Anesthesia and analgesia
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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.
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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
Randomized Controlled TrialThe effects of arm position on onset and duration of axillary brachial plexus block.
We assessed the effects of arm position after block performance on success rate, onset time, and duration of axillary block (AXB). ⋯ Maintaining the arm in abduction after performing AXB allows a shorter onset time and a prolongation of the sensory and motor blocks.
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Anesthesia and analgesia · Apr 2007
Comparative StudyThe effect of albumin concentration on plasma sodium and chloride measurements in critically ill patients.
We tested the hypothesis that the difference between indirect and direct sodium assays would be related to the plasma albumin concentration. Further, we proposed that differences between indirect and direct chloride assays might be explained by interference from other plasma constituents, particularly bicarbonate, and possibly albumin. ⋯ The central laboratory and ICUs assays are analytically, statistically, and clinically different for both sodium and chloride. Unless taken into account, the differences could be large enough in hypoalbuminemic populations (such as critically ill patients) to affect clinical diagnosis and decision making.
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Anesthesia and analgesia · Apr 2007
Case ReportsCoagulopathy after cardiopulmonary bypass in Jehovah's Witness patients: management of two cases using fractionated components and factor VIIa.
Changes in the Jehovah's Witness (JW) blood refusal policy now give members the personal choice to accept certain processed fractions of blood, such as factor concentrates and cryoprecipitate. ⋯ Processed blood fractions can be a valuable adjuvant to drugs when treating bleeding in JW patients.