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Volume 73, Issue 4

October 1990

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Cover Image
Table of Contents

In this Issue

Editorial
Special Announcements
Education
Pain Medicine
Meeting Abstracts
Special Articles
Case Reports
Correspondence
Reviews of Educational Material
Erratum

Editorial

Resource-based Relative Value Scale and Reimbursement for Anesthesiology Services: Time Is of the Essence

Anesthesiology October 1990, Vol. 73, 593–595. https://doi.org/10.1097/00000542-199010000-00001

View Articletitled, Resource-based Relative Value Scale and Reimbursement for Anesthesiology Services: Time Is of the Essence

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Topics: reimbursement mechanisms , resource based relative value scale

Special Announcements

ASA Award: John D. Michenfelder

John D. Michenfelder

Anesthesiology October 1990, Vol. 73, 596–598. https://doi.org/10.1097/00000542-199010000-00002

View Articletitled, ASA Award: John D. Michenfelder

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Education

Cardiorespiratory Interactions in Patients with an Artificial Heart

James L. Robotham, M.D.; J. Brent Mays, P.A.-C., B.H.S.; Melissa A. Williams, P.A.-C., B.H.S.; William C. DeVries, M.D.

Anesthesiology October 1990, Vol. 73, 599–609. https://doi.org/10.1097/00000542-199010000-00003

View Articletitled, Cardiorespiratory Interactions in Patients with an Artificial Heart

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Topics: heart, artificial

The Air Test as a Clinically Useful Indicator of Intravenously Placed Epidural Catheters

Barbara L. Leighton, M.D.; Mark C. Norris, M.D.; Cheryl A. DeSimone, M.D.; Thomas Rosko, M.D.; Jeffrey B. Gross, M.D.

Anesthesiology October 1990, Vol. 73, 610–613. https://doi.org/10.1097/00000542-199010000-00004

View Articletitled, The Air Test as a Clinically Useful Indicator of Intravenously Placed Epidural Catheters

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Topics: epidural catheters

Quantitation of the Interaction Between Atracurium and Succinylcholine Using Closed-loop Feedback Control of Infusion of Atracurium

Klaus T. Olkkola, M.D.; Helmut Schwilden, M.D., Ph.D.

Anesthesiology October 1990, Vol. 73, 614–618. https://doi.org/10.1097/00000542-199010000-00005

View Articletitled, Quantitation of the Interaction Between Atracurium and Succinylcholine Using Closed-loop Feedback Control of Infusion of Atracurium

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Topics: atracurium , feedback , infusion procedures , succinylcholine

Relationship Between Anesthetic Procedure and Contact of Anesthesia Personnel with Patient Body Fluids

Michael S. Kristensen, M.D.; Erik Sloth, M.D.; Thomas K. Jensen, M.D.

Anesthesiology October 1990, Vol. 73, 619–624. https://doi.org/10.1097/00000542-199010000-00006

View Articletitled, Relationship Between Anesthetic Procedure and Contact of Anesthesia Personnel with Patient Body Fluids

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Topics: body fluid

Use of a Chlorhexidine Dressing to Reduce Microbial Colonization of Epidural Catheters

Jeffrey M. Shapiro, M.D.; Emmett L. Bond, M.S.; J. Kent Garman, M.D.

Anesthesiology October 1990, Vol. 73, 625–631. https://doi.org/10.1097/00000542-199010000-00007

View Articletitled, Use of a Chlorhexidine Dressing to Reduce Microbial Colonization of Epidural Catheters

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Topics: bandages , chlorhexidine , dressing of skin or wound , epidural catheters , microbial colonization

Anterior Fontanel Pressure and Visual Evoked Potentials in Neonates and Infants Undergoing Profound Hypothermic Circulatory Arrest

Frederick A. Burrows, M.D., F.R.C.P.C.; Simon C. Hillier, M.B., Ch.B., F.F.A.R.C.S.; M. Elizabeth McLeod, M.D., F.R.C.P.C.; Karey S. Iron, B.A.; Margot J. Taylor, Ph.D.

Anesthesiology October 1990, Vol. 73, 632–636. https://doi.org/10.1097/00000542-199010000-00008

View Articletitled, Anterior Fontanel Pressure and Visual Evoked Potentials in Neonates and Infants Undergoing Profound Hypothermic Circulatory Arrest

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Topics: circulatory arrest , evoked potentials, visual , hypothermia, natural , infant , newborn

Intraoperative ¹³³Xe Cerebral Blood Flow Measurements by Intravenous Versus Intracarotid Methods

William L. Young, M.D.; Isak Prohovnik, PhD.; Torben Schroeder, M.D.; James W. Correll, M.D.; Noeleen Ostapkovich, R.EEGT

Anesthesiology October 1990, Vol. 73, 637–643. https://doi.org/10.1097/00000542-199010000-00009

View Articletitled, Intraoperative 133Xe Cerebral Blood Flow Measurements by Intravenous Versus Intracarotid Methods

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Topics: cerebral blood flow measurement , intraoperative care

The “Natural History” of Segmental Wall Motion Abnormalities in Patients Undergoing Noncardiac Surgery

Martin J. London, M.D.; Julio F. Tubau, M.D.; Martin G. Wong, B.S., R.D.M.S.; Elizabeth Layug, M.D.; Milton Hollenberg, M.D.; William C. Krupski, M.D.; Joseph H. Rapp, M.D.; Warren S. Browner, M.D.; Dennis T. Mangano, Ph.D., M.D.; the S. P. I. Research Group

Anesthesiology October 1990, Vol. 73, 644–655. https://doi.org/10.1097/00000542-199010000-00010

View Articletitled, The “Natural History” of Segmental Wall Motion Abnormalities in Patients Undergoing Noncardiac Surgery

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Topics: left ventricular wall motion , surgery specialty , surgical procedures, operative

Thermoregulatory Vasoconstriction Decreases Cutaneous Heat Loss

Daniel I. Sessler, M.D.; Azita Moayeri, B.A.; Randi Støen, M.D.; Beth Glosten, M.D.; James Hynson, M.D.; Joseph McGuire

Anesthesiology October 1990, Vol. 73, 656–660. https://doi.org/10.1097/00000542-199010000-00011

View Articletitled, Thermoregulatory Vasoconstriction Decreases Cutaneous Heat Loss

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Topics: body temperature regulation , heat loss , vascular constriction

Hormonal—Metabolic Stress Responses in Neonates Undergoing Cardiac Surgery

K. J. S. Anand, M.B.B.S., D.Phil.; D. D. Hansen, M.D.; P. R. Hickey, M.D.

Anesthesiology October 1990, Vol. 73, 661–670. https://doi.org/10.1097/00000542-199010000-00012

View Articletitled, Hormonal—Metabolic Stress Responses in Neonates Undergoing Cardiac Surgery

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Topics: cardiac surgery procedures , metabolic stress , newborn

Pain Medicine

Hemofiltration Reverses Left Ventricular Dysfunction during Sepsis in Dogs

A. Gomez; R. Wang; H. Unruh; R. B. Light; D. Bose; T. Chau; E. Correa; S. Mink

Anesthesiology October 1990, Vol. 73, 671–685. https://doi.org/10.1097/00000542-199010000-00013

View Articletitled, Hemofiltration Reverses Left Ventricular Dysfunction during Sepsis in Dogs

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Topics: dog, domestic , hemofiltration , sepsis , ventricular dysfunction, left

Nitrous Oxide Does Not Alter Infarct Volume in Rats Undergoing Reversible Middle Cerebral Artery Occlusion

David S. Warner, M.D.; Jiegang Zhou, M.D.; Ramachandran Ramani, M.D.; Michael M. Todd, M.D.; Alice McAllister

Anesthesiology October 1990, Vol. 73, 686–693. https://doi.org/10.1097/00000542-199010000-00014

View Articletitled, Nitrous Oxide Does Not Alter Infarct Volume in Rats Undergoing Reversible Middle Cerebral Artery Occlusion

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Topics: infarction , middle cerebral artery occlusion , nitrous oxide , rats

Endogenous Vasopressin Supports Blood Pressure and Prevents Severe Hypotension during Epidural Anesthesia in Conscious Dogs

Jürgen Peters, M.D.; Reiner Schlaghecke, M.D.; Hermann Thouet; Joachim O. Arndt, M.D.

Anesthesiology October 1990, Vol. 73, 694–702. https://doi.org/10.1097/00000542-199010000-00015

View Articletitled, Endogenous Vasopressin Supports Blood Pressure and Prevents Severe Hypotension during Epidural Anesthesia in Conscious Dogs

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Topics: blood pressure , dog, domestic , epidural anesthesia , hypotension , vasopressins

Resistance to d-Tubocurarine in Lower Motor Neuron Injury Is Related to Increased Acetylcholine Receptors at the Neuromuscular Junction

Charles W. Hogue, M.D.; Mohammad S. Itani, M.S.; J. A. J. Martyn, M.D.

Anesthesiology October 1990, Vol. 73, 703–709. https://doi.org/10.1097/00000542-199010000-00016

View Articletitled, Resistance to d-Tubocurarine in Lower Motor Neuron Injury Is Related to Increased Acetylcholine Receptors at the Neuromuscular Junction

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Topics: cholinergic receptors , lower motor neuron , neuromuscular junction , tubocurarine

Neuromuscular Effects of Respiratory and Metabolic Acid-Base Changes In Vitro With and Without Nondepolarizing Muscle Relaxants

Kazumi Ono, M.D.; Osamu Nagano, M.D.; Yoshio Ohta, M.D.; Futami Kosaka, M.D.

Anesthesiology October 1990, Vol. 73, 710–716. https://doi.org/10.1097/00000542-199010000-00017

View Articletitled, Neuromuscular Effects of Respiratory and Metabolic Acid-Base Changes In Vitro With and Without Nondepolarizing Muscle Relaxants

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Topics: neuromuscular nondepolarizing agents

The Minimum Alveolar Concentration (MAC) and Hemodynamic Effects of Halothane, Isoflurane, and Sevoflurane in Newborn Swine

Jerrold Lerman, M.D., F.R.C.P.C.; John P. Oyston, M.B. B.S., F.F.A.R.C.S.; Theresa M. Gallagher, M.D., M.B. B.Ch., F.F.A.R.C.S., M.R.C.P.; Katsuyuki Miyasaka, M.D.; George A. Volgyesi, P. Eng.; Frederick A. Burrows, M.D., F.R.C.P.C.

Anesthesiology October 1990, Vol. 73, 717–721. https://doi.org/10.1097/00000542-199010000-00018

View Articletitled, The Minimum Alveolar Concentration (MAC) and Hemodynamic Effects of Halothane, Isoflurane, and Sevoflurane in Newborn Swine

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Topics: doppler hemodynamics , halothane , hemodynamics , isoflurane , minimum alveolar concentration

Halothane Decreases the Release of Neuropeptide Y and 3,4-Dihydroxyphenylglycol from Superfused Segments of Dog Pulmonary Artery

Duane K. Rorie, M.D., Ph.D.; Larry W. Hunter, M.S.; Jeffrey J. Lunn, M.D.

Anesthesiology October 1990, Vol. 73, 722–730. https://doi.org/10.1097/00000542-199010000-00019

View Articletitled, Halothane Decreases the Release of Neuropeptide Y and 3,4-Dihydroxyphenylglycol from Superfused Segments of Dog Pulmonary Artery

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Topics: dog, domestic , halothane , neuropeptide y , pulmonary artery

Volatile Anesthetic Effects on Left Ventricular Relaxation in Swine

Linda S. Humphrey, M.D.; Dean C. Stinson, C.R.N.A.; Michael J. Humphrey, M.D.; R. Stewart Finney, M.D.; Patricia A. Zeller, C.C.P.T.; Mavis R. Judd, C.V.T.; Thomas J. J. Blanck, M.D., Ph.D.

Anesthesiology October 1990, Vol. 73, 731–738. https://doi.org/10.1097/00000542-199010000-00020

View Articletitled, Volatile Anesthetic Effects on Left Ventricular Relaxation in Swine

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Topics: left ventricle , suidae , volatile anesthetics

Meeting Abstracts

Dwarfs: Pathophysiology and Anesthetic Implications

Ivor D. Berkowitz, MB.B.Ch.; Srinivasa N. Raja, M.D.; Karen S. Bender, M.D.; Steven E. Kopits, M.D.

Anesthesiology October 1990, Vol. 73, 739–759. https://doi.org/10.1097/00000542-199010000-00021

View Articletitled, Dwarfs: Pathophysiology and Anesthetic Implications

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Special Articles

Physician Payment Reform: Anesthesiology as a Case Study

Dennis A. Revicki, Ph.D.; Fredrick K. Orkin, M.D.; Bryan R. Luce, Ph.D.; Peter McMenamin, Ph.D.; Joan M. Weschler, M.A.

Anesthesiology October 1990, Vol. 73, 760–769. https://doi.org/10.1097/00000542-199010000-00022

View Articletitled, Physician Payment Reform: Anesthesiology as a Case Study

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Topics: physician payment

Continued Demonstration of Qualifications for Board-certified Anesthesiologists

American Board of Anesthesiology

Anesthesiology October 1990, Vol. 73, 770–771. https://doi.org/10.1097/00000542-199010000-00023

View Articletitled, Continued Demonstration of Qualifications for Board-certified Anesthesiologists

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Case Reports

Guide Wire as a Cause of Complete Heart Block in Patients with Preexisting Left Bundle Branch Block

N. Tony Eissa, M.D.; Vladimir Kvetan, M.D.

Anesthesiology October 1990, Vol. 73, 772–774. https://doi.org/10.1097/00000542-199010000-00024

View Articletitled, Guide Wire as a Cause of Complete Heart Block in Patients with Preexisting Left Bundle Branch Block

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Topics: catheter guide wires , complete atrioventricular block , left bundle-branch block

Airway Compromise from Prevertebral Soft Tissue Swelling during Placement of Halo-Traction for Cervical Spine Injury

Timothy D. Meakem, M.D.; Thomas J. Meakem, M.D.; William Rappaport, M.D.

Anesthesiology October 1990, Vol. 73, 775–776. https://doi.org/10.1097/00000542-199010000-00025

View Articletitled, Airway Compromise from Prevertebral Soft Tissue Swelling during Placement of Halo-Traction for Cervical Spine Injury

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Topics: airway device , airway structure , cervical spine , halo skull traction , soft tissue swelling

Mallory-Weiss Tear Complicating Intraoperative Transesophageal Echocardiography in a Patient Undergoing Aortic Valve Replacement

William E. Dewhirst, M.D.; James J. Stragand, M.D.; Barbara M. Fleming, M.D.

Anesthesiology October 1990, Vol. 73, 777–778. https://doi.org/10.1097/00000542-199010000-00026

View Articletitled, Mallory-Weiss Tear Complicating Intraoperative Transesophageal Echocardiography in a Patient Undergoing Aortic Valve Replacement

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Topics: aortic valve replacement , intraoperative care , mallory-weiss syndrome , transesophageal echocardiography

An Unusual Presentation of Intercostal Neuralgia

Robert F. Haynsworth, M.D.; Carl E. Noe, M.D.

Anesthesiology October 1990, Vol. 73, 779. https://doi.org/10.1097/00000542-199010000-00027

View Articletitled, An Unusual Presentation of Intercostal Neuralgia

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Topics: intercostal neuralgia

Acute Upper Airway Obstruction Due to Arterial Puncture during Percutaneous Central Venous Cannulation of the Subclavian Vein

Anthony M. O'Leary, M.B.B.S., M.R.C.G.P., D.C.H., D.R.C.O.G.

Anesthesiology October 1990, Vol. 73, 780–782. https://doi.org/10.1097/00000542-199010000-00028

View Articletitled, Acute Upper Airway Obstruction Due to Arterial Puncture during Percutaneous Central Venous Cannulation of the Subclavian Vein

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Topics: arterial puncture , intravenous access , subclavian vein , upper airway obstruction

Perioperative Diagnosis of Subclavian Artery Stenosis: A Contraindication for Internal Mammary Artery–Coronary Artery Bypass Graft

David Amar, M.D.; Lari A. Attai, M.D.; Sushil K. Gupta, M.D.; Anne Jones, B.S.N., R.V.T.

Anesthesiology October 1990, Vol. 73, 783–784. https://doi.org/10.1097/00000542-199010000-00029

View Articletitled, Perioperative Diagnosis of Subclavian Artery Stenosis: A Contraindication for Internal Mammary Artery–Coronary Artery Bypass Graft

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Topics: coronary artery bypass surgery , internal thoracic artery , subclavian steal syndrome

Epidural Opioids as a Cause of Vertical Nystagmus

David J. Fish, M.D.; Steven M. Rosen, M.D.

Anesthesiology October 1990, Vol. 73, 785–786. https://doi.org/10.1097/00000542-199010000-00030

View Articletitled, Epidural Opioids as a Cause of Vertical Nystagmus

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Topics: opioids , pathologic nystagmus

Correspondence

Intravenous Nitroglycerin Aids Manual Extraction of a Retained Placenta

Cheryl A. DeSimone, M.D.; Mark C. Norris, M.D.; Barbara L. Leighton, M.D.

Anesthesiology October 1990, Vol. 73, 787. https://doi.org/10.1097/00000542-199010000-00031

View Articletitled, Intravenous Nitroglycerin Aids Manual Extraction of a Retained Placenta

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Emergency Transtracheal Jet Ventilation System

Paul D. Meyer, M.D., Ph.D.

Anesthesiology October 1990, Vol. 73, 787. https://doi.org/10.1097/00000542-199010000-00032

View Articletitled, Emergency Transtracheal Jet Ventilation System

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Transtracheal Jet Oxygenator from Capnographic Monitoring Components

David H. Sprague, M.D.

Anesthesiology October 1990, Vol. 73, 788. https://doi.org/10.1097/00000542-199010000-00033

View Articletitled, Transtracheal Jet Oxygenator from Capnographic Monitoring Components

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Propofol during Cesarean Section

Tony Gin, M.B., Ch.B., B.Sc., F.F.A.R.C.S., F.F.A.R.A.C.S.; Gordon Yau, M.B. B.S., F.F.A.R.C.S.; Michael A. Gregory, M.B. B.S., F.F.A.R.C.S.

Anesthesiology October 1990, Vol. 73, 789. https://doi.org/10.1097/00000542-199010000-00034

View Articletitled, Propofol during Cesarean Section

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Patient-controlled Epidural Anesthesia during Labor May Be Hazardous

S. Lurie, M.D.

Anesthesiology October 1990, Vol. 73, 789. https://doi.org/10.1097/00000542-199010000-00035

View Articletitled, Patient-controlled Epidural Anesthesia during Labor May Be Hazardous

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Reply

James C. Eisenach, M.D.

Anesthesiology October 1990, Vol. 73, 790. https://doi.org/10.1097/00000542-199010000-00036

View Articletitled, Reply

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Inappropriate Use of the t -test

Minda Stratton, M.S., R.N., C.C.R.N.

Anesthesiology October 1990, Vol. 73, 790. https://doi.org/10.1097/00000542-199010000-00037

View Articletitled, Inappropriate Use of the t -test

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Reply

Gregory C. Allen, M.D., F.R.C.P.C.; Jeffrey E. Fletcher, Ph.D.; Henry Rosenberg, M.D.

Anesthesiology October 1990, Vol. 73, 791. https://doi.org/10.1097/00000542-199010000-00038

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Effects of Epidural Saline and Epidural Fentanyl

Y. James Kao, M.D., Ph.D.; Frank Zavisca, M.D., Ph.D.; Richard Norton, M.D.

Anesthesiology October 1990, Vol. 73, 791. https://doi.org/10.1097/00000542-199010000-00039

View Articletitled, Effects of Epidural Saline and Epidural Fentanyl

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Reply

Brendan S. Silbert, F.F.A.R.A.C.S., F.F.A.R.C.S.; Phillipa J. Hore, M.B., B.S.

Anesthesiology October 1990, Vol. 73, 792. https://doi.org/10.1097/00000542-199010000-00040

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Early Reports of Pulmonary Aspiration during General Anesthesia

J. R. Maltby, M.B., F.F.A.R.C.S., F.R.C.P.C.

Anesthesiology October 1990, Vol. 73, 792. https://doi.org/10.1097/00000542-199010000-00041

View Articletitled, Early Reports of Pulmonary Aspiration during General Anesthesia

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Reply

Charles J. Coté, M.D.

Anesthesiology October 1990, Vol. 73, 793. https://doi.org/10.1097/00000542-199010000-00042

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Linear Regression Is a Poor Descriptor of Accuracy

Anesthesiology October 1990, Vol. 73, 793–794. https://doi.org/10.1097/00000542-199010000-00043

View Articletitled, Linear Regression Is a Poor Descriptor of Accuracy

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Reply

John H. Urbanowicz, M.D.; Neal H. Cohen, M.D.; Michael A. Matthay, M.D.

Anesthesiology October 1990, Vol. 73, 795. https://doi.org/10.1097/00000542-199010000-00044

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Reviews of Educational Material

Anesthesia for Vascular Surgery. Edited by Michael F. Roizen

Charles Beattie, M.D., Ph.D.

Anesthesiology October 1990, Vol. 73, 796. https://doi.org/10.1097/00000542-199010000-00045

View Articletitled, Anesthesia for Vascular Surgery. Edited by Michael F. Roizen

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Topics: vascular surgical procedures

Monitoring in Anesthesia and Critical Care Medicine. Second Edition

Anesthesiology October 1990, Vol. 73, 796–797. https://doi.org/10.1097/00000542-199010000-00046

View Articletitled, Monitoring in Anesthesia and Critical Care Medicine. Second Edition

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Topics: care of intensive care unit patient

Erratum

ERRATA

Anesthesiology October 1990, Vol. 73, 798. https://doi.org/10.1097/00000542-199010000-00047

View Articletitled, ERRATA

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