Journal of clinical anesthesia
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Randomized Controlled Trial
Minimal effective dose of magnesium sulfate for attenuation of intubation response in hypertensive patients.
To study the minimal effective dose of magnesium sulfate to control blood pressure (BP) during intubation in hypertensive patients. ⋯ Magnesium 30 mg/kg is the optimum dose to control BP during intubation in hypertensive patients. A further increase in the dose of magnesium may cause significant hypotension.
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Multicenter Study Comparative Study
What do patients know about anesthesiologists? Results of a comparative survey in an U.S., Australian, and German university hospital.
To determine patients' knowledge of the role of the anesthesiologist in the hospital. ⋯ Patients underestimated the training and role of the anesthesiologist in the OR and hospital.
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Neural blockade of the scalp may be used as an adjunct to general anesthesia or serve as the principal anesthetic for both intracranial and extracranial procedures. Effective scalp blockade typically requires anesthetizing multiple peripheral nerves; blockade of one or more of these is often used to diagnose and treat conditions such as chronic headache. ⋯ The vascularity of the scalp, proximity of arteries supplying the cerebral circulation, use of large volumes of local anesthetic, and presence of intracranial devices or bony defects require attention. The impact of perioperative scalp blockade on acute and chronic pain may offer insight into the benefits of perioperative neural blockade generally.
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Randomized Controlled Trial
A randomized trial of automated electronic alerts demonstrating improved reimbursable anesthesia time documentation.
To investigate whether alerting providers to errors results in improved documentation of reimbursable anesthesia care. ⋯ Automated electronic reminders for time-based billing charges are effective and result in improved ongoing reimbursement.
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Randomized Controlled Trial
Preliminary evaluation of a virtual reality-based simulator for learning spinal anesthesia.
To evaluate the influence of a simulation-based program on the initial performance of dural puncture by medical interns, and to refine the design of simulator-based teaching and competence assessment. ⋯ Overall, no difference was measured between those taught with traditional methods and those, by a simulator based program in regard to the performance of spinal anesthesia.