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zip is a relaxed fit, cut slightly below the waist with an extra wide, boxy cut. The Pant fits at the waist with a roomy front and back.Reducing orotracheal intubation after head and neck surgery: a randomized trial of dexmedetomidine. Postoperative oral intake is often delayed because of the presence of a tracheotomy tube. Previous studies have indicated that the administration of dexmedetomidine can reduce the incidence of tracheal intubation and improve the quality of recovery. This randomized, double-blind study was designed to determine whether the use of dexmedetomidine in head and neck surgery can decrease the incidence of tracheal intubation and the duration of its use in a high-risk patient population. Fifty-two patients undergoing head and neck surgery who were anticipated to require tracheal intubation were randomized to receive either 1 μg/kg intravenous dexmedetomidine (n = 27) or placebo (n = 25) before induction of anesthesia. The incidence of postoperative tracheal intubation and the amount of time the patients remained intubated were recorded. The use of dexmedetomidine before induction was associated with a significantly lower incidence of postoperative tracheal intubation (25 vs. 60 percent, respectively; p = 0.01) and a lower incidence of postoperative tracheal intubation requiring surgical repair (6 vs. 30 percent, respectively; p = 0.01). The use of dexmedetomidine also significantly decreased the mean duration of postoperative tracheal intubation (3.9 vs. 5.6 hours, respectively; p = 0.02). In the subset of patients who underwent neck dissection, the use of dexmedetomidine was associated with a significant decrease in the incidence of postoperative tracheal intubation (7 vs. 26 percent; p = 0.01) and postoperative tracheal intubation requiring surgical repair (0 vs. 8 percent; p = 0.04). In head and neck surgery, the use of dexmedetomidine before induction of anesthesia is associated with a decreased incidence of postoperative tracheal intubation and decreased time to oral intake.Anti-Human leukocyte antigen antibodies and graft rejection in heart transplant recipients. Alloantibody-mediated rejection is a major cause of failure of heart transplants. Human leukocyte antigen (HL

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