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Volume 77, Issue 6

December 1992

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Table of Contents

In this Issue

Editorial
Clinical Science
Meeting Abstracts
Case Reports
Correspondence

Editorial

Are Barbiturates Hyperalgesic?

Luke M. Kitahata, M.D., Ph.D.; Lloyd Saberski, M.D.

Anesthesiology December 1992, Vol. 77, 1059–1061. https://doi.org/10.1097/00000542-199212000-00001

View Articletitled, Are Barbiturates Hyperalgesic?

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Topics: barbiturates

The Safety of Sevoflurane in Humans

Richard I. Mazze, M.D.

Anesthesiology December 1992, Vol. 77, 1062–1063. https://doi.org/10.1097/00000542-199212000-00002

View Articletitled, The Safety of Sevoflurane in Humans

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Topics: safety , sevoflurane

Clinical Science

Quantification of the Degradation Products of Sevoflurane in Two CO² Absorbants during Low-flow Anesthesia in Surgical Patients

Edward J. Frink, M.D.; T Philip Malan, M.D., Ph.D.; Scott E. Morgan, B.S.; Elizabeth A. Brown, R.N.; Mark Malcomson, M.S.; Burnell R. Brown, M.D., Ph.D., F.F.A.R.C.S.

Anesthesiology December 1992, Vol. 77, 1064–1069. https://doi.org/10.1097/00000542-199212000-00003

View Articletitled, Quantification of the Degradation Products of Sevoflurane in Two CO2 Absorbants during Low-flow Anesthesia in Surgical Patients

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Topics: carbon dioxide , catabolism , fluid flow , sevoflurane , surgical procedures, operative

Priming Doses of Atracurium and Vecuronium Depress Swallowing in Humans

Gilles D'Honneur, M.D.; Olivier Gall, M.D.; Alain Gerard, M.D.; Jean Marc Rimaniol, M.D.; Yves Lambert, M.D.; Philippe Duvaldestin, M.D.

Anesthesiology December 1992, Vol. 77, 1070–1073. https://doi.org/10.1097/00000542-199212000-00004

View Articletitled, Priming Doses of Atracurium and Vecuronium Depress Swallowing in Humans

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Topics: atracurium , deglutition , vecuronium

Intelligent Alarms Reduce Anesthesiologist's Response Time to Critical Faults

Dwayne R. Westenskow, Ph.D.; Joseph A. Orr, Ph.D.; Frank H. Simon, D. Ing.; Hans-Joachim Bender, M.D., Ph.D.; Horst Frankenberger

Anesthesiology December 1992, Vol. 77, 1074–1079. https://doi.org/10.1097/00000542-199212000-00005

View Articletitled, Intelligent Alarms Reduce Anesthesiologist's Response Time to Critical Faults

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Topics: reaction time

Monitoring of Heparin-induced Anticoagulation with Kaolinactivated Clotting Time in Cardiac Surgical Patients Treated with Aprotinin

Jian-Sheng Wang, M.D.; Chung-Yuan Lin, M.D.; Wei-Te Hung, M.D.; Robert B. Karp, M.D.

Anesthesiology December 1992, Vol. 77, 1080–1084. https://doi.org/10.1097/00000542-199212000-00006

View Articletitled, Monitoring of Heparin-induced Anticoagulation with Kaolinactivated Clotting Time in Cardiac Surgical Patients Treated with Aprotinin

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Topics: anticoagulation , aprotinin , heart , heparin , surgical procedures, operative

Radiologic Localization of the Laryngeal Mask Airway in Children

Nishan G. Goudsouzian, M.D.; William Denman, F.C.Anaes.; Robert Cleveland, M.D.; George Shorten, F.F.A.R.C.S.(I.)

Anesthesiology December 1992, Vol. 77, 1085–1089. https://doi.org/10.1097/00000542-199212000-00007

View Articletitled, Radiologic Localization of the Laryngeal Mask Airway in Children

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Topics: child , laryngeal mask airways , radiology specialty

Morphine and Hydromorphone Epidural Analgesia: A Prospective, Randomized Comparison

Sandra R. Chaplan, M.D.; Steven R. Duncan, M.D.; Jay B. Brodsky, M.D.; William G. Brose, M.D.

Anesthesiology December 1992, Vol. 77, 1090–1094. https://doi.org/10.1097/00000542-199212000-00008

View Articletitled, Morphine and Hydromorphone Epidural Analgesia: A Prospective, Randomized Comparison

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Topics: analgesia, epidural , hydromorphone , morphine

Anesthetic Techniques during Surgical Repair of Femoral Neck Fractures: A Meta-analysis

Robert M. Sorenson, M.D.; Nathan L. Pace, M.D.

Anesthesiology December 1992, Vol. 77, 1095–1104. https://doi.org/10.1097/00000542-199212000-00009

View Articletitled, Anesthetic Techniques during Surgical Repair of Femoral Neck Fractures: A Meta-analysis

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Topics: femoral neck fractures , surgical procedures, operative

Duration of Apnea in Anesthetized Infants and Children Required for Desaturation of Hemoglobin to 95%: The Influence of Upper Respiratory Infection

Keiko Kinouchi, M.D.; Hironobu Tanigami, M.D.; Chikara Tashiro, M.D.; Masaji Nishimura, M.D.; Kazuo Fukumitsu, M.D.; Yuji Takauchi, M.D.

Anesthesiology December 1992, Vol. 77, 1105–1107. https://doi.org/10.1097/00000542-199212000-00010

View Articletitled, Duration of Apnea in Anesthetized Infants and Children Required for Desaturation of Hemoglobin to 95%: The Influence of Upper Respiratory Infection

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Topics: apnea , child , desaturation of blood , hemoglobin , infant

A Randomized Comparison of Intravenous Versus Lumbar and Thoracic Epidural Fentanyl for Analgesia after Thoracotomy

Jean-Phillipe Guinard, M.D.; Philippe Mavrocordatos, M.D.; René Chiolero, M.D.; Randall L. Carpenter, M.D.

Anesthesiology December 1992, Vol. 77, 1108–1115. https://doi.org/10.1097/00000542-199212000-00011

View Articletitled, A Randomized Comparison of Intravenous Versus Lumbar and Thoracic Epidural Fentanyl for Analgesia after Thoracotomy

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Topics: analgesia (pain absence) , fentanyl , local anesthetic thoracic epidural block , pain management , thoracotomy

Does a Subanesthetic Concentration of Isoflurane Blunt the Ventilatory Response to Hypoxia?

John A. Temp, M.D.; Lindsey C. Henson, M.D., Ph.D.; Denham S. Ward, M.D., Ph.D.

Anesthesiology December 1992, Vol. 77, 1116–1124. https://doi.org/10.1097/00000542-199212000-00012

View Articletitled, Does a Subanesthetic Concentration of Isoflurane Blunt the Ventilatory Response to Hypoxia?

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Topics: hypoxia , isoflurane

Effects of Intravenous Dexmedetomidine in Humans: I. Sedation, Ventilation, and Metabolic Rate

Jon P. Belleville, M.D.; Denham S. Ward, M.D., Ph.D.; Byron C. Bloor, Ph.D.; Mervyn Maze, M.B., Ch.B.

Anesthesiology December 1992, Vol. 77, 1125–1133. https://doi.org/10.1097/00000542-199212000-00013

View Articletitled, Effects of Intravenous Dexmedetomidine in Humans: I. Sedation, Ventilation, and Metabolic Rate

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Topics: dexmedetomidine , environmental air flow , metabolic rate , respiration , sedation procedure

Effects of Intravenous Dexmedetomidine in Humans: II. Hemodynamic Changes

Byron C. Bloor, Ph.D.; Denham S. Ward, M.D., Ph.D.; Jon P. Belleville, M.D.; Mervyn Maze, M.B., Ch.B.

Anesthesiology December 1992, Vol. 77, 1134–1142. https://doi.org/10.1097/00000542-199212000-00014

View Articletitled, Effects of Intravenous Dexmedetomidine in Humans: II. Hemodynamic Changes

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Topics: dexmedetomidine , doppler hemodynamics , hemodynamics

Comparison of Postoperative Analgesic Effects of Intraarticular Bupivacaine and Morphine Following Arthroscopic Knee Surgery

Srinivasa N. Raja, M.D.; Ross E. Dickstein, M.D.; Carl A. Johnson, M.D.

Anesthesiology December 1992, Vol. 77, 1143–1147. https://doi.org/10.1097/00000542-199212000-00015

View Articletitled, Comparison of Postoperative Analgesic Effects of Intraarticular Bupivacaine and Morphine Following Arthroscopic Knee Surgery

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Topics: analgesics , arthroscopy , bupivacaine , knee surgery , morphine

Meeting Abstracts

Propofol and Barbiturate Depression of Spinal Nociceptive Neurotransmission

Brian A. Jewett, B.A.; Lisa M. Gibbs, B.M.; Ariel Tarasiuk, Ph.D.; Joan J. Kendig, Ph.D.

Anesthesiology December 1992, Vol. 77, 1148–1154. https://doi.org/10.1097/00000542-199212000-00016

View Articletitled, Propofol and Barbiturate Depression of Spinal Nociceptive Neurotransmission

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Reaction of Sevoflurane and Its Degradation Products with Soda Lime: Toxicity of the Byproducts

Michio Morio, M.D., Ph.D.; Kohyu Fujii, Ph.D.; Nobukatsu Satoh, B.S.; Masahiro Imai, M.S.; Urao Kawakami, B.S.; Takahiro Mizuno, B.S.; Yoichiro Kawai, B.S.; Yasumasa Ogasawara, B.S.; Takashi Tamura, B.S.; Akira Negishi, Ph.D.; Yoichi Kumagai, M.S.; Toshikazu Kawai, M.S.

Anesthesiology December 1992, Vol. 77, 1155–1164. https://doi.org/10.1097/00000542-199212000-00017

View Articletitled, Reaction of Sevoflurane and Its Degradation Products with Soda Lime: Toxicity of the Byproducts

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AMPA Receptor Competitive Antagonism Reduces Halothane MAC in Rats

Claude McFarlane, M.D.; David S. Warner, M.D.; Michael M. Todd, M.D.; Lars Nordholm, Ph.D.

Anesthesiology December 1992, Vol. 77, 1165–1170. https://doi.org/10.1097/00000542-199212000-00018

View Articletitled, AMPA Receptor Competitive Antagonism Reduces Halothane MAC in Rats

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The Influence of Hemorrhage on Organ Perfusion during Deliberate Hypotension in Rats

Richard J. Sperry, M.D.; Christopher R. Monk, F.F.A.R.C.S.; Marcel E. Durieux, M.D.; David E. Longnecker, M.D.

Anesthesiology December 1992, Vol. 77, 1171–1177. https://doi.org/10.1097/00000542-199212000-00019

View Articletitled, The Influence of Hemorrhage on Organ Perfusion during Deliberate Hypotension in Rats

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Endothelium-dependent Circulatory Control—A Mechanism for the Differing Peripheral Vascular Effects of Isoflurane Versus Halothane

Eric P. Greenblatt, M.D.; Alex L. Loeb, Ph.D.; David E. Longnecker, M.D.

Anesthesiology December 1992, Vol. 77, 1178–1185. https://doi.org/10.1097/00000542-199212000-00020

View Articletitled, Endothelium-dependent Circulatory Control—A Mechanism for the Differing Peripheral Vascular Effects of Isoflurane Versus Halothane

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Interaction of Intrathecal Morphine with Bupivacaine and Lidocaine in the Rat

John P. Penning, M.D., F.R.C.P.C.; Tony L. Yaksh, Ph.D.

Anesthesiology December 1992, Vol. 77, 1186–1200. https://doi.org/10.1097/00000542-199212000-00021

View Articletitled, Interaction of Intrathecal Morphine with Bupivacaine and Lidocaine in the Rat

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Metabolism of Ketamine Stereoisomers by Human Liver Microsomes

Evan D. Kharasch, M.D., Ph.D.; Rita Labroo, Ph.D.

Anesthesiology December 1992, Vol. 77, 1201–1207. https://doi.org/10.1097/00000542-199212000-00022

View Articletitled, Metabolism of Ketamine Stereoisomers by Human Liver Microsomes

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Ketamine as a Probe for Medetomidine Stereoisomer Inhibition of Human Liver Microsomal Drug Metabolism

Evan D. Kharasch, M.D., Ph.D.; Susan Herrmann, B.S.; Rita Labroo, Ph.D.

Anesthesiology December 1992, Vol. 77, 1208–1214. https://doi.org/10.1097/00000542-199212000-00023

View Articletitled, Ketamine as a Probe for Medetomidine Stereoisomer Inhibition of Human Liver Microsomal Drug Metabolism

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The Fast Flush Test Measures the Dynamic Response of the Entire Blood Pressure Monitoring System

Bruce Kleinman, M.D.; Steven Powell; Pankaj Kumar, M.D.; Reed M. Gardner, Ph.D.

Anesthesiology December 1992, Vol. 77, 1215–1220. https://doi.org/10.1097/00000542-199212000-00024

View Articletitled, The Fast Flush Test Measures the Dynamic Response of the Entire Blood Pressure Monitoring System

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Case Reports

Epidural Hematoma Associated with Epidural Anesthesia: Complications of Anticoagulant Therapy

Joseph L. Onishchuk, D.O.; Christer Carlsson, M.D., Ph.D.

Anesthesiology December 1992, Vol. 77, 1221–1223. https://doi.org/10.1097/00000542-199212000-00025

View Articletitled, Epidural Hematoma Associated with Epidural Anesthesia: Complications of Anticoagulant Therapy

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Topics: anticoagulation , epidural anesthesia , epidural hemorrhage

Segmental Reflex Sympathetic Dystrophy Involving the Thumb: A Rare Complication of a Varicella Zoster Infection

Martin H. Chester, M.D.

Anesthesiology December 1992, Vol. 77, 1223–1225. https://doi.org/10.1097/00000542-199212000-00026

View Articletitled, Segmental Reflex Sympathetic Dystrophy Involving the Thumb: A Rare Complication of a Varicella Zoster Infection

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Topics: chickenpox , infections , reflex sympathetic dystrophy , thumb

Delayed Pneumothorax Following Difficult Tracheal Intubation

Ben S. Chortkoff, M.D.; Barry Perlman, Ph.D., M.D.; Neal H. Cohen, M.D., M.P.H., M.S.

Anesthesiology December 1992, Vol. 77, 1225–1227. https://doi.org/10.1097/00000542-199212000-00027

View Articletitled, Delayed Pneumothorax Following Difficult Tracheal Intubation

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Topics: endotracheal intubation , pneumothorax

Bradycardia during Epidural Anesthesia in a Patient Receiving Guanfacine

R G Burney, M.D.

Anesthesiology December 1992, Vol. 77, 1228–1229. https://doi.org/10.1097/00000542-199212000-00028

View Articletitled, Bradycardia during Epidural Anesthesia in a Patient Receiving Guanfacine

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Topics: bradycardia , epidural anesthesia , guanfacine

Regional Anesthesia for Arteriovenous Fistula Creation in the Forearm: A New Approach

Stephen J. Eldredge, M.D.; Richard J. Sperry, M.D.; Joel O. Johnson, M.D., Ph.D.

Anesthesiology December 1992, Vol. 77, 1230–1231. https://doi.org/10.1097/00000542-199212000-00029

View Articletitled, Regional Anesthesia for Arteriovenous Fistula Creation in the Forearm: A New Approach

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Topics: anesthesia, conduction , arteriovenous fistula , forearm

Correspondence

Propofol and Awareness: I

Mark D. Tasch, M.D.

Anesthesiology December 1992, Vol. 77, 1232. https://doi.org/10.1097/00000542-199212000-00030

View Articletitled, Propofol and Awareness: I

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Propofol and Awareness: II

Robin G. Cox, M.B., B.S., F.F.A.R.C.S. (Engl), F.R.C.P. (C.)

Anesthesiology December 1992, Vol. 77, 1232. https://doi.org/10.1097/00000542-199212000-00031

View Articletitled, Propofol and Awareness: II

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Propofol and Awareness: III

Sean Bennett, F.C.Anaes

Anesthesiology December 1992, Vol. 77, 1232–1233. https://doi.org/10.1097/00000542-199212000-00032

View Articletitled, Propofol and Awareness: III

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Propofol and Awareness: III reply

Jeffrey S. Kelly, M.D.; Raymond C. Roy, M.D., Ph.D.

Anesthesiology December 1992, Vol. 77, 1233–1234. https://doi.org/10.1097/00000542-199212000-00033

View Articletitled, Propofol and Awareness: III reply

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Hespan^® and Air Embolism

Frank Robbins, M.D.

Anesthesiology December 1992, Vol. 77, 1234. https://doi.org/10.1097/00000542-199212000-00034

View Articletitled, Hespan® and Air Embolism

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Hespan^® and Air Embolism reply

John N. Hurley, M.D.

Anesthesiology December 1992, Vol. 77, 1234. https://doi.org/10.1097/00000542-199212000-00035

View Articletitled, Hespan® and Air Embolism reply

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The Use of Opioids in Anesthesia Is not Especially Associated with nor Predictive of Postoperative Hypoxemia

Peter L. Bailey, M.D.

Anesthesiology December 1992, Vol. 77, 1235. https://doi.org/10.1097/00000542-199212000-00036

View Articletitled, The Use of Opioids in Anesthesia Is not Especially Associated with nor Predictive of Postoperative Hypoxemia

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Another Use for Pulse Oximetry

Leo I. Stemp, M.D.

Anesthesiology December 1992, Vol. 77, 1236. https://doi.org/10.1097/00000542-199212000-00037

View Articletitled, Another Use for Pulse Oximetry

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An Aid in Oral Fiberoptic Intubation

Michael S. Higgins, M.D.; Alan P. Marco, M.D.

Anesthesiology December 1992, Vol. 77, 1236–1237. https://doi.org/10.1097/00000542-199212000-00038

View Articletitled, An Aid in Oral Fiberoptic Intubation

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