The Mount Sinai journal of medicine, New York
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Review Case Reports
Asbestos-associated rounded atelectasis: a case report and review of the literature.
Asbestos-associated rounded atelectasis is a nonmalignant radiographic consequence of asbestos exposure that can mimic neoplasia. It is infrequently mentioned in reviews of the radiographic features of nonmalignant asbestos-associated disease. Distinguishing it from malignant disease without resorting to chest surgery is important. This report presents a case of such atelectasis, and a review of the relevant literature.
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New drugs like alfentanil and midazolam have the primary advantage of metabolizing faster than existing compounds in their class. Because of shorter plasma half-lives, the drugs are well suited for continuous infusion. ⋯ Although some anesthetic drugs can be given safely and effectively by bolus injection, whenever a titrated continuous infusion is appropriate (and physiologically closed-loop delivery is not possible), use of a CACI-type instrument should be the preferred method of administration. With the availability for continuous infusion of alfentanil and midazolam, with their highly desirable pharmacodynamic properties and relatively effervescent pharmacokinetics, we believe that computerized pharmacokinetic model-driven infusion devices will play a significant role in future anesthetic practice.