The effect of propofol/remifentanil rapid-induction technique without muscle relaxants on intraocular pressure.

Study Objective: To evaluate the effect of propofol (two mg/kg)/remifentanil (4 μg/kg) on intraocular pressure (IOP) when used for rapid-sequence induction.

Design: Randomized, double-blinded trial.

Setting: Ambulatory surgery center.

Use of postanesthesia discharge criteria to reduce discharge delays for inpatients in the postanesthesia care unit.

Study Objective: To determine whether a set of predetermined discharge criteria, used by nurses, shortens the length of patient stay in the postanesthesia care unit (PACU) without compromising safety.

Study Design: Prospective clinical study.

Setting: Postoperative recovery area of a large, tertiary-care, academic hospital.

Effect of prone positioning systems on hemodynamic and cardiac function during lumbar spine surgery: an echocardiographic study.

Study Design: Prospective randomized study of patients undergoing spine surgery.

Objective: To compare changes in hemodynamic and cardiac function after prone positioning using different prone positioners.

Summary Of Background Data: Prone positioning decreases blood pressure and cardiac function.

Coronary abscess: a complication of stenting.

We report the case of a 72-year-old male who underwent primary angioplasty for an acute myocardial infarction and developed a coronary stent infection with Staphylococcus aureus. The patient was treated with a prolonged course of IV antibiotics and underwent debridement and partial stent extraction successfully.

Motion of the diaphragm in patients with chronic obstructive pulmonary disease while spontaneously breathing versus during positive pressure breathing after anesthesia and neuromuscular blockade.

Background: Diaphragmatic excursion during spontaneous ventilation (SV) in normal supine volunteers is greatest in the dependent regions (bottom). During positive pressure ventilation (PPV) after anesthesia and neuromuscular blockade and depending on tidal volume, the nondependent region (top) undergoes the greatest excursion, or the diaphragm moves uniformly. The purpose of this study was to compare diaphragmatic excursion (during SV and PPV) in patients with chronic obstructive pulmonary disease (COPD) with patients having normal pulmonary function.

Epiglottic hematoma leading to airway obstruction after general anesthesia.

Bleeding into the upper airway can cause airway obstruction and death if not recognized promptly. Anesthesiologists are quite familiar with potential airway obstruction from acute epiglottitis, but they may be less familiar with the potential for airway obstruction from epiglottic hematoma. We report what we believe is the second case of epiglottic hematoma after anesthesia and surgery that led to an acute upper airway obstruction.