Huntington's chorea is a rare hereditary disorder of the nervous system. It is inherited as an autosomal dominant disorder and is characterized by progressive chorea, dementia and psychiatric disturbances. The best anesthetic technique is yet to be established for these patients with increased risk of aspiration due to involvement of pharyngeal muscles and an exaggerated response to sodium thio...

Laparoscopic surgery is a technique that today offers numerous advantages, being a less invasive allows faster recovery with a lower rate of morbidity and mortality. However, the use of the pneumoperitoneum interfere with the anesthetic, forcing the anesthesiologist to use anesthetic techniques that not only provide optimal surgical conditions but a wide patient safety and should minimize the r...

Myasthenia gravis, a disorder of neuromuscular transmission, presents a unique challenge to the perioperative anesthetic management of morbidly obese patients. This report describes the case of a 27-year-old morbidly obese woman with a past medical history significant for myasthenia gravis and fatty liver disease undergoing bariatric surgery. Anesthesia was induced with intravenous agents and m...

Regional anesthetic block of the cervical plexus is a safe and useful alternative to general endotracheal anesthesia for surgery of the neck, upper shoulder, and occipital scalp area. The sensory component of the cervical plexus can be blocked separately and easily by a superficial cervical plexus block. Both motor and sensory block can be obtained by deep cervical plexus block. Minor transient...

Marfan syndrome (MFS) is a genetic disorder of connective tissue, characterized by variable clinical features and multisystem complications. The anesthetic management during delivery is debated. Regional anesthesia has been used with success during cesarean delivery, but in some MFS patients there is a probability of erratic and inadequate spread of intrathecal local anesthetics as a result of ...

In the past it was taught that local anesthetic should not be used with adrenaline for procedures in the extremities. This dogma is transmitted from generation to generation. Its truth has not been questioned, nor the source of the doubt. In many situations the benefit of use was not understood, because it was often thought that it was not necessary to prolong the anesthetic effect, since the p...

BACKGROUND/AIM Different techniques of general anesthesia are used for laparoscopic cholecystectomy (LC). The aim of the study was to establish the best anesthetic technique for achieving better results during awakening affecting not only patient's recovery, but activities of anesthesiological team, as well. METHODS The study was conducted as a prospective comparative clinical trial. The pati...

Idiopathic dilated cardiomyopathy is a primary myocardial disease with unknown aetiology. This disease follows a prospective course that is characterized by ventricular dilation and impaired myocardial dilation. Congestive heart failure and malignant arrhythmias are the most widespread complications. The incidence of idiopathic dilated cardiomyopathy in the general population is 5-8/100.000. Be...

scans. We have not found any studies of MRI-induced injury to healthcare personnel from long-term exposure to EMFs or any studies correlating exposure levels to disease. Anesthesia personnel who provide limited or occasional care in the MRI environment run a risk of exposure to EMFs. Anesthesia providers should carefully consider their anesthetic technique to minimize the time spent in the MRI ...

The development of general anesthesia techniques and anesthetic substances has opened new horizons for the expansion improvement surgical techniques. Nevertheless, more complex procedures have brought a higher complexity longer duration anesthesia, which led to series adverse events such as hemodynamic instability, under- or overdosage drugs, an increased number post-anesthetic events. In order...