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Meyer, S

Raman and Bean, 1999

Step2 Preparation of L-3- cyano -2-hydrooxypropyl trimethylammonium L-3-chloro-2-hydroxypropyl trimethyl ammonium (50g) was added in 250ml three-necked flask, dissolved in H2O (40ml), heated at 30C-70C, sodium cyanide (48g) was dripped, kept at 70C for 4 hours, evaporated under a reduced pressure, freezed below 0C, and dried to giveL-3-cyano -2 - hydroxypropyl trimethyl ammonium (43.8g), yield 92.1 %, m.p

Frustratingly, however, the answer to the question of why it occurs in the first place remains elusive

Conservative or liberal oxygen targets in patients on venoarterial extracorporeal membrane oxygenation