Anesthesia and analgesia
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Anesthesia and analgesia · Nov 2010
A pilot study of respiratory inductance plethysmography as a safe, noninvasive detector of jet ventilation under general anesthesia.
High-frequency jet ventilation is an optimal mode of ventilation for many surgical procedures of the trachea and larynx but has limited monitoring modalities to assess adequacy of oxygenation and/or ventilation. Respiratory inductance plethysmography is a noninvasive monitor of chest and abdominal wall movement with well-established applications in the sleep laboratory. We performed an observational pilot study of respiratory inductance plethysmography as a detector of jet ventilation. ⋯ Respiratory inductance plethysmography was successfully used to detect high-frequency jet ventilation in patients undergoing laryngotracheal surgery. This pilot study demonstrates the feasibility of respiratory inductance plethysmography as a monitor for use during jet ventilation.
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Anesthesia and analgesia · Nov 2010
Multicenter Study Comparative StudyHeart-type fatty acid binding protein is an independent predictor of death and ventricular dysfunction after coronary artery bypass graft surgery.
Heart-type fatty acid binding protein (hFABP) functions as a myocardial fatty acid transporter and is released into the circulation early after myocardial injury. We hypothesized that hFABP is superior to conventional cardiac biomarkers for predicting early perioperative myocardial injury after coronary artery bypass graft (CABG) surgery. ⋯ Compared with traditional markers of myocardial injury after CABG surgery, hFABP peaks earlier and is a superior independent predictor of postoperative mortality and ventricular dysfunction.
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Anesthesia and analgesia · Nov 2010
Randomized Controlled Trial Multicenter Study Comparative StudySingle versus triple injection ultrasound-guided infraclavicular block: confirmation of the effectiveness of the single injection technique.
The optimal site for local anesthetic placement during ultrasound-guided infraclavicular block remains controversial. ⋯ The optimal site for local anesthetic placement during ultrasound-guided infraclavicular block is a single point injection posterior to the axillary artery.