The Annals of pharmacotherapy
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Comparative Study
Hematologic effects of ethanol consumption in trauma patients.
To determine the effects of ethanol (EtOH) ingestion by trauma patients on the hematologic system as evidenced by coagulation abnormalities and transfusion requirements. ⋯ EtOH ingestion prior to injury did not appear to cause significant alterations in the hematologic system of trauma patients, but a larger study is needed to confirm these findings.
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Randomized Controlled Trial Comparative Study Clinical Trial
Assessment of patient acceptance and inhalation technique of a pressurized aerosol inhaler and two breath-actuated devices.
To assess inhalation technique in patients after written instruction alone, written and verbal instruction, and clinical use of two new inhalation devices. ⋯ Written instruction alone is inadequate in teaching correct inhalation technique. Verbal instruction and technique assessment are essential for patients to achieve proper technique. Patients may perform better on the Turbuhaler than on other inhalation devices.
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To describe a previously unreported event in which a patient became refractory to atracurium-induced neuromuscular blockade, but subsequently was adequately paralyzed with a standard dosage of pancuronium. ⋯ The development of resistance to a specific neuromuscular blocking agent in the intensive care setting does not necessarily imply cross-tolerance or resistance to alternative agents. Also, loss of respiratory control by one neuromuscular blocking agent may be overcome by changing agents.