Journal of clinical anesthesia
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To compare actual infectious disease precautions with current recommendations and to determine the influence of age, clinical experience, human immunodeficiency virus (HIV) knowledge, previous personal HIV exposure, and education on practices. ⋯ Adequate infectious disease precautions were not taken by anesthesia personnel. An HIV educational program resulted in only a small increase in precautionary measures.
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Case Reports
Acute hemodynamic effects of indigo carmine in the presence of compromised cardiac function.
This report describes the acute hemodynamic effects of indigo carmine in a surgical patient with compromised cardiac function. A 68-year-old woman with stable but severe cardiac dysfunction and renal artery stenosis was scheduled for an elective aortorenal bypass procedure. ⋯ At that time, the patient experienced an acute increase in afterload, which resulted in acute left ventricular failure documented by a decrease in cardiac output (CO) and an increase in pulmonary artery pressure (PAP). Until further studies defining the mechanism for its hypertensive side effect are performed, indigo carmine should be used with caution in patients with severe cardiac dysfunction.
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Letter Case Reports
A thoracic leiomyosarcoma producing tracheal obstruction.
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Randomized Controlled Trial Clinical Trial
Intraocular pressure and hemodynamic changes following tracheal intubation in children.
To determine the optimal time in which to make intraocular pressure (IOP) measurements in children following tracheal intubation. ⋯ We recommend that IOP be measured only after HR and MAP have returned to preintubation levels in children who have undergone tracheal intubation during halothane and N2O anesthesia.
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Randomized Controlled Trial Comparative Study Clinical Trial
Low-dose droperidol versus standard-dose droperidol for prevention of postoperative vomiting after pediatric strabismus surgery.
To determine whether a low dose of droperidol is as effective as a high dose in preventing vomiting after pediatric strabismus surgery. ⋯ Droperidol 20 microgram/kg is as effective as droperidol 75 microgram/kg in preventing vomiting after pediatric strabismus surgery. Because higher doses of droperidol may sedate some patients, the lowest effective dose should be used. In this study, however, there was no statistically significant difference with regard to length of recovery room stay.