Pediatric regional anesthesia continues to evolve. Education and attention to anatomical detail remain key elements to successful outcomes. New techniques, some adapted from adult practice, provide analgesia for pediatric surgical procedures such cleft palate or congenital hip dysplasia. Despite technological advances a number of controversial issues remain unresolved.

1Department of Medical Education, Hamad Medical Corporation, Doha, Qatar 2Department of Pediatrics, Hamad Medical Corporation, Doha, Qatar 3Department of Surgery, Hamad Medical Corporation, Doha, Qatar 4Department of Dentistry, Hamad Medical Corporation, Doha, Qatar 5Department of Anesthesia, Hamad Medical Corporation, Doha, Qatar 6Department of Geriatrics, Hamad Medical Corporation, Doha, Qata...

Medicare pass-through dollars for paramedical education are one way hospitals can still get reimbursed on the basis of their costs under the prospective payment system. To qualify, a hospital must demonstrate that it has some involvement in the operation of the nurse anesthesia program. Establishment of a cost center for school-related expenses can help maximize reimbursement.

background. given the influence of systemic blood pressure on pulpal blood flow, anxiolytics prescribed may alter the pulpal blood flow along with the local anesthetic solution containing a vasoconstrictor. this study evaluated the impact of preoperative anxiolytics and vasoconstrictors in local anesthetic agents on pulpal oxygen saturation. methods. thirty anxious young healthy individuals wit...

background: because of airway stimulations during the bronchoscopy and lack of direct access to the airway, preferred method of anesthesia for rigid bronchoscopy is already controversial. in this study we compared inhalation anesthesia with total intravenous anesthesia (tiva) for rigid bronchoscopy. method and materials: 30 patients aged 2-6 years were chosen divided on two same groups. anesthe...

bacterial meningitis after spinal and epidural anesthesia is a very rare but serious complication. we report a case of meningitis developing a number of hours after a spinal block for caesarean section. no organism was grown but the csf pattern was suggestive of bacterial meningitis. severe neurological sequelae were present after three months of hospitalization. meningitis is a serious complic...

BACKGROUND Annually, millions of children are exposed to anesthetic agents that cause apoptotic neurodegeneration in immature animals. To explore the possible significance of these findings in children, we investigated the association between exposure to anesthesia and subsequent (1) learning disabilities (LDs), (2) receipt of an individualized education program for an emotional/behavior disord...

These investigators describe the characteristics of nurse anesthesia research reported in the AANA Journal in 1975-1976 and 1985-1986 and compare nurse anesthesia research to overall nursing research as reported by Brown, Tanner and Padrick. The amount of nurse anesthesia research remained stable, with an even greater focus on clinical practice than in nursing research overall. The 1980's resea...

education and practice of medicine potentially provides an unexplored avenue for anesthesia care providers wherein currently practiced anesthesia care providers’ initiated quality-assurance (QA) can grow out of the bounds of peri-anesthesia events. these QA processes should expand into anesthesia care providers’ based interdisciplinary peri-operative cross-over post-market (post-hire) safety su...

BACKGROUND AND RATIONALE Since anesthesia, unlike medical or surgical specialties, does not constitute treatment, The Royal College of Anesthesiologists of Thailand host the Thai Anesthesia Incidents Study (THAI Study) of anesthetic outcomes to determine factors related to anesthesia related adverse events. MATERIAL AND METHOD A prospective descriptive study of occurrence screening was conduc...