Current Opinion in Anaesthesiology
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Perioperative management of outpatients with implantable cardioverter defibrillators
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Purpose of review: Implantable cardioverter defibrillators (ICDs) are increasingly being placed in patients worldwide. These patients pose significant perioperative challenges and are at an increased risk of complications; the suitability of ambulatory surgery in this patient population remains controversial. The purpose of the present review is to examine the potential challenges and optimal perioperative care of patients with an ICD.
Recent findings: The American Society of Anesthesiologists Advisory for the perioperative management of patients with cardiac rhythm management devices as well as the American College of Ca...
Source: Current Opinion in Anaesthesiology - November 11, 2009 Category: Anesthesiology Tags: Ambulatory anesthesia: Edited by Girish Joshi Source Type: journals
Depth of anesthesia
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Purpose of review: The present review article provides a summary of the recent literature evaluating the technology for monitoring depth of anesthesia and patient outcomes associated with its use.
Recent findings: The tentative and controversial findings of a 2006 study suggesting a correlation of mortality with lower intraoperative bispectral index scores were reproduced in a more recent study, but the correlation could be accounted for by controlling for patient comorbidities, particularly malignancy. In a large trial involving patients at high risk for awareness, general anesthesia with volatile agents guided by bispec...
Source: Current Opinion in Anaesthesiology - November 11, 2009 Category: Anesthesiology Tags: Technology, education, training and information systems: Edited by Kirk Shelley Source Type: journals
Control of perioperative muscle strength during ambulatory surgery
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Purpose of review: This review describes strategies to control perioperative muscle strength in patients undergoing ambulatory surgery.
Recent findings: Although it is impossible to improve muscle relaxation (defined as absence of electrical activity) of intact resting muscle by hypnotics, analgesia is required to prevent pain-evoked muscular contractions during surgery. Regional anesthesia, as well as hypnotics and opioids, promotes intraoperative muscle relaxation. Neuromuscular blocking agents (NMBAs) induce dose-dependent muscle relaxation, but their effects vary widely between individuals, and postoperative residual ...
Source: Current Opinion in Anaesthesiology - November 11, 2009 Category: Anesthesiology Tags: Ambulatory anesthesia: Edited by Girish Joshi Source Type: journals
Cerebral autoregulation and anesthesia
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Purpose of review: This review will examine the recent literature on anesthesia and monitoring techniques in relation to cerebral autoregulation. We will discuss the effect of physiologic and pharmacological factors on cerebral autoregulation alongside its clinical relevance with the help of new evidence.
Recent findings: Intravenous anesthesia, such as combination of propofol and remifentanil, provides best preservation of autoregulation. Among inhaled agents sevoflurane appears to preserve autoregulation at all doses, whereas with other agents autoregulation is impaired in a dose-related manner.
Summary: Intraoperative c...
Source: Current Opinion in Anaesthesiology - September 9, 2009 Category: Anesthesiology Tags: Neuroanaesthesia: Edited by Arthur Lam Source Type: journals
A practical guide to commonly performed ultrasound-guided peripheral-nerve blocks
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This article serves to display the most clinically relevant nerve blocks utilized in the perioperative setting. It is meant to be used as a clinical starting point for the development of regional anesthesia skills.
(C) 2009 Lippincott Williams & Wilkins, Inc. (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - September 9, 2009 Category: Anesthesiology Tags: Pain medicine: Edited by Raymond Sinatra Source Type: journals
Update on inhalational anaesthetics
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Purpose of review: Inhalational anaesthetic agents are a cornerstone in modern anaesthetic practice. The currently used compounds are very effective and have a good safety profile. In addition, it has been demonstrated that they possess organ-protective properties that might provide an additional tool in the treatment or prevention of the consequences of organ ischaemia-reperfusion injury or both. The present review summarizes some of the most recent findings on this subject.
Recent findings: The mechanisms underlying the organ-protective effects of inhalational anaesthetics continue to be further unravelled. The main chal...
Source: Current Opinion in Anaesthesiology - July 9, 2009 Category: Anesthesiology Tags: Drugs in anesthesia: Edited by Klaus T. Olkkola Source Type: journals
Pediatric pharmacology in the first year of life
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Purpose of review: Toxicity concerns and awareness during anesthesia issues continue to concern pediatric anesthesiologists. Most developmental pharmacokinetic, pharmacodynamic and pharmacogenomic changes occur within the first year of life. Understanding these early changes can improve drug use in this cohort.
Recent findings: Growth and development are two major aspects of children not readily apparent in adults. Clearance in the pediatric population should be investigated using models that describe size, maturation and organ function influences. Glucuronide conjugation (hepatic phase II process) mirrors glomerular filtr...
Source: Current Opinion in Anaesthesiology - July 9, 2009 Category: Anesthesiology Tags: Drugs in anesthesia: Edited by Klaus T. Olkkola Source Type: journals
Present and emerging strategies for reducing anesthesia-related maternal morbidity and mortality
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Purpose of review: As the demographic of pregnant women continues to change, anesthesiologists will need to continue to find new ways to prevent morbidity and mortality. In this article several new and emerging strategies to meet this challenge are discussed.
Recent findings: Emergence and recovery are now the most common times for airway loss. The proportion of liability claims involving neuraxial anesthesia have increased. Ultrasound can assist in spinal or epidural anesthesia. The most effective antiseptic is 0.5% chlorhexidine in 80% ethanol, which is generally accepted for use in neuraxial techniques. An animal study ...
Source: Current Opinion in Anaesthesiology - June 1, 2009 Category: Anesthesiology Tags: Obstetric and gynecological anesthesia: Edited by Marc Van de Velde Source Type: journals
Erratum.
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Page: 140DOI: 10.1097/ACO.0b013e32832a5d68 (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: HTML PDF (23 K) Source Type: journals
Current World Literature.
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Page: 128DOI: 10.1097/ACO.0b013e3283240150 (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: HTML PDF (152 K) Source Type: journals
Aprotinin: 1 year on.
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Page: 121DOI: 10.1097/ACO.0b013e32831c833fAuthors: Dietrich, Wulf (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: Abstract HTML PDF (123 K) Source Type: journals
Ca2+: is there something new for the cardiovascular anesthesiologist?.
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Page: 114DOI: 10.1097/ACO.0b013e32831a43c7Authors: Hannon, James D; Housmans, Philippe R (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: Abstract HTML PDF (297 K) Source Type: journals
Anaesthesia for noncardiac surgery in the heart transplant recipient.
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Page: 109DOI: 10.1097/ACO.0b013e32831c83e0Authors: Blasco, Lucrecia Maria a; Parameshwar, Jayan b; Vuylsteke, Alain a (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: Abstract HTML PDF (91 K) Source Type: journals
Current aspects of perioperative fluid handling in vascular surgery.
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Page: 100DOI: 10.1097/ACO.0b013e32831f1c65Authors: Jacob, Matthias a; Chappell, Daniel a; Hollmann, Markus W b (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: Abstract HTML PDF (171 K) Source Type: journals
Efficacy and safety of activated recombinant factor VII in cardiac surgical patients.
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Page: 95DOI: 10.1097/ACO.0b013e32831a40a3Authors: Hardy, Jean-Francois a; Belisle, Sylvain a; Van der Linden, Philippe b (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: Abstract HTML PDF (92 K) Source Type: journals
Anesthesia in adult patients with congenital heart disease.
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Page: 88DOI: 10.1097/ACO.0b013e32831c83cbAuthors: Cannesson, Maxime; Collange, Vincent; Lehot, Jean-Jacques (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: Abstract HTML PDF (424 K) Source Type: journals
High thoracic epidural anaesthesia for cardiac surgery.
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Page: 84DOI: 10.1097/ACO.0b013e32831a40b6Authors: Royse, Colin F a,b (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: Abstract HTML PDF (78 K) Source Type: journals
Management of mini-cardiopulmonary bypass devices: is it worth the energy?.
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Page: 78DOI: 10.1097/ACO.0b013e32831a408eAuthors: Ranucci, Marco; Castelvecchio, Serenella (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: Abstract HTML PDF (100 K) Source Type: journals
Cardiac output monitoring.
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Page: 71DOI: 10.1097/ACO.0b013e32831f44d0Authors: de Waal, Eric EC a; Wappler, Frank b; Buhre, Wolfgang F a (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: Abstract HTML PDF (110 K) Source Type: journals
Clinical trials: evidence based and clinically relevant or not?.
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Page: 68DOI: 10.1097/ACO.0b013e32831d7b89Authors: De Hert, Stefan G a; Van der Linden, Philippe J b (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: HTML PDF (65 K) Source Type: journals
Acute lung injury and outcomes after thoracic surgery.
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Page: 61DOI: 10.1097/ACO.0b013e32831b466cAuthors: Licker, Marc a; Fauconnet, Pascal a; Villiger, Yann a; Tschopp, Jean-Marie b (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: Abstract HTML PDF (123 K) Source Type: journals
Open or minimally invasive esophagectomy: are the outcomes different?.
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Page: 56DOI: 10.1097/ACO.0b013e32831cef4bAuthors: Bussieres, Jean S (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: Abstract HTML PDF (86 K) Source Type: journals
Postoperative care after pulmonary resection: postanesthesia care unit versus intensive care unit.
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Page: 50DOI: 10.1097/ACO.0b013e32831d7b25Authors: Pedoto, Alessia a; Heerdt, Paul M a,b (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: Abstract HTML PDF (105 K) Source Type: journals
Right heart function in thoracic surgery: role of echocardiography.
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Page: 44DOI: 10.1097/ACO.0b013e32831d7b72Authors: Pedoto, Alessia; Amar, David (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: Abstract HTML PDF (97 K) Source Type: journals
Update on the role of paravertebral blocks for thoracic surgery: are they worth it?.
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Page: 38DOI: 10.1097/ACO.0b013e32831a4074Authors: Daly, David J a; Myles, Paul S a,b (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: Abstract HTML PDF (143 K) Source Type: journals
Update on anesthetic management for pneumonectomy.
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Page: 31DOI: 10.1097/ACO.0b013e32831a4394Authors: Slinger, Peter (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: Abstract HTML PDF (204 K) Source Type: journals
Update on one-lung ventilation: the use of continuous positive airway pressure ventilation and positive end-expiratory pressure ventilation - clinical application.
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Page: 23DOI: 10.1097/ACO.0b013e32831d7b41Authors: Grichnik, Katherine P; Shaw, Andrew (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: Abstract HTML PDF (171 K) Source Type: journals
Update on selective lobar blockade during pulmonary resections.
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Page: 18DOI: 10.1097/ACO.0b013e32831a437aAuthors: Campos, Javier H (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: Abstract HTML PDF (164 K) Source Type: journals
Advances in interventional pulmonology.
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Page: 11DOI: 10.1097/ACO.0b013e32831d7b5bAuthors: Ross, Alan Frederick a; Ferguson, J Scott b (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: Abstract HTML PDF (116 K) Source Type: journals
Update on tracheobronchial anatomy and flexible fiberoptic bronchoscopy in thoracic anesthesia.
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Page: 4DOI: 10.1097/ACO.0b013e32831a43abAuthors: Campos, Javier H (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: Abstract HTML PDF (367 K) Source Type: journals
Fast track in thoracic anesthesia and surgery.
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Page: 1DOI: 10.1097/ACO.0b013e32831a43dcAuthors: Campos, Javier H (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: Abstract HTML PDF (59 K) Source Type: journals
Editorial introductions.
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Page: ixDOI: 10.1097/ACO.0b013e328326c95e (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - February 22, 2009 Category: Anesthesiology Tags: HTML PDF (65 K) Source Type: journals
Current World Literature.
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Page: 811DOI: 10.1097/ACO.0b013e32831ced3b (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - November 8, 2008 Category: Anesthesiology Tags: HTML PDF (108 K) Source Type: journals
The measurement of dyshemoglobins and total hemoglobin by pulse oximetry.
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Page: 805DOI: 10.1097/ACO.0b013e328316bb6fAuthors: Barker, Steven J; Badal, John J (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - November 8, 2008 Category: Anesthesiology Tags: Abstract HTML PDF (444 K) Source Type: journals
Changes in skin conductance as a tool to monitor nociceptive stimulation and pain.
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Page: 796DOI: 10.1097/ACO.0b013e3283183fe4Authors: Storm, Hanne (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - November 8, 2008 Category: Anesthesiology Tags: Abstract HTML PDF (506 K) Source Type: journals
Fire safety in the operating room.
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Page: 790DOI: 10.1097/ACO.0b013e328318693aAuthors: Rinder, Christine Stowe (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - November 8, 2008 Category: Anesthesiology Tags: Abstract HTML PDF (350 K) Source Type: journals
Recent advances in scenario-based training for medical education.
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Page: 784DOI: 10.1097/ACO.0b013e3283184435Authors: Cannon-Bowers, Janis A (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - November 8, 2008 Category: Anesthesiology Tags: Abstract HTML PDF (326 K) Source Type: journals
Pulse oximetry and photoplethysmographic waveform analysis of the esophagus and bowel.
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Page: 779DOI: 10.1097/ACO.0b013e328317794dAuthors: Phillips, Justin P a; Kyriacou, Panayiotis A b; Jones, Deric P b; Shelley, Kirk H c; Langford, Richard M a (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - November 8, 2008 Category: Anesthesiology Tags: Abstract HTML PDF (417 K) Source Type: journals
Using ventilation-induced plethysmographic variations to optimize patient fluid status.
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Page: 772DOI: 10.1097/ACO.0b013e32831504caAuthors: Desebbe, Olivier; Cannesson, Maxime (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - November 8, 2008 Category: Anesthesiology Tags: Abstract HTML PDF (468 K) Source Type: journals
Web-based education in anesthesiology: a critical overview.
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Page: 766DOI: 10.1097/ACO.0b013e3283173e44Authors: Doyle, D John (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - November 8, 2008 Category: Anesthesiology Tags: Abstract HTML PDF (255 K) Source Type: journals
Recent advances in patient-controlled sedation.
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Page: 759DOI: 10.1097/ACO.0b013e3283184001Authors: Atkins, Joshua H; Mandel, Jeff E (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - November 8, 2008 Category: Anesthesiology Tags: Abstract HTML PDF (394 K) Source Type: journals
Review of video laryngoscopy and rigid fiberoptic laryngoscopy.
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Page: 750DOI: 10.1097/ACO.0b013e3283184227Authors: Pott, Leonard M; Murray, W Bosseau (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - November 8, 2008 Category: Anesthesiology Tags: Abstract HTML PDF (523 K) Source Type: journals
Is the automation of anesthesia possible or even desirable?.
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Page: 748DOI: 10.1097/ACO.0b013e3283131541Authors: Shelley, Kirk (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - November 8, 2008 Category: Anesthesiology Tags: HTML PDF (491 K) Source Type: journals
Management of outcomes in the ambulatory surgery center: the role of standard work and evidence-based medicine.
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Page: 743DOI: 10.1097/ACO.0b013e3283126d0dAuthors: Merrill, Douglas (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - November 8, 2008 Category: Anesthesiology Tags: Abstract HTML PDF (301 K) Source Type: journals
Postdischarge complications and rehabilitation after ambulatory surgery.
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Page: 736DOI: 10.1097/ACO.0b013e328316c152Authors: Rawal, Narinder (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - November 8, 2008 Category: Anesthesiology Tags: Abstract HTML PDF (331 K) Source Type: journals
Recovery after ambulatory anesthesia.
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Page: 729DOI: 10.1097/ACO.0b013e328316bb02Authors: Pavlin, Janet D; Kent, Christopher D (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - November 8, 2008 Category: Anesthesiology Tags: Abstract HTML PDF (409 K) Source Type: journals
Regional anesthesia techniques for ambulatory orthopedic surgery.
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Page: 723DOI: 10.1097/ACO.0b013e328314b665Authors: O'Donnell, Brian D; Iohom, Gabriella (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - November 8, 2008 Category: Anesthesiology Tags: Abstract HTML PDF (321 K) Source Type: journals
Airway management in the outpatient setting: new devices and techniques.
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Page: 719DOI: 10.1097/ACO.0b013e328316bb57Authors: Jolliffe, Louise; Jackson, Ian (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - November 8, 2008 Category: Anesthesiology Tags: Abstract HTML PDF (845 K) Source Type: journals
Preoperative screening, evaluation, and optimization of the patient's medical status before outpatient surgery.
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Page: 711DOI: 10.1097/ACO.0b013e3283126cf3Authors: Sweitzer, Bobbie Jean (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - November 8, 2008 Category: Anesthesiology Tags: Abstract HTML PDF (426 K) Source Type: journals
Anesthesia for outpatient cosmetic surgery.
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Page: 704DOI: 10.1097/ACO.0b013e328318694fAuthors: Shapiro, Fred E (Source: Current Opinion in Anaesthesiology)
Source: Current Opinion in Anaesthesiology - November 8, 2008 Category: Anesthesiology Tags: Abstract HTML PDF (229 K) Source Type: journals
