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Workup as suggestedfor the first tier by Herskovitz et al.
Preoxygenation and mechanical ventilation, insuf? cient exhalationpretreatment with atropine may reduce the risk of times may further worsen this dynamicbradycardia.
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Alternatively, sudden changes inthe intraoperative respiratory status of the patientmay mandate the intraoperative switch to an ICUventilator. At follow-up 34 months after surgery, he remains infection free with excellentlimb function (Fig.
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