We report on the anesthetic experience of a 38-week pregnant patient in labor with an upper cervical spinal cord injury after an unusual trauma. She was transferred from a district hospital to our medical center with acute quadriplegia and sensory loss. Plain cervical spine x-ray and computed tomographic scan showed a C2 odontoid (dens of axis) process type II fracture and atlantoaxial (C1-C2) ...

INTRODUCTION The World Health Organization has solicited rapid and minimally invasive techniques to facilitate scale-up of voluntary medical male circumcision (VMMC). STUDY DESIGN Non-blinded randomized controlled field trial with 2:1 allocation ratio. PARTICIPANTS 75 adult male volunteers. SETTING Outpatient primary care clinic. INTERVENTION Open surgical circumcision under local anest...

BACKGROUND Two commonly used methods of digital nerve block with local anesthetic are the two-injection dorsal technique and the single-injection volar subcutaneous technique. The authors compared these two digital block techniques with respect to local anesthetic injection pain and recipient preference of anesthetic technique. METHODS Twenty-seven volunteers had the long finger of each hand ...

The incorporation of the 4-phenylpiperidine pharmacophore found in morphine into 4-anilidopiperidines related to fentanyl (1) led to a novel class of potent opioid analgesic and anesthetic agents with a favorable pharmacological profile. The synthesis, analgesic activity, and anesthetic properties of a series of 4-phenyl-4-anilidopiperidines (13-29) are discussed. Isosteric replacement of the p...

5. Develop an appropriate anesthetic plan for the patient undergoing surgery to repair a ruptured globe. Anesthesia for the patient with a perforated globe can be complicated. Cognizance of the anatomy and physiology of the eye, including maintenance of intraocular pressure, is essential for the development of an anesthetic plan. Since the induction phase of anesthesia is the most critical peri...

Radical prostatectomy is one of most common treatment options currently recommended for clinically localized prostate cancer. Evaluation of intraoperative and postoperative complications is important in evaluation of relative morbidity of this treatment option. Furthermore, investigation of complications of surgical treatment in correlation with not only surgical technique, but comorbidity, ASA...

In previous studies in which regional anesthesia of the temporomandibular joint capsule was used to examine the role of the joint in mandibular movement and distinguish it from muscle control, the anesthetic techniques used have not been satisfactorily described. The accuracy of the injection technique described in this paper was determined by dissection and radiogrphic examination of fixed and...

443 August 2013 I NFANTS with hypotonia of unknown etiology pose a unique challenge as many of the potential diagnoses have major, often conflicting, anesthetic management implications. The differential diagnosis of hypotonia is long and includes possibilities such as Duchenne muscular dystrophy, central core disease, and multiminicore disease. Intravenous anesthetic techniques are recommended ...

ABSTRACT Mediastinal masses can be challenging to the surgical team and anesthetic considerations vary according location, pathology, approach, patient comorbidities. We report case of a 21 cm symptomatic intrathoracic teratoma in postpartum with history poliomyelitis. Significant challenges were presented for induction, potential extracorporeal membrane oxygenation, use neuraxial pain techniqu...

BACKGROUND The precise mechanism and optimal measure of anesthetic-induced unconsciousness has yet to be elucidated. Preferential inhibition of feedback connectivity from frontal to parietal brain networks is one potential neurophysiologic correlate, but has only been demonstrated in animals or under limited conditions in healthy volunteers. METHODS AND FINDINGS We recruited eighteen patients...