Spinal (subarachnoid) anesthesia is considered nowadays as the “Gold standard” technique for cesarean section. The technique has a very rapid onset and provides a dense neural block. Because of the small dose of local anesthetic used, there is minimal risk of local anesthetic toxicity, and minimal transfer of the drug to the fetus1. An important “bonus” is the “awake” mother who can witness the...

BACKGROUND Provision of optimal postoperative analgesia should facilitate postoperative ambulation and rehabilitation. An optimal multimodal analgesia technique would include the use of nonopioid analgesics, including local/regional analgesic techniques such as surgical site local anesthetic infiltration. This article presents a novel approach to surgical site infiltration techniques for abdomi...

Concerns remain about the acute and chronic effects on personnel of waste anesthetic gases in the operating room environment. This study demonstrates a simple and effective means of scavenging waste anesthetic gases when halogenated anesthetics are administered through the pump oxygenator during cardiopulmonary bypass. This technique safeguards workers' health by reducing ambient anesthetic lev...

In previous studies in which regional anesthesia of the temporomandibular joint capsule was used to examine the role of the joint in mandibular movement and distinguish it from muscle control, the anesthetic techniques used have not been satisfactorily described. The accuracy of the injection technique described in this paper was determined by dissection and radiogrphic examination of fixed and...

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...

Fracture dislocation of the shoulder is a common musculoskeletal injury following road traffic accident. Peripheral nerve block has become a recognized anesthetic technique due to the rapid onset of prolonged analgesia, sufficient for both pain and surgical management. However, interscalene block for shoulder surgery has not been reported as a primary anesthetic technique in our environment. We...

Abdominal surgery in infants and children presents a number of unique anesthetic challenges that are reviewed in this chapter. The first section consists of a discussion of anesthetic concerns for intraabdominal procedures, especially in neonates and small infants.This discussion is general in nature, and the reader should remember that there exists a wide spectrum of patient conditions and sur...

Introduction Epidural blockade in children continues to grow in popularity with increasing applications in the operating room and beyond. In infants and children, epidural anesthesia is most commonly performed in conjunction with general anesthesia as a means of providing postoperative analgesia or as a combined general-regional anesthetic technique to limit the requirements for general anesthe...

Materials and methods This retrospective study compared the results of anesthesia in patients who underwent inguinal herniorrhaphy using two different methods: inhalation anesthesia and balanced anesthesia. For the purposes of this study, inhalation anesthesia refers to an anesthetic technique in which the primary anesthetic is introduced to the bloodstream via the lungs rather than by injectio...