Endocrine anesthesia: A rapidly evolving anesthesia specialty

Endocrine anesthesia: A rapidly evolving anesthesia specialty

Anesthesia for endocrine surgery is different from that for routine procedures. Peri-operative neurotransmitter and hormonal secretion occurring with a deranged endocrinal milieu in the background can be highly variable and unpredictable. This may have a direct impact on the morbidity and mortality. In both non-endocrine and endocrine surgery, the role of pituitary, thyroid, parathyroid, pancre...

Airway reflexes return more rapidly after desflurane anesthesia than after sevoflurane anesthesia.

Patients given a more soluble inhaled anesthetic usually take longer to awaken from anesthesia than do patients given a less soluble anesthetic. In the present study, we tested whether such a delay in awakening was also associated with a delay in restoration of protective airway reflexes. Patients were randomly assigned to receive desflurane (n = 31) or sevoflurane (n = 33) via a laryngeal mask...

Purr-fect Feline Anesthesia Anesthesia

Anesthetizing felines can pose unique challenges for the veterinary technician. In addition to the fact that cats can be difficult to monitor under anesthesia, their small size, interesting metabolism, variable temperament, and propensity toward particular health ailments can also prove problematic. Advanced preparation, skills, and knowledge will allow astute technicians to anticipate patient ...

Anesthesia.

Local Anesthesia With Monitored Anesthesia Care vs General Anesthesia in Thyroidectomy: A Randomized Study.

BACKGROUND Early in the 20th century, thyroid surgery was performed using local anesthetic techniques. When general anesthesia became safer, surgeons started performing thyroidectomy exclusively under general anesthesia. However, recent descriptions of thyroidectomy under local anesthesia claim similar results to thyroidectomy under general anesthesia. Surgery conducted under local anesthesia c...