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Volume 78, Issue 6

June 1993

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Table of Contents

In this Issue

Editorial
Clinical Science
Meeting Abstracts
Case Reports
Correspondence
Reviews of Educational Material
Erratum
Acknowledgment

Editorial

New Frontiers in Anesthesia Research: Assessing the Impact of Practice Patterns on Outcome, Health Care Delivery, and Cost

William L. Lanier, M.D.; Mark A. Warner, M.D.

Anesthesiology June 1993, Vol. 78, 1001–1004. https://doi.org/10.1097/00000542-199306000-00001

View Articletitled, New Frontiers in Anesthesia Research: Assessing the Impact of Practice Patterns on Outcome, Health Care Delivery, and Cost

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Topics: delivery of health care

Clinical Science

A Prospective, Comparative Trial of Three Anesthetics for Elective Supratentorial Craniotomy: Propofol/Fentanyl, Isoflurane/Nitrous Oxide, and Fentanyl/Nitrous Oxide

Michael M. Todd, M.D.; David S. Warner, M.D.; Martin D. Sokoll, M.D.; Mazen A. Maktabi, M.D.; Bradley J. Hindman, M.D.; Franklin L. Scamman, M.D.; Jerry Kirschner

Anesthesiology June 1993, Vol. 78, 1005–1020. https://doi.org/10.1097/00000542-199306000-00002

View Articletitled, A Prospective, Comparative Trial of Three Anesthetics for Elective Supratentorial Craniotomy: Propofol/Fentanyl, Isoflurane/Nitrous Oxide, and Fentanyl/Nitrous Oxide

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Topics: craniotomy , fentanyl , isoflurane , nitrous oxide , propofol

Epidural Clonidine Depresses Sympathetic Nerve Activity in Humans by a Supraspinal Mechanism

Klaus Kirnö, M.D.; Stefan Lundin, M.D., Ph.D.; Mikael Elam, M.D., Ph.D

Anesthesiology June 1993, Vol. 78, 1021–1027. https://doi.org/10.1097/00000542-199306000-00003

View Articletitled, Epidural Clonidine Depresses Sympathetic Nerve Activity in Humans by a Supraspinal Mechanism

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Topics: clonidine , sympathetic nerve

Inhaled Nitric Oxide: Selective Pulmonary Vasodilation in Cardiac Surgical Patients

George F. Rich, M.D., Ph.D.; Gerald D. Murphy, M.D.; C M Roos, M.S.; Roger A. Johns, M.D.

Anesthesiology June 1993, Vol. 78, 1028–1035. https://doi.org/10.1097/00000542-199306000-00004

View Articletitled, Inhaled Nitric Oxide: Selective Pulmonary Vasodilation in Cardiac Surgical Patients

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Topics: heart , lung , nitric oxide , surgical procedures, operative , vasodilation

Pharmacodynamics of Alfentanil as a Supplement to Propofol or Nitrous Oxide for Lower Abdominal Surgery in Female Patients

Jaap Vuyk, M.D.; Toine Lim, M.D.; Frank H. M. Engbers, M.D.; Anton G. L. Burm, M.Sc., Ph.D.; Arie A. Vletter, B.Sc.; James G. Bovill, M.D., Ph,D., F.F.A.R.C.S.I.

Anesthesiology June 1993, Vol. 78, 1036–1045. https://doi.org/10.1097/00000542-199306000-00005

View Articletitled, Pharmacodynamics of Alfentanil as a Supplement to Propofol or Nitrous Oxide for Lower Abdominal Surgery in Female Patients

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Topics: abdominal surgery , alfentanil , nitrous oxide , pharmacodynamics , propofol

Physiologic Responses to Hyperthermia during Epidural Anesthesia and Combined Epidural/Enflurane Anesthesia in Women

Michael Lopez, B.A.; Makoto Ozaki, M.D.; Daniel I. Sessler, M.D.; Marcela Valdes

Anesthesiology June 1993, Vol. 78, 1046–1054. https://doi.org/10.1097/00000542-199306000-00006

View Articletitled, Physiologic Responses to Hyperthermia during Epidural Anesthesia and Combined Epidural/Enflurane Anesthesia in Women

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Topics: enflurane , epidural anesthesia , hyperthermia

Heat Loss during Surgical Skin Preparation

Daniel I. Sessler, M.D.; Andrew M. Sessler, Ph.D.; Shannon Hudson, B.S.; Azita Moayeri, B.A.

Anesthesiology June 1993, Vol. 78, 1055–1064. https://doi.org/10.1097/00000542-199306000-00007

View Articletitled, Heat Loss during Surgical Skin Preparation

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Topics: heat loss , skin , surgical procedures, operative

Intramuscular Dexmedetomidine as Premedication for General Anesthesia: A Comparative Multicenter Study

Harry Scheinin, M.D.; Marja-Leena Jaakola, M.D.; Sari Sjövall, M.D.; Timo Ali-Melkkilä, M.D.; Seppo Kaukinen, M.D.; Jari Turunen, M.Sc.; Jussi Kanto, M.D.

Anesthesiology June 1993, Vol. 78, 1065–1075. https://doi.org/10.1097/00000542-199306000-00008

View Articletitled, Intramuscular Dexmedetomidine as Premedication for General Anesthesia: A Comparative Multicenter Study

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Topics: anesthesia, general , dexmedetomidine , intramuscular injections , premedication

Are All Preterm Infants Younger than 60 Weeks Postconceptual Age at Risk for Postanesthetic Apnea?

S Malviya, M.D.; J Swartx, M.D., F.R.C.P.C.; J Lerman, M.D., F.R.C.P.C.

Anesthesiology June 1993, Vol. 78, 1076–1081. https://doi.org/10.1097/00000542-199306000-00009

View Articletitled, Are All Preterm Infants Younger than 60 Weeks Postconceptual Age at Risk for Postanesthetic Apnea?

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Topics: apnea , infant, premature

Effect of Lung Volume on Lung Resistance and Elastance in Awake Subjects Measured during Sinusoidal Forcing

George M. Barnas, Ph.D.; Jural Sprung, M.D., Ph.D; Timothy M. Craft, M.D.; John E. Williams, M.D.; Ian G. Ryder, M.D.; J Amy Yun, M.D.; Colin F. Mackenzie, M.D.

Anesthesiology June 1993, Vol. 78, 1082–1090. https://doi.org/10.1097/00000542-199306000-00010

View Articletitled, Effect of Lung Volume on Lung Resistance and Elastance in Awake Subjects Measured during Sinusoidal Forcing

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Topics: lung , lung volume

Meeting Abstracts

Use of Ultrasound to Enhance the Local Anesthetic Effect of Topically Applied Aqueous Lidocaine

Katsuro Tachibana, M.D.; Shunro Tachibana, M.D.

Anesthesiology June 1993, Vol. 78, 1091–1096. https://doi.org/10.1097/00000542-199306000-00011

View Articletitled, Use of Ultrasound to Enhance the Local Anesthetic Effect of Topically Applied Aqueous Lidocaine

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Comparison of Low Concentrations of Halothane and Isoflurane as Bronchodilators

Robert H. Brown, M.D., M.P.H.; Elias A. Zerhouni, M.D.; Carol A. Hirshman, M.D.

Anesthesiology June 1993, Vol. 78, 1097–1101. https://doi.org/10.1097/00000542-199306000-00012

View Articletitled, Comparison of Low Concentrations of Halothane and Isoflurane as Bronchodilators

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Factors Influencing the Direct Actions of Volatile Anesthetics on Airway Smooth Muscle

Kozo Yamamoto, M.D.; Naoki Morimoto, M.D.; David O. Warner, M.D.; Kai Rehder, M.D.; Keith A. Jones, M.D.

Anesthesiology June 1993, Vol. 78, 1102–1111. https://doi.org/10.1097/00000542-199306000-00013

View Articletitled, Factors Influencing the Direct Actions of Volatile Anesthetics on Airway Smooth Muscle

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Effects of Nifedipine with Isoflurane, Halothane, or Enflurane on Automaticity, Conduction, and Contractility in Isolated Guinea Pig Hearts

Lori A. Gallenberg, Ph.D.; David F. Stowe, M.D., Ph.D.; John P. Kampine, M.D., Ph.D.; Zeljko J. Bosnjak, Ph.D.

Anesthesiology June 1993, Vol. 78, 1112–1119. https://doi.org/10.1097/00000542-199306000-00014

View Articletitled, Effects of Nifedipine with Isoflurane, Halothane, or Enflurane on Automaticity, Conduction, and Contractility in Isolated Guinea Pig Hearts

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Sympathetic Activity Enhances Glucose-related Ischemic Injury in the Rat

Ching Chung Shu, M.D.; William E. Hoffman, Ph.D.; Chinamma Thomas, M.D.; Ronald F. Albrecht, M.D.

Anesthesiology June 1993, Vol. 78, 1120–1125. https://doi.org/10.1097/00000542-199306000-00015

View Articletitled, Sympathetic Activity Enhances Glucose-related Ischemic Injury in the Rat

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Flux of Morphine, Fentanyl, and Alfentanil through Rabbit Arteries In Vivo: Evidence Supporting a Vascular Route for Redistribution of Opioids between the Epidural Space and the Spinal Cord

Christopher M. Bernards, M.D.

Anesthesiology June 1993, Vol. 78, 1126–1131. https://doi.org/10.1097/00000542-199306000-00016

View Articletitled, Flux of Morphine, Fentanyl, and Alfentanil through Rabbit Arteries In Vivo: Evidence Supporting a Vascular Route for Redistribution of Opioids between the Epidural Space and the Spinal Cord

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Acute Volume Regulation of Brain Cells in Response to Hypertonic Challenge

Michael L McManus, M.D.; Kevin Strange, Ph.D.

Anesthesiology June 1993, Vol. 78, 1132–1137. https://doi.org/10.1097/00000542-199306000-00017

View Articletitled, Acute Volume Regulation of Brain Cells in Response to Hypertonic Challenge

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Delayed Onset of Malignant Hyperthermia Induced by Isoflurane and Desflurane Compared with Halothane in Susceptible Swine

Denise J. Wedel, M.D.; Scott A. Gammel, M.D.; James H. Milde; Paul A. laizzo, Ph.D.

Anesthesiology June 1993, Vol. 78, 1138–1144. https://doi.org/10.1097/00000542-199306000-00018

View Articletitled, Delayed Onset of Malignant Hyperthermia Induced by Isoflurane and Desflurane Compared with Halothane in Susceptible Swine

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Surfactant Treatment of Respiratory Failure Induced by Hydrochloric Acid Aspiration in Rats

E P Eijking, M.D.; D Gommers, M.Sc.; K L So, M.D.; M Vergeer, M.Sc.; B Lachmann, M.D., Ph.D.

Anesthesiology June 1993, Vol. 78, 1145–1151. https://doi.org/10.1097/00000542-199306000-00019

View Articletitled, Surfactant Treatment of Respiratory Failure Induced by Hydrochloric Acid Aspiration in Rats

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Hypothermia Eliminates Isoflurane Requirements at 20° C

Joseph F. Antognini, M.D.

Anesthesiology June 1993, Vol. 78, 1152–1156. https://doi.org/10.1097/00000542-199306000-00020

View Articletitled, Hypothermia Eliminates Isoflurane Requirements at 20° C

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Pulmonary Uptake of Propofol in Cats: Effect of Fentanyl and Halothane

Idit Matot, M.D.; Constance F. Neely, M.D.; Ray Y. Katz, Ph.D.; Gordon R. Neufeld, M.D.

Anesthesiology June 1993, Vol. 78, 1157–1165. https://doi.org/10.1097/00000542-199306000-00021

View Articletitled, Pulmonary Uptake of Propofol in Cats: Effect of Fentanyl and Halothane

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Amrinone and the Pulmonary Vascular Pressure–Flow Relationship in Conscious Control Dogs and Following Left Lung Autotransplantation

Daniel P. Nyhan, M.D.; Charles G. Pribble, M.D.; William P. Peterson, M.D.; Kimitoshi Nishiwaki, M.D.; Gregory A. Trempy, M.D.; Pankaj M. Desai, M.D.; Peter Rock, M.D.; Paul A. Murray, Ph.D.

Anesthesiology June 1993, Vol. 78, 1166–1174. https://doi.org/10.1097/00000542-199306000-00022

View Articletitled, Amrinone and the Pulmonary Vascular Pressure–Flow Relationship in Conscious Control Dogs and Following Left Lung Autotransplantation

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Case Reports

Contamination of Anesthetic Vaporizer Contents

Maurice Lippmann, M.D.; Wayne Foran, M.D.; Richard Ginsburg, M.D.; Joan Lewis, M.D.

Anesthesiology June 1993, Vol. 78, 1175–1177. https://doi.org/10.1097/00000542-199306000-00023

View Articletitled, Contamination of Anesthetic Vaporizer Contents

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Deliberate Hypoventilation in a Patient with Air Trapping during Lung Transplantation

Joseph J. Quinlan, M.D.; Charles W. Buffington, M.D.

Anesthesiology June 1993, Vol. 78, 1177–1181. https://doi.org/10.1097/00000542-199306000-00024

View Articletitled, Deliberate Hypoventilation in a Patient with Air Trapping during Lung Transplantation

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Topics: air trapping , hypoventilation , lung transplantation

Prolonged Neuromuscular Block Following Mivacurium

V R Maddineni, M.D., F.F.A.R.C.S.I.; R K Mirakhur, M.D., Ph.D.

Anesthesiology June 1993, Vol. 78, 1181–1184. https://doi.org/10.1097/00000542-199306000-00025

View Articletitled, Prolonged Neuromuscular Block Following Mivacurium

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Topics: mivacurium , prolonged neuromuscular block

Cervical Epidural Block Can Relieve Postoperative Intractable Hiccups

Shigehito Sato, M.D.; Nobuaki Asakura, M.D.; Takuo Endo, M.D.; Hiroshi Naito, M.D., Ph.D.

Anesthesiology June 1993, Vol. 78, 1184–1186. https://doi.org/10.1097/00000542-199306000-00026

View Articletitled, Cervical Epidural Block Can Relieve Postoperative Intractable Hiccups

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Topics: epidural anesthesia , intractable hiccups

Correspondence

Concentration Ranges in Dose-Response Determinations for Propofol and Thiopental In Vitro

M Truett Bridges, M.D.; Robert P. S. Introna, M.D.; Jack K. Pruett, Ph.D.

Anesthesiology June 1993, Vol. 78, 1187. https://doi.org/10.1097/00000542-199306000-00027

View Articletitled, Concentration Ranges in Dose-Response Determinations for Propofol and Thiopental In Vitro

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Epidural Hematoma Associated with Epidural Anesthesia: Complications of Anticoagulant Therapy

Craig Leicht, M.D; Gary Vasdev, M.B.B.S.

Anesthesiology June 1993, Vol. 78, 1188. https://doi.org/10.1097/00000542-199306000-00028

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

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A Simple Alternative Precordial Stethoscope

Edwin Duntetnan, M.D., M.S.; Gary E. Hirshberg, M.D.

Anesthesiology June 1993, Vol. 78, 1188–1189. https://doi.org/10.1097/00000542-199306000-00029

View Articletitled, A Simple Alternative Precordial Stethoscope

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Subanesthetic Isoflurane and the Ventilatory Response to Hypoxemia

Richard L. Knill, M.D., F.R.C.P.C.

Anesthesiology June 1993, Vol. 78, 1189–1190. https://doi.org/10.1097/00000542-199306000-00030

View Articletitled, Subanesthetic Isoflurane and the Ventilatory Response to Hypoxemia

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Subanesthetic Isoflurane and the Ventilatory Response to Hypoxemia In Reply

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

Anesthesiology June 1993, Vol. 78, 1190–1192. https://doi.org/10.1097/00000542-199306000-00031

View Articletitled, Subanesthetic Isoflurane and the Ventilatory Response to Hypoxemia In Reply

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A Right-angled Alligator Clip for Use with Insulated Nerve Block Needles

Ed Lee, M.B., B.Ch., F.F.A.R.C.S.I.

Anesthesiology June 1993, Vol. 78, 1192. https://doi.org/10.1097/00000542-199306000-00032

View Articletitled, A Right-angled Alligator Clip for Use with Insulated Nerve Block Needles

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Parents in the Operating Room?

Julius R. Bowie, M.D.

Anesthesiology June 1993, Vol. 78, 1192–1193. https://doi.org/10.1097/00000542-199306000-00033

View Articletitled, Parents in the Operating Room?

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Intravenous Oxygenator Use in Adult Respiratory Distress Syndrome

Heinfried Schmidt, M.D.; Hubert Böhrer, M.D.; Johann Motsch, M.D.; Ahmed Tanzeem, M.D.

Anesthesiology June 1993, Vol. 78, 1193–1194. https://doi.org/10.1097/00000542-199306000-00034

View Articletitled, Intravenous Oxygenator Use in Adult Respiratory Distress Syndrome

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Intravenous Oxygenator Use in Adult Respiratory Distress Syndrome, In Reply

Kane M. High, M.D.; Michael T. Snider, M.D.Ph.D.; John K. Stene, M.D.Ph.D.

Anesthesiology June 1993, Vol. 78, 1194–1195. https://doi.org/10.1097/00000542-199306000-00035

View Articletitled, Intravenous Oxygenator Use in Adult Respiratory Distress Syndrome, In Reply

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A New Transparent Disposable Plastic Face Mask for Children and Adults

James H. Diaz, M.D., M.H.A.

Anesthesiology June 1993, Vol. 78, 1195–1196. https://doi.org/10.1097/00000542-199306000-00036

View Articletitled, A New Transparent Disposable Plastic Face Mask for Children and Adults

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An Unusual Cause of an Erroneous Noninvasive Blood Pressure Reading

David Blue, M.D.

Anesthesiology June 1993, Vol. 78, 1196–1197. https://doi.org/10.1097/00000542-199306000-00037

View Articletitled, An Unusual Cause of an Erroneous Noninvasive Blood Pressure Reading

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The Laryngeal Mask Airway as an Aid to Intubation in Patients at Risk of Aspiration?

J Brimacombe, M.B., Ch.B., F.C.Anaes.; A Berry, M.B., Ch.B., F.F.A.R.C.S.

Anesthesiology June 1993, Vol. 78, 1197. https://doi.org/10.1097/00000542-199306000-00038

View Articletitled, The Laryngeal Mask Airway as an Aid to Intubation in Patients at Risk of Aspiration?

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The Laryngeal Mask Airway as an Aid to Intubation in Patients at Risk of Aspiration? In Reply

Takashi Asai, M.D.

Anesthesiology June 1993, Vol. 78, 1198. https://doi.org/10.1097/00000542-199306000-00039

View Articletitled, The Laryngeal Mask Airway as an Aid to Intubation in Patients at Risk of Aspiration? In Reply

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Reviews of Educational Material

Perioperative Management of Pacemaker Patients

Lee A. Fleisher, M.D.

Anesthesiology June 1993, Vol. 78, 1199. https://doi.org/10.1097/00000542-199306000-00040

View Articletitled, Perioperative Management of Pacemaker Patients

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Topics: artificial cardiac pacemaker , perioperative care

The Ageing Surgical Patient: Anaesthetic, Operative and Medical Management

Lee Adlestein, M.D.

Anesthesiology June 1993, Vol. 78, 1199–1200. https://doi.org/10.1097/00000542-199306000-00041

View Articletitled, The Ageing Surgical Patient: Anaesthetic, Operative and Medical Management

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Topics: aging , medical management , surgical procedures, operative

Erratum

ERRATUM

Anesthesiology June 1993, Vol. 78, 1200. https://doi.org/10.1097/00000542-199306000-00042

View Articletitled, ERRATUM

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Acknowledgment

ACKNOWLEDGMENT

Anesthesiology June 1993, Vol. 78, 1201–1202. https://doi.org/10.1097/00000542-199306000-00043

View Articletitled, ACKNOWLEDGMENT

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