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There are well-recognized adverse interactions between the monoamine oxidase inhibitors and anesthetic drugs, particularly narcotics. Patients having cardiopulmonary bypass procedures are commonly anesthetized using high-dose narcotic techniques. We describe an uneventful perioperative course in a parkinsonian patient who required urgent coronary artery(More)
The quality of nasal anesthesia obtained with three local anesthetic solutions (4% cocaine, 2% lidocaine in oxymetazoline, and 1% tetracaine in oxymetazoline) was evaluated in a randomized study. Each local anesthetic mixture was applied to the nasal septum of healthy volunteers using medication-soaked pledgets. Measurements of anesthetic effect (sensation(More)
The process of preparing patients for outpatient surgery is information intensive. However, medical records are often fragmented among different providers and systems. As a result, the preoperative assessment process is frequently prolonged by missing information, potentially leading to surgery delay or cancellation. In this study, we simulate an(More)
The quality of nasal anesthesia obtained with two local anesthetic solutions (2% lidocaine in oxymetazoline and 1% tetracaine in oxymetazoline) was evaluated in this double-blind, randomized study. Each local anesthetic mixture was applied to the nasal septum of healthy volunteers with medication-soaked pledgets. Measurements of anesthetic effect (sensation(More)
Systems integration and coordination are becoming increasingly important in healthcare systems around the world, particularly in the U.S. with the new healthcare mandate. Nowhere are these strategies more important for improving patient outcomes, increasing access, and reducing costs than in outpatient surgery. Surgeries involve surgeons, anesthesiologists,(More)
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