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Tattan-Birch et al

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Lung development continues through adolescence, and smoking during this period has been linked to reduced lung function and increased COPD risk later in life

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This stability is due to etomidates minimal effect on sympathetic tone and its ability to preserve autonomic reflexes, including the baroreflex ( Additionally, the discovery of adrenal toxicity has limited the widespread clinical use of etomidate, and it is currently only used for induction of transient anesthesia in hemodynamically unstable patients