Nurse anesthesia最新文献

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Linear Regression and Correlation 线性回归与相关
Nurse anesthesia Pub Date : 2009-12-23 DOI: 10.3109/9781420074239-8
S. Bolton, C. Bon
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引用次数: 80
Drug-induced methemoglobinemia in a healthy 20-year-old soldier undergoing shoulder surgery. 一名接受肩部手术的20岁健康士兵的药物性高铁血红蛋白血症
Nurse anesthesia Pub Date : 1993-12-01
R Chalfa, C G Elliott, H S Mathewson
{"title":"Drug-induced methemoglobinemia in a healthy 20-year-old soldier undergoing shoulder surgery.","authors":"R Chalfa,&nbsp;C G Elliott,&nbsp;H S Mathewson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A young adult male, ASA status I, presented for left shoulder arthroscopy. His medications included indocin for shoulder pain and chloroquine, an antimalarial. He was anesthetized using propofol, midazolam, fentanyl, and a relaxant. His initial oximetry reading of 94% saturation was erroneously attributed to shivering and to the fact that the oximeter clip was distal to the blood pressure cuff on the right upper extremity, necessitated by proximity of surgery. The initial saturation level of 94% was persistent throughout the case. The methemoglobin level drawn immediately postoperatively was 9%. The patient was treated with methylene blue which resulted in an improvement in oxygen saturation to 98%. His remaining postoperative course was uneventful, and he was released one day later.</p>","PeriodicalId":77289,"journal":{"name":"Nurse anesthesia","volume":"4 4","pages":"202-4"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19127753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ketorolac as a premedicant for coronary artery bypass surgery patients with normal ventricles. 酮罗拉酸作为冠状动脉搭桥术患者心室正常的前用药。
Nurse anesthesia Pub Date : 1993-12-01
D N Thrush, M L Steighner
{"title":"Ketorolac as a premedicant for coronary artery bypass surgery patients with normal ventricles.","authors":"D N Thrush,&nbsp;M L Steighner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Premedication of patients requiring cardiac surgery should provide adequate analgesia, sedation and anxiolysis for the stress and pain associated with preoperative preparation and placement of monitoring catheters. Ideally, these effects would be achieved without producing respiratory depression and hypoxia, which could be life-threatening to patients at risk for myocardial ischemia. Ketorolac, a nonsteroidal, antiinflammatory agent, has previously been shown to provide postoperative pain relief comparable to that provided by morphine, without respiratory depression. This study compared the incidence of arterial blood desaturation, respiratory depression, and patient comfort after preoperative medication with scopolamine and ketorolac versus scopolamine and morphine. Scopolamine and ketorolac premedication provided sedation and analgesia comparable to that provided by scopolamine and morphine, without significant respiratory depression. Since ketorolac has no central respiratory depressant effect, it may be a useful alternative to morphine for premedication in the cardiac surgical patient.</p>","PeriodicalId":77289,"journal":{"name":"Nurse anesthesia","volume":"4 4","pages":"155-9"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19129690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Isoflurane and mivacurium chloride neuromuscular blockade in patients with myasthenia gravis. 异氟醚和盐酸微尿对重症肌无力患者的神经肌肉阻断作用。
Nurse anesthesia Pub Date : 1993-12-01
R Stillwell, D Mangar, W S Turnage
{"title":"Isoflurane and mivacurium chloride neuromuscular blockade in patients with myasthenia gravis.","authors":"R Stillwell,&nbsp;D Mangar,&nbsp;W S Turnage","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The relaxograph findings are presented in two patients. In the first, isoflurane alone is administered, and mivacurium with isoflurane is administered to the second patient with myasthenia gravis. A significantly lower dose of mivacurium is required. It was noticed that the T4:T1 ratio was 100% after mivacurium and reversal agent, but T1 did not return to normal. In the patient that only received isoflurane, T1 was 60% to 70% of the baseline, indicating the neuromuscular blocking effects of isoflurane. These cases illustrate that inhalation anesthetics are adequate for muscle relaxant effects, and if neuromuscular blockers are necessary, then a lower dose of nondepolarizer should be administered, and the patient carefully monitored. Mivacurium appears to be an ideal agent for neuromuscular blockade in myasthenia gravis as long as careful neuromuscular blockade is performed.</p>","PeriodicalId":77289,"journal":{"name":"Nurse anesthesia","volume":"4 4","pages":"193-7"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19127752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transesophageal echocardiography as an intraoperative monitor. 经食管超声心动图在术中监护中的应用。
Nurse anesthesia Pub Date : 1993-12-01
C K Marshall
{"title":"Transesophageal echocardiography as an intraoperative monitor.","authors":"C K Marshall","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Echocardiography is recognized as a excellent diagnostic tool for non-invasive cardiac assessment. Recently, transesophageal echocardiography has been utilized as an \"on line, real time\" intraoperative monitoring device in cases where patients are at significant risk for intraoperative cardiac ischemia, large shifts in hemodynamic parameters, and/or air embolism. This advancement in cardiac and hemodynamic intraoperative monitoring is significant as it enables early recognition of cardiac ischemia through assessment of cardiac contractility and regional wall motion abnormalities; accurate volume status assessment with direct monitoring of cardiac chamber volumes, valvular function, and intracardiac shunting; and real time assessment of the presence, size, and location of intracardiac air. Transesophageal echocardiography is a safe and accurate tool enabling early recognition of those physiological intraoperative changes where early intervention is critical for improved patient outcome.</p>","PeriodicalId":77289,"journal":{"name":"Nurse anesthesia","volume":"4 4","pages":"181-7"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19129694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anesthesia considerations for anorexia nervosa and bulimia nervosa. 神经性厌食症和神经性贪食症的麻醉考虑。
Nurse anesthesia Pub Date : 1993-12-01
S Baker
{"title":"Anesthesia considerations for anorexia nervosa and bulimia nervosa.","authors":"S Baker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Anorexia nervosa and bulimia are appearing with increasing frequency in preadolescents and adolescents. Eating disorders lead to significant physical changes related to starvation and/or purging. These patients should be specifically questioned about taking laxatives, diuretics, or amphetamines to lose weight. Subclinical abnormalities, coupled with the patient's denial, emphasize the need for careful physical examination and laboratory assessment. Preexisting electrolyte, cardiovascular, and thermoregulatory alterations must be recognized so that an appropriate anesthesia plan can follow.</p>","PeriodicalId":77289,"journal":{"name":"Nurse anesthesia","volume":"4 4","pages":"172-80"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19129693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nurse anesthesia research: not yet ready for prime time. 护士麻醉研究:尚未准备好黄金时间。
Nurse anesthesia Pub Date : 1993-12-01
W R Waugaman
{"title":"Nurse anesthesia research: not yet ready for prime time.","authors":"W R Waugaman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77289,"journal":{"name":"Nurse anesthesia","volume":"4 4","pages":"153-4"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19129689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In the case of the emergency carotid endarterectomy, the anesthesia plan. 在紧急颈动脉内膜切除术的情况下,麻醉计划。
Nurse anesthesia Pub Date : 1993-12-01
S L Fassett
{"title":"In the case of the emergency carotid endarterectomy, the anesthesia plan.","authors":"S L Fassett","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77289,"journal":{"name":"Nurse anesthesia","volume":"4 4","pages":"205"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19127754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Discharge time in patients who receive fentanyl or alfentanil for general anesthesia. 接受芬太尼或阿芬太尼全麻患者的出院时间。
Nurse anesthesia Pub Date : 1993-12-01
D J Heather, D Martin-Sheridan
{"title":"Discharge time in patients who receive fentanyl or alfentanil for general anesthesia.","authors":"D J Heather,&nbsp;D Martin-Sheridan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Forty ASA I and II patients undergoing elective termination of pregnancy were studied. Patients were randomly selected to receive fentanyl or alfentanil. Patients received 1 to 2 mg midazolam, 2.0 to 2.5 mg/kg propofol, and 10 to 20 micrograms/kg alfentanil or 1 to 2 micrograms/kg fentanyl for induction and maintenance of anesthesia. In addition all patients were administered 70% N2O and 30% O2. The time from admission to the post anesthesia recovery unit until discharged home was defined as the discharge time. These times were compared using the student's t test to determine if there was a significant difference (P < .05) between the mean discharge time of the two groups. In addition, each patient's total postanesthesia recovery scores were evaluated on admission, at 15 minutes, and at discharge from the post anesthesia recovery unit. These data were analyzed using the Mann-Whitney U test to determine if there was a significant difference in the mean rate of recovery in each area observed. The data revealed no statistically significant difference between the mean discharge times of the two groups or in the total post anesthesia recovery unit recovery scores.</p>","PeriodicalId":77289,"journal":{"name":"Nurse anesthesia","volume":"4 4","pages":"160-5"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19129691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Scope of nursing practice and business relationships between nurses and physicians in California: Part 2. 加州护理实践的范围和护士和医生之间的业务关系:第2部分。
Nurse anesthesia Pub Date : 1993-12-01
P R Recht, K L Breuner
{"title":"Scope of nursing practice and business relationships between nurses and physicians in California: Part 2.","authors":"P R Recht,&nbsp;K L Breuner","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77289,"journal":{"name":"Nurse anesthesia","volume":"4 4","pages":"166-71"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19129692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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