Journal of clinical anesthesia
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Dose requirements and recovery profile of an infusion of cisatracurium during liver transplantation.
To examine the dose requirements and recovery profile of an infusion of cisatracurium during liver transplantation. ⋯ The infusion dose requirement for cisatracurium during liver transplantation tended to be higher than previously reported in healthy patients; recovery appeared prolonged. In continuous infusion of cisatracurium during liver transplantation, the tendency toward higher dose requirements, the protracted duration of infusion, the non-Hofmann elimination and/or other pharmacokinetic changes during transplantation might influence recovery from the neuromuscular block. Potential temperature or pH change during surgery seemed irrelevant in explaining the delayed recovery.
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To evaluate postoperative breathing patterns with a new monitoring device in patients given bupivacaine-morphine epidural analgesia. ⋯ The tested noninvasive monitoring device may detect abnormal respiratory breathing patterns in patients at risk for respiratory depression during epidural analgesia with bupivacaine-morphine.
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Randomized Controlled Trial Clinical Trial
Anesthesia with ketamine, propofol, and fentanyl decreases the frequency of postoperative psychosis emergence and confusion in schizophrenic patients.
To investigate whether total IV anesthesia with ketamine, propofol, and fentanyl affects the frequency of postoperative psychosis emergence or confusion in schizophrenic patients. ⋯ Ketamine, when combined with propofol and fentanyl, is an appropriate anesthetic drug for schizophrenic patients.
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To review the new consensus guidelines for cardiac testing for the patient with cardiac disease scheduled for elective, noncardiac surgery, and their impact on cardiac functional testing. ⋯ The guidelines for stress test may be over-sensitive, and further prospective clinical studies are indicated.
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Letter Case Reports
An unusual problem during central venous cannulation by Seldinger technique.