remifentanil is an ultra short acting opioid that is suitable for many operations and is wildly used for induction and maintenance of anesthesia. in this article we have reported the incidence of abdominal pain after cataract surgery in patients with remifentanil based anesthesia. this study is a randomized single blind clinical trial on 300 patients who were candidates for elective cataract su...

Ezio Vincenti1*, Alberto Todesco1 and Giovanni Grano2 1Department of Anesthesia, Pozzonovo Mediclinic Padua, Anesthesia and Surgery, Italy 2Department of Anesthesiology, Cittadella Hospital, Padua, Italy 3Department of Orthopedics and Traumatology, Cittadella Hospital, Padula, Italy *Corresponding author: Ezio Vincenti, Director of Anesthesia, Department of Anesthesia, Pozzonovo Mediclinic Padu...

The Anesthesia Quality Institute has created the National Anesthesia Clinical Outcomes Registry to automatically capture electronic data specific to anesthesia cases. Data come from billing systems, quality management systems, hospital electronic health care records, and anesthesia information management systems. Aggregation of this data will allow for calculation of national and cohort-specifi...

BACKGROUND Epidural or spinal anesthesia involves several mechanisms hypothesized to reduce risk of surgical site infections (SSIs) during this decisive period. This study aims to compare the risk of SSI within 30 days of surgery for patients receiving total hip or knee replacement under general anesthesia versus those under epidural or spinal anesthesia. METHODS We used the Longitudinal Heal...

The sleep homeostatic response significantly affects the state of anesthesia. In addition, sleep recovery may occur during anesthesia, either via a natural sleep-like process to occur or via a direct restorative effect. Little is known about the effects of isoflurane anesthesia on sleep homeostasis. We investigated whether 1) isoflurane anesthesia could provide a sleep-like process, and 2) the ...

BACKGROUND Laparoscopic herniorrhaphy is a well-debated approach to inguinal hernia repair. Multiple technical and outcome variables have been compared with those of traditional open inguinal hernia repairs. One of these variables is the choice of anesthesia. To date, no reports describe the use of spinal anesthesia for laparoscopic hernia repairs. We present herein a review of our experience w...

BACKGROUND Hip fracture is a common, morbid, and costly event among older adults. Data are inconclusive as to whether epidural or spinal (regional) anesthesia improves outcomes after hip fracture surgery. METHODS The authors examined a retrospective cohort of patients undergoing surgery for hip fracture in 126 hospitals in New York in 2007 and 2008. They tested the association of a record ind...