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The oral bite block (OBB) was designed to replace the function of upper airway reflexes. We investigated whether the use of OBB affects pulmonary function of patients. Sixty-eight patients (32 OBB group and 36 nasotracheal intubation group) scheduled to receive surgery with general anesthesia were enrolled. Blood pressure, heart rate, nasotracheal oxygen saturation and arterial blood gas were measured in the patients in the operation room. Pulmonary function tests were performed preoperatively. After induction of general anesthesia, pulmonary function tests were also performed. Blood pressure and heart rate were similar between the two groups, but nasotracheal oxygen saturation was lower in OBB group than in nasotracheal intubation group. The patients in the OBB group showed significantly lower percent of tidal volume and higher end tidal carbon dioxide tension (PETCO2) than those in nasotracheal intubation group. No differences were found between the two groups in pulmonary function tests. Our results suggest that OBB increases PETCO2 and could be associated with decrease of ventilation.
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I love going out for dinner. There is something about sitting down with people you really like, where it is your choice as to how you are going to spend your time, what you are going to eat and where you are going to eat it that is so great. I love restaurants in general and I particularly like to go Indian at home. I grew up in a mainly vegetarian household and although we always cooked vegetarian food, we loved all kinds of Indian food; all the curries, breads, porot, naans, bhajis and other spicy rice dishes.
All of us got on well and when I was growing up, my parents had quite a few Indian friends so we got to go to a lot of Indian restaurants and each one was different from the last. My dad was extremely adventurous when it came to Indian food and he was always keen to try out new restaurants which was why, growing up, he was never short of a good meal. He was always travelling and never at home and even in the days when I was growing up, we only had one holiday a year which was in India, so we all ate a lot of Indian food there and I remember it being the best food we had ever eaten.
As well as being very adventurous, my dad was also very open-minded when it came to what he ate and we all loved to experiment with new dishes and different flavours. He wasn’t afraid to try out other food too so we ate loads of Japanese, Greek, Chinese and Thai food but the most unusual was the time he tried Indian restaurant.
As far as I can remember, we didn’t find it any harder than eating European food and the food was great and I love Indian food now but it took some time for us to figure out what a ‘real’ Indian restaurant was like. I remember the first time I went out with my sister-in-law and she came home and asked ‘how do you feel after eating that’, I couldn’t believe it. I didn’t expect her to ask me that. I always like to know what other people think of the meals I put in front of them but this was such a huge statement and I loved it. We all loved it.