Issues

Editorial

Some Mechanistic Insights into Opioid Tolerance

G. F. Gebhart, Ph.D.

Anesthesiology December 1990, Vol. 73, 1065–1066. https://doi.org/10.1097/00000542-199012000-00001

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Education

Addition of Clonidine Enhances Postoperative Analgesia from Epidural Morphine: A Double-blind Study

Johann Motsch, Dr. med., Priv.-Doz.; Eva Gräber, Dr. med.; Kurt Ludwig

Anesthesiology December 1990, Vol. 73, 1067–1073. https://doi.org/10.1097/00000542-199012000-00002

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Incidence of Perioperative Myocardial Ischemia Detected by Different Electrocardiographic Systems

Stephen Slogoff, M.D.; Arthur S. Keats, M.D.; Yadin David, Ph.D.; Stephen R. Igo

Anesthesiology December 1990, Vol. 73, 1074–1081. https://doi.org/10.1097/00000542-199012000-00003

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Pharmacokinetic Model-driven Infusion of Fentanyl: Assessment of Accuracy

Peter S. A. Glass, M.D.; James R. Jacobs, Ph.D.; L. Richard Smith, Ph.D.; Brian Ginsberg, M.D.; Timothy J. Quill, M.D.; Stephen A. Bai, Ph.D.; J. G. Reves, M.D.

Anesthesiology December 1990, Vol. 73, 1082–1090. https://doi.org/10.1097/00000542-199012000-00004

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Pharmacokinetics of Fentanyl Administered by Computer-controlled Infusion Pump

Steven L. Shafer, M.D.; John R. Varvel, M.D.; Natasha Aziz, A.B; James C. Scott, M.D.

Anesthesiology December 1990, Vol. 73, 1091–1102. https://doi.org/10.1097/00000542-199012000-00005

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Long-term Cognitive and Social Sequelae of General Versus Regional Anesthesia during Arthroplasty in the Elderly

Warren R. Nielson, Ph.D.; Adrian W. Gelb, M.B.Ch.B.; Joseph E. Casey, M.A.; Foster J. Penny, M.D.; Richard N. Merchant, M.D.; Pirjo H. Manninen, M.D.

Anesthesiology December 1990, Vol. 73, 1103–1109. https://doi.org/10.1097/00000542-199012000-00006

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Neonatal Patterns of Breathing after Cesarean Section with or without Epidural Fentanyl

Malik Benlabed, M.D.; Edouardo Dreizzen, M.D.; Claude Ecoffey, M.D.; Pierre Escourrou, M.D.; Marek Migdal, M.D.; Claude Gaultier, M.D.

Anesthesiology December 1990, Vol. 73, 1110–1113. https://doi.org/10.1097/00000542-199012000-00007

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The Thermoregulatory Threshold in Infants and Children Anesthetized with Isoflurane and Caudal Bupivacaine

Bruno Bissonnette, M.D.; Daniel I. Sessier, M.D.

Anesthesiology December 1990, Vol. 73, 1114–1118. https://doi.org/10.1097/00000542-199012000-00008

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Influence of High-dose Aprotinin Treatment on Blood Loss and Coagulation Patterns in Patients Undergoing Myocardial Revascularization

W. Dietrich, M.D.; M. Spannagl, M.D.; M. Jochum, Ph.D.; P. Wendt, M.D.; W. Schramm, M.D; A. Barankay, M.D.; F. Sebening, M.D; J. A. Richter, M.D.

Anesthesiology December 1990, Vol. 73, 1119–1126. https://doi.org/10.1097/00000542-199012000-00009

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Determinants of Systolic and Diastolic Flow in Coronary Bypass Grafts with Inotropic Stimulation

Sadek Beloucif, M.D.; François Laborde, M.D.; Lila Beloucif, M.D.; Armand Piwnica, M.D.; Dldier Payen, M.D., Ph.D.

Anesthesiology December 1990, Vol. 73, 1127–1135. https://doi.org/10.1097/00000542-199012000-00010

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Tolerance and Dependence in Neonates Sedated with Fentanyl during Extracorporeal Membrane Oxygenation

John H. Arnold, M.D.; Robert D. Truog, M.D.; E. John Orav, Ph.D.; Joseph M. Scavone, Pharm. D.; Marc B. Hershenson, M.D.

Anesthesiology December 1990, Vol. 73, 1136–1140. https://doi.org/10.1097/00000542-199012000-00011

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Pain Medicine

Differential Cross-tolerance Between Intrathecal Morphine and Sufentanil in the Rat

Maurice Sosnowski, M. D.; Tony L. Yaksh, Ph.D.

Anesthesiology December 1990, Vol. 73, 1141–1147. https://doi.org/10.1097/00000542-199012000-00012

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Effects of Nitrous Oxide on Myocardial Contractility as Evaluated by the Preload Recruitable Stroke Work Relationship in Chronically Instrumented Dogs

Paul S. Pagel, M.D.; John P. Kampine, M.D., Ph.D.; William T. Schmeling, M.D., Ph.D.; David C. Warltier, M.D., Ph.D.

Anesthesiology December 1990, Vol. 73, 1148–1157. https://doi.org/10.1097/00000542-199012000-00013

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A Comparison of the Effects of Halothane and Tetrodotoxin on the Regional Repolarization Characteristics of Canine Purkinje Fibers

Lawrence A. Turner, M.D.; Jure Marijic, M.D.; John P. Kampine, M.D., Ph.D.; Zeliko J. Bosnjak, Ph.D.

Anesthesiology December 1990, Vol. 73, 1158–1168. https://doi.org/10.1097/00000542-199012000-00014

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The Inhibitory Action of Halothane on Reflex Constriction in Mesenteric Capacitance Veins

Thomas A. Stekiel, M.D.; Keizaburo Ozono, M.D.; John B. McCallum, M.C.S.; Zeliko J. Bosnjak, Ph.D.; William J. Stekiel, P.h.D.; John P. Kampine, M.D., Ph.D.

Anesthesiology December 1990, Vol. 73, 1169–1178. https://doi.org/10.1097/00000542-199012000-00015

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Subarachnoid Clonidine Reduces Spinal Cord Blood Flow and Glucose Utilization in Conscious Rats

Gregory Crosby, M.D.; Margaret A. Russo; Michele D. Szabo, M.D.; Kenneth R. Davies, M.D.

Anesthesiology December 1990, Vol. 73, 1179–1185. https://doi.org/10.1097/00000542-199012000-00016

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Halothane Alters the Oxygen Consumption-Oxygen Delivery Relationship Compared with Conscious State

Peter Rock, M.D.; Charles Beattie, M.D., Ph.D.; Allyn W. Kimball, Ph.D.; Daniel P. Nyhan, M.D.; Bessie B. Chen, M.D.; David M. Fehr, M.D.; Stephen A. Derrer, M.D.; Stephen D. Parker, M.D.; Paul A. Murray, Ph.D.

Anesthesiology December 1990, Vol. 73, 1186–1197. https://doi.org/10.1097/00000542-199012000-00017

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Pharmacology of Intrathecal Adrenergic Agonists: Cardiovascular and Nociceptive Reflexes in Halothane-ahesthetized Rats

Hiroshi Nagasaka, M.D.; Tony L. Yaksh, Ph.D.

Anesthesiology December 1990, Vol. 73, 1198–1207. https://doi.org/10.1097/00000542-199012000-00018

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Covalent Binding of Oxidative Biotransformation Intermediates Is Associated with Halothane Hepatotoxicity in Guinea Pigs

Richard C. Lind, M.S.; A Jay Gandolfi, Ph.D.; Pauline de la M. Hall, M.B.B.S., F.R.C.P.A.

Anesthesiology December 1990, Vol. 73, 1208–1213. https://doi.org/10.1097/00000542-199012000-00019

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Morphine and Alfentanil Permeability Through the Spinal Dura, Arachnoid, and Pia Mater of Dogs and Monkeys

Christopher M. Bernards, M.D.; Harlan F. Hill, Ph.D.

Anesthesiology December 1990, Vol. 73, 1214–1219. https://doi.org/10.1097/00000542-199012000-00020

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Effects of Nitrous Oxide on Contractile Function and Metabolism of the Isolated Heart

David F. Stowe, M.D., Ph.D.; Sean M. Monroe, B.S.; Jure Marijic, M.D.; Rosemary T. Rooney, M.B., F.F.A.R.C.S.I.; Zeljko J. Bosnjak, Ph.D.¶; John P. Kampine, M.D., Ph.D.

Anesthesiology December 1990, Vol. 73, 1220–1226. https://doi.org/10.1097/00000542-199012000-00021

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Antinociceptive Interaction Between Opioids and Medetomidine: Systemic Additivity and Spinal Synergy

Michael H. Ossipov, Ph.D.; Sarah Harris, B.Sc.; Patricia Lloyd, A.Sc.; Elina Messineo, B.Sc.; B. -S. Lin, Ph.D.; Jerome Bagley, Ph.D.

Anesthesiology December 1990, Vol. 73, 1227–1235. https://doi.org/10.1097/00000542-199012000-00022

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Alterations in Brain Electrical Activity May Indicate the Onset of Malignant Hyperthermia in Swine

E. Kochs, M.D.; W. E. Hoffman, Ph.D.; N. Roewer, M.D.; J. Schulte am Esch, M.D.

Anesthesiology December 1990, Vol. 73, 1236–1242. https://doi.org/10.1097/00000542-199012000-00023

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Effect of Halothane and Isoflurane on Postischemic “Stunned” Myocardium in the Dog

S. E. Belo, Ph.D., M.D.; C. D. Mazer, M.D.

Anesthesiology December 1990, Vol. 73, 1243–1251. https://doi.org/10.1097/00000542-199012000-00024

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Paraben Preservatives but Not Succinylcholine Are Cerebral Vasodilators In Vitro

John T. Hamilton, Ph.D.; Yuan Zhou, M.D.; Adrian W. Geib, M.B., Ch.B., F.R.C.P.(C.)

Anesthesiology December 1990, Vol. 73, 1252–1257. https://doi.org/10.1097/00000542-199012000-00025

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Metered Dose Inhaler Aerosol Characteristics Are Affected by the Endotracheal Tube Actuator/Adapter Used

Michael J. Bishop, M.D.; Richard P. Larson, R.R.T.; Dennis L. Buschman, M.D.

Anesthesiology December 1990, Vol. 73, 1263–1265. https://doi.org/10.1097/00000542-199012000-00027

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Special Articles

And the Patient Chose: Medical Ethics and the Case of the Jehovah's Witness

A. Joseph Layon, M.D.; Robert D'Amico, Ph.D.; Donald Caton, M.D.; Chris J. Mollet, J.D.

Anesthesiology December 1990, Vol. 73, 1258–1262. https://doi.org/10.1097/00000542-199012000-00026

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Case Reports

Sudden Asystole in a Marathon Runner: The Athletic Heart Syndrome and Its Anesthetic Implications

J. M. KREUTZ; J. E. MAZUZAN

Anesthesiology December 1990, Vol. 73, 1266–1267. https://doi.org/10.1097/00000542-199012000-00028

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Anesthesia for a Patient Undergoing Laparoscopic Cholecystectomy

ALAN P. MARCO, M.D.; CHARLES J. YEO, M.D.; PETER ROCK, M.D.

Anesthesiology December 1990, Vol. 73, 1268–1269. https://doi.org/10.1097/00000542-199012000-00029

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Airway Obstruction in Lungs Obtained from an Asthmatic Donor Complicating Heart–Lung Transplantation

SUNIT GHOSH, F.F.A.R.C.S.; RAYMOND LATIMER, F.F.A.R.C.S.; DAVID TEW, F.F.A.R.C.S.

Anesthesiology December 1990, Vol. 73, 1270–1271. https://doi.org/10.1097/00000542-199012000-00030

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Epidural Opioid Infusion: An Unusual Problem

TED R. KREITZMAN, M.D.; STANLEY I. SAMUELS, M.D.

Anesthesiology December 1990, Vol. 73, 1272. https://doi.org/10.1097/00000542-199012000-00031

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Superior Vena Cava Syndrome as a Complication of Change in Body Position during General Anesthesia

ALAN S. LORD, M.D.; BETTY L. GRUNDY, M.D.

Anesthesiology December 1990, Vol. 73, 1273–1274. https://doi.org/10.1097/00000542-199012000-00032

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Anesthetic Considerations for Severe Ovarian Hyperstimulation Syndrome

ALLAN P. REED, M.D.; HENRY TAUSK, M.D.; HOWARD REYNOLDS, M.D.

Anesthesiology December 1990, Vol. 73, 1275–1276. https://doi.org/10.1097/00000542-199012000-00033

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Pneumoencephalos after Inadvertent Intrathecal Air Injection during Epidural Block

YESHAYAHU KATZ, M.D., D.Sc.; ROBERT MARKOVITS, M.D.; BENO ROSENBERG, M.D.

Anesthesiology December 1990, Vol. 73, 1277–1278. https://doi.org/10.1097/00000542-199012000-00034

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Tracheal Agenesis: Resuscitative Management

STEVEN M. MCDONALD, M.D.; NANCY E. ORIOL, M.D.

Anesthesiology December 1990, Vol. 73, 1279–1281. https://doi.org/10.1097/00000542-199012000-00035

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Venous Air Embolism during Hepatic Resection

YOSHIO HATANO, M.D.; MASAHIRO MURAKAWA, M.D.; HAJIME SEGAWA, M.D.; YUKIO NISHIDA, M.D.; KENJIRO MORI, M.D.

Anesthesiology December 1990, Vol. 73, 1282–1284. https://doi.org/10.1097/00000542-199012000-00036

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Tracheal Intubation Is Not Invariably Confirmed by Capnography

STEVEN M. DUNN, M.D.; PHILLIP S. MUSHLIN, M.D., Ph.D.; LEONARD J. LIND, M.D.; DANIEL RAEMER, Ph.D.

Anesthesiology December 1990, Vol. 73, 1285–1286. https://doi.org/10.1097/00000542-199012000-00037

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Total Spinal Anesthesia Following Early Prophylactic Epidural Blood Patch

DAVID LEIVERS, M.D., F.F.A.R.C.S.

Anesthesiology December 1990, Vol. 73, 1287–1289. https://doi.org/10.1097/00000542-199012000-00038

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Complications during Spinal Anesthesia in Infants: High Spinal Blockade

THOMAS E. WREIGHT, M.D.; ROSEMARY J. ORR, M.B., B.Ch.; CHARLES M. HABERKERN, M.D.; ERIC J. WALBERGH, M.D.

Anesthesiology December 1990, Vol. 73, 1290–1292. https://doi.org/10.1097/00000542-199012000-00039

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Correspondence

Knotting of the Theracath™ after an Uneventful Epidural Insertion for Cesarean Delivery

E. E. FIBUCH, M. D.; J. D. MCNITT, M. D.; T. CUSSEN, C.R.N.A.

Anesthesiology December 1990, Vol. 73, 1293. https://doi.org/10.1097/00000542-199012000-00040

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Knotting of the Theracath™ after an Uneventful Epidural Insertion for Cesarean Delivery

PETER J. MCGREGOR

Anesthesiology December 1990, Vol. 73, 1293. https://doi.org/10.1097/00000542-199012000-00041

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Aspiration of Meconium from the Trachea of Neonates

NANCY E. ORIOL, M.D.

Anesthesiology December 1990, Vol. 73, 1294. https://doi.org/10.1097/00000542-199012000-00042

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Mechanism of Ulnar Nerve Injury

GAYLORD D. ALEXANDER, M.D.

Anesthesiology December 1990, Vol. 73, 1294. https://doi.org/10.1097/00000542-199012000-00043

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Mechanism of Ulnar Nerve Injury

FREDERICK W. CHENEY, M.D.

Anesthesiology December 1990, Vol. 73, 1295. https://doi.org/10.1097/00000542-199012000-00044

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Improved Infection Control in the Operating Room

FARIDA GADALLA, M.D., Assistant Professor; JILL FONG, M.D., Assistant Professor

Anesthesiology December 1990, Vol. 73, 1295. https://doi.org/10.1097/00000542-199012000-00045

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Sudden Cardiac Arrest during Epidural Anesthesia

WILLIAM GILD, M.B., Ch.B., J.D.; PAMELA CRILLEY, D.O.

Anesthesiology December 1990, Vol. 73, 1296. https://doi.org/10.1097/00000542-199012000-00046

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Blood Patch in the HIV-positive Patient

WILLIAM A. FRAME, M.D.; MANFRED W. LICHTMANN, M.D.

Anesthesiology December 1990, Vol. 73, 1297. https://doi.org/10.1097/00000542-199012000-00047

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Announcements

ANNOUNCEMENT

Anesthesiology December 1990, Vol. 73, 1297. https://doi.org/10.1097/00000542-199012000-00048

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Reviews of Educational Material

The Management of Pain

SRINIVASA N. RAJA, M.D.

Anesthesiology December 1990, Vol. 73, 1298. https://doi.org/10.1097/00000542-199012000-00049

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Anesthesia for Cardiac Surgery

JAMES G. RAMSAY, M.D., F.R.C.P.(C.)

Anesthesiology December 1990, Vol. 73, 1298. https://doi.org/10.1097/00000542-199012000-00050

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ERRATUM

Anesthesiology December 1990, Vol. 73, 1299. https://doi.org/10.1097/00000542-199012000-00051

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Meeting Abstracts

Molecular and Cellular Mechanisms of Alcohol and Anesthetics June 24–28, 1990 Calgary, Alberta, Canada

Carol A. Hirshman, M.D.

Anesthesiology December 1990, Vol. 73, 1300–1301. https://doi.org/10.1097/00000542-199012000-00052

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Acknowledgment

ACKNOWLEDGMENT

Anesthesiology December 1990, Vol. 73, 1302–1303. https://doi.org/10.1097/00000542-199012000-00053

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Index

Index TO VOLUME 73

Anesthesiology December 1990, Vol. 73, 1304–1336. https://doi.org/10.1097/00000542-199012000-00054

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Author Index TO VOLUME 73

Anesthesiology December 1990, Vol. 73, 1337–1346. https://doi.org/10.1097/00000542-199012000-00055

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