Journal of clinical anesthesia
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Case Reports
Bilateral bronchial intubation through a tracheostomy incision after innominate artery laceration.
A 17-year-old adolescent boy presented for direct laryngoscopy, rigid bronchoscopy, laser ablation of tracheal scar, and possible tracheostomy. The innominate artery was lacerated during tracheostomy. We describe a unique approach toward ventilation in this case in which two separate endotracheal tubes were connected through a Carlens tube adaptor.
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To investigate the use of caudal epidural anesthesia for postoperative pain after total hip arthroplasty. ⋯ Caudal epidural anesthesia provides effective postoperative analgesia similar to lumbar epidural anesthesia.
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If a case has a high probability of taking longer than scheduled, then increasing the case's scheduled duration could reduce over-utilized operating room (OR) time. We studied surgeons' and schedulers' case scheduling behavior to evaluate whether such a strategy would be useful. ⋯ The impact of inaccurate, scheduled case duration on staffing costs and unpredictable work hours can be reduced by allocating appropriate total hours of OR time (ie, staffing) for the cases that will get done, regardless of the inaccuracy of the scheduled durations of those cases.