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Volume 81, Issue 6

December 1994

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Table of Contents

In this Issue

Meeting Abstracts
Editorial
Clinical Science
Case Reports
Correspondence
Announcements
Reviews of Educational Material
Acknowledgment
Index
Author Index

Meeting Abstracts

Intrathecal Magnesium Sulfate Protects the Spinal Cord from Ischemic Injury during Thoracic Aortic Cross-clamping

Joseph I. Simpson, M.D.; Thomas R. Eide, M.D.; Gerald A. Schiff, M.D.; John F. Clagnaz, M.D.; Imtiaz Hossain, M.D.; Alex Tverskoy, M.D., Ph.D.; Greg Koski, M.D., Ph.D.

Anesthesiology December 1994, Vol. 81, 26A–27A. https://doi.org/10.1097/00000542-199412000-00001

View Articletitled, Intrathecal Magnesium Sulfate Protects the Spinal Cord from Ischemic Injury during Thoracic Aortic Cross-clamping

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Paraplegia in a Patient with an Intrathecal Catheter and a Spinal Cord Stimulator

J Antonio Aldrete, M.D., M.S.; Luis A. Vascello, M.D.; Ramsis Ghaly, M.D.; Dianne Tomlin, E.M.T.

Anesthesiology December 1994, Vol. 81, 27A–28A. https://doi.org/10.1097/00000542-199412000-00002

View Articletitled, Paraplegia in a Patient with an Intrathecal Catheter and a Spinal Cord Stimulator

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Dexmedetomidine Decreases Seizure Threshold in a Rat Model of Experimental Generalized Epilepsy

Marek A. Z. Mirski, M.D., Ph.D.; Lisa Ann Rossell, M.S.; Robert W. McPherson, M.D.; Richard J. Traystman, Ph.D.

Anesthesiology December 1994, Vol. 81, 1422–1428. https://doi.org/10.1097/00000542-199412000-00017

View Articletitled, Dexmedetomidine Decreases Seizure Threshold in a Rat Model of Experimental Generalized Epilepsy

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Electrophysiologic Analysis of Preemptive Effects of Spinal Opioids on N-methyl-D-aspartate Receptor-mediated Events

Victoria Chapman, Ph.D.; Jane E. Haley, Ph.D.; Anthony H. Dickenson, Ph.D.

Anesthesiology December 1994, Vol. 81, 1429–1435. https://doi.org/10.1097/00000542-199412000-00018

View Articletitled, Electrophysiologic Analysis of Preemptive Effects of Spinal Opioids on N-methyl-D-aspartate Receptor-mediated Events

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Isoflurane Inhibits Hypoxic Pulmonary Vasoconstriction: An In Vivo Fluorescence Microscopic Study in Rabbits

Joachim Groh, M.D.; Gerhard E. H. Kuhnle, M.D.; Axel Sckell; Ludwig Ney; Alwin E. Goetz, M.D.

Anesthesiology December 1994, Vol. 81, 1436–1444. https://doi.org/10.1097/00000542-199412000-00019

View Articletitled, Isoflurane Inhibits Hypoxic Pulmonary Vasoconstriction: An In Vivo Fluorescence Microscopic Study in Rabbits

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Hyperventilation in the Treatment of Metabolic Acidosis Does Not Adversely Affect Pulmonary Gas Exchange

Karen B. Domino, M.D.; Michael P. Hlastala, Ph.D.

Anesthesiology December 1994, Vol. 81, 1445–1453. https://doi.org/10.1097/00000542-199412000-00020

View Articletitled, Hyperventilation in the Treatment of Metabolic Acidosis Does Not Adversely Affect Pulmonary Gas Exchange

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Epidural Anesthesia Modifies the Cardiovascular Response to Marked Hypercapnia in Dogs

Keizo Shibata, M.D.; Akira Futagami, M.D.; Yasunori Taki, M.D.; Tsutomu Kobayashi, M.D.

Anesthesiology December 1994, Vol. 81, 1454–1460. https://doi.org/10.1097/00000542-199412000-00021

View Articletitled, Epidural Anesthesia Modifies the Cardiovascular Response to Marked Hypercapnia in Dogs

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Effects of lsoflurane and Hypothermia on Glutamate Receptor-mediated Calcium Influx in Brain Slices

Philip E. Bickler, M.D., Ph.D.; Leslie T. Buck, Ph.D.; Bonnie M. Hansen, M.S.

Anesthesiology December 1994, Vol. 81, 1461–1469. https://doi.org/10.1097/00000542-199412000-00022

View Articletitled, Effects of lsoflurane and Hypothermia on Glutamate Receptor-mediated Calcium Influx in Brain Slices

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Dose-dependent Effects of Halothane on the Carbon Dioxide Responses of Expiratory and Inspiratory Bulbospinal Neurons and the Phrenic Nerve Activities in Dogs

Eckehard A. E. Stuth, M.D.; Mislav Tonkovic-Capin, M.D.; John P. Kampine, M.D., Ph.D.; Jurica Bajic, M.D.; Edward J. Zuperku, Ph.D.

Anesthesiology December 1994, Vol. 81, 1470–1483. https://doi.org/10.1097/00000542-199412000-00023

View Articletitled, Dose-dependent Effects of Halothane on the Carbon Dioxide Responses of Expiratory and Inspiratory Bulbospinal Neurons and the Phrenic Nerve Activities in Dogs

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Anesthetic Depression of Spinal Motor Neurons May Contribute to Lack of Movement in Response to Noxious Stimuli

Bryan S. King, B.S.; Ira J. Rampil, M.S., M.D.

Anesthesiology December 1994, Vol. 81, 1484. https://doi.org/10.1097/00000542-199412000-00024

View Articletitled, Anesthetic Depression of Spinal Motor Neurons May Contribute to Lack of Movement in Response to Noxious Stimuli

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Intrathecal Magnesium Sulfate Protects the Spinal Cord from Ischemic Injury during Thoracic Aortic Cross-clamping

Joseph I. Simpson, M.D.; Thomas R. Eide, M.D.; Gerald A. Schiff, M.D.; John F. Clagnaz, M.D.; Imtiaz Hossain, M.D.; Alex Tverskoy, M.D., Ph.D.; Greg Koski, M.D., Ph.D.

Anesthesiology December 1994, Vol. 81, 1493–1499. https://doi.org/10.1097/00000542-199412000-00025

View Articletitled, Intrathecal Magnesium Sulfate Protects the Spinal Cord from Ischemic Injury during Thoracic Aortic Cross-clamping

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Effects of lsoflurane on Ouabain Toxicity in Canine Purkinje Fibers: Comparison with Halothane

John D. Gallagher, M.D.

Anesthesiology December 1994, Vol. 81, 1500–1510. https://doi.org/10.1097/00000542-199412000-00026

View Articletitled, Effects of lsoflurane on Ouabain Toxicity in Canine Purkinje Fibers: Comparison with Halothane

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Does the Brain Influence Somatic Responses to Noxious Stimuli during Isoflurane Anesthesia?

Michael Borges, M.D.; Joseph F. Antognini, M.D.

Anesthesiology December 1994, Vol. 81, 1511–1515. https://doi.org/10.1097/00000542-199412000-00027

View Articletitled, Does the Brain Influence Somatic Responses to Noxious Stimuli during Isoflurane Anesthesia?

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Metabolism of Glucose, Glycogen, and High-energy Phosphates during Complete Cerebral Ischemia: A Comparison of Normoglycemic, Chronically Hyperglycemic Diabetic, and Acutely Hyperglycemic Nondiabetic Rats

Stephen R. Wagner, M.D.; William L. Lanier, M.D.

Anesthesiology December 1994, Vol. 81, 1516–1526. https://doi.org/10.1097/00000542-199412000-00028

View Articletitled, Metabolism of Glucose, Glycogen, and High-energy Phosphates during Complete Cerebral Ischemia: A Comparison of Normoglycemic, Chronically Hyperglycemic Diabetic, and Acutely Hyperglycemic Nondiabetic Rats

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Perturbation of Ion Channel Conductance Alters the Hypnotic Response to the α²-Adrenergic Agonist Dexmedetomidine in the Locus Coeruleus of the Rat

Carla Nacif-Coelho, B.S.; Christiane Correa-Sales, M.D.; Louise Lenoir Chang, B.S.; Mervyn Maze, M.B. Ch.B.

Anesthesiology December 1994, Vol. 81, 1527–1534. https://doi.org/10.1097/00000542-199412000-00029

View Articletitled, Perturbation of Ion Channel Conductance Alters the Hypnotic Response to the α2-Adrenergic Agonist Dexmedetomidine in the Locus Coeruleus of the Rat

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Association of University Anesthesiologists Satellite Symposium: Pharmacokinetics and Pharmacodynamics

Dhanesh K. Gupta, B.S.; Thomas K. Henthorn, M.D.

Anesthesiology December 1994, Vol. 81, 1556. https://doi.org/10.1097/00000542-199412000-00042

View Articletitled, Association of University Anesthesiologists Satellite Symposium: Pharmacokinetics and Pharmacodynamics

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Society for Obstetric Anesthesia and Perinatology: Twenty-sixth Annual Meeting

Jonathan H. Skerman, B.D.Sc., M.Sc.D., D.Sc.; David J. Wlody, M.D.

Anesthesiology December 1994, Vol. 81, 1558–1560. https://doi.org/10.1097/00000542-199412000-00043

View Articletitled, Society for Obstetric Anesthesia and Perinatology: Twenty-sixth Annual Meeting

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Editorial

Beyond CK-MB: Biochemical Markers for Perioperative Myocardial Infarction

Dennis T. Mangano, Ph.D., M.D.

Anesthesiology December 1994, Vol. 81, 1317–1320. https://doi.org/10.1097/00000542-199412000-00003

View Articletitled, Beyond CK-MB: Biochemical Markers for Perioperative Myocardial Infarction

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Topics: biochemical markers , creatine kinase mb isoenzyme , perioperative myocardial infarction

Perioperative Ulnar Neuropathy: Are We Ready for Shortcuts?

Robert A. Caplan, M.D.; Karen L. Posner, Ph.D.; Frederick W. Cheney, M.D.

Anesthesiology December 1994, Vol. 81, 1321–1323. https://doi.org/10.1097/00000542-199412000-00004

View Articletitled, Perioperative Ulnar Neuropathy: Are We Ready for Shortcuts?

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Topics: perioperative care , ulnar neuropathies

Clinical Science

Preoperative Myocardial Cell Damage in Patients with Unstable Angina Undergoing Coronary Artery Bypass Graft Surgery

H Mächler, M.D.; H Metzler, M.D.; K Sabin, M.D.; M Anelli-Monti, M.D.; P Rehak, Ph.D.; B Rigler, M.D.; H Gombotz, M.D.

Anesthesiology December 1994, Vol. 81, 1324–1331. https://doi.org/10.1097/00000542-199412000-00005

View Articletitled, Preoperative Myocardial Cell Damage in Patients with Unstable Angina Undergoing Coronary Artery Bypass Graft Surgery

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Topics: cardiac myocytes , coronary artery bypass surgery , preoperative care , unstable angina

Ulnar Neuropathy: Incidence, Outcome, and Risk Factors in Sedated or Anesthetized Patients

Mark A. Warner, M.D.; Mary E. Warner, M.D.; John T. Martin, M.D.

Anesthesiology December 1994, Vol. 81, 1332–1340. https://doi.org/10.1097/00000542-199412000-00006

View Articletitled, Ulnar Neuropathy: Incidence, Outcome, and Risk Factors in Sedated or Anesthetized Patients

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Topics: sedated state , ulnar neuropathies

Clonidine and Lidocaine Inhibition of Isoflurane-induced Tachycardia in Humans

Satoru Tanaka, M.D.; Hideaki Tsuchida, M.D.; Hitoshi Namba, M.D.; Akiyoshi Namiki, M.D., Ph.D.

Anesthesiology December 1994, Vol. 81, 1341–1349. https://doi.org/10.1097/00000542-199412000-00007

View Articletitled, Clonidine and Lidocaine Inhibition of Isoflurane-induced Tachycardia in Humans

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Topics: clonidine , isoflurane , lidocaine , tachycardia

Fentanyl, Esmolol, and Clonidine Blunt the Transient Cardiovascular Stimulation Induced by Desflurane in Humans

Richard B. Weiskopf, M.D.; Edmond I. Eger, M.D.; Mariam Noorani, B.A.; Malcolm Daniel, M.B. Ch.B.

Anesthesiology December 1994, Vol. 81, 1350–1355. https://doi.org/10.1097/00000542-199412000-00008

View Articletitled, Fentanyl, Esmolol, and Clonidine Blunt the Transient Cardiovascular Stimulation Induced by Desflurane in Humans

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Topics: cardiovascular system , clonidine , desflurane , esmolol , fentanyl

Alterations in Temporal Patterns of Heart Rate Variability after Coronary Artery Bypass Graft Surgery

Charles W. Hogue, M.D.; Phyllis K. Stein, Ph.D.; Ioanna Apostolidou, M.D.; Demetrios G. Lappas, M.D.; Robert E. Kleiger, M.D.

Anesthesiology December 1994, Vol. 81, 1356–1364. https://doi.org/10.1097/00000542-199412000-00009

View Articletitled, Alterations in Temporal Patterns of Heart Rate Variability after Coronary Artery Bypass Graft Surgery

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Topics: coronary artery bypass surgery , heart rate variability

Bispectral Analysis of the Electroencephalogram Correlates with Patient Movement to Skin Incision during Propofol/Nitrous Oxide Anesthesia

Lee A. Kearse, Ph.D., M.D.; Paul Manberg, Ph.D.; Nassib Chamoun, M.S.; Fred deBros, M.D.; Alan Zaslavsky, Ph.D.

Anesthesiology December 1994, Vol. 81, 1365–1370. https://doi.org/10.1097/00000542-199412000-00010

View Articletitled, Bispectral Analysis of the Electroencephalogram Correlates with Patient Movement to Skin Incision during Propofol/Nitrous Oxide Anesthesia

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Topics: electroencephalography , nitrous oxide , propofol , skin

An Intrathecal Fentanyl Dose-Response Study in Lower Extremity Revascularization Procedures

Scott S. Reuben, M.D.; Steven M. Dunn, M.D.; Karen Marie Duprat, R.N.; Patricia O'Sullivan, Ed.D.

Anesthesiology December 1994, Vol. 81, 1371–1375. https://doi.org/10.1097/00000542-199412000-00011

View Articletitled, An Intrathecal Fentanyl Dose-Response Study in Lower Extremity Revascularization Procedures

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Topics: fentanyl , lower limb revascularization

Postdural Puncture Headache and Spinal Needle Design: Metaanalyses

S Halpern, M.D., F.R.C.P.C.; R Preston, M.D., F.R.C.P.C.

Anesthesiology December 1994, Vol. 81, 1376–1383. https://doi.org/10.1097/00000542-199412000-00012

View Articletitled, Postdural Puncture Headache and Spinal Needle Design: Metaanalyses

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Topics: needles , postdural puncture headache

Hemodynamic Response to Induction and Intubation: Propofol/Fentanyl Interaction

V Billard, M.D.; F Moulla, M.D.; J L Bourgain, M.D.; A Megnigbeto, Ph.D.; D R Stanski, M.D.

Anesthesiology December 1994, Vol. 81, 1384–1393. https://doi.org/10.1097/00000542-199412000-00013

View Articletitled, Hemodynamic Response to Induction and Intubation: Propofol/Fentanyl Interaction

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Topics: doppler hemodynamics , fentanyl , hemodynamics , intubation , propofol

Antagonism of Mivacurium-induced Neuromuscular Blockade in Humans: Edrophonium Dose Requirements at Threshold Train-of-Four Count of 4

Aaron F. Kopman, M.D.; Moin U. Mallhi, M.D.; Mona D. Justo, M.D.; Paul Rodricks, M.D.; George G. Neuman, M.D.

Anesthesiology December 1994, Vol. 81, 1394–1400. https://doi.org/10.1097/00000542-199412000-00014

View Articletitled, Antagonism of Mivacurium-induced Neuromuscular Blockade in Humans: Edrophonium Dose Requirements at Threshold Train-of-Four Count of 4

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Topics: edrophonium , induction of neuromuscular blockade , mivacurium , neuromuscular blockade monitoring

Flow Velocity Measurements as an Index of Cerebral Blood Flow: Validity of Transcranial Doppler Sonographic Monitoring during Cardiac Surgery

Andreas Weyland, M.D.; Heidrun Stephan, M.D.; Stephan Kazmaier, M.D.; Wolfgang Weyland, M.D.; Bernd Schorn, M.D.; Frank Grune, M.D.; Hans Sonntag, M.D.

Anesthesiology December 1994, Vol. 81, 1401–1410. https://doi.org/10.1097/00000542-199412000-00015

View Articletitled, Flow Velocity Measurements as an Index of Cerebral Blood Flow: Validity of Transcranial Doppler Sonographic Monitoring during Cardiac Surgery

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Topics: cardiac surgery procedures , cerebral blood flow , fluid flow , transcranial doppler

Thermoregulatory and Anesthetic-induced Alterations in the Differences among Femoral, Radial, and Oscillometric Blood Pressures

James M. Hynson, M.D.; Daniel I. Sessler, M.D.; Azita Moayeri, B.S.; Jeffrey A. Katz, M.D.

Anesthesiology December 1994, Vol. 81, 1411–1421. https://doi.org/10.1097/00000542-199412000-00016

View Articletitled, Thermoregulatory and Anesthetic-induced Alterations in the Differences among Femoral, Radial, and Oscillometric Blood Pressures

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Topics: blood pressure , body temperature regulation

Case Reports

Electrical Seizures during Sevoflurane Anesthesia in Two Pediatric Patients with Epilepsy

Hisao Komatsu, M.D.; Satoshi Taie, M.D.; Syoiti Endo, M.D.; Kuniaki Fukuda, M.D.; Masaaki Ueki, M.D.; Junko Nogaya, M.D.; Kenji Ogli, M.D.

Anesthesiology December 1994, Vol. 81, 1535–1537. https://doi.org/10.1097/00000542-199412000-00030

View Articletitled, Electrical Seizures during Sevoflurane Anesthesia in Two Pediatric Patients with Epilepsy

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Topics: epilepsy , pediatrics , seizures , sevoflurane

Nitric Oxide Reduces Pulmonary Hypertension during Hepatic Transplantation

M Susan Mandell, Ph.D., M.D.; James Duke, M.D.

Anesthesiology December 1994, Vol. 81, 1538–1542. https://doi.org/10.1097/00000542-199412000-00031

View Articletitled, Nitric Oxide Reduces Pulmonary Hypertension during Hepatic Transplantation

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Topics: liver transplantation , nitric oxide , pulmonary hypertension

Paraplegia in a Patient with an Intrathecal Catheter and a Spinal Cord Stimulator

J Antonio Aldrete, M.D., M.S.; Luis A. Vascello, M.D.; Ramsis Ghaly, M.D.; Dianne Tomlin, E.M.T.

Anesthesiology December 1994, Vol. 81, 1542–1545. https://doi.org/10.1097/00000542-199412000-00032

View Articletitled, Paraplegia in a Patient with an Intrathecal Catheter and a Spinal Cord Stimulator

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Topics: catheters , paraplegia , spinal cord stimulators

Transesophageal Echocardiography Confirms Atelectasis Due to Right Mainstem Bronchial Intubation

Mark M. Mitchell, M.D.

Anesthesiology December 1994, Vol. 81, 1546–1547. https://doi.org/10.1097/00000542-199412000-00033

View Articletitled, Transesophageal Echocardiography Confirms Atelectasis Due to Right Mainstem Bronchial Intubation

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Topics: atelectasis , endobronchial intubation , transesophageal echocardiography

Correspondence

Sympathetically Maintained Pain and the Use of Regional Anesthesia

Scott S. Reuben, M.D.

Anesthesiology December 1994, Vol. 81, 1548. https://doi.org/10.1097/00000542-199412000-00034

View Articletitled, Sympathetically Maintained Pain and the Use of Regional Anesthesia

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Echocardiographic Identification of Paradoxical Air Embolism

Robert J. Suriani, M.D.

Anesthesiology December 1994, Vol. 81, 1548–1549. https://doi.org/10.1097/00000542-199412000-00035

View Articletitled, Echocardiographic Identification of Paradoxical Air Embolism

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Echocardiographic Identification of Paradoxical Air Embolism In Reply

Keith H. Berge, M.D.; Thomas J. Losasso, M.D.

Anesthesiology December 1994, Vol. 81, 1550. https://doi.org/10.1097/00000542-199412000-00036

View Articletitled, Echocardiographic Identification of Paradoxical Air Embolism In Reply

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Application of Negative-pressure Ventilation When Changing Endotracheal Tubes

Rieko Sumiyoshi, M.D.; Tetsuya Kai, M.D.; Shosuke Takahashi, M.D.

Anesthesiology December 1994, Vol. 81, 1551–1552. https://doi.org/10.1097/00000542-199412000-00037

View Articletitled, Application of Negative-pressure Ventilation When Changing Endotracheal Tubes

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Evaluation of Double Lesion Syndrome with Diagnostic Spinal Anesthesia

Paul G. Loubser, M.B., Ch.B.

Anesthesiology December 1994, Vol. 81, 1552–1553. https://doi.org/10.1097/00000542-199412000-00038

View Articletitled, Evaluation of Double Lesion Syndrome with Diagnostic Spinal Anesthesia

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Announcements

Announcement

Anesthesiology December 1994, Vol. 81, 1553. https://doi.org/10.1097/00000542-199412000-00039

View Articletitled, Announcement

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Reviews of Educational Material

The Pulmonary Circulation and Gas Exchange

Wayne Mitzner, Ph.D.

Anesthesiology December 1994, Vol. 81, 1554. https://doi.org/10.1097/00000542-199412000-00040

View Articletitled, The Pulmonary Circulation and Gas Exchange

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Topics: pulmonary circulation , pulmonary gas exchange

Mechanisms of Drugs in Anaesthesia

Robert J. Hudson, M.D., F.R.C.P.C.

Anesthesiology December 1994, Vol. 81, 1554–1555. https://doi.org/10.1097/00000542-199412000-00041

View Articletitled, Mechanisms of Drugs in Anaesthesia

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Topics: anesthesia department, hospital , canada , manitoba , professors

Acknowledgment

Anesthesiology December 1994, Vol. 81, 1561–1562. https://doi.org/10.1097/00000542-199412000-00044

View Articletitled, Acknowledgment

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Index

Index TO VOLUME 81

Anesthesiology December 1994, Vol. 81, 1563–1597. https://doi.org/10.1097/00000542-199412000-00045

View Articletitled, Index TO VOLUME 81

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Author Index

Author Index TO VOLUME 81

Anesthesiology December 1994, Vol. 81, 1598–1608. https://doi.org/10.1097/00000542-199412000-00046

View Articletitled, Author Index TO VOLUME 81

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