488 hand surgeries with local anesthesia with epinephrine, without a tourniquet, without sedation, and without an anesthesiologist

Achieving the optimal epinephrine effect in wide awake hand surgery using local anesthesia without a tourniquet.

BACKGROUND In our experience, for all surgeries in the hand, the optimal epinephrine effect from local anesthesia-producing maximal vasoconstriction and visualization-is achieved by waiting significantly longer than the traditionally quoted 7 min from the time of injection. METHODS In this prospective comparative study, healthy patients undergoing unilateral carpal tunnel surgery waited eithe...

Anesthesia and Sedation in Chough (Pyrrhocorax pyrrhocorax) Following Intranasal Administration of Diazepam, Midazolam, Xylazine with or without Ketamine: Clinical Evaluation

Objective- This study aimed to compare sedation efficacy in intranasal administration of xylazine, diazepam and midazolam with or without ketamine in Chough. Design- To determine the sedation efficacy, an experimental in vivo study was employed. Animals- Seven healthy Choughs were examined in the current study. Procedu...

An anesthesiologist in Liberia: my experience with Doctors Without Borders.

Perioperative Management of Rhinoplasty without Epinephrine

In the last years, number of rhinoplasty operations is ever increasing, but what can be done when there is a contraindication to use a vasoconstrictor?2 In our case, we presented our perioperative management of a female patient, epinephrine intolerant, who was arranged for rhinoplasty.

Meckel’s Scan for patient groups with and without gastrointestinal bleeding: A 15 years local review

Introduction: To retrospectively analyze the outcome of patients who underwent Meckel’s scan in a local centre in Hong Kong over the past fifteen years. Diagnostic values in different referring indications were also reviewed. Methods: All patients who referred for Meckel’s scan in a local hospital in Hong Kong from 1/1/1996 to 31/12/2010 were identified. Patients’ demographic data, presenting ...