PURPOSE During emergence from anesthesia for a craniotomy, maintenance of hemodynamic stability and prompt evaluation of neurological status is mandatory. The aim of this prospective, randomized, double-blind study was to compare the effects of dexmedetomidine and remifentanil on airway reflex and hemodynamic change in patients undergoing craniotomy. MATERIALS AND METHODS Seventy-four patient...

Recent trends of splenic injury management in the 21st century emphasizes nonoperative treatment in children and adults. The clinician must base his treatment on clinical criteria on hemodynamic stability and associated injuries. The risk of overwhelming post-splenectomy sepsis is very low and should not influence the decision to operate, if the clinical condition demands it.

This manuscript describes 14 cases of thoracic spinal anaesthesia for patients with certain such as laparoscopic surgeries and other upper abdominal surgeries. Although routinely not used, has been demonstrated a safe effective method various The procedure shown beneficial in maintaining hemodynamic stability these reducing side effects encountered general anaesthesia. study the segmental expla...

background: selection of the best sedative regimen during pediatric endoscopy with greater stability in hemodynamic parameters and fewer side effects is very important. the aim of this study was to compare the clinical efficacy and safety of propofol – ketamine versus propofol – fentanyl in pediatric undergoing diagnostic upper gastrointestinal endoscopy (ugie). methods: in this clinical trial,...

background: although a variety of methods have been suggested to reduce stress, anxiety and pain intensity due to spinal needle skin puncture, their adverse effects restrict theirs widespread administration. in this study we evaluated the effects of oral tizanidine on the reduction of pain caused by spinal needle puncture and hemodynamic responses. methods : in this double blind randomized clin...

Curr Pediatr Res 2017 Volume 21 Issue 2 221 activity restriction ranges from 3 to 6 weeks. Foremost, the guidelines assume hemodynamic stability and provide little information to guide the less experienced clinicians when to operate [4]. The guidelines also assume isolated splenic injury, although some have included children with minor remote injuries including undisplaced fractures and soft ti...

Infiltration of the nerves of the scalp with local anesthetics is used in adults for a variety of head and neck procedures and craniotomies with many benefits, from hemodynamic stability to reduced postoperative pain. We here succinctly review the current evidence for “scalp block” in pediatric patients.

INTRODUCTION Various methods have been recommended to prevent hemodynamic instability caused by propofol induction. Current study evaluates hemodynamic effects of ketamine and propofol in comparison to etomidate and propofol during anesthesia induction. METHODS Sixty-two patients over 50 years old undergoing elective surgeries were randomly assigned to ketamine + propofol (ketofol) (n=30) and...

Advanced hemodynamic monitoring is a critical component of treatment in clinical situations where aggressive yet guided hemodynamic interventions are required in order to stabilize the patient and optimize outcomes. While there are many tools at a physician's disposal to monitor patients in a hospital setting, the reality is that none of these tools allow hi-fidelity assessment or continuous mo...

Multiple longitudinal studies have demonstrated reasonable stability of blood pressure (BP) levels and hemodynamics throughout childhood and adolescence and into adulthood. Part of this stability might be caused by genetic factors that are expressed steadily over time. We aimed to determine the relative contributions of genetic and environmental factors to the stability of BP and underlying hem...