Anesthesia and analgesia
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Missionary anesthesiologists are needed for developing areas around the world. Missionary work has both rewarding and frustrating aspects. The rewards include adventures in living and medicine and the chance to aid less fortunate people. The frustrations include separation from family, uncomfortable living conditions, language barriers, and inability to change medical practices that seem improper.
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Anesthesia and analgesia · Mar 1975
Comparative StudyBupivacaine compared with etidocaine for vaginal delivery.
A comparison of 0.5 percent etidocaine with 0.25 and 0.5 percent bupivacaine, using continuous (intermittent) caudal block in 60 vaginal deliveries, showed the latter two solutions to be the agents of choice. All solutions contained a final concentration of 1:2000,000 epihephrine. In 40 parturients given either 0.25 or 0.5 percent bupivacaine, all had pain relief after the initial dose, while 5 of 20 given etidocaine required a refill dose within 30 to 50 minutes for complete pain relief. ⋯ The degree of motor blockade with 0.5 percent etidocaine was greater than with 0.5 percent bupivacaine, and with 0.5 percent concentrations of either etidocaine or bupivacaine was greater than with 0.25 percent bupivacaine. The duration of motor blockade of 0.5 percent etidocaine and bupivacaine was comparable. The duration of motor blockade of the 0.25 percent concentration of bupivacaine was shorter than with the 0.5 percent concentration of both etidocaine and bupivacaine; and with both bupivacaine concentrations the duration of sensory anesthesia in the extremities was longer than motor blockade; with etidocaine, the opposite occurred.
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Anesthesia and analgesia · Jan 1975
Comparative StudyA survey of the practice of anesthesiology in the U.S.--1972.
During the calendar year 1972, 46 hospitals throughout the U. S. A. participated in a survey of their anesthesia practices, using simple criteria from the "Standards of Patient Care in Anesthesiology." Eight "yes-no" questions were asked: 1. ⋯ Did the patient live? Data from 208,868 anesthetic procedures indicated an overall mortality rate of 1.1 percent. Although affirmative responses in excess of 73 percent were noted to each condition of practice, only 50.9 percent of the cases received such a response to all five practice criteria; that is, questions 1, 2, 3, 5, and 7. A sample survey of data indicated a comparatively similar standard of practice between simple and complex operative cases.