The objective of this study was to compare two methods for treating abdominal aortic aneurysms (AAAs) with regard indications use, type anesthesia, intraoperative timing and complications, postoperative course, overall morbidity mortality. This retrospective included 61 patients from the period December 2014 2020. We male or female presenting elective repair infrarenal AAAs having pain leakage ...

e-Learning has revolutionized the way in which undergraduate medical education is delivered. One e-learning tool of note is the virtual patient (VP), a type of computer software that simulates real-life clinical scenarios, in which the learner emulates the role of health care provider to obtain the history, conduct examination, and make diagnoses and management decisions. VPs have been in use s...

The mechanism of anesthesia remains unclear. We do understand, however, that the GABAA receptor, the NMDA receptor, and two-pore-domain K channels are the main targets of anesthetics (Franks, 2008), and several other receptors and ion channels are also influenced in different ways by anesthetics (Alkire et al., 2008). Propofol, barboturates, and volatile anesthetics, all potentiate GABAA recept...

Pulmonary edema is a generalized descriptive term for the accumulation of fluid within the interstitium and/or the alveolar spaces of the lungs. This accumulation of fluid has a cause that may be termed cardiogenic or noncardiogenic. Pulmonary edema of cardiogenic origin is usually due to failure of the left side of the heart, but it also can be attributed to the right side of the heart. Noncar...

OBJECTIVE The aim of this study was to observe the effects of stellate ganglion block (SGB) on hemodynamic changes and intrapulmonary shunt during one-lung ventilation (OLV). PATIENTS AND METHODS Thirty ASA class I-II patients undergoing elective esophageal surgery were randomly divided into two groups: general anesthesia group (group N, n=15) and general anesthesia combined SGB group (group ...

1. The section on blood groups and RH factors is limited, and the management of erythroblastosis is discussed only in relation to hydrops fetalis. 2. In breech presentations, external cephalic version under general anesthesia is advocated if an attempt without anesthesia has been unsuccessful, except in the case of an elderly primigravida or medical contraindications. The dangers of using gener...

Endolaryngeal surgery has been a primary driver for the development of laryngology since its inception in the mid nineteenth century, and laser technology [1] has been a key element of that development over the past 30 years [2–5]. Endoscopic laryngeal surgery remained office-based despite the transition from indirect-mirror-guided interventions to direct-laryngoscopic (Kirstein 1895) procedure...

OBJECTIVES To analyze incidence, risk factors, clinical course, outcomes of PMI. Degree of anesthesia related to PMI, management, precipitating factors and corrective strategies. MATERIAL AND METHOD PMI cases were extracted from the Thai Anesthesia Incidents Study (THAI Study) database conducted between February 1, 2003 and January 31, 2004, and analyzed using descriptive statistics. RESULT...

Tumor-infiltrating lymphocytes (TILs) are produced by resecting tumor tissue and growing and expanding ex vivo large quantities of autologous T cells. Once the TILs are ready for infusion, the patient undergoes a non-myeloablative lympho-depleting course of chemotherapy and subsequent TIL infusion with high-dose bolus IL-2. This study reviews the surgical experience of the TIL program at the Ch...

BACKGROUND Recent studies showed changes in cerebral protein expression up to 3 days after desflurane anesthesia in rats. In the present study, we investigated the existence of persisting changes on the proteome level after sevoflurane anesthesia that persisted for as long as 28 days after anesthesia. METHODS Rats were anesthetized by spontaneous inhalation of 2.4% sevoflurane in air for 3 h....