Multiple Sclerosis (MS) is a disease of temperate climate. It is rare amongst Asian and African races. Its overall incidence is 0.1-0.4%. MS is primarily a disease of young adults with the onset of symptoms between the ages of 15 and 40 years and often present with a single neurological deficit, usually via a single lesion (55%) in the optic nerve, brain stem and spinal cord. The effect of surg...

Surgical pneumothorax allows obtaining comfortable surgical space for minimally invasive thoracic surgery, under spontaneous ventilation and thoracic epidural anesthesia, without need to provide general anesthesia and neuromuscular blockade. One lung ventilation (OLV) by iatrogenic lung collapse, associated with spontaneous breathing and lateral position required for the surgery, involves patho...

We herein present the case of a 69-year-old male with intractable pneumothorax, which occurred after gastrectomy, who could not tolerate general anesthesia because of a poor cardiopulmonary reserve and renal and hepatic insufficiency. We performed a ligation of perforated bulla using a semiflexible thoracofiberscope under an intercostal nerve block and subcutaneous anesthesia. The postoperative...

Objectives Upon completion of this course, the reader will be able to: 1. Discuss the incidence of dental injury during general anesthesia. 2. Describe basic dental anatomy and the identification of both deciduous and adult teeth and common dental pathology. 3. Discuss the mechanism of dental injury during anesthesia. 4. Outline the steps of care provided to patients following dental injury. 5....

Methods This is an observational, before-after, 16-week study in which a convenience sample of 41 independent adults were recruited from a continuing care community retirement center “Regents Point”, located in Irvine, California. Subjects were competent adult volunteers, living at the facility. The study was divided into three periods: (1) Preintervention (4 weeks): baseline data were collecte...

introduction. since , the selection of academic course is very important to job selection. a study for considering the anesthesia technician student’s knowledge about their course was necessary. this study was performed for this reason at kashan university of medical sciences in 2002. methods. for this descriptive study a questionnaire was designed in 2 sections: first section, included age, se...

The aim of this clinical report is to describe the use of sequential regional and general anesthesia for concomitant carotid and abdominal aortic surgery. We performed, in a 70-year-old man, a cervical plexus block for carotid endarterectomy (CEA) followed immediately by general anesthesia for resection of an abdominal aortic aneurysm. This anesthetic approach provided adequate surgical conditi...

OBJECTIVE The literature lacks of studies on postoperative outcomes after urological ambulatory surgery. Our study aims to identify parameters associated with postoperative complications within 30 days after ambulatory urological surgery. MATERIALS AND METHODS Adjusted and unadjusted comparisons between clinical features and postoperative outcome (complicated and uncomplicated). RESULTS Pos...

Background: Our previous microarray study showed that sevoflurane anesthesia affects the expression of rat genes in multiple organs including the liver. In this study, we investigated whether liver protein expression was altered after propofol, sevoflurane, or isoflurane anesthesia. We also investigated differences in the time course of each drug 24 and 72 h after anesthesia. Methods: Rats were...

UNLABELLED The combination of propofol and ketamine has been used for total IV anesthesia. This study was designed to clarify the effects of propofol-ketamine anesthesia on cerebral circulation by using transcranial Doppler ultrasonography. In Study 1, we examined the time course of time-mean middle cerebral artery blood flow velocity (Vmca) after ketamine (n = 10) or saline (n = 6) administrat...