All patients undergoing bowel resection experience postoperative ileus, a transient cessation of bowel motility that prevents effective transit of intestinal contents or tolerance of oral intake, to varying degrees. An anesthesiologist plays a critical role, not only in the initiation of surgical anesthesia, but also with the selection and transition to effective postoperative analgesia regimen...

This paper describes the first experience of department in using an electronic infusion pump order to optimize and select adequate safe method permanent analgesia cardiac surgery patients perioperative period. Two clinical cases for continuous anesthesia are also presented.

Many different receptors, ion channels, are involved in the pathophysiology of pain, which can serve as targets for adjuvant drugs. Despite advent long-acting local anesthetics, improvement their pharmacokinetics, and advanced regional anesthesia techniques, they do not fully meet need treatment especially chronic pain. In parallel with increase anesthetic power risk systemic toxicity increases...

BACKGROUND Surgical stress response is among the most severe stress tolerated by the patient, which needs suppression by anesthesia. OBJECTIVES We assessed the effect of three methods of anesthesia on postoperative levels of pro-brain natriuretic peptide (pro-BNP) to determine the most effective one in preventing surgical stress response. PATIENTS AND METHODS In a randomized clinical trial,...

Additional documentation of regional anesthesia in patients with Charcot-Marie-Tooth disease (CMT) is needed to guide practitioners and patients in exploring appropriate options for anesthesia and analgesia management. This case report describes the successful use of a combined spinal-epidural technique for labor progressing to cesarean delivery in a patient with CMT. Previous similar case repo...

Morphine is the core of perioperative pain management. However, when it comes to cancer surgery the possibility that this drug might affect tumor recurrence and metastasis has raised concerns. The results of two recent retrospective clinical trials indicated that regional anesthesia/analgesia might be beneficial in prostate and breast cancer surgery. It was proposed that morphine could be respo...

Objective: To investigate the clinical outcomes of three anesthesia methods in gynecologic laparoscopic surgery. Methods: 300 patients performed gynecologic laparoscopic surgery from January, 2014 to January, 2016 in this hospital were divided into 3 groups by random number method as general anesthesia group, continuous epidural anesthesia group and general anesthesia combined with continuous e...

BACKGROUND Anesthesia in children with dystrophic epidermolysis bullosa (EB) presents a significant challenge as many children have a difficult airway and are at risk for additional blistering. In this retrospective study we compared deep sedation/ analgesia and general anesthesia for safety and efficiency. Procedure, type of anesthesia, airway management, complications, time for induction and ...