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Contents: Volume 88, Issue 5 (May 1999)   [Index by Author]       Other Issues: Previous Next
      Down EDITORIALS
      Down CARDIOVASCULAR ANESTHESIA
      Down PEDIATRIC ANESTHESIA
      Down AMBULATORY ANESTHESIA
      Down OBSTETRIC ANESTHESIA
      Down ECONOMICS AND HEALTH SYSTEMS RESEARCH
      Down NEUROSURGICAL ANESTHESIA
      Down CRITICAL CARE AND TRAUMA
      Down REGIONAL ANESTHESIA AND PAIN MANAGEMENT
      Down GENERAL ARTICLES
      Down CASE REPORTS
      Down LETTERS TO THE EDITOR
      Down BOOK AND MULTIMEDIA REVIEWS

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To see an article, click its [Full Text] or [PDF] link. To review many abstracts, check the boxes to the left of the titles you want, and click the 'Get All Checked Abstract(s)' button. To see one abstract at a time, click its [Abstract] link.

EDITORIALS:Back

David J. Birnbach and David H. Chestnut
The Epidural Test Dose in Obstetric Patients: Has It Outlived Its Usefulness?
Anesth Analg 1999 88: 971-972. [Full Text] [PDF] [En Espanol]  [Request Permissions]  

CARDIOVASCULAR ANESTHESIA:Back

Giora Landesburg, Wei Zhou, and Thomas Aversano

Anesth Analg 1999 88: 973-979. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Prolonged tachycardia-induced ischemia, in the face of fixed coronary stenosis causing no ischemia at the resting heart rate, leads to subendocardial infarction in dogs. These findings suggest a possible mechanism for postoperative myocardial infarction.

Daniel Eyraud, Steven Brabant, Dieudonne Nathalie, Marie-Hélène Fléron, Godet Gilles, Michèle Bertrand, and Peirre Coriat

Anesth Analg 1999 88: 980-984. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Terlipressin is effective to rapidly correct refractory hypotension in patients chronically treated with antagonists of the renin-angiotensin system without impairing left ventricular function.

Cornelius Keyl, Peter Lemberger, Klaus-Dieter Palitzsch, Karin Hochmuth, Andreas Liebold, and Jonny Hobbhahn

Anesth Analg 1999 88: 985-991. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: This study indicates that increased hemodynamic instability during anesthetic induction is not obligatory in patients with coronary artery disease and autonomic dysfunction.

T. J. Gan, E. Bennett-Guerrero, B. Phillips-Bute, H. Wakeling, D. M. Moskowitz, Y. Olufolabi, S. N. Konstadt, C. Bradford, P. S. A. Glass, S. J. Machin, and M. G. Mythen

Anesth Analg 1999 88: 992-998. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Hextend® (BioTime, Inc., Berkeley, CA) is a new plasma volume expander containing 6% hetastarch, balanced electrolytes, a lactate buffer, and a physiological level of glucose. It is as effective as 6% hetastarch in saline for the treatment of hypovolemia but has a more favorable side effects profile in volumes of up to 5 L compared with 6% hetastarch in saline.

E. Lynne Williams, Kathy L. Hildebrand, Shelley A. McCormick, and M. Jay Bedel

Anesth Analg 1999 88: 999-1003. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Large volumes of lactated Ringer's solution administered to healthy humans produced small transient changes in serum osmolality. Large volumes of sodium chloride did not change osmolality but resulted in lower pH.

Kota Soga, Hisae Fujita, Tomio Andoh, and Fukuichiro Okumura

Anesth Analg 1999 88: 1004-1010. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: We evaluated the effects of blood pressure and hemodilution on the duration of retinal artery occlusion caused by air embolism by retinal fluorescein angiography. Hypotension prolonged and hemodilution shortened the duration of retinal artery occlusion caused by air embolism.

Athos J. Rassias, Charles A. S. Marrin, Janice Arruda, Patricia Kate Whalen, Michael Beach, and Mark P. Yeager

Anesth Analg 1999 88: 1011-1016. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: A continuous insulin infusion and glucose control during surgery improves white cell function in diabetic patients and may increase resistance to infection after surgery.

Andrea Szekely, Bernhard Heindl, Stefan Zahler, Peter F. Conzen, and Bernhard F. Becker

Anesth Analg 1999 88: 1017-1024. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: In this study, we demonstrated stereoselective differences in the biologic action of the two ketamine isomers in an animal model of myocardial ischemia. Polymorphonuclear neutrophil adherence to the coronary vasculature after ischemia was inhibited by S(+)-ketamine, whereas R(-)-ketamine increased coronary vascular fluid leak.

Jose Eduardo Tanus-Santos, Heitor Moreno, Jr., Aldete Zappellini, and Gilberto de Nucci

Anesth Analg 1999 88: 1025-1029. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: In this study, we evaluated the protective effects of inhaled nitric oxide in a pulmonary air embolism setting. Nitric oxide attenuated the hemodynamic changes induced by pulmonary air embolism without improving pulmonary oxygenation.

Satoki Inoue, Yukio Hayashi, Yoshihiko Ohnishi, Katsuro Kikumoto, Naoto Minamino, Kenji Kangawa, Hisayuki Matsuo, Hitoshi Furuya, and Masakazu Kuro

Anesth Analg 1999 88: 1030-1035. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Plasma adrenomedullin has been reported to increase in humans after cardiac surgery involving cardiopulmonary bypass. In this study, we demonstrated that cerebral adrenomedullin production may contribute to the increased plasma level of adrenomedullin after cardiopulmonary bypass.

PEDIATRIC ANESTHESIA:Back

Hannu Kokki, Kati Tuovinen, and Heikki Hendolin

Anesth Analg 1999 88: 1036-1041. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: We compared the effect of the IV nonsteroidal antiinflammatory drug ketoprofen versus placebo as adjuvants to epidural opioid analgesia with sufentanil. The continuous IV nonsteroidal antiinflammatory drug improved pain after major surgery in children receiving an epidural opioid. Although ketoprofen reduced epidural sufentanil requirements, the incidence of opioid-related adverse effects was not changed.

Zeev N. Kain, Shu Ming Wang, Linda C. Mayes, Lisa A. Caramico, and Maura B. Hofstadter

Anesth Analg 1999 88: 1042-1047. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Anesthesiologists who care for children who are anxious during the induction of anesthesia should inform parents that these children have an increased likelihood of developing postoperative negative behavioral changes.

Shinji Kawahito, Hiroshi Kitahata, Katsuya Tanaka, Yukiko Ikeuchi, Hideyuki Kimura, Yoshiaki Hirose, and Shuzo Oshita
Intraoperative Management of a Pediatric Patient Undergoing Cardiac Tumor Resection with the Aid of Transesophageal and Epicardial Echocardiography (Case Report)
Anesth Analg 1999 88: 1048-1050. [Full Text] [PDF] [Request Permissions]  

Martin Jöhr and Roberto Sossai
Colonic Puncture During Ilioinguinal Nerve Block in a Child (Case Report)
Anesth Analg 1999 88: 1051-1052. [Full Text] [PDF] [Request Permissions]  

AMBULATORY ANESTHESIA:Back

Franklin Dexter, Alex Macario, Paul J. Manberg, and David A. Lubarsky

Anesth Analg 1999 88: 1053-1063. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Decreases in operating room and postanesthesia care unit labor costs resulting from faster emergence and phase I postanesthesia care unit bypass vary depending on the amount of routine overtime, how the staff are compensated, and how many patients are routinely anesthetized each day.

Dermot J. Kelly, Fergus Walsh, Gary S. Norman, and Anthony J. Cunningham

Anesth Analg 1999 88: 1064-1068. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: In this study, we demonstrate that sedation of healthy volunteers with the benzodiazepine midazolam, in the common clinical dosage, does not affect their hearing capability as measured by pure tone and speech audiometry. However, one's ability to react to auditory signals is impaired after midazolam, which may have implications for patients after day-case procedures.

Paul F. White and Dajun Song
New Criteria for Fast-Tracking After Outpatient Anesthesia: A Comparison with the Modified Aldrete's Scoring System (Brief Report)
Anesth Analg 1999 88: 1069-1072. [Full Text] [PDF] [En Espanol]  [Request Permissions]  

OBSTETRIC ANESTHESIA:Back

Mark C. Norris, Denise Ferrenbach, Hiroko Dalman, Steven T. Fogel, Susan Borrenpohl, William Hoppe, and Alicia Riley

Anesth Analg 1999 88: 1073-1076. [Abstract] [Full Text] [PDF] [En Espanol]  [Request Permissions]  

Implications: Epidural catheters may enter a blood vessel. Many clinicians use epinephrine to detect these catheters. Because aspiration alone detects almost all IV multiorifice catheters in laboring women, a subsequent epinephrine test dose may be unnecessary.

Shusee Visalyaputra, Jariya Lertakyamanee, Nuchsaroch Pethpaisit, Pradit Somprakit, Sudta Parakkamodom, and Plida Suwanapeum

Anesth Analg 1999 88: 1077-1080. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Pain relief was inadequate in patients undergoing postpartum tubal ligation under local anesthesia, even after the administration of IM morphine. Instilling lidocaine into the abdominal cavity, however, effectively decreased intraoperative pain in these patients.

Christopher M. Viscomi, Louis J. Ptacek, and Donald Dudley
Anesthetic Management of Familial Hypokalemic Periodic Paralysis During Parturition (Case Report)
Anesth Analg 1999 88: 1081-1082. [Full Text] [PDF] [Request Permissions]  

Alan Wang and Raymond S. Sinatra
Epidural Anesthesia for Cesarean Section in a Patient with von Hippel-Lindau Disease and Multiple Sclerosis (Case Report)
Anesth Analg 1999 88: 1083-1084. [Full Text] [PDF] [Request Permissions]  

ECONOMICS AND HEALTH SYSTEMS RESEARCH:Back

Alex Macario, Matthew Weinger, P. Truong, and M. Lee

Anesth Analg 1999 88: 1085-1091. [Abstract] [Full Text] [PDF] [En Espanol]  [Request Permissions]  

Implications: Expert anesthesiologists reached a consensus on which low-morbidity clinical outcomes are common and important to the patient. The outcomes identified may be reasonable choices to be monitored as part of ambulatory anesthesia clinical quality improvement efforts.

David L. Reich, Suzan Uysal, Carol A. Bodian, Suzanne Gabriele, Mary Hibbard, Wayne Gordon, Martin Sliwinki, and Richard D. Kayne

Anesth Analg 1999 88: 1092-1100. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Early academic test performance and certain cognitive and personality tests were associated with the clinical performance of anesthesiology residents. The predictive value of these findings should be confirmed in a prospective, multicenter study.

NEUROSURGICAL ANESTHESIA:Back

Pirjo H. Manninen, Sharon J. Burke, Richard Wennberg, Andres M. Lozano, and Hossam El Beheiry

Anesth Analg 1999 88: 1101-1106. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Both alfentanil and fentanyl activate epileptiform activity in patients with temporal lobe epilepsy. These opioids can be used to assist in the localization of the epileptogenic focus during surgery.

CRITICAL CARE AND TRAUMA:Back

Roberto C. Valenzuela and David A. Rosen

Anesth Analg 1999 88: 1107-1108. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Postoperatively applying a topical anesthetic cream onto chest tube sites of chest surgery patients 3 h before chest tube removal is more effective than IV morphine in blunting pain response.

REGIONAL ANESTHESIA AND PAIN MANAGEMENT:Back

Salvatore Sia and Antonella Lepri

Anesth Analg 1999 88: 1109-1112. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Used as the sole analgesic, clonidine produces analgesia after epidural, intrathecal, and intraarticular administration. It also prolongs the analgesic effect of brachial plexus block when mixed with local anesthetics. In this study, the administration of clonidine 150 µg alone into the brachial plexus sheath did not produce postoperative analgesia.

Philip B. Cornish, Lazar J. Greenfield, Michael O'Reilly, and Lora Allan

Anesth Analg 1999 88: 1113-1116. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: In this study, we sought to minimize the risk of pneumothorax when approaching the brachial plexus through the supraclavicular fossa by developing a technique that could accurately estimate the depth of the nerves, within a range that is well clear of the lung.

Lisa M. Sullivan, Christian W. Hönemann, John A. Arledge, and Marcel E. Durieux

Anesth Analg 1999 88: 1117-1124. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Lysophosphatidic acid may play a role in wound healing, and its signaling is inhibited by local anesthetics. We identified the membrane receptor as the local anesthetic site of action and showed that charged (QX314) and uncharged (benzocaine) local anesthetics inhibit lysophosphatidic acid signaling synergistically, which can be explained by the presence of different binding sites.

Sean R. Hall, Louie Wang, Brian Milne, and Christopher Loomis

Anesth Analg 1999 88: 1125-1130. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Neural injury-associated pain, as manifested by allodynia, is resistant to conventional treatment. In a rat model of allodynia, we demonstrated activation of the brain region involved in sympathetic control. Innovative therapies that target this region may be successful in managing this debilitating condition.

U. Mattsson, J. Cassuto, M. Jontell, A. Jönsson, R. Sinclair, and P. Tarnow

Anesth Analg 1999 88: 1131-1136. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Burn injury constitutes a serious type of tissue damage that activates inflammatory mechanisms, often causing pain, disfiguration, or malfunction. We treated burns using an anesthetic cream and demonstrated a reduction in burn-induced inflammation by using computer-based color image analysis.

K. Elaine Tighe, Andrew M. Webb, and Gregory J. Hobbs

Anesth Analg 1999 88: 1137-1142. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Plasma concentrations of morphine, morphine-6-glucuronide, and diclofenac were measured postoperatively after a single dose of rectal diclofenac 100 mg was added to morphine patient-controlled analgesia. Peak analgesia occurred 309 min and respiratory depression 197 min after diclofenac administration. Morphine consumption had decreased by 20%, but concentrations of the active metabolite morphine-6-glucuronide were unchanged. Vigilance is recommended in patients receiving patient-controlled analgesia opioids and nonsteroidal antiinflammatory drugs.

Elisabet U. M. Nyström, James E. Heavner, and Charles W. Buffington

Anesth Analg 1999 88: 1143-1148. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: The increase in vascular resistance that accompanies acute bupivacaine overdose maintains blood pressure but masks severe myocardial depression.

GENERAL ARTICLES:Back

Debra J. Janiszewski, Jeffrey L. Galinkin, P. Allan Klock, Dennis W. Coalson, Helene Pardo, and James P. Zacny

Anesth Analg 1999 88: 1149-1154. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Healthy volunteers inhaled subanesthetic concentrations of sevoflurane and nitrous oxide. Sevoflurane made nitrous oxide less effective as an analgesic, and nitrous oxide made sevoflurane less effective as a sedative. The two drugs may work at cross purposes on different end points of anesthesia.

Gunilla Islander and Eva Ranklev Twetman

Anesth Analg 1999 88: 1155-1160. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: We compared the two major protocols for investigating malignant hyperthermia susceptibility. There was 87% accordance in diagnostic outcome. The diverging outcomes were seen in individuals with less reproducible test results near the cutoff limits. In scientific studies, such results should be considered as unknown.

Donald D. Koblin, Michael J. Laster, Pompiliu Ionescu, Diane Gong, Edmond I Eger, II, Michael J. Halsey, and Tomas Hudlicky

Anesth Analg 1999 88: 1161-1167. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: The several potent, inhaled, polyhalogenated methyl ethyl ether anesthetics released for clinical use in the past four decades seem to have specific useful characteristics that set them apart from other methyl ethyl ethers. Properties of this class of compounds have implications for the future development of anesthetics and the mechanisms by which they act.

Helge Eilers, Christoph H. Kindler, and Philip E. Bickler

Anesth Analg 1999 88: 1168-1174. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: The volatile anesthetics isoflurane and enflurane reduce depolarization-evoked glutamate release in rat brain slices. The transitional compound 1,1,2-trichlorotrifluoroethane reduces glutamate release to a much lesser extent, and the nonanesthetic 1,2-dichlorohexafluorocyclobutane does not reduce glutamate release. These findings support the hypothesis that the modulation of excitatory neurotransmission might be responsible, in part, for in vivo anesthetic action.

J. Boldt, W. Maleck, and K. P. Koetter

Anesth Analg 1999 88: 1175-1180. [Abstract] [Full Text] [PDF] [En Espanol]  [Request Permissions]  

Implications: In a MEDLINE-based analysis, we examined the number of publications in important anesthesia, pain, critical care, and emergency medicine journals (n = 30) for the years 1996 and 1997 and analyzed these with regard to national origin. The United States was by far the most active nation in this medical area (4283 articles [40.2%]), followed by the United Kingdom (13.3%). With regard to publications per million inhabitants, small highly industrialized nations contributed overproportionally to publications in this area.

CASE REPORTS:Back

Atsushi Seto, Kazuyoshi Aoyama, Ichiro Takenaka, and Tatsuo Kadoya
Ventilation Difficulties Through the Intubating Laryngeal Mask
Anesth Analg 1999 88: 1181-1182. [Full Text] [PDF] [Request Permissions]  

Michele M. Locke, Burkhard F. Spiekermann, and George F. Rich
Trigeminovagal Reflex During Repair of a Nasal Fracture Under General Anesthesia
Anesth Analg 1999 88: 1183-1184. [Full Text] [PDF] [Request Permissions]  

Monica Botero and F. Kayser Enneking
Reversal of Prolonged Unconsciousness by Naloxone After an Intravascular Injection of a Local Anesthetic and Clonidine
Anesth Analg 1999 88: 1185-1186. [Full Text] [PDF] [Request Permissions]  

LETTERS TO THE EDITOR:Back

Jürgen T. Lutz, A.-Stephane Lambert, and Kathryn Rouine-Rapp
Damage to Pilot Cuff Tubing During Intraoperative Transesophageal Echocardiography
Anesth Analg 1999 88: 1187. [Full Text] [PDF] [Request Permissions]  

P. R. Torralva, Alex Macario, and John G. Brock-Utne
Another Use of a Bronchoscopic Swivel Adapter
Anesth Analg 1999 88: 1187-1188. [Full Text] [PDF] [Request Permissions]  

Heitor Moreno, Jr. and Jose Eduardo Tanus-Santos
Nitric Oxide Inhalation During Massive Pulmonary Embolism
Anesth Analg 1999 88: 1188. [Full Text] [PDF] [Request Permissions]  

John M. Freedman and Mark P. Rudow
Bilateral Buttock and Leg Pain After Lidocaine Epidural Anesthesia
Anesth Analg 1999 88: 1188. [Full Text] [PDF] [Request Permissions]  

Evan J. Goodman, Ida M. Hudson, and Allen Douglas
Desflurane Vaporizer Uses Minimal Electricity
Anesth Analg 1999 88: 1189. [Full Text] [PDF] [Request Permissions]  

Makoto Tanaka, Toshiaki Nishikawa, Sibylle A. Kozek-Langenecker, and Margot Semsroth
Effective Dose of Isoproterenol-Containing Test Dose in Anesthetized Children Response
Anesth Analg 1999 88: 1189-1190. [Full Text] [PDF] [Request Permissions]  

Sharon Abramovitz, Yaakov Beilin, Howard H. Bernstein, and M. A. E. Marcus
Isoproterenol and Epidural Analgesia Response
Anesth Analg 1999 88: 1190. [Full Text] [PDF] [Request Permissions]  

Takehiko Adachi, Masatoshi Fukumoto, Nobuo Uetsuki, Ouki Yasui, and Michihiro Hayashi
Suspected Severe Methemoglobinemia Caused by Topical Application of an Ointment Containing Benzocaine Around the Enterostomy
Anesth Analg 1999 88: 1190-1191. [Full Text] [PDF] [Request Permissions]  

T. J. Gan, D. A. Lubarsky, Mehernoor F. Watcha, and Paul F. White
Cost Effectiveness Ratio: An Often Misunderstood Term Response
Anesth Analg 1999 88: 1191-1192. [Full Text] [PDF] [Request Permissions]  

Seiji Ishikawa, Michael Zaugg, Eliana Lucchinetti, and Andreas Zollinger
Is Continuous Intraarterial Blood Gas Monitoring Reliable During One-Lung Ventilation? Response
Anesth Analg 1999 88: 1192-1193. [Full Text] [PDF] [Request Permissions]  

James E. Heavner, Per Rosenberg, and Alan A. Artru
Propofol for Lidocaine-Induced Seizures Response
Anesth Analg 1999 88: 1193. [Full Text] [PDF] [Request Permissions]  

Sheila E. Cohen and Franklin Dexter
Statistical Analysis of Total Labor Pain Using the Visual Analog Scale and Application to Studies of Analgesic Effectiveness During Childbirth Response
Anesth Analg 1999 88: 1193-1194. [Full Text] [PDF] [Request Permissions]  

Serge M. Broka, Pascale A. Gourdange, and Kurt L. Joucken
Sevoflurane and Desflurane Confusion
Anesth Analg 1999 88: 1194. [Full Text] [PDF] [Request Permissions]  

BOOK AND MULTIMEDIA REVIEWS:Back

Rebecca A. Barnett
The MGH Board Review of Anesthesiology. 5th ed. Books and Multimedia Received
Anesth Analg 1999 88: 1195. [Full Text] [PDF] [Request Permissions]  

To see an article, click its [Full Text] or [PDF] link. To review many abstracts, check the boxes to the left of the titles you want, and click the 'Get All Checked Abstract(s)' button. To see one abstract at a time, click its [Abstract] link.


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