Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Aug 2003
Comparative StudyUse of deep intravenous sedation with propofol and the laryngeal mask airway during transesophageal echocardiography.
To describe the use of either deep intravenous sedation with propofol or light sedation with midazolam and topical anesthesia during transesophageal echocardiography (TEE) and to report the incidence of respiratory complications and their management. ⋯ Deep sedation with intravenous propofol can provide both excellent patient comfort and optimal conditions for TEE examination, particularly in patients who may require more lengthy procedures or in whom other techniques have failed. Although the incidence of respiratory depression was higher in patients receiving deep sedation with propofol than in patients who were lightly sedated (17.6% versus 12.5%, respectively), all six patients who had respiratory depression while under deep sedation with propofol were successfully ventilated using the LMA trade mark, without the need to remove the TEE probe and without terminating the examination prematurely. In contrast, in the one patient in the light sedation group who had respiratory depression, the TEE probe had to be removed to ventilate the patient via a face mask, and the procedure was cancelled.
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J. Cardiothorac. Vasc. Anesth. · Aug 2003
Case Reports Comparative StudyBispectral index is an indicator of adequate cerebral perfusion during cardiopulmonary resuscitation.
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J. Cardiothorac. Vasc. Anesth. · Jun 2003
Comparative StudyDoes gender influence resource utilization in patients undergoing off-pump coronary artery bypass surgery?
The purpose of the present study was to examine if gender influences duration of tracheal intubation, blood transfusion needs, intensive care unit length of stay (ICULOS), postoperative length of stay (PLOS), and total length of stay (LOS) in patients undergoing off-pump coronary artery bypass (OPCAB) surgery. ⋯ Female sex was a predictor of increased blood transfusion and longer PLOS and LOS in patients undergoing OPCAB surgery. The study implies that female sex does not predict increased duration of tracheal intubation and mechanical ventilation and ICULOS in this group of patients. Females undergoing OPCAB surgery require increased resource utilization as measured by increases in blood transfusion, PLOS, and LOS.
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J. Cardiothorac. Vasc. Anesth. · Jun 2003
Comparative StudyNoninvasive carbon dioxide monitoring during one-lung ventilation: end-tidal versus transcutaneous techniques.
To compare transcutaneous CO(2) (TCCO(2)) and end-tidal CO(2) (ETCO(2)) monitoring during one-lung ventilation (OLV). ⋯ During OLV, TCCO(2) monitoring provides a more accurate estimate of PaCO(2) than ET techniques.