Journal of clinical anesthesia
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Randomized Controlled Trial
Effects of a flash of light in different colors on venous cannulation pain: a randomized, controlled trial.
To determine the effects of a flash of light in different colors on the frequency and severity of pain during venous cannulation. ⋯ Application of a blue light flash before venous cannulation decreased the frequency and severity of pain associated with venipuncture. This method is an effective, easy to perform, and inexpensive way to reduce pain during venous cannulation.
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Postoperative airway compromise due to laryngopharyngeal edema is a potentially serious adverse event associated with anterior cervical spine surgery. The reported incidence of this complication has varied from 1.2% to 6.1%, with a higher incidence following multi-level surgery. The relevant literature on airway compromise following anterior cervical spine surgery is reviewed.
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A case of high-frequency jet ventilation (HFJV) during video-assisted thoracoscopic surgery (VATS) in a patient with previous contralateral pneumonectomy is presented. A 77-year-old man with a right pneumothorax was scheduled for bullectomy by VATS. He had undergone left pneumonectomy due to lung cancer 6 years earlier. ⋯ The patient was intubated with a normal, single-lumen endotracheal tube (ETT). HFJV was applied through the ETT during the VATS procedure. Although PaCO(2) gradually increased from 51.9 mmHg to 80.0 mmHg, appropriate surgical conditions were provided, PaO(2) was well preserved, and blood pressure and heart rate were stable throughout the VATS procedure.
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To determine the attitudes and perceptions of diplomates of the American Board of Anesthesiology (ABA) regarding the value of Board certification, Maintenance of Certification (MOC),and the specific components. ⋯ Although diplomates of the ABA highly value Board certification and report that the components of the MOCA program have potential relevance to their practices, they expressed significant concerns about the program as it is currently implemented.
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Letter Case Reports
Local anesthetics, neuraxial anesthesia, and the Brugada syndrome.