Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Feb 2000
Randomized Controlled Trial Comparative Study Clinical TrialA comparison of inhaled nitric oxide and milrinone for the treatment of pulmonary hypertension in adult cardiac surgery patients.
To investigate the relative effects of milrinone and nitric oxide on pulmonary and systemic hemodynamic responses in cardiac surgery patients with a history of pulmonary hypertension. ⋯ Treatment of pulmonary hypertension in adult cardiac surgery patients with inhaled nitric oxide compared with milrinone is associated with lower heart rates, higher right ventricular ejection fraction, and a lower requirement for treatment with vasopressor agents.
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J. Cardiothorac. Vasc. Anesth. · Feb 2000
Clinical TrialContinuous infusion of remifentanil and target-controlled infusion of propofol for patients undergoing cardiac surgery: a new approach for scheduled early extubation.
To assess hemodynamic stability, postoperative pain management, and the control and timing of early extubation of a total intravenous anesthetic technique using propofol target-controlled infusion (TCI) and remifentanil in cardiac surgery. ⋯ The combination of remifentanil and propofol TCI resulted in hemodynamic stability and good postoperative analgesia. This technique allows physicians to schedule the time of extubation in patients undergoing cardiac anesthesia.
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J. Cardiothorac. Vasc. Anesth. · Feb 2000
Respiratory jugular venodilation: a new landmark for right internal jugular vein puncture in ventilated patients.
To report a new technique for right internal jugular vein puncture using respiratory jugular venodilation as a landmark for vein location. ⋯ Respiratory jugular venodilation can be identified in a large proportion of ventilated patients. This experience suggests that respiratory jugular venodilation could be favorably used as the primary landmark for right internal jugular vein puncture in anesthetized patients.
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J. Cardiothorac. Vasc. Anesth. · Feb 2000
Total intravenous anesthesia with ketamine for pediatric interventional cardiac procedures.
To evaluate the safety and efficacy of ketamine in pediatric patients undergoing interventional cardiac procedures. ⋯ The technique described is a simple, safe, and effective method for anesthetizing children in the cardiac catheterization laboratory for interventional procedures.
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J. Cardiothorac. Vasc. Anesth. · Feb 2000
Assessment of systematic use of intraoperative transesophageal echocardiography during cardiac surgery in adults: a prospective study of 203 patients.
To determine the usefulness of systematic intraoperative transesophageal echocardiography in a cardiac surgical unit. ⋯ It is concluded that systematic intraoperative transesophageal echocardiography significantly affected decision making in this cardiac surgical unit. Its routine use in all cardiac surgical patients is recommended.