Many noted clinicians and educators led the development of nurse anesthesia as a profession during the first half of the 20th century. Betty E. Lank, CRNA, a nurse anesthetist at Children's Hospital Boston, Massachusetts, for 34 years, devoted her professional life to the delivery and advancement of pediatric anesthesia. She is credited with many contributions including the first use of cyclopr...

BACKGROUND The authors recently proposed a recovery scoring system for outpatients receiving regional anesthesia (RA) or general anesthesia (GA). This scoring system was designed to allow qualifying patients to be directly routed to the phase II (step-down) recovery unit instead of the traditional postanesthesia care unit (PACU). We report PACU bypass rates using these criteria, and the extent ...

The objective of this study was to identify the prevalent complications in the postanesthesia recovery room (PARR), and correlate nurses' work hours with the complications. The sample consisted of 400 records of patients older than 18 years, who had major and medium surgical procedures, admitted at the PARR unit, with a stay of at least one hour. The prevalent complications were pain and hypoth...

E MERGENCE agitation (EA) in children, also called postanesthetic or postoperative delirium, agitation, or excitement in children, is a specific pediatric postoperative complication. Its reported incidence ranges from 2 to 80%. This explains in part why it is usually considered as a part of the “normal” emergence process by many pediatric anesthesiologists. However, for those who episodically c...

BACKGROUND In-hospital falls may result in serious clinical adverse consequences, but the effects of anesthesia in the occurrence of postoperative falls are still undetermined. Anesthesia may theoretically cause postoperative falls due to the residual pharmacologic and neuromuscular blocking effects of anesthetics. We retrospectively reviewed events of in-hospital falls occurred after anesthesi...

The author provides an overview of the various postoperative therapeutic regimens for surgical patients recovering from anesthesia. Because anesthesia care begins preoperatively and continues well into the postoperative period, a thorough understanding of the altered pulmonary physiology caused by anesthesia, narcotics and surgery, as well as the appropriate implementation of postoperative resp...

OBJECTIVE The study was done to compare propofol and ketofol for sedation of pediatric patients scheduled for elective pulmonary valve implantation in a catheterization laboratory. DESIGN This was a double-blind randomized study. SETTING This study was conducted in Prince Sultan Cardiac Centre, Saudi Arabia. PATIENTS AND METHODS The study included 60 pediatric patients with pulmonary regu...