Anesthetic management of patients with dilated cardiomyopathy (DCM) is a challenge to the anesthesiologist, due to poor left systolic function, ventricular enlargement, risk of malignant arrhythmias and sudden cardiac death. Therefore, preoperative assessment and appropriate anesthetic management are important in patients with DCM. This review describes the preoperative evaluation and anesthesi...

INTRAOPERATIVE monitoring of the electroencephalcgram (EEG) is commonly used for detection of cerebral ischemia during carotid endarterectomy. Although realtime interpretation of analog EEG recordings may be considered the “gold standard” for ischemia detection, various signal-processing techniques have been used to ease the interpretation of intraoperative EEG. Several reviews of various EEGpr...

Introduction In October 1996 the Food and Drug Administration approved the use of a new monitoring device of anesthetic effect that integrates various electroencephalogram (EEG) descriptors into a single dimensionless, empirically calibrated number, the Bispectral Index (BIS, Aspect Medical Systems, Natick, MA).1 The BIS monitor is the latest innovation in the quest for a reliable monitoring de...

STUDY DESIGN A prospective randomized controlled trial. OBJECTIVE The purpose of this study was to prospectively compare the efficacy of neurophysiological monitoring during general anesthesia with either a total intravenous technique or with the volatile anesthetic agent, desflurane. SUMMARY OF BACKGROUND DATA A total intravenous anesthetic technique is generally chosen when neurophysiolog...

background: the aim of this study was assessment the risk management status of waste anesthetic gases in academicals hospitals in iran to prevent from harmful effects of these gases on employees' health. methods: a descriptive-analytic study was designed in 2011. standard structured checklist developed by ecri institute (emergency care research institute) was applied. checklists were filled ons...

The anesthetic management of pheochromocytoma is complicated and challenging. However, preoperative pharmacologic preparation has greatly improved perioperative outcome, and modern anesthetic drugs combined with advanced monitoring contribute to intraoperative stability. There is great regional and international variation in which intraoperative anesthetic technique is employed and there are li...

PURPOSE OF REVIEW Despite its obvious importance, the brain is inconsistently the focus of monitoring in anesthesia and intensive care settings. However, there are multiple modalities available to address cerebral monitoring that when acted upon, may improve perioperative outcomes. This review addresses the various brain monitoring options that can be integrated in anesthetic and intensive care...

Introduction: Ensuring an adequate Depth of Anesthesia (DOA) during surgery is essential for anesthesiologists. Since the effect of anesthetic drugs is on the central nervous system, brain signals such as Electroencephalogram (EEG) can be used for DOA estimation. Anesthesia can interfere among brain regions, so the relationship among different areas can be a key factor in the anesthetic process...