In: Anesthesia
22 Dec 2009The importance of evidence-based practice has resulted in increasing reliance on clinical trials. A critical aspect of clinical trials is subject recruitment. The tendency to be avoidant makes the anxious population particularly difficult to recruit for studies and increases their time and budget. We were in the situation of having to recruit for a randomized [...]
In: Main
19 Dec 2009Epidemiologic data from human populations and animal studies indicate that chronic exposure to N20 may result in impaired reproductive function and decreased fertility rates. The mechanism by which N20 might elicit reproductive toxicity is unclear. N20 may interfere with reproductive function at the level of the hypothalamus, pituitary, or reproductive tract. Our previous studies indicate [...]
In: Main
18 Dec 2009Viability
Exposure to 60% N20 over a period of 24 hours did not affect viability of the GT1-7 cells (Figure 1A). The total protein content of the cells was also not significantly different between air-exposed and N20-exposed cells (Figure 1B). The effects of oxygen concentration (21% vs 35%) on cell viability and protein concentration over 36 [...]
In: Main
17 Dec 2009Culture of GT1-7 Cell Line
GT1-7 cells (gift of Dr P.M. Mellon, University of California, San Diego) were maintained in DMEM-4.5 g/L glucose (Life Technologies, Inc, Rockville, MD) supplemented with 10% fetal calf serum, 100 units/mL generic penicillin, 100 mg/mL streptomycin, and 0.0025 mg/mL amphotericin В at 37°C in a humidified atmosphere of 5% C02, 95% [...]
In: Main
16 Dec 2009Since its first use in 1844, nitrous oxide (N20) has been considered one of the safest anesthetics and is still widely used in clinical practice. However, a number of studies have associated chronic exposure to N20 with certain adverse effects, such as leukopenia, embryo toxicity, and fetal death. Exposure to N20 in operating rooms appears [...]
DISCUSSION
The management of paradoxical reaction should be done in a systematic manner. The procedure is stopped. Calm reassurance of the patient is initiated. If the patient is disinhibited, aggressive, and agitated, a diagnosis of paradoxical reaction should be considered. Administration of oxygen should be continued to avoid hypoxia. Flumazenil should be given as soon as [...]
In: Main
14 Dec 2009Case 1
A 65-kg, 19-year-old African-American female presented in 1999. The patient had no significant medical or surgical history. Removal of symptomatic mandibular third molars was recommended. The patient was apprehensive regarding the extractions and requested sedation for the extraction of teeth nos. 1, 16, 17, and 32. The following week, the patient presented with her [...]
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