Introduction Postoperative paraplegia including paraparesis is a devastating complication after descending thoracic aortic aneurysm (DTAA) and thoracoabdominal aortic aneurysm (TAAA) repair surgery. This lecture will be focused on the pathophysiological mechanisms for the development of postoperative paraplegia, the strategies to prevent the development of postoperative paraplegia, and anesthet...

This article reviews (a) risk factors and preoperative considerations of the patient with tracheoesophageal fistula, (b) anesthetic management, including (i) airway management, (ii) induction of anesthesia and monitoring and (iii) postoperative disposition, (c) considerations for concomitant congenital heart disease, (d) considerations for thoracoscopic repair and (e) long-term outcomes and con...

Although there are intrinsic limitations in the analysis of closed malpractice claims, the Closed Claims Project has identified important anesthetic complications and mechanisms of injury and stimulated research in problem areas. The decrease in severity of injury in anesthesia malpractice claims suggests that anesthesia safety has improved since the establishment of monitoring standards using ...

BACKGROUND Fast track recovery is a care process goal after cardiac surgery. Intraoperative anesthetic depth may impact recovery, but the impact of brain monitoring on time to extubation and intensive care unit (ICU) length of stay after cardiac surgery has not been extensively studied. Our goal was to determine if BIS-guided anesthesia improves time to extubation compared to MAC-guided anesthe...

1 Background: Fast track recovery is a care process goal after cardiac surgery. Intraoperative anesthetic 2 depth may impact recovery, but the impact of brain monitoring on time to extubation and ICU length of 3 stay after cardiac surgery has not been extensively studied. Our goal was to determine if BIS-guided 4 anesthesia improves time to extubation compared to MAC-guided anesthesia in a card...

OBJECTIVE To compare the cost of ambulatory blood pressure monitoring (ABPM) with the putative savings made through treatment avoided by identification and non-treatment of those with "white coat" hypertension. DESIGN A cost analysis based on a model of four alternative strategies (no ABPM, yearly, two-yearly, or three-yearly monitoring) over a seven-year period applied to a case series from ...

background: severe abdominal pain is not common after laparoscopic surgeries, but acute or chronic pain after operation is considerable in some patients. post-operative pain control after laparoscopic surgeries, is conventionally achieved using analgesics such as non-steroidal anti-inflammatory drugs (nsaids) and narcotics, but their administration has a lot of side effects. this study compares...

A noteworthy endpoint of general anesthesia is the loss of memory. However, a ghastly difficulty of narcosis is the anesthesia awareness, a rare condition that happens when surgical patients can review their surroundings or an occasion identified with their surgery while they are under general anesthesia. Amid general anesthesia, the amnesia is, for the most part, accomplished with general anes...

introduction: although patients do not experience sever pain after laparoscopic surgery, most of them experience acute or chronic pain afterward. while conventional pain killers including nsaid and narcotics in laparoscopic surgery have specific side effects, their application is inevitable. this study compares the efficacy of local anesthetic drugs and conventional pain killers in post-operati...