Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Aug 2002
Comparative StudyPatients' conscious recollections from cardiac anesthesia.
To estimate the current incidence of conscious recollections from the time of anesthesia, the contribution of anesthetic drugs to this incidence, and the patients' experience of cardiac anesthesia and surgery. ⋯ The incidence of awareness and recall is similar to the incidence reported during general surgery. Cardiac surgery does not carry increased risk of awareness. Benzodiazepines given during anesthesia are effective in decreasing the incidence of recalled awareness, and the experience of awareness is not often particularly traumatizing. Premedication with benzodiazepine is not effective in preventing recollection of anesthesia, however.
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J. Cardiothorac. Vasc. Anesth. · Aug 2002
Clinical Trial Controlled Clinical TrialPredicting the depth of insertion of left-sided double-lumen endobronchial tubes.
To analyze the parameters that predict the depth of insertion of a left-sided double-lumen tube (DLT) and to assess the accuracy of the parameters after intubation. ⋯ The ideal depth of insertion of the left-sided DLT correlated significantly with patients' height and clavicular-to-carinal distance of the trachea. The best regression line enabled the left-sided DLT to be placed in an acceptable position without complications nearly 80% of the time.
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J. Cardiothorac. Vasc. Anesth. · Aug 2002
Comparative Study Clinical Trial Controlled Clinical TrialThe use of a bronchial blocker compared with a double-lumen tube for single-lung ventilation during minimally invasive direct coronary artery bypass surgery.
To investigate whether a bronchial blocker (BB) placed through a routinely used single-lumen tube (SLT) to achieve 1-lung ventilation is appropriate in patients undergoing a minimally invasive direct coronary artery bypass (MIDCAB) operation. ⋯ To achieve 1-lung ventilation during a MIDCAB procedure, the use of a BB combined with an SLT is an appropriate technique as an alternative to the commonly used DLT.
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J. Cardiothorac. Vasc. Anesth. · Aug 2002
Comparative Study Clinical Trial Controlled Clinical TrialDifferential effects of aprotinin and tranexamic acid on endotoxin desensitization of blood cells induced by circulation through an isolated extracorporeal circuit.
To compare the effects of aprotinin and tranexamic acid on blood cytokine secretion induced by the circulation of blood through an isolated extracorporeal circuit. ⋯ These results show that aprotinin, but not tranexamic acid, modulates the inflammatory response by reducing the IL-8 secretion of blood cells activated by contact with foreign surfaces.
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J. Cardiothorac. Vasc. Anesth. · Aug 2002
Comparative Study Clinical TrialSevoflurane metabolite production in a small cohort of coronary artery bypass graft surgery patients.
To determine hepatic and renal effects of hexafluoroisopropanol in patients undergoing coronary artery bypass graft surgery under sevoflurane anesthesia. ⋯ The serum level of hexafluoroisopropanol after 0.5 MAC of sevoflurane anesthesia does not aggravate hepatic and renal functions.