BACKGROUND Pain and needle-phobia can be a problem during the application of local anesthesia with syringe and needle. OBJECTIVE To evaluate a jet-injection device (without needle) to deliver local anesthesia. METHODS Two hundred and six minor dermatological procedures using a jet-injection device for administering local anesthesia into skin tissue were performed. We comment on the technica...

Because the current trend favors minimally invasive surgery for thyroid disease, increasing interest has developed for thyroidectomy under local anesthesia with monitored anesthesia care (MAC). Here, we retrospectively reviewed 18 cases of thyroidectomy performed under local anesthesia with MAC in a single center. All of the procedures were performed by a single surgeon, using local lidocaine i...

BACKGROUND Local anesthesia is widely used for open carpal tunnel release. However, injection of local anesthesia as described by Altissimi and Mancini (1988) can interfere with endoscopic carpal tunnel release, by increasing the bulk of synovial layers and consequently result in worsening of the view. PURPOSE The purpose of this study was to evaluate the safety, efficacy using modified techn...

Anesthesia care for the patients undergoing ophthalmologic surgical procedures during local/regional anesthesia balances goals of patient comfort with safety and an optimal outcome in a highly cost-conscious environment. This article discusses current practices and trends in anesthesia care with respect to sedation for eye surgery during local/regional anesthesia. Although there is no evidence ...

PURPOSE To report the management of a patient, with unilateral vocal cord paralysis, undergoing thyroplasty, under general anesthesia. CLINICAL FEATURES A 25-yr-old man developed hoarseness and occasional episodes of pulmonary aspiration, caused by unilateral vocal cord paralysis. He was scheduled for thyroplasty, in an attempt to ease phonation and to decrease or prevent further episodes of ...

Spinal anesthesia is the most popular regional anesthesia technique for cesarean delivery as it is easily performed and provides rapid onset of block followed by dense surgical anesthesia. Although bupivacaine seems to be widely and routinely used long acting amide type local anesthetic drug for spinal anesthesia, ropivacaine and levobupivacaine may occasionally be chosen. However, it is diffic...

QUESTIONS OF THE DAY L ocal anesthesia can be defined as loss of sensation in a discrete region of the body caused by disruption of impulse generation or propagation. Local anesthesia can be produced by various chemical and physical means. However, in routine clinical practice, local anesthesia is produced by a narrow class of compounds, and recovery is normally spontaneous, predictable, and co...

Acupuncture anesthesia is a method of inducing an anesthetic effect through needling for a surgical operation; it was first implemented in the 1950s. It originates from Traditional Chinese Medicine and is considered one of the most important achievements in modern medicine. Acupuncture anesthesia was developed vigorously and applied widely during the 1960s and 1970s. In dentistry, most tooth ex...

BACKGROUND/AIM Bupivacaine (Marcaine), homologue of mepivacaine, chemically related to lidocaine, is used as a local anesthetic for local infiltration, peripheral nerve block, retrobulbar block, symphathetic block, and caudal and epidural anesthesia. The aim of this investigation was to determine and to compare clinical parameters of the local anesthetic effects of bupivacaine applied with and ...

BACKGROUND AND HYPOTHESIS General anesthesia is used for laparoscopic enteral access because pneumoperitoneum requires relaxation of the abdominal muscles. We wanted to determine whether these procedures could be performed with similar results and cost under local anesthesia. DESIGN Randomized controlled study with 30-day follow-up including a cost-benefit analysis. SETTING University-affil...