Journal of clinical anesthesia
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Randomized Controlled Trial Comparative Study
Comparison of volume-controlled and pressure-controlled ventilation in steep Trendelenburg position for robot-assisted laparoscopic radical prostatectomy.
To compare the effects of volume-controlled ventilation (VCV) and pressure-controlled ventilation (PCV) on respiratory mechanics and hemodynamics in steep Trendelenburg position. ⋯ PCV offered greater C(dyn) and lower AP(peak) than VCV, but no advantages over VCV in respiratory mechanics or hemodynamics.
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Subarachnoid hemorrhage is associated with a number of cerebral insults as a result of cerebral vasospasm. Various pharmacological and non-pharmacological techniques are used for relief of cerebral vasospasm. ⋯ The case of a patient with an anterior communicating artery aneurysm, who received intracisternal papaverine by instillation after aneurysm clipping, is reported. It was associated with hypertension and tachycardia that was not responsive to usual treatment.
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Randomized Controlled Trial
The effect of nitrous oxide on intracuff pressure of the size 2 ProSeal Laryngeal Mask Airway.
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Randomized Controlled Trial Comparative Study
Preincisional local infiltration of tramadol at the trocar site versus intravenous tramadol for pain control after laparoscopic cholecystectomy.
To compare the effects of preoperative intravenous (IV) tramadol and preoperative tramadol infiltration of trocar sites on postoperative pain and postoperative nausea and vomiting (PONV) after laparoscopic cholecystectomy. ⋯ Trocar site infiltration of tramadol improves early postoperative pain and decreases PONV.
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Historical Article
American anesthesiologists' contribution to post-World War II global anesthesiology: the Unitarian Service Committee's medical missions.
Beginning in 1946, the Unitarian Service Committee's Medical Mission sent 10 distinguished anesthesiologists to 13 different countries to teach anesthesiology. The details and impact of that mission are the subject of this article.