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Ph
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f
et
y
p
r
o
f
i
l
e
[
2
0
]
.
I
n
ad
d
itio
n
to
in
ter
n
atio
n
al
e
v
id
en
ce
,
s
ev
er
al
s
tu
d
ies
co
n
d
u
cted
in
I
n
d
o
n
esian
clin
ical
s
et
tin
g
s
h
av
e
ex
am
in
ed
p
o
s
to
p
er
ativ
e
r
ec
o
v
er
y
f
o
llo
win
g
g
e
n
er
al
an
esth
esia
u
s
in
g
in
h
alatio
n
al
a
g
en
ts
.
An
o
b
s
er
v
atio
n
al
s
tu
d
y
in
an
I
n
d
o
n
esian
h
o
s
p
ital
r
ep
o
r
ted
th
at
v
ar
iatio
n
s
in
s
ev
o
f
lu
r
an
e
ad
m
in
is
tr
atio
n
d
u
r
in
g
g
en
er
a
l
an
esth
esia
wer
e
s
ig
n
if
ican
tly
ass
o
ciate
d
with
d
if
f
er
en
ce
s
i
n
r
ec
o
v
e
r
y
o
f
c
o
n
s
cio
u
s
n
ess
tim
e,
in
d
icatin
g
th
at
an
esth
etic
ex
p
o
s
u
r
e
in
f
lu
en
ce
s
p
o
s
to
p
er
ativ
e
r
ec
o
v
er
y
in
lo
c
al
p
r
ac
tice
[
2
1
]
.
Oth
er
I
n
d
o
n
e
s
ian
clin
ical
s
tu
d
ies
h
av
e
also
d
o
cu
m
e
n
ted
r
ec
o
v
er
y
p
r
o
f
iles
f
o
llo
win
g
i
n
h
al
atio
n
al
an
esth
esia,
em
p
h
asizi
n
g
th
at
a
n
esth
etic
m
an
ag
em
en
t a
n
d
in
s
titu
tio
n
al
p
r
ac
tices m
ay
af
f
ec
t
r
ec
o
v
er
y
o
u
tco
m
es in
d
i
v
er
s
e
p
atien
t p
o
p
u
latio
n
s
[
2
2
]
.
Ho
wev
er
,
p
r
ev
io
u
s
s
tu
d
ies
h
av
e
also
in
d
icate
d
th
at
th
e
cl
in
ical
ad
v
an
ta
g
es
o
f
in
h
alatio
n
al
ag
en
ts
m
ay
v
ar
y
d
ep
e
n
d
in
g
o
n
p
ati
en
t
ch
ar
ac
ter
is
tics
,
an
esth
esia
p
r
o
to
c
o
ls
,
an
d
s
u
r
g
ical
co
n
t
ex
ts
[
2
3
]
,
[
2
4
]
.
I
n
ad
d
itio
n
,
s
ev
o
f
lu
r
a
n
e
h
as
b
e
en
r
ep
o
r
ted
to
p
r
o
v
id
e
f
av
o
r
ab
le
h
em
o
d
y
n
am
ic
s
tab
ilit
y
an
d
lo
wer
air
way
ir
r
itatio
n
in
ce
r
tain
clin
ical
s
ce
n
ar
io
s
[
2
5
]
.
T
h
es
e
f
in
d
i
n
g
s
s
u
g
g
est
th
at
r
ec
o
v
er
y
o
u
tco
m
es
ca
n
n
o
t
b
e
g
en
er
alize
d
ac
r
o
s
s
all
s
u
r
g
ical
an
d
h
ea
lth
ca
r
e
s
ettin
g
s
.
Alth
o
u
g
h
t
h
e
in
ter
n
atio
n
al
liter
atu
r
e
o
n
d
esflu
r
an
e
an
d
s
ev
o
f
lu
r
an
e
is
ex
te
n
s
iv
e,
ev
id
en
c
e
s
p
ec
if
ically
ev
alu
atin
g
p
o
s
to
p
er
ativ
e
r
ec
o
v
er
y
f
o
llo
win
g
M
R
M
with
in
I
n
d
o
n
esian
clin
ic
al
s
ettin
g
s
r
em
ain
s
lim
ited
.
Dif
f
er
en
ce
s
in
i
n
s
titu
tio
n
al
wo
r
k
f
l
o
ws,
p
er
io
p
er
ativ
e
s
er
v
ice
ca
p
ac
ity
,
an
d
s
tan
d
ar
d
ized
a
n
esth
etic
p
r
ac
tices
m
ay
in
f
lu
en
ce
r
ec
o
v
er
y
o
u
tc
o
m
es
an
d
PAC
U
ef
f
icien
cy
.
I
n
t
h
is
co
n
tex
t,
lo
ca
l
d
ata
ar
e
r
eq
u
ir
ed
t
o
s
u
p
p
o
r
t e
v
i
d
en
ce
-
b
ased
s
elec
tio
n
o
f
in
h
alatio
n
al
a
n
esth
etic
ag
en
ts
in
r
o
u
ti
n
e
s
u
r
g
ical
p
r
ac
tice.
T
h
er
ef
o
r
e,
th
is
s
tu
d
y
aim
e
d
t
o
co
m
p
a
r
e
th
e
ef
f
ec
ts
o
f
d
esf
lu
r
an
e
an
d
s
ev
o
f
lu
r
an
e
o
n
p
o
s
to
p
er
ativ
e
r
ec
o
v
er
y
tim
e
in
p
atien
ts
u
n
d
er
g
o
in
g
m
o
d
if
ied
r
ad
ica
l
m
ast
ec
to
m
y
in
an
I
n
d
o
n
esian
h
o
s
p
ital.
R
ec
o
v
er
y
was
ass
es
s
ed
u
s
in
g
th
e
Ald
r
ete
s
c
o
r
in
g
s
y
s
tem
as
a
s
tan
d
ar
d
ized
in
d
icato
r
o
f
r
ea
d
in
ess
f
o
r
PAC
U
d
is
ch
ar
g
e.
T
h
e
f
in
d
in
g
s
o
f
th
is
s
tu
d
y
ar
e
ex
p
ec
ted
to
co
n
tr
ib
u
te
lo
ca
l
clin
i
ca
l
ev
id
en
ce
to
co
m
p
lem
e
n
t
ex
is
tin
g
in
ter
n
atio
n
al
liter
atu
r
e
an
d
s
u
p
p
o
r
t
o
p
tim
iz
atio
n
o
f
a
n
esth
etic
p
r
ac
tice
in
s
im
ilar
h
ea
lth
ca
r
e
s
ettin
g
s
.
2.
M
E
T
H
O
D
2
.
1
.
Study
des
ig
n a
nd
s
et
t
ing
T
h
i
s
r
e
s
ea
r
c
h
e
m
p
l
o
y
e
d
a
c
r
o
s
s
-
s
e
ct
i
o
n
a
l
c
o
m
p
a
r
a
ti
v
e
d
e
s
i
g
n
c
o
n
d
u
c
t
e
d
i
n
t
h
e
o
p
e
r
a
t
i
n
g
t
h
e
a
t
r
e
o
f
a
t
y
p
e
B
m
i
l
i
t
a
r
y
h
o
s
p
i
t
al
i
n
I
n
d
o
n
e
s
i
a
.
T
h
e
s
t
u
d
y
f
o
c
u
s
e
d
o
n
p
a
t
i
e
n
ts
u
n
d
e
r
g
o
i
n
g
e
l
ec
t
i
v
e
M
R
M
u
n
d
e
r
g
e
n
e
r
a
l
a
n
e
s
t
h
es
i
a
.
D
a
t
a
w
e
r
e
o
b
t
ai
n
e
d
f
r
o
m
i
n
t
r
a
o
p
e
r
a
t
i
v
e
an
e
s
t
h
e
ti
c
r
e
c
o
r
d
s
a
n
d
p
o
s
to
p
e
r
a
t
i
v
e
r
e
c
o
v
e
r
y
d
o
c
u
m
e
n
t
a
t
i
o
n
w
i
t
h
i
n
t
h
e
i
n
s
t
i
tu
t
i
o
n
’
s
s
t
a
n
d
a
r
d
i
ze
d
w
o
r
k
f
l
o
w
.
A
l
l
a
n
e
s
t
h
es
i
a
p
r
o
c
e
d
u
r
e
s
w
e
r
e
p
e
r
f
o
r
m
e
d
b
y
t
h
e
s
a
m
e
a
n
es
t
h
es
i
a
s
e
r
v
i
c
e
te
a
m
f
o
l
l
o
w
i
n
g
t
h
e
h
o
s
p
it
a
l
’
s
c
li
n
i
c
a
l
p
r
a
c
t
i
c
e
s
t
a
n
d
a
r
d
s
t
o
m
i
n
i
m
i
ze
v
a
r
i
a
b
i
l
it
y
.
2
.
2
.
Sa
m
ples
T
h
e
i
n
c
l
u
s
i
o
n
c
r
it
e
r
i
a
f
o
r
t
h
is
s
t
u
d
y
w
e
r
e
t
h
at
p
a
ti
e
n
ts
we
r
e
e
l
i
g
i
b
l
e
i
f
t
h
e
y
m
et
t
h
e
f
o
l
l
o
win
g
c
r
i
t
e
r
i
a
,
i
)
F
e
m
a
le
p
a
t
i
e
n
ts
u
n
d
e
r
g
o
i
n
g
e
l
e
c
t
i
v
e
m
o
d
i
f
i
e
d
r
a
d
i
c
al
m
a
s
te
c
t
o
m
y
;
i
i
)
C
l
ass
i
f
i
e
d
as
AS
A
p
h
y
s
i
c
a
l
s
t
a
t
u
s
I
-
I
I
;
i
i
i
)
R
ec
e
i
v
e
d
i
n
h
a
l
a
ti
o
n
m
a
i
n
te
n
a
n
c
e
u
s
i
n
g
e
i
t
h
e
r
d
e
s
f
l
u
r
a
n
e
o
r
s
e
v
o
f
l
u
r
a
n
e
;
i
v
)
A
g
e
d
w
i
t
h
i
n
t
h
e
t
y
p
i
c
a
l
a
d
u
l
t
s
u
r
g
i
c
a
l
p
o
p
u
l
at
i
o
n
(
1
8
-
6
0
y
e
a
r
s
o
l
d
)
;
a
n
d
v
)
H
e
m
o
d
y
n
a
m
i
c
a
l
l
y
s
ta
b
l
e
b
e
f
o
r
e
i
n
d
u
c
t
i
o
n
o
f
a
n
e
s
t
h
e
s
ia
.
T
h
e
e
x
c
l
u
s
i
o
n
c
r
i
t
e
r
ia
w
e
r
e
t
h
a
t
p
a
t
i
e
n
ts
we
r
e
e
x
c
l
u
d
e
d
i
f
t
h
e
y
,
i
)
h
a
d
i
n
c
o
m
p
le
t
e
a
n
e
s
t
h
e
t
i
c
o
r
P
AC
U
r
e
c
o
v
e
r
y
d
o
c
u
m
e
n
t
a
t
i
o
n
,
i
i
)
p
r
es
e
n
t
e
d
w
i
t
h
i
n
t
r
a
o
p
e
r
a
t
i
v
e
c
o
m
p
li
c
a
ti
o
n
s
r
e
q
u
i
r
i
n
g
a
n
es
t
h
e
ti
c
c
h
an
g
e
s
,
i
ii
)
r
e
q
u
i
r
e
d
p
o
s
t
o
p
e
r
a
t
i
v
e
m
e
c
h
a
n
i
c
a
l
v
e
n
til
a
t
i
o
n
,
a
n
d
i
v
)
w
e
r
e
c
o
n
v
e
r
t
e
d
to
o
t
h
e
r
a
n
e
s
t
h
es
i
a
te
c
h
n
i
q
u
e
s
.
2
.
3
.
Sa
m
pli
ng
t
ec
hn
iqu
e
T
h
e
s
t
u
d
y
u
s
e
d
a
c
o
n
s
e
c
u
t
i
v
e
s
a
m
p
l
i
n
g
m
e
t
h
o
d
,
w
h
e
r
e
a
l
l
p
a
t
ie
n
t
s
m
e
e
ti
n
g
t
h
e
i
n
c
l
u
s
i
o
n
c
r
it
er
i
a
d
u
r
i
n
g
t
h
e
s
t
u
d
y
p
e
r
i
o
d
w
e
r
e
e
n
r
o
ll
ed
.
T
h
i
s
a
p
p
r
o
a
c
h
e
n
s
u
r
e
d
t
h
a
t
e
v
e
r
y
e
l
i
g
i
b
l
e
p
at
i
e
n
t
w
h
o
u
n
d
e
r
w
e
n
t
MR
M
a
n
d
r
e
c
e
i
v
e
d
d
e
s
f
l
u
r
a
n
e
o
r
s
e
v
o
f
l
u
r
a
n
e
w
a
s
i
n
c
l
u
d
e
d
wi
t
h
o
u
t
o
m
i
s
s
i
o
n
.
T
h
e
t
o
t
a
l
s
a
m
p
l
e
c
o
n
s
is
t
e
d
o
f
7
6
p
a
t
i
e
n
t
s
,
d
i
v
i
d
e
d
i
n
t
o
g
r
o
u
p
s
a
c
c
o
r
d
i
n
g
to
t
h
e
i
n
h
a
l
a
t
i
o
n
al
a
g
e
n
t
a
d
m
i
n
is
t
e
r
e
d
.
2
.
4
.
Va
ria
bles
T
h
e
i
n
d
e
p
e
n
d
e
n
t
v
a
r
i
a
b
l
e
is
th
e
t
y
p
e
o
f
v
o
l
at
i
l
e
a
n
es
t
h
e
t
ic
u
s
e
d
d
u
r
i
n
g
m
ai
n
t
e
n
a
n
c
e
,
n
a
m
e
l
y
t
h
e
d
e
s
f
l
u
r
a
n
e
g
r
o
u
p
a
n
d
t
h
e
s
e
v
o
f
l
u
r
a
n
e
g
r
o
u
p
.
W
h
i
l
e
t
h
e
d
e
p
en
d
e
n
t
v
a
r
i
a
b
l
e
o
f
t
h
i
s
r
e
s
e
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ctiv
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6
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r
s
(
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Ag
e
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eity
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g
m
id
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ad
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lt
b
o
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n
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r
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ay
in
f
lu
en
ce
th
e
d
y
n
am
ics
o
f
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esth
etic
m
etab
o
lis
m
,
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u
t
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n
th
is
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tu
d
y
,
t
h
e
d
is
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tio
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s
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ilar
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h
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r
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p
s
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eq
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iv
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t 5
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th
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s
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t c
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s
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h
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l
s
t
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t
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s
(
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%
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i
n
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r
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er
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d
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l
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T
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n
h
a
l
a
t
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g
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ts
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es
p
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ia
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l
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e
c
a
u
s
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p
r
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t
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h
a
v
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o
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n
t
h
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t
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f
l
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r
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h
as
a
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r
b
l
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-
g
as
s
o
l
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b
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l
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o
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f
f
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t
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n
d
t
h
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s
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c
c
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l
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as
h
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o
m
p
a
r
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d
t
o
s
e
v
o
f
l
u
r
a
n
e
[
2
6
]
.
T
h
e
d
i
f
f
e
r
e
n
c
es
in
r
e
c
o
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m
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d
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a
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n
T
a
b
l
e
2
.
T
h
e
an
aly
s
is
s
h
o
ws
th
at
th
e
r
e
is
a
s
ig
n
if
ican
t
d
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T
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p
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r
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d
o
m
in
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t
in
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r
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p
(
9
7
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%)
co
m
p
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to
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ev
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7
8
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9
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wh
ile
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p
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C
alcu
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8
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C
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tive
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f d
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(
Mu
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R
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li
)
521
co
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f
id
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in
te
r
v
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m
0
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0
6
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0
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3
9
.
T
h
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lts
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to
th
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v
ar
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in
r
ec
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f
in
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ar
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co
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with
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m
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g
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tim
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th
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lu
r
a
n
e
in
v
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io
u
s
ty
p
es
o
f
s
u
r
g
ical
p
r
o
ce
d
u
r
es.
Nelso
n
et
a
l
.
[
1
5
]
s
tu
d
y
r
ep
o
r
ted
th
at
d
esflu
r
an
e
s
ig
n
if
ican
tl
y
ac
ce
ler
ated
awa
k
en
in
g
tim
e,
r
ec
o
v
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y
o
f
a
ir
way
r
ef
lex
es,
an
d
r
ea
d
in
ess
f
o
r
d
is
ch
ar
g
e
in
lap
ar
o
s
co
p
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p
atien
ts
co
m
p
a
r
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to
s
ev
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f
l
u
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An
o
th
er
r
ec
en
t
s
tu
d
y
b
y
Ver
m
a
et
a
l
.
[
2
7
]
an
d
T
asch
n
er
et
a
l.
[
1
7
]
also
s
h
o
wed
a
s
im
ilar
p
atter
n
,
wh
e
r
e
d
esflu
r
an
e
c
o
n
s
is
ten
tly
p
r
o
v
id
e
d
a
b
etter
ea
r
ly
r
ec
o
v
e
r
y
p
r
o
f
ile
with
o
u
t
an
in
c
r
ea
s
ed
in
cid
en
ce
o
f
s
id
e
ef
f
ec
ts
.
E
v
en
a
r
e
ce
n
t
m
eta
-
an
aly
s
is
b
y
Har
iy
an
to
et
a
l.
[
2
8
]
in
a
n
eu
r
o
s
u
r
g
ical
p
o
p
u
l
atio
n
co
n
f
ir
m
ed
th
e
s
u
p
er
io
r
i
ty
o
f
d
esflu
r
an
e
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s
p
ee
d
o
f
elim
in
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an
d
s
tab
ilit
y
o
f
r
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v
er
y
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r
o
f
ile
co
m
p
a
r
ed
to
s
ev
o
f
l
u
r
an
e.
T
h
is
d
if
f
er
en
ce
ca
n
b
e
u
n
d
e
r
s
to
o
d
th
r
o
u
g
h
th
e
p
h
ar
m
ac
o
k
in
etic
m
ec
h
an
is
m
s
o
f
b
o
t
h
in
h
al
ed
ag
en
ts
.
Desf
lu
r
an
e
h
as
a
v
er
y
lo
w
b
l
o
o
d
–
g
as
p
ar
titi
o
n
c
o
ef
f
icien
t,
s
o
ab
s
o
r
p
tio
n
a
n
d
elim
in
atio
n
o
f
an
esth
etics
in
th
e
alv
eo
li
is
r
ap
id
[
2
9
]
,
[
3
0
]
.
T
h
e
d
ec
r
ea
s
e
in
alv
eo
la
r
co
n
ce
n
tr
atio
n
af
ter
ce
s
s
atio
n
o
f
an
es
th
e
s
ia
o
cc
u
r
s
m
o
r
e
r
ap
id
ly
,
esp
ec
ially
wh
en
f
r
esh
g
as
f
lo
w
is
in
c
r
ea
s
ed
,
r
esu
ltin
g
in
a
s
h
o
r
ter
em
er
g
en
ce
p
h
ase
[
3
1
]
.
Me
an
w
h
ile,
s
ev
o
f
lu
r
an
e,
with
a
h
ig
h
e
r
s
o
l
u
b
ilit
y
co
ef
f
icien
t,
ex
p
er
ien
ce
s
a
s
lo
wer
wash
-
o
u
t
p
r
o
ce
s
s
,
th
er
eb
y
ex
ten
d
i
n
g
th
e
r
ec
o
v
er
y
tim
e
[
3
2
]
.
I
n
th
i
s
s
tu
d
y
,
all
p
atie
n
ts
r
ec
eiv
ed
an
an
esth
etic
p
r
o
to
co
l
th
at
w
as
h
o
m
o
g
en
eo
u
s
in
ter
m
s
o
f
in
d
u
ctio
n
ag
en
ts
,
m
ai
n
ten
an
ce
,
an
al
g
esia,
an
d
u
s
e
o
f
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way
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s
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th
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s
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ed
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e
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en
ce
s
in
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ec
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v
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tim
e
ca
n
b
e
attr
ib
u
ted
m
o
r
e
d
ir
ec
tly
to
th
e
p
h
a
r
m
ac
o
k
in
etic
ch
ar
ac
ter
is
tics
o
f
th
e
in
h
alatio
n
ag
en
t
th
an
to
o
t
h
er
ex
ter
n
al
f
ac
to
r
s
.
Ap
ar
t
f
r
o
m
p
h
ar
m
a
co
lo
g
ical
asp
ec
ts
,
th
ese
f
in
d
in
g
s
als
o
h
a
v
e
im
p
o
r
tan
t
im
p
licatio
n
s
in
th
e
m
an
ag
em
en
t
asp
ec
t
o
f
an
esth
esia
s
er
v
ices,
esp
ec
ially
in
h
o
s
p
ital
en
v
ir
o
n
m
en
ts
wi
th
h
ig
h
s
u
r
g
ical
v
o
lu
m
es.
T
h
e
s
elec
tio
n
o
f
in
h
alatio
n
a
g
en
ts
with
r
a
p
id
o
n
s
et
a
n
d
r
e
co
v
er
y
ca
n
im
p
r
o
v
e
th
e
e
f
f
ic
ien
cy
o
f
o
p
er
atin
g
r
o
o
m
a
n
d
r
ec
o
v
e
r
y
r
o
o
m
tu
r
n
o
v
er
,
w
h
ich
is
r
elev
a
n
t
f
o
r
f
a
cilities
with
lim
ited
r
eso
u
r
ce
s
.
T
h
e
r
esu
lts
o
f
th
is
s
tu
d
y
s
p
ec
if
ica
lly
ad
d
to
lo
ca
l
ev
id
en
ce
f
r
o
m
I
n
d
o
n
esia r
eg
ar
d
in
g
th
e
im
p
ac
t o
f
in
h
alatio
n
a
g
en
t c
h
o
ice
o
n
th
e
ef
f
icien
cy
o
f
s
u
r
g
ical
ca
r
e
,
wh
ich
was p
r
ev
io
u
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ly
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o
e
n
M
a
l
a
n
g
.
H
e
c
a
n
b
e
c
o
n
tac
ted
a
t
e
m
a
il
:
r
o
d
li
@itsk
-
s
o
e
p
ra
o
e
n
.
a
c
.
id
.
S
u
r
y
a
n
to
is
a
lec
tu
re
r
a
t
ITS
K
RS
d
r
S
o
e
p
ra
o
e
n
.
He
is
a
c
ti
v
e
ly
in
v
o
lv
e
d
in
re
se
a
rc
h
a
c
ti
v
it
ies
in
t
h
e
h
e
a
lt
h
se
c
to
r
with
a
f
o
c
u
s
o
n
d
e
v
e
lo
p
in
g
e
v
i
d
e
n
c
e
-
b
a
se
d
h
e
a
lt
h
sc
ien
c
e
a
n
d
p
ra
c
ti
c
e
.
His
c
o
n
tri
b
u
ti
o
n
is
re
a
li
z
e
d
t
h
ro
u
g
h
re
se
a
rc
h
a
n
d
sc
ie
n
ti
fic
p
u
b
li
c
a
ti
o
n
s
th
a
t
su
p
p
o
r
t
imp
ro
v
i
n
g
th
e
q
u
a
li
ty
o
f
h
e
a
l
th
se
rv
ice
s
a
n
d
e
d
u
c
a
ti
o
n
.
He
c
a
n
b
e
c
o
n
tac
ted
a
t
e
m
a
il
:
su
ry
a
n
t
o
@itsk
-
s
o
e
p
ra
o
e
n
.
a
c
.
i
d.
Re
k
o
Priy
o
n
g
g
o
is
a
lec
tu
re
r
a
t
ITS
K
RS
d
r
S
o
e
p
ra
o
e
n
.
He
i
s
a
c
ti
v
e
ly
i
n
v
o
lv
e
d
in
re
se
a
rc
h
a
c
ti
v
it
ies
in
t
h
e
h
e
a
lt
h
s
e
c
to
r
with
a
fo
c
u
s
o
n
d
e
v
e
lo
p
in
g
e
v
i
d
e
n
c
e
-
b
a
se
d
h
e
a
lt
h
sc
ien
c
e
a
n
d
p
ra
c
ti
c
e
.
His
c
o
n
tri
b
u
ti
o
n
is
re
a
li
z
e
d
th
ro
u
g
h
re
se
a
rc
h
a
n
d
sc
ien
ti
fic
p
u
b
li
c
a
ti
o
n
s
th
a
t
su
p
p
o
r
t
imp
ro
v
i
n
g
th
e
q
u
a
li
ty
o
f
h
e
a
lt
h
se
rv
ice
s
a
n
d
e
d
u
c
a
ti
o
n
.
He
c
a
n
b
e
c
o
n
tac
ted
a
t
e
m
a
il
:
re
k
o
@itsk
-
so
e
p
ra
o
e
n
.
a
c
.
i
d
.
S
in
d
u
S
in
t
a
r
a
is
a
sp
e
c
ialist
in
a
n
e
sth
e
sio
l
o
g
y
a
n
d
in
te
n
siv
e
t
h
e
ra
p
y
wh
o
g
ra
d
u
a
ted
fro
m
Bra
wijay
a
Un
iv
e
rsit
y
.
He
h
a
s
e
x
p
e
rien
c
e
a
s
a
n
a
n
e
sth
e
s
io
lo
g
ist
i
n
v
a
rio
u
s
h
o
s
p
it
a
ls
i
n
In
d
o
n
e
sia
a
n
d
c
u
rre
n
tl
y
w
o
rk
s
a
t
RS
U
P
in
d
a
d
Tu
re
n
a
n
d
RS
AU
d
r
.
M
.
M
u
n
ir
A
b
d
S
a
leh
Air
Ba
se
,
M
a
lan
g
Re
g
e
n
c
y
.
A
p
a
rt
fro
m
c
li
n
ica
l
p
ra
c
ti
c
e
,
h
e
a
c
ti
v
e
ly
p
a
rt
icip
a
tes
in
sc
ien
ti
fic
a
c
ti
v
it
ies
,
re
se
a
rc
h
,
a
n
d
c
o
m
p
e
ten
c
y
d
e
v
e
l
o
p
m
e
n
t
in
t
h
e
fiel
d
s
o
f
a
n
e
st
h
e
sia
,
in
te
n
siv
e
c
a
re
,
a
n
d
p
a
ti
e
n
t
sa
fe
ty
.
H
e
c
a
n
b
e
c
o
n
tac
ted
a
t
e
m
a
il
:
sin
d
u
@itsk
-
s
o
e
p
ra
o
e
n
.
a
c
.
id
.
Ann
e
s Rin
d
y
Per
m
a
n
a
is a l
e
c
tu
re
r
a
t
ITS
K RS
d
r
S
o
e
p
ra
o
e
n
.
He
is ac
ti
v
e
ly
in
v
o
lv
e
d
in
re
se
a
rc
h
a
c
ti
v
it
ies
in
th
e
h
e
a
lt
h
se
c
to
r
wit
h
a
f
o
c
u
s
o
n
d
e
v
e
lo
p
in
g
e
v
i
d
e
n
c
e
-
b
a
se
d
h
e
a
lt
h
sc
ien
c
e
a
n
d
p
ra
c
ti
c
e
.
His
c
o
n
tri
b
u
ti
o
n
is
re
a
li
z
e
d
th
ro
u
g
h
re
se
a
rc
h
a
n
d
sc
ien
ti
fic
p
u
b
li
c
a
ti
o
n
s
th
a
t
su
p
p
o
r
t
imp
ro
v
i
n
g
t
h
e
q
u
a
li
ty
o
f
h
e
a
lt
h
se
rv
ice
s
a
n
d
e
d
u
c
a
ti
o
n
.
S
h
e
c
a
n
b
e
c
o
n
tac
ted
a
t
e
m
a
il
:
a
n
n
e
s@
it
sk
-
so
e
p
ra
o
e
n
.
a
c
.
i
d
.
Wid
ig
d
o
Re
k
so
Ne
g
o
r
o
i
s
a
lec
tu
re
r,
a
n
e
sth
e
sia
p
ra
c
ti
ti
o
n
e
r,
a
n
d
h
e
a
lt
h
law
p
ra
c
ti
ti
o
n
e
r.
He
is
a
p
e
rm
a
n
e
n
t
lec
tu
re
r
a
n
d
S
e
c
re
tary
o
f
th
e
Un
d
e
rg
ra
d
u
a
te
Ap
p
li
e
d
An
e
sth
e
sio
lo
g
y
Nu
rsi
n
g
S
t
u
d
y
P
ro
g
ra
m
a
t
ITS
K
Dr.
H
o
sp
it
a
l
.
S
o
e
p
ra
o
e
n
Ke
sd
a
m
V/BR
W
M
a
lan
g
,
a
n
d
a
c
ti
v
e
a
s
a
n
a
n
e
sth
e
ti
s
t
a
t
RS
U
M
i
tra
De
li
m
a
M
a
lan
g
.
Ad
d
it
i
o
n
a
ll
y
,
h
e
is
a
S
u
p
re
m
e
Co
u
rt
-
c
e
rti
fied
m
e
d
iato
r
a
n
d
is
i
n
v
o
lv
e
d
i
n
v
a
rio
u
s
e
t
h
ics
a
n
d
le
g
a
l
c
o
m
m
it
tee
s.
H
is
e
d
u
c
a
ti
o
n
a
l
b
a
c
k
g
ro
u
n
d
i
n
c
lu
d
e
s
a
n
e
sth
e
sio
l
o
g
y
n
u
rsi
n
g
,
law
,
a
n
d
p
u
b
li
c
h
e
a
lt
h
,
a
n
d
h
e
is
c
u
rre
n
tl
y
p
u
rsu
i
n
g
a
d
o
c
to
ra
l
p
r
o
g
ra
m
i
n
P
u
b
li
c
He
a
lt
h
.
He
is
a
lso
a
c
ti
v
e
in
re
se
a
rc
h
a
n
d
c
o
m
m
u
n
it
y
se
rv
ice
a
c
ti
v
it
ies
.
H
e
c
a
n
b
e
c
o
n
tac
ted
a
t
e
m
a
il
:
wi
d
ig
d
o
.
wrn
@i
ts
k
-
so
e
p
ra
o
e
n
.
a
c
.
id
.
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