Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Feb 2000
Respiratory jugular venodilation: a new landmark for right internal jugular vein puncture in ventilated patients.
To report a new technique for right internal jugular vein puncture using respiratory jugular venodilation as a landmark for vein location. ⋯ Respiratory jugular venodilation can be identified in a large proportion of ventilated patients. This experience suggests that respiratory jugular venodilation could be favorably used as the primary landmark for right internal jugular vein puncture in anesthetized patients.
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J. Cardiothorac. Vasc. Anesth. · Feb 2000
Total intravenous anesthesia with ketamine for pediatric interventional cardiac procedures.
To evaluate the safety and efficacy of ketamine in pediatric patients undergoing interventional cardiac procedures. ⋯ The technique described is a simple, safe, and effective method for anesthetizing children in the cardiac catheterization laboratory for interventional procedures.
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J. Cardiothorac. Vasc. Anesth. · Feb 2000
Assessment of systematic use of intraoperative transesophageal echocardiography during cardiac surgery in adults: a prospective study of 203 patients.
To determine the usefulness of systematic intraoperative transesophageal echocardiography in a cardiac surgical unit. ⋯ It is concluded that systematic intraoperative transesophageal echocardiography significantly affected decision making in this cardiac surgical unit. Its routine use in all cardiac surgical patients is recommended.
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J. Cardiothorac. Vasc. Anesth. · Dec 1999
Randomized Controlled Trial Comparative Study Clinical TrialElderly coronary artery bypass graft patients with left ventricular dysfunction are hemodynamically stable after two different doses of rocuronium.
To clarify the detailed hemodynamic responses to bolus administration of 2x 95% effective dose (ED95) and 3x ED95 of rocuronium in elderly patients with left ventricular dysfunction undergoing elective coronary artery bypass grafting (CABG). ⋯ The results demonstrate that bolus administration of rocuronium (2x to 3x ED95) in combination with high-dose fentanyl provides sufficient cardiovascular stability among elderly CABG patients with left ventricular dysfunction. The cardiovascular profile of the two different bolus doses was similar. Rocuronium, in both doses, appears to be a suitable agent for muscle relaxation, especially for patients who require a high degree of cardiovascular stability.