Anesthesia and analgesia
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Anesthesia and analgesia · Apr 2007
Multicenter Study Comparative StudyFive-year follow-up on the work force and finances of United States anesthesiology training programs: 2000 to 2005.
In the middle 1990s, there was a decrease in anesthesiology residency class sizes, which contributed to a nationwide shortage of anesthesiologists, resulting in a competitive market with increased salary demands. In 1999, a nationwide survey of the financial status of United States anesthesiology training programs was conducted. Follow-up surveys have been conducted each year thereafter. We present the results of the sixth survey in this series. ⋯ These results demonstrate the continuing need for institutional support to keep anesthesiology training departments financially stable.
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Anesthesia and analgesia · Apr 2007
Comparative StudySupraventricular arrhythmias in intensive care unit patients: short and long-term consequences.
Supraventricular arrhythmias (SVA), including atrial fibrillation and flutter, are common in surgical and nonsurgical intensive care unit (ICU) patients. There is increased mortality among surgical ICU patients who develop new-onset atrial arrhythmias after noncardiac, non-thoracic surgery. We sought to determine the preadmission and intra-ICU factors associated with the development of new-onset SVA and mortality in these patients. ⋯ New-onset SVA occur frequently in ICU patients and are markers of extremely high in-hospital and 1-yr mortality.
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Anesthesia and analgesia · Apr 2007
Randomized Controlled TrialSpinal anesthesia with lidocaine or preservative-free 2-chlorprocaine for outpatient knee arthroscopy: a prospective, randomized, double-blind comparison.
In this prospective, randomized, double-blind study we tested the hypothesis that 50 mg of 1% preservative-free 2-chloroprocaine would provide a faster resolution of spinal block than the same dose of 1% plain lidocaine. ⋯ Intrathecal injection of 50 mg of preservative-free 2-chloroprocaine 1% resulted in quicker recovery of sensory/motor function, and unassisted ambulation, and fewer incidences of transient neurologic symptoms than the same dose of 1% lidocaine.
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Anesthesia and analgesia · Apr 2007
Randomized Controlled TrialThe addition of a small-dose ketamine infusion to tramadol for postoperative analgesia: a double-blinded, placebo-controlled, randomized trial after abdominal surgery.
There are few data on combining ketamine with tramadol for postoperative analgesia in humans. We tested the hypothesis that adding ketamine to tramadol would improve analgesia after major abdominal surgery. ⋯ Small-dose ketamine was a useful addition to tramadol and morphine after major abdominal surgery.