Journal of clinical anesthesia
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A 78 year old man with tetraparesis, reduced forced vital capacity, and neurogenic bladder dysfunction due to Guillain-Barré syndrome was admitted for elective transurethral prostate resection and percutaneous lithotripsy of a bladder stone. On the sixth postoperative day, he was readmitted for emergency evacuation of a clot in the bladder. Both operations were performed with spinal anesthesia (hyperbaric bupivacaine + fentanyl) without neurologic sequelae.
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Case Reports
Anesthetic implications of emergent Cesarean section in a parturient with Noonan syndrome and bacterial endocarditis.
Noonan syndrome is a relatively common genetically transmitted disorder characterized by facial, cardiac, and musculoskeletal abnormalities. The management of a 27 year old woman with Noonan syndrome at 23 weeks' gestation, presenting with premature labor, who required an emergent Cesarean section for placental abruption, is discussed. In addition to Noonan syndrome, this patient had bacterial endocarditis involving the mitral and aortic valves. The anesthetic implications of Noonan syndrome and endocarditis during pregnancy are presented.
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Patient-controlled epidural analgesia (PCEA) is an excellent choice of analgesia technique in labor; however, patient selection for such treatment is important. A 14 year old healthy parturient receiving PCEA had a very high block due to patient noncompliance.
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Historical Article
Training to be an historian of anesthesia: options at universities in the United States.
To determine whether a lack of training opportunities explains the finding that few anesthesia historians have obtained formal training in history. ⋯ Graduate training in history of anesthesia is currently unavailable, and specific opportunities in history of medicine are quite limited. Individuals wishing to obtain formal training in history of anesthesia need to enroll in a history of science or history of medicine program, and choose a research topic in history of anesthesia.