BACKGROUND The aim of this study was to evaluate the effects of topical ropivacaine anesthesia on hemodynamic responses during intubation and extubation of hypertensive patients. MATERIAL AND METHODS One hundred fifty patients with hypertension ASA II-III were scheduled for noncardiac operations. Patients were divided into 3 groups: a control group receiving 5 ml saline, and 2 groups receivin...

BACKGROUND Advancements in nonablative laser technology necessitate concurrent developments in topical anesthesia, as patients have reported varying degrees of discomfort during these procedures. Although topical anesthetics have proven efficacious, they possess inherent limitations related to ease of use. OBJECTIVE To evaluate the efficacy of the S-Caine Peel (ZARS Inc., Salt Lake City, UT),...

Anesthesiology 2013; 118:460-71 464 Correspondence advantages and disadvantages. The “spray as you go” technique may be unnerving to the less trained anesthesiologist because it causes coughing and perhaps a subsequent loss of vision when spraying through the fiberscope. Therefore, topical anesthesia may be achieved with the fiberscope but intubation may fail! We chose the transtracheal local a...

PURPOSE To review the current literature on safety, efficacy, and measures of surgeon and patient satisfaction with lidocaine hydrochloride gel as a tool for ocular anesthesia. METHODS Pubmed search using keywords "lidocaine gel," "ophthalmic," and "surgery" and compiling cross-references. Twenty-six total references were reviewed, including 15 prospective randomized controlled trials (RCTs, ...

F OR MANY YEARS, BRONCHOSCOPY HAS been performed by most physicians with the use of sedation and a topical anesthetic. more recently there has been a trend toward the use of general anesthesia for this procedure in order to spare the patient an unpleasant experience. However, general anesthesia usually makes the procedure more drastic and more expensive. Many bronchoscopies, morever, are now do...

conclusions due to the good tolerance of patients towards topical anesthesia, pouring a drop of povidone-iodine 10% seems to be a simple and acceptable method to reduce the growth of microorganisms of the conjunctiva. background postoperative endophthalmitis is one the most serious complications of cataract surgery. the majority of causative organisms in this destructive infection come from the...

Cricothyroid membrane injections and the application of a coarse fiberoptic bronchoscope (FOB) below the vocal cords for topical anesthesia have a number of limitations for certain patients. Thus, the aim of the present observational study was to assess the effect of a novel modified topical anesthesia method using the effective sedation drugs, remifentanil (Rem) or dexmedetomidine (Dex), durin...

BACKGROUND The current study aimed to determine preventive effect of 2 percent topical xylocaine on oculocardiac reflex in ophthalmological surgeries except strabismus, including retinal detachment and vitrectomy with scleral buckling under general anesthesia. METHODS A randomized controlled clinical trial was carried out on 150 patients aged 18-90 years undergoing ophthalmological surgeries ...

BACKGROUND Topical pharyngeal anesthesia is required to perform a technically adequate esophago-gastroduodenoscopy (EGD), but does not improve patient satisfaction, comfort, and willingness to repeat, particularly in the elderly and those with increased pharyngeal sensitivity. The comparative effectiveness of intravenous sedation versus no sedation remains poorly characterized. OBJECTIVE To c...

BACKGROUND JM-1232(-) is a novel anesthetic agent which acts through gamma-aminobutyric acid receptors. Cerebral pial vascular effects of JM-1232(-) are unknown. We thus evaluated topical and intravenous effects of JM-1232(-) on cerebral pial microvessels in rabbits, and the extent to which carbon dioxide (CO2) reactivity is preserved. METHODS Closed cranial windows were used to visualize cer...