Journal of clinical anesthesia
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Multicenter Study
Incidence and predictors of postdischarge nausea and vomiting in a 7-day population.
1) To quantify the incidence and severity of postdischarge nausea and vomiting (PDNV) for 7 days in adults undergoing outpatient surgeries with general anesthesia; 2) to evaluate whether a risk model previously developed for the first two postoperative days may be used to predict the patient's risk of PDNV for 7 days; and 3) to verify whether the same risk factors are applicable in the 3 to 7 day period. ⋯ PDNV affects a significant number of patients after ambulatory surgery, and our simplified PDNV score may be applied to a 7-day population. Pain appears to be a factor in late PDNV. It is possible that the presence of PDNV during days 3-7 has different origins from the PDNV that resolved over the first 48 hours.
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Letter Observational Study
Femoral nerve-artery relation in patients with proximal femur fractures.
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Case Reports
Anesthetic management of the pregnant burn patient: excision and grafting to emergency Cesarean section.
Pregnant patients with burn injuries present a unique challenge for general medical care and require special anesthetic considerations. A 21 year old woman at 28 weeks' gestation, who suffered 45% total burn surface area partial and full-thickness burns during a fire in her home, is presented. Anesthetic management included preparation and care during excision and skin grafting procedures, and during emergency Cesarean delivery. The management plan was developed by a multi-disciplinary team of personnel from the departments of burn surgery, obstetrics, anesthesiology, neonatology, and nursing.