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Issues

Volume 83, Issue 6
December 1995
Issue Cover
All Issues

Editorial

Meaningful Cost Reduction: Penny Wise, Pound Foolish
Fredrick K. Orkin, MD, MBA
Anesthesiology December 1995, Vol. 83, 1135–1137. https://doi.org/10.1097/00000542-199512000-00001
View Articletitled, Meaningful Cost Reduction: Penny Wise, Pound Foolish
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Clinical Investigation

Where Are the Costs in Perioperative Care?: Analysis of Hospital Costs and Charges for Inpatient Surgical Care
Alex Macario, MD, MBA; Terry S. Vitez, MD; Brian Dunn, BA; Tom McDonald, MD
Anesthesiology December 1995, Vol. 83, 1138–1144. https://doi.org/10.1097/00000542-199512000-00002
View Articletitled, Where Are the Costs in Perioperative Care?: Analysis of Hospital Costs and Charges for Inpatient Surgical Care
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Nitroprusside Inhibition of Platelet Function Is Transient and Reversible by Catecholamine Priming
Stephen N. Harris, MD; Christine S. Rinder, MD; Henry M. Rinder, MD; Jayne B. Tracey, BA; Brian R. Smith, MD; Roberta Hines, MD
Anesthesiology December 1995, Vol. 83, 1145–1152. https://doi.org/10.1097/00000542-199512000-00003
View Articletitled, Nitroprusside Inhibition of Platelet Function Is Transient and Reversible by Catecholamine Priming
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Inhaled Nitric Oxide Reduces Pulmonary Transvascular Albumin Flux in Patients with Acute Lung Injury
A. Benzing, MD; P. Brautigam, MD; K. Geiger, MD; T. Loop, MD; U. Beyer, MD; E. Moser, MD, PhD
Anesthesiology December 1995, Vol. 83, 1153–1161. https://doi.org/10.1097/00000542-199512000-00004
View Articletitled, Inhaled Nitric Oxide Reduces Pulmonary Transvascular Albumin Flux in Patients with Acute Lung Injury
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Shivering Threshold during Spinal Anesthesia Is Reduced in Elderly Patients
Nicolas Vassilieff, MD; Nadia Rosencher, MD; Daniel I. Sessler, MD; Christian Conseiller, MD
Anesthesiology December 1995, Vol. 83, 1162–1166. https://doi.org/10.1097/00000542-199512000-00005
View Articletitled, Shivering Threshold during Spinal Anesthesia Is Reduced in Elderly Patients
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Effects of Storage Time on Quantitative and Qualitative Platelet Function after Transfusion
Brian A. Rosenfeld, MD; Barbara Herfel, BS; Nauder Faraday, MD; Alice Fuller, PAC; Hayden Braine, MD
Anesthesiology December 1995, Vol. 83, 1167–1172. https://doi.org/10.1097/00000542-199512000-00006
View Articletitled, Effects of Storage Time on Quantitative and Qualitative Platelet Function after Transfusion
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Cardiovascular Stimulation Induced by Rapid Increases in Desflurane Concentration in Humans Results from Activation of Tracheopulmonary and Systemic Receptors
Richard B. Weiskopf, MD; Edmond I. Eger II, MD; Malcolm Daniel, MB, ChB; Mariam Noorani, BA
Anesthesiology December 1995, Vol. 83, 1173–1178. https://doi.org/10.1097/00000542-199512000-00007
View Articletitled, Cardiovascular Stimulation Induced by Rapid Increases in Desflurane Concentration in Humans Results from Activation of Tracheopulmonary and Systemic Receptors
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Premedication with Famotidine Augments Core Hypothermia during General Anesthesia
Munetaka Hirose, MD; Yumi Hara, MD; Masahiko Matsusaki, MD
Anesthesiology December 1995, Vol. 83, 1179–1183. https://doi.org/10.1097/00000542-199512000-00008
View Articletitled, Premedication with Famotidine Augments Core Hypothermia during General Anesthesia
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Visual Display Format Affects the Ability of Anesthesiologists to Detect Acute Physiologic Changes: A Laboratory Study Employing a Clinical Display Simulator
Keerti Gurushanthaiah, BS; Matthew B. Weinger, MD; Carl E. Englund, PhD
Anesthesiology December 1995, Vol. 83, 1184–1193. https://doi.org/10.1097/00000542-199512000-00009
View Articletitled, Visual Display Format Affects the Ability of Anesthesiologists to Detect Acute Physiologic Changes: A Laboratory Study Employing a Clinical Display Simulator
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Linearity of Pharmacokinetics and Model Estimation of Sufentanil
Elisabeth Gepts, MD; Steven L. Shafer, MD; Frederic Camu, MD; Donald R. Stanski, MD; Robert Woestenborghs, MSChE; Achiel Van Peer, PhD; Jos J.P. Heykants, PhD
Anesthesiology December 1995, Vol. 83, 1194–1204. https://doi.org/10.1097/00000542-199512000-00010
View Articletitled, Linearity of Pharmacokinetics and Model Estimation of Sufentanil
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Desflurane Slightly Increases the Sweating Threshold but Produces Marked, Nonlinear Decreases in the Vasoconstriction and Shivering Thresholds
Radhika Annadata, MD; Daniel I. Sessler, MD; Farzin Tayefeh, MD; Andrea Kurz, MD; Martha Dechert, BA
Anesthesiology December 1995, Vol. 83, 1205–1211. https://doi.org/10.1097/00000542-199512000-00011
View Articletitled, Desflurane Slightly Increases the Sweating Threshold but Produces Marked, Nonlinear Decreases in the Vasoconstriction and Shivering Thresholds
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Desflurane Reduces the Gain of Thermoregulatory Arteriovenous Shunt Vasoconstriction in Humans
Andrea Kurz, MD; Junyu Xiong, MD; Daniel I. Sessler, MD; Martha Dechert, BA; Katherine Noyes, BS; Kumar Belani, MD
Anesthesiology December 1995, Vol. 83, 1212–1219. https://doi.org/10.1097/00000542-199512000-00012
View Articletitled, Desflurane Reduces the Gain of Thermoregulatory Arteriovenous Shunt Vasoconstriction in Humans
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Laboratory Investigation

Inhalation Toxicity Study of a Haloalkene Degradant of Sevoflurane, Compound A (PIFE), in Sprague-Dawley Rats
K. A. Keller, PhD; C. Callan, MD; P. Prokocimer, MD; L. Delgado-Herrera, MS, RPh; M. B. Friedman, PhD; G. M. Hoffman, BA; W. L. Wooding, DVM, MS; P. K. Cusick, DVM; R. W. Krasula, PhD
Anesthesiology December 1995, Vol. 83, 1220–1232. https://doi.org/10.1097/00000542-199512000-00013
View Articletitled, Inhalation Toxicity Study of a Haloalkene Degradant of Sevoflurane, Compound A (PIFE), in Sprague-Dawley Rats
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Volatile and Intravenous Anesthetics Decrease Glutamate Release from Cortical Brain Slices during Anoxia
Philip E. Bickler, MD, PhD; Leslie T. Buck, PhD; John R. Feiner, MD
Anesthesiology December 1995, Vol. 83, 1233–1240. https://doi.org/10.1097/00000542-199512000-00014
View Articletitled, Volatile and Intravenous Anesthetics Decrease Glutamate Release from Cortical Brain Slices during Anoxia
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Halothane Modulates Thermosensitive Hypothalamic Neurons in Rat Brain Slices
Neil E. Farber, MD, PhD; Jeffrey E. Schmidt, MD; John P. Kampine, MD, PhD; William T. Schmeling, MD, PhD
Anesthesiology December 1995, Vol. 83, 1241–1253. https://doi.org/10.1097/00000542-199512000-00015
View Articletitled, Halothane Modulates Thermosensitive Hypothalamic Neurons in Rat Brain Slices
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Propofol Reduces Neuronal Transmission Damage and Attenuates the Changes in Calcium, Potassium, and Sodium during Hyperthermic Anoxia in the Rat Hippocampal Slice
Pedro Amorim, MD; Geoffrey Chambers, MS; James Cottrell, MD; Ira S. Kass, PhD
Anesthesiology December 1995, Vol. 83, 1254–1265. https://doi.org/10.1097/00000542-199512000-00016
View Articletitled, Propofol Reduces Neuronal Transmission Damage and Attenuates the Changes in Calcium, Potassium, and Sodium during Hyperthermic Anoxia in the Rat Hippocampal Slice
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Calcium Administration Augments Pancreatic Injury and Ectopic Trypsinogen Activation after Temporary Systemic Hypotension in Rats
Kai Mithofer, MD; Andrew L. Warshaw, MD; Thomas W. Frick, MD; Kent B. Lewandrowski, MD; Greg Koski, MD, PhD; David W. Rattner, MD; Carlos Fernandez-del Castillo, MD
Anesthesiology December 1995, Vol. 83, 1266–1273. https://doi.org/10.1097/00000542-199512000-00017
View Articletitled, Calcium Administration Augments Pancreatic Injury and Ectopic Trypsinogen Activation after Temporary Systemic Hypotension in Rats
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Inhibitory Effects of Thiopental, Ketamine, and Propofol on Voltage-dependent Calcium sup 2+ Channels in Porcine Tracheal Smooth Muscle Cells
Michiaki Yamakage, MD, PhD; Carol A. Hirshman, MD; Thomas L. Croxton, PhD, MD
Anesthesiology December 1995, Vol. 83, 1274–1282. https://doi.org/10.1097/00000542-199512000-00018
View Articletitled, Inhibitory Effects of Thiopental, Ketamine, and Propofol on Voltage-dependent Calcium sup 2+ Channels in Porcine Tracheal Smooth Muscle Cells
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Cerebral Vasoconstriction by Indomethacin in Intracranial Hypertension: An Experimental Investigation in Pigs
F. Nilsson, MD; S. Bjorkman, PhD; I. Rosen, MD, PhD; K. Messeter, MD, PhD; C.-H. Nordstrom, MD, PhD
Anesthesiology December 1995, Vol. 83, 1283–1292. https://doi.org/10.1097/00000542-199512000-00019
View Articletitled, Cerebral Vasoconstriction by Indomethacin in Intracranial Hypertension: An Experimental Investigation in Pigs
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Quaternary Ammonium Derivative of Lidocaine as a Long-acting Local Anesthetic
G. K. Wang, PhD; C. Quan, BS; M. Vladimirov, MD, PhD; W. M. Mok, PhD; J. G. Thalhammer, DrMedVet
Anesthesiology December 1995, Vol. 83, 1293–1301. https://doi.org/10.1097/00000542-199512000-00020
View Articletitled, Quaternary Ammonium Derivative of Lidocaine as a Long-acting Local Anesthetic
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Diaspirin Cross-linked Hemoglobin Does Not Increase Brain Oxygen Consumption during Hypothermic Cardiopulmonary Bypass in Rabbits
Bradley J. Hindman, MD; Franklin Dexter, MD, PhD; Johann Cutkomp, BS; Tom Smith, BS
Anesthesiology December 1995, Vol. 83, 1302–1311. https://doi.org/10.1097/00000542-199512000-00021
View Articletitled, Diaspirin Cross-linked Hemoglobin Does Not Increase Brain Oxygen Consumption during Hypothermic Cardiopulmonary Bypass in Rabbits
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Effect of Propofol on Spinal Dorsal Horn Neurons: Comparison with Lack of Ketamine Effects
Hiroshi Uchida, MD; Kazuhiro Kishikawa, MD; J. G. Collins, PhD
Anesthesiology December 1995, Vol. 83, 1312–1320. https://doi.org/10.1097/00000542-199512000-00022
View Articletitled, Effect of Propofol on Spinal Dorsal Horn Neurons: Comparison with Lack of Ketamine Effects
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Vasomotor Responses of Rat Coronary Arteries to Isoflurane and Halothane Depend on Preexposure Tone and Vessel Size
K. W. Park, MD; H. B. Dai, MD; E. Lowenstein, MD; F. W. Sellke, MD
Anesthesiology December 1995, Vol. 83, 1323–1330. https://doi.org/10.1097/00000542-199512000-00023
View Articletitled, Vasomotor Responses of Rat Coronary Arteries to Isoflurane and Halothane Depend on Preexposure Tone and Vessel Size
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Special Articles

Metaphor and Anesthesia
Audrey Shafer, MD
Anesthesiology December 1995, Vol. 83, 1331–1342. https://doi.org/10.1097/00000542-199512000-00024
View Articletitled, Metaphor and Anesthesia
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Formal Instruction in Difficult Airway Management: A Survey of Anesthesiology Residency Programs
James N. Koppel, MD; Allan P. Reed, MD
Anesthesiology December 1995, Vol. 83, 1343–1346. https://doi.org/10.1097/00000542-199512000-00025
View Articletitled, Formal Instruction in Difficult Airway Management: A Survey of Anesthesiology Residency Programs
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Case Report

Perioperative Hepatic Dysfunction in Two Patients during Elective Aortic Aneurysm Repair
Juraj Sprung, MD, PhD; Pavel Levy, MD; Aldo Tabares, MD; Alexandru Gottlieb, MD
Anesthesiology December 1995, Vol. 83, 1347–1351. https://doi.org/10.1097/00000542-199512000-00026
View Articletitled, Perioperative Hepatic Dysfunction in Two Patients during Elective Aortic Aneurysm Repair
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Disruption of an Infrared Capnograph Monitor by Hand-held Radio Transceivers
Juraj Sprung, MD, PhD; Daniel Siker, MD; Robert Koch, MSCE; Patrick Beaudin, CBMET
Anesthesiology December 1995, Vol. 83, 1352–1354. https://doi.org/10.1097/00000542-199512000-00027
View Articletitled, Disruption of an Infrared Capnograph Monitor by Hand-held Radio Transceivers
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Paraplegia, Epidural Analgesia, and Thoracic Aneurysmectomy
Dermot R. Fitzgibbon, MB, BCh, BAO, FFARCSI; Beth Glosten, MD; Ian Wright, MB, BS, MRCP, FRCA; Raymond Tu, MD; Brian L. Ready, MD, FRCPC
Anesthesiology December 1995, Vol. 83, 1355–1359. https://doi.org/10.1097/00000542-199512000-00028
View Articletitled, Paraplegia, Epidural Analgesia, and Thoracic Aneurysmectomy
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Placement of a Right Atrial Air Aspiration Catheter Guided by Transesophageal Echocardiography
Steven Roth, MD; Solomon Aronson, MD
Anesthesiology December 1995, Vol. 83, 1359–1361. https://doi.org/10.1097/00000542-199512000-00029
View Articletitled, Placement of a Right Atrial Air Aspiration Catheter Guided by Transesophageal Echocardiography
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Suspected Isoflurane Hepatitis in an Obese Patient with a History of Halothane Hepatitis
Naresh T. Gunaratnam, MD; Jay Benson, MD; Jay A. Gandolfi, PhD; Mingli Chen, BS
Anesthesiology December 1995, Vol. 83, 1361–1364. https://doi.org/10.1097/00000542-199512000-00030
View Articletitled, Suspected Isoflurane Hepatitis in an Obese Patient with a History of Halothane Hepatitis
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Spinal Anesthesia in an Infant with Epidermolysis Bullosa
Neil E. Farber, MD, PhD; Todd J. Troshynski, MD; Glenn Turco, DO
Anesthesiology December 1995, Vol. 83, 1364–1367. https://doi.org/10.1097/00000542-199512000-00031
View Articletitled, Spinal Anesthesia in an Infant with Epidermolysis Bullosa
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Correspondence

Unitary Versus Multiple Mechanisms of Anesthesia
Edmond I. Eger II, MD; Donald D. Koblin, PhD, MD
Anesthesiology December 1995, Vol. 83, 1368. https://doi.org/10.1097/00000542-199512000-00032
View Articletitled, Unitary Versus Multiple Mechanisms of Anesthesia
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Orotracheal Intubation with a Nasal Ring-Adair-Elwyn Tube Provides an Unobstructed View in Otolaryngologic Procedures
Won K. Chee, MD
Anesthesiology December 1995, Vol. 83, 1369. https://doi.org/10.1097/00000542-199512000-00034
View Articletitled, Orotracheal Intubation with a Nasal Ring-Adair-Elwyn Tube Provides an Unobstructed View in Otolaryngologic Procedures
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Early French Accounts of Self-inhalation of Ether and Conscious Analgesia
Ray J. Defalque, MD; A. J. Wright, MLS
Anesthesiology December 1995, Vol. 83, 1370–1371. https://doi.org/10.1097/00000542-199512000-00035
View Articletitled, Early French Accounts of Self-inhalation of Ether and Conscious Analgesia
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Test Dose for Prediction of Mivacurium Sensitivity in the Patient with Atypical Plasma Cholinesterase
Anis Baraka, MD, FRCA
Anesthesiology December 1995, Vol. 83, 1371–1372. https://doi.org/10.1097/00000542-199512000-00036
View Articletitled, Test Dose for Prediction of Mivacurium Sensitivity in the Patient with Atypical Plasma Cholinesterase
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Intravenous Alcohol In 1945 and Beyond
Daniel C. Moore, MD
Anesthesiology December 1995, Vol. 83, 1372. https://doi.org/10.1097/00000542-199512000-00037
View Articletitled, Intravenous Alcohol In 1945 and Beyond
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Reliability of Auscultation of Bilateral Breath Sounds in Confirming Endotracheal Tube Position
Kazuna Sugiyama, DDS, PhD; Kozo Yokoyama, DDS, PhD
Anesthesiology December 1995, Vol. 83, 1373. https://doi.org/10.1097/00000542-199512000-00038
View Articletitled, Reliability of Auscultation of Bilateral Breath Sounds in Confirming Endotracheal Tube Position
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Simple Method of Tracking Patients with Difficult or Failed Tracheal Intubation
Robert F. Atkins, MD
Anesthesiology December 1995, Vol. 83, 1373–1375. https://doi.org/10.1097/00000542-199512000-00039
View Articletitled, Simple Method of Tracking Patients with Difficult or Failed Tracheal Intubation
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Simple Transfer of Cryoprecipitate
Barbara J. Roberts, MD; Nilda E. Salaman, MD
Anesthesiology December 1995, Vol. 83, 1376. https://doi.org/10.1097/00000542-199512000-00040
View Articletitled, Simple Transfer of Cryoprecipitate
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Use of Shoulder Restraints during Arm Abduction and Steep Trendelenburg's Position
Randall Goskowicz, MD
Anesthesiology December 1995, Vol. 83, 1377. https://doi.org/10.1097/00000542-199512000-00041
View Articletitled, Use of Shoulder Restraints during Arm Abduction and Steep Trendelenburg's Position
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Volumetric Capnography and Lung Growth in Children: A Simple Model Validated
Andrew D. Farmery, BSc, MB, FRCA
Anesthesiology December 1995, Vol. 83, 1377–1379. https://doi.org/10.1097/00000542-199512000-00042
View Articletitled, Volumetric Capnography and Lung Growth in Children: A Simple Model Validated
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Oral-to-Nasal Endotracheal Tube Exchange in Patients with Bleeding Esophageal Varices
Yoshinori Nakata, MD; Yoshinari Niimi, MD, PhD
Anesthesiology December 1995, Vol. 83, 1380–1381. https://doi.org/10.1097/00000542-199512000-00044
View Articletitled, Oral-to-Nasal Endotracheal Tube Exchange in Patients with Bleeding Esophageal Varices
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Spoons to Assist the Insertion of the Laryngeal Mask Airway
James Y. Kao, PhD, MD
Anesthesiology December 1995, Vol. 83, 1381. https://doi.org/10.1097/00000542-199512000-00045
View Articletitled, Spoons to Assist the Insertion of the Laryngeal Mask Airway
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Myotonias and Masseter Spasm: Not Malignant Hyperthermia?
Gerald A. Gronert, MD
Anesthesiology December 1995, Vol. 83, 1382–1383. https://doi.org/10.1097/00000542-199512000-00046
View Articletitled, Myotonias and Masseter Spasm: Not Malignant Hyperthermia?
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Detection of Carbon Monoxide with Mass Spectroscopy during Anesthesia
Peter H. Breen, MD, FRCPC
Anesthesiology December 1995, Vol. 83, 1383. https://doi.org/10.1097/00000542-199512000-00047
View Articletitled, Detection of Carbon Monoxide with Mass Spectroscopy during Anesthesia
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Binding of Halothane to Serum Albumin: Relevance to Theories of Narcosis
Edmond I. Eger II, MD; Donald D. Koblin, PhD, MD
Anesthesiology December 1995, Vol. 83, 1384–1385. https://doi.org/10.1097/00000542-199512000-00049
View Articletitled, Binding of Halothane to Serum Albumin: Relevance to Theories of Narcosis
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Propofol and Cellular Calcium Homeostasis
Francois Sztark, MD; Francois Ichas, MD; Jean-Pierre Mazat, PhD; Philippe Dabadie, MD
Anesthesiology December 1995, Vol. 83, 1386. https://doi.org/10.1097/00000542-199512000-00051
View Articletitled, Propofol and Cellular Calcium Homeostasis
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Comparison of Estimated Variable Costs Is a Surrogate for Actual Cost Experience
Robert E. Johnstone, MD
Anesthesiology December 1995, Vol. 83, 1387. https://doi.org/10.1097/00000542-199512000-00052
View Articletitled, Comparison of Estimated Variable Costs Is a Surrogate for Actual Cost Experience
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Nitric Oxide in a Premature Infant in the Operating Room
Petronella R. M. Janzen; Mark Darowski, MB, ChB, FRCA
Anesthesiology December 1995, Vol. 83, 1388. https://doi.org/10.1097/00000542-199512000-00054
View Articletitled, Nitric Oxide in a Premature Infant in the Operating Room
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Correspondence: Reply

Unitary Versus Multiple Mechanisms of Anesthesia
Roger A. Johns, MD
Anesthesiology December 1995, Vol. 83, 1368. https://doi.org/10.1097/00000542-199512000-00033
View Articletitled, Unitary Versus Multiple Mechanisms of Anesthesia
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Volumetric Capnography and Lung Growth in Children: A Simple Model Validated
Robert S. Ream, MD; Mark S. Schreiner, MD; Joseph D. Neff, MSE; Karen M. McRae, MD; Abbas F. Jawad, PhD; Peter W. Scherer, MD, PhD; Gordon R. Neufeld, MD
Anesthesiology December 1995, Vol. 83, 1379. https://doi.org/10.1097/00000542-199512000-00043
View Articletitled, Volumetric Capnography and Lung Growth in Children: A Simple Model Validated
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Detection of Carbon Monoxide with Mass Spectroscopy during Anesthesia
Harvey J. Woehlck, MD
Anesthesiology December 1995, Vol. 83, 1383–1384. https://doi.org/10.1097/00000542-199512000-00048
View Articletitled, Detection of Carbon Monoxide with Mass Spectroscopy during Anesthesia
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Binding of Halothane to Serum Albumin: Relevance to Theories of Narcosis
Jonas S. Johansson, MD, PhD; Roderic G. Eckenhoff, MD; Leslie P. Dutton, FRS
Anesthesiology December 1995, Vol. 83, 1385. https://doi.org/10.1097/00000542-199512000-00050
View Articletitled, Binding of Halothane to Serum Albumin: Relevance to Theories of Narcosis
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Comparison of Estimated Variable Costs Is a Surrogate for Actual Cost Experience
Alex Macario, MD, MBA; Pearl Chang, MBA; Dan Stempel, MBA; John Brock-Utne, MD
Anesthesiology December 1995, Vol. 83, 1387. https://doi.org/10.1097/00000542-199512000-00053
View Articletitled, Comparison of Estimated Variable Costs Is a Surrogate for Actual Cost Experience
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Review of Educational Material

CCEL Anesthesia featuring Anesthesia Fourth Edition
Jeffrey B. Gross, MD
Anesthesiology December 1995, Vol. 83, 1389–1390. https://doi.org/10.1097/00000542-199512000-00055
View Articletitled, CCEL Anesthesia featuring Anesthesia Fourth Edition
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The Case Books of Dr. John Snow
Norman A. Bergman, MD
Anesthesiology December 1995, Vol. 83, 1390–1391. https://doi.org/10.1097/00000542-199512000-00056
View Articletitled, The Case Books of Dr. John Snow
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Anesthesia Simulator Consultant
Kenneth T. Gutierrez, MD; Jeffrey B. Gross, MD
Anesthesiology December 1995, Vol. 83, 1391–1392. https://doi.org/10.1097/00000542-199512000-00057
View Articletitled, Anesthesia Simulator Consultant
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Report of a Scientific Meeting

Society for Obstetric Anesthesia and Perinatology
William R. Camann, MD; Curtis L. Baysinger, MD
Anesthesiology December 1995, Vol. 83, 1393–1394. https://doi.org/10.1097/00000542-199512000-00058
View Articletitled, Society for Obstetric Anesthesia and Perinatology
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