PURPOSE OF REVIEW The purpose of this review is to summarize recommendations for the safe and efficient conductance of sedation and anesthesia at remote locations; and to define safety standards, monitoring techniques, quality of care and procedural eligibility. RECENT FINDINGS Anesthesia outside of the operating room is rapidly increasing in numbers, which has seen a growth of older and sick...

BACKGROUND Atrial fibrillation (AF) is the most common serious cardiac arrhythmia, and its prevalence is expected to increase. There is lack of data about patient characteristics, practice patterns, and outcomes of AF in the Arab Middle East. METHODS AND RESULTS The Gulf Survey of Atrial Fibrillation Events (Gulf SAFE) is a prospective, observational registry of patients with AF with a 12-mon...

Descemet membrane detachments are not uncommon following cataract surgery, and large and extensive detachments can have an impressive presentation, with severe corneal edema and marked reduction in visual acuity. Traditional treatment regimens have included observation (with the hopes of spontaneous resolution), anterior chamber injections of air or viscoelastic, transcorneal suturing, and even...

Background Improper storage of the electrosurgical handpiece has been identified as an operating room hazard. OBJECTIVE To test among representative surgical personnel two different methods of improving safety performance: a demonstration/lecture session, and improved equipment arrangement on the operating field. METHODS A field experiment occurred in the classroom and in the operating room...

The practice of medicine is evolving as health care is impacted by technological innovation, which has allowed the development of multiple invasive and noninvasive pediatric procedures and imaging modalities. This clinical demand has resulted in tremendous growth in procedural sedation (PS) in children. PS is defined as the use of sedative, analgesic, or dissociative drugs to provide anxiolysis...

Replacing an existing endotracheal (ET) tube with a tracheostomy tube can be a challenging and high-risk procedure for the patient, surgeon, anesthetist, and operating room staff. This article describes an approach designed to reduce the risks involved and, at the same time, provide a safe, efficient, and simplified approach to surgically securing the airway. Before surgical entry into the trac...

Oxygen saturation of arterial blood (SaO2) was assessed in children after discontinuing N2O/O2 sedation for dental procedures. Two post-treatment methods were used: breathing 100% O2 for 5 min after the procedure, and breathing room air for 5 min. Participants were 24 healthy children ages 41 to 113 months. Each child was treated twice and a crossover design was used. The mean length of procedu...

OBJECTIVE To review our 4-year experience (2008-2011) with delivery room triage of large for gestational age infants of diabetic mothers. DESIGN/METHODS Retrospective cohort investigation of 311 large for gestational age infants of diabetic mothers (White's Class A1 (77), A2 (87), B (77), and C-R (70)). RESULTS Of 311 women, 31% delivered at 34-36 weeks gestational age and 69% at term. Whil...