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Anaeslhesia for Medical Students References: Wamer MA, Offord KP, Wamer ME et al. Role of preoperative cessation of smoking and other factors in postoperative pulmonary complications: a blinded prospective study of coronary artery bypass patients. Mayo Clin Proc 64:609, 1989 Pierce AC, Jones RM: Smoking and anesthesia: preoperative abstinence and perioperative mortality. Anesthesiology 6 1576, 1984 Mallampati SR, Gatt SP, Gugino LD,et al: A clinical sign to predict difficult tracheal intubation: A prospective study.

Opioid 1 hour preop. Occasional side effects include decreased HR,BP, RR, nausea, biliary spasm and allergic reactions. Better sedative than meperidine. Meperidine* (Demerol) Opioid 1 hour preop. Similar side effects as morphine. Perhaps more nausea, and less biliary spasm. 6 mg im. Anticholinergic 1 hour preop. Fair drying agent, often significant tachycardia (HR > 100). Avoid in patients with CAD. Hyoscine (Scopolamine) Anticholinergic 1hour preop. Excellent drying agent, confusion in elderly, occas.

Marx GF, Mateo CV, Orkin LR: Computer analysis of post anaesthetic deaths. Anesthesiology 3954, 1973. Cohen MM, Duncan PG, Pope WDB, et al: A survey of 112,000 anaesthetics at one teaching hospital (1975-83). Can J Anaesth 33:22, 1986. Forrest JB, et al: Multicenter study of general anesthesia. 11. Results. Anesthesiology 72262, 1990. Goldman L, Caldera DL, Nussbaum SR, et al: Multi-factoria1 index of cardiac risk in non cardiac surgical procedures. N Engl J Med 297:845, 1977. - , , ' , , ' , Chapter 3 Preoperative Assessmenf 19.

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