Journal of clinical anesthesia
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To evaluate the drug constitution of dantrolene by comparing reconstitution with diluent at ambient and warmed temperatures, so as to determine whether differences in reconstitution time might provide clinical or therapeutic advantages. ⋯ The use of prewarmed diluent to 41 degrees C significantly reduces dantrolene reconstitution time. Further studies should evaluate the efficacy of dantrolene reconstituted with warmed diluent.
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Multicenter Study Comparative Study Clinical Trial
Comparison of direct and video-assisted views of the larynx during routine intubation.
To compare the direct and indirect (video monitor) views of the glottic opening using a new Macintosh blade that is modified to provide a video image of airway structures during laryngoscopy. ⋯ Video-assisted laryngoscopy provides an improved view of the larynx, as compared with direct visualization. This technique may be useful for cases of difficult intubation and reintubation as well as for teaching laryngoscopy and intubation.
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Randomized Controlled Trial
Effect of xenon on catecholamine and hemodynamic responses to surgical noxious stimulation in humans.
To determine the effect of xenon in combination anesthesia with sevoflurane on the catecholamine and hemodynamic responses to surgical noxious stimulation in humans. ⋯ Combination anesthesia using xenon and sevoflurane suppresses the plasma E concentration and hemodynamic response after skin incision more effectively than sevoflurane anesthesia alone.
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Case Reports
Elective surgery days after myocardial infarction: clinical and ethical considerations.
We present an unusual case of verified myocardial infarction without surgery. Successful elective lumbar spine surgery was performed 4 days post-myocardial infarction during perioperative beta-blockade, after cardiology evaluation recommended surgery without further evaluation. Clinical and ethical considerations are discussed.