade mark, without the need to remove the TEE probe and without terminating the examination prematurely. In contrast, in the one patient in the light sedation group who had respiratory depression, the TEE probe had to be removed to ventilate the patient via a face mask, and the procedure was cancelled.
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J. Cardiothorac. Vasc. Anesth. · Aug 2003
Case Reports Comparative StudyBispectral index is an indicator of adequate cerebral perfusion during cardiopulmonary resuscitation.
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J. Cardiothorac. Vasc. Anesth. · Jun 2003
Randomized Controlled Trial Comparative Study Clinical TrialEffects of thoracic epidural meperidine on arterial oxygenation during one-lung ventilation in thoracic surgery.
To compare the effects that the use of general intravenous anesthesia (propofol-fentanyl) (GA) or general anesthesia combined with thoracic epidural anesthesia with meperidine (TEA-M) may have on arterial oxygenation during one-lung ventilation (OLV). ⋯ It is concluded that GA combined with TEA-M (2 mg/kg) do not affect arterial oxygenation during OLV in thoracic surgery.
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J. Cardiothorac. Vasc. Anesth. · Jun 2003
Randomized Controlled Trial Comparative Study Clinical TrialChoice of opioid supplementation for day-case rigid bronchoscopy:a randomized placebo-controlled comparison of a bolus of remifentanil and alfentanil.
To compare the efficacy of different bolus doses of remifentanil, alfentanil, and saline at controlling the hemodynamic responses to day-case rigid bronchoscopy under general anesthesia. ⋯ A bolus of 2 micro g/kg of remifentanil successfully attenuated the hemodynamic response to rigid bronchoscopy without delaying recovery.
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J. Cardiothorac. Vasc. Anesth. · Jun 2003
Comparative StudyChronic exposure to nicotine does not prevent neurocognitive decline after cardiac surgery.
To establish the association between smoking and cognitive decline in patients undergoing coronary artery bypass graft (CABG) surgery. ⋯ This study confirmed previous findings that age, baseline cognitive function, years of education, and impaired left ventricular function are independent predictors of neurocognitive decline at 6 weeks after CABG surgery. Smoking is neither preventive nor causative of cognitive decline after CABG surgery.