Anesthesia and analgesia
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Anesthesia and analgesia · Jan 2008
Clinical TrialReal-time heart rate variability and its correlation with plasma catecholamines during laparoscopic adrenal pheochromocytoma surgery.
We studied sympathovagal activity using real-time heart rate variability (HRV) and determined its relationship with plasma catecholamines to characterize short-term cardioregulatory mechanisms during laparoscopic adrenal pheochromocytoma surgery. ⋯ This study demonstrated a strong correlation between low frequency HRV, plasma norepinephrine, arterial blood pressure, and heart rate during pheochromocytoma surgery.
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Anesthesia and analgesia · Jan 2008
The Pentax-AWS video-laryngoscope: the first experience in one hundred patients.
We studied the efficacy of the Pentax-AWS (Tokyo, Japan), a new portable, battery-operated video-laryngoscope, in 100 patients. It was possible to insert the blade of the Pentax-AWS and to see a full view of the glottis on the first attempt in 99 of 100 patients. ⋯ Tracheal intubation was successful in 98 patients. The median time taken for tracheal intubation was 35 s (range, 5-120 s).
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Ultrasound is an important tool for performing pediatric regional blocks, including caudal blocks. We present a case in which the availability of ultrasound allowed us to proceed with a successful caudal block which we otherwise might have abandoned in an infant with difficult anatomy.
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Anesthesia and analgesia · Jan 2008
Clinical TrialContinuous infraclavicular brachial plexus block: a modified technique to better secure catheter position in infants and children.
The infraclavicular approach to the brachial plexus provides suitable anesthesia and also lends itself well to stabilizing and securing a catheter for a continuous infusion. We describe an approach for continuous infusions using an infraclavicular approach in children. ⋯ A modified technique for continuous infraclavicular brachial plexus block helps secure the catheter and provides effective intra- and postoperative pain relief in pediatric patients.
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Anesthesia and analgesia · Jan 2008
The effectiveness of a simple novel approach on electroencephalograph instruction for anesthesiology residents.
The electroencephalogram (EEG) measures cerebral activity and, because of its use as an intraoperative monitor, the Accreditation Council for Graduate Medical Education requires EEG monitoring experience during anesthesiology residency. To improve the anesthesiology residents' education at the University of Kentucky, a new learning module was created in collaboration with a neurologist expert in EEGs. ⋯ This educational effort using the department of neurology expertise provided a significant improvement in EEG assessment tool scores.