Journal of clinical anesthesia
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Randomized Controlled Trial Comparative Study
Comparison of buccal and intramuscular dexmedetomidine premedication for arthroscopic knee surgery.
To compare the sedative, anxiolytic, analgesic, hemodynamic, and respiratory effects of buccal dexmedetomidine with intramuscular (IM) dexmedetomidine for premedication in patients undergoing arthroscopic knee surgery during spinal anesthesia. ⋯ Buccal dexmedetomidine for premedication in arthroscopic knee surgery provided equal levels of sedation and anxiolysis, and more evident analgesia compared with IM dexmedetomidine.
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Smoking is the single most cause of preventable disease and premature death in the United States. We discuss potential hazards that the anesthesiologist should be aware of when caring for patients who abuse tobacco. A review of recent preoperative smoking cessation initiatives is also provided in addition to recommendations on how anesthesiologists may use the preoperative visit as an opportunity to play a more active role in reducing the burden of tobacco-related disease.
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Comparative Study Clinical Trial
A clinical assessment of the Glidescope videolaryngoscope in nasotracheal intubation with general anesthesia.
To evaluate the efficacy and safety of the Glidescope videolaryngoscope as a device to aid nasotracheal intubation, and to determine whether the GSVL provides a better laryngeal view in patients with difficult laryngoscopy compared with the Macintosh laryngoscope. ⋯ The GSVL is an effective device for nasotracheal intubation and may be incorporated easily into routine clinical practice. Compared with the Macintosh laryngoscope, the GSVL can provide an improved laryngeal view in the patient with difficult airway.
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Randomized Controlled Trial
Effects of mannitol in the prevention of lipid peroxidation during liver resection with hepatic vascular exclusion.
To examine the efficacy of mannitol in the prevention of lipid peroxidation during major liver resections performed during hepatic inflow occlusion. ⋯ Mannitol has an antioxidant activity, but we were unable to confirm a positive impact on the postoperative clinical course.
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To evaluate the effects of epidural, spinal, and general anesthesia on pain after lower-limb amputation. ⋯ Patients who received epidural anesthesia and those who received spinal anesthesia recalled better analgesia in the first week after their amputation than did patients who received general anesthesia. Anesthetic technique had no effect on stump pain, phantom limb sensation, or phantom limb pain at 14 months after lower-limb amputation.