Journal of clinical anesthesia
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Letter Case Reports
A thoracic leiomyosarcoma producing tracheal obstruction.
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Randomized Controlled Trial Clinical Trial
Effect of alfentanil on hypnotic and antinociceptive components of thiopental sodium anesthesia.
To determine the effects of alfentanil on the hypnotic and antinociceptive components of thiopental sodium anesthesia. ⋯ Alfentanil strengthened both the hypnotic and antinociceptive components of thiopental anesthesia, although to a different degree: the antinociceptive component more so than the hypnotic, possibly because each component of anesthesia has different underlying mechanisms.
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Randomized Controlled Trial Comparative Study Clinical Trial
Low-dose droperidol versus standard-dose droperidol for prevention of postoperative vomiting after pediatric strabismus surgery.
To determine whether a low dose of droperidol is as effective as a high dose in preventing vomiting after pediatric strabismus surgery. ⋯ Droperidol 20 microgram/kg is as effective as droperidol 75 microgram/kg in preventing vomiting after pediatric strabismus surgery. Because higher doses of droperidol may sedate some patients, the lowest effective dose should be used. In this study, however, there was no statistically significant difference with regard to length of recovery room stay.
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Randomized Controlled Trial Comparative Study Clinical Trial
Phenylephrine in the prevention of hypotension following spinal anesthesia for cesarean delivery.
Phenylephrine and ephedrine were compared in the prevention of maternal hypotension following spinal anesthesia for elective cesarean delivery. ⋯ Phenylephrine is as effective as ephedrine in the treatment of maternal hypotension, and when used in small incremental bolus injections, it appears to have no adverse neonatal effects in healthy, nonlaboring parturients.
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Case Reports
Pulmonary edema and coagulopathy following intrauterine instillation of 32% dextran-70 (Hyskon).
Hysteroscopy using 32% Dextran-70 in 10% dextrose (Hyskon) is a common outpatient procedure. We report a case of pulmonary edema and coagulopathy in a 38-year-old, 48 kg female who had hysteroscopy and removal of an endocervical polyp using 700 ml of Hyskon over a 2-hour period. Low percutaneous oxygen saturation (SpO2) and vaginal bleeding developed postoperatively. ⋯ The patient developed overt pulmonary edema following the hysterectomy and was treated with positive pressure ventilation. The pathophysiology for the development of pulmonary edema and coagulopathy is discussed. Recommended limits for Hyskon volumes and instillation times are emphasized, as is careful recording of these parameters.