Journal of clinical anesthesia
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The prevalence of latex allergy is increasing in surgical patient populations. Avoidance of exposure to the allergen is essential to minimizing perioperative complications in patients suspected to be at risk. ⋯ However, the rubber stoppers commonly found in pharmaceutical vial closures are exempt from FDA labeling requirements. Examination of the clinical and basic science literature regarding pharmaceutical vial closures supports limiting the rubber stopper to a single needle puncture as a safer practice, with the caveat that no strategy exists for the complete elimination of risk as long as stoppers made from natural rubber latex are used in pharmaceutical vials intended for human use.
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To evaluate the current status of anesthesia and its allied disciplines in Mongolia. ⋯ Anesthesia is an underdeveloped and under-resourced medical specialty in Mongolia.
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Randomized Controlled Trial
The effect of propofol/remifentanil rapid-induction technique without muscle relaxants on intraocular pressure.
To evaluate the effect of propofol (two mg/kg)/remifentanil (4 μg/kg) on intraocular pressure (IOP) when used for rapid-sequence induction. ⋯ Propofol/remifentanil induction provides adequate intubating conditions, prevents an increase in IOP, and controls the hemodynamic stress response to laryngoscopy and intubation.
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Randomized Controlled Trial Multicenter Study Comparative Study
Mask ventilation, hypocapnia, and seizure duration in electroconvulsive therapy.
To compare the Mapleson D circuit and the bag-valve-mask device for mask ventilation of patients undergoing electroconvulsive therapy (ECT). ⋯ Hypocapnia was not associated with longer seizures, and the user-device interaction might affect device performance.
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Randomized Controlled Trial Comparative Study
Neostigmine injected 5 minutes after low-dose rocuronium accelerates the recovery of neuromuscular function.
To determine whether neostigmine 5 minutes after 0.4 mg/kg rocuronium accelerates reversal. ⋯ Neostigmine accelerates recovery when administered 5 minutes after injection of IV rocuronium 0.4 mg/kg.