An extensive literature review was undertaken to evaluate the best anesthetic practice for carotid endarterectomy surgery. Two anesthetic techniques were evaluated: general anesthetic with an endotracheal tube and regional anesthetic block. Three variables were reviewed with respect to significant clinical outcomes based on anesthetic technique. Relevant literature was obtained through multiple...

conclusions there is still not a definitive consensus as to which technique is superior, but including one of the methods in addition to providing the patient with parenteral and enteral drugs could provide better postsurgical analgesia. the aim of this review article is to look at the effectiveness of various local anesthetic techniques available to provide analgesia following laparoscopic sur...

DOI: 10.4328/JCAM.3880 Received: 13.09.2015 Accepted: 06.10.2015 Published Online: 16.10.2015 Corresponding Author: Yeliz Kılıç, Clinic of Anesthesiology and Reanimation, Oncology Training and Research Hospital, Ankara, Turkey. GSM: +905053573180 E-Mail: [email protected] Scientific letter Although many modern anesthesia machines are suitable for using minimal/low-flow anesthetic techniq...

Patients with a history of adverse reactions to a local anesthetic may often be incorrectly labeled as "allergic." Determining if a patient is allergic to a local anesthetic is essential in the selection of appropriate pain control techniques. Local anesthetic allergy testing may be performed safely and with reasonable accuracy by a knowledgeable practitioner. This paper presents guidelines for...

Regional anesthetic techniques are rapidly evolving to meet the needs of an ever increasing day surgery patient population. Rapidity and control of onset and offset of anesthesia with minimal side effects are now required of regional anesthetic techniques if these are to compete with general anesthesia. Spinal and combined spinal epidural (CSE) anesthesia for the day surgery patient are discuss...

Epidermolysis bullosa (EB) is characterized by extreme fragility of the skin and mucosae. Anesthetic and surgical techniques have to be adapted to those children and routine practice may not be adequate. Urological problems are relatively common, but surgical techniques adapted to those children have not been well debated and only low evidence is available to this moment. Herein we discuss the ...

background: the basic requirements for monitoring anesthetized patients during surgery are assessing cardiac and respiratory function. esophageal stethoscopes have been developed for this purpose, but these devices may not provide clear heart and lung sound due to existence of various noises in operating rooms. in addition, the stethoscope is not applicable for continues monitoring, and it is u...

Pediatric neurosurgical patients present a unique set of anesthetic challenges that include treatment of increased intracranial pressure (ICP), the use of positions other than supine, and the anesthetic implications of neurophysiologic monitoring. These and other general considerations are addressed in the first part of this chapter, followed by a discussion of anesthetic techniques for common ...

OBJECTIVE An automated feedback system that produces comments about the non-adherence of general practitioners (GPs) to accepted practice guidelines for ordering diagnostic tests was developed. Before implementing the automated feedback system in daily practice, we assessed the potential effect of the system on the test ordering behaviour of GPs. DESIGN We used a randomised controlled trial w...

Surgical excision of cancerous tumors and the human stress response can lead to metastasis of tumor cells. Furthermore, the medications used during the perioperative period (eg, opioids and anesthetic agents) have been shown to inhibit or suppress natural killer (NK) cell activity, one of the body's main defenses against spread of cancer. There are currently no anesthetic regimens that have bee...