Journal of clinical anesthesia
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To evaluate the effectiveness of a behavioral preparation program on reducing anxiety in children and their parents prior to elective surgery. ⋯ The results highlight the complexities in assuming that a behavior-based preoperative preparation program is effective for all pediatric outpatients. The effects of such an intervention vary with the child's age, the timing of the intervention, and a history of previous hospitalization.
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Venous air embolism is a potentially fatal complication. In a patient undergoing extensive debridement of an open perineal wound, hemodynamically significant air embolization occurred during use of a pulsatile saline irrigation device. We describe another intraoperative setting in which venous air embolism is a risk.
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Comparative Study Clinical Trial
Comparison of esophageal, tympanic, and forehead skin temperatures in adult patients.
To compare esophageal, tympanic membrane, and forehead skin temperatures in patients undergoing elective surgeries. ⋯ There was a lack of precision between the clinically accepted measurements (lower esophageal and tympanic membranes and the skin temperature measurement. The data suggest that forehead skin temperature is not interchangeable with standard core temperature measurements, and that sole reliance on the forehead skin measurement in the perioperative setting could adversely affect patient care.