Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Apr 2001
Clinical TrialDesflurane pharmacokinetics during cardiopulmonary bypass.
To describe the washin and washout of desflurane when first administered during cardiopulmonary bypass (CPB) for cardiac surgery. ⋯ Desflurane showed rapid initial washin and washout on CPB when administration was started at 32 degrees C and stopped at time of rewarming.
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J. Cardiothorac. Vasc. Anesth. · Apr 2001
Ultra-fast-track anesthetic technique facilitates operating room extubation in patients undergoing off-pump coronary revascularization surgery.
To determine if implementation of ultra-fast-track anesthetic (UFTA) technique facilitates operating room extubation in patients undergoing off-pump coronary artery bypass graft (CABG) surgery. ⋯ Implementation of UFTA technique provided adequate hemodynamic control and facilitated operating room extubation in all patients. The impact of UFTA on earlier patient discharge and actual cost savings within a fully integrated post-cardiac surgery unit requires further evaluation.
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J. Cardiothorac. Vasc. Anesth. · Apr 2001
Clinical TrialInhaled nitric oxide administration during one-lung ventilation in patients undergoing thoracic surgery.
To evaluate the effects of inhaled nitric oxide (iNO) on hemodynamics and oxygenation during one-lung ventilation (OLV) in the lateral decubitus position in patients undergoing elective thoracic surgery. ⋯ Inhaled NO administration neither significantly decreased mean pulmonary arterial pressure in patients with normal pulmonary artery pressure nor improved oxygenation in nonhypoxic patients. Nevertheless, inhaled NO is effective in patients with pulmonary hypertension and hypoxemia during OLV.
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J. Cardiothorac. Vasc. Anesth. · Apr 2001
Clinical TrialThe relationship between tracheal width and left bronchial width: Implications for left-sided double-lumen tube selection.
To determine if there is a relationship between tracheal width (TW) and left bronchial width (LBW). ⋯ LBW is proportional to TW. If LBW cannot be measured directly but TW can, the ratio of LBW to TW can be used to predict LBW. An appropriate-sized left double-lumen tube can then be selected for the patient.
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J. Cardiothorac. Vasc. Anesth. · Apr 2001
Randomized Controlled Trial Comparative Study Clinical TrialThe effects of volatile anesthetics on the Q-Tc interval.
To examine the effects of halothane, isoflurane, and sevoflurane on Q-Tc interval (corrected for heart rate) during inhalation induction of anesthesia. ⋯ Sevoflurane or halothane may be preferred to isoflurane in patients with conditions that are known to induce a prolonged Q-Tc interval. The effects of Q-Tc interval changes resulting from different anesthetic agents on morbidity and the incidence of arrhythmias during anesthesia warrant further investigation.