After prenatal diagnosis of bilateral fetal hydrothorax, ascites, and polyhydramnios, bilateral thoracoamniotic shunts were placed at 29 weeks gestation using an ultrasound-guided, minimally invasive technique. Anesthetic care was managed using intravenous sedation and local anesthesia infiltration. The anesthetic considerations for such procedures are discussed.

With the increase in surgery done in an ambulatory surgical setting, anesthetic techniques must be evolved whereby patients awaken quickly with minimal side effects and are released home with no fear of recurring anesthetic problems. An experimental study using sufentanil in three combinations of anesthetic agents in a balanced anesthetic technique is presented. Patients (N = 60) scheduled to u...

Anesthesia for thymectomy in myasthenia gravis is challenging. The anesthetic experience of that technique is quite large. In involves either muscle relaxant or non-muscle relaxant techniques. However, the literature is deficient of standard anesthetic technique for thoracoscopic thymectomy. Therefore we present in this report a modified non-muscle relaxant technique for thoracoscopic thymectom...

OBJECTIVE The objective of this study was to compare the pain levels on opposite sides of the maxilla at needle insertion during delivery of local anesthetic solution and tooth preparation for both conventional and anterior middle superior alveolar (AMSA) technique with the Wand computer-controlled local anesthesia application. MATERIAL AND METHODS Pain scores of 16 patients were evaluated wi...

Clavipectoral fascial plane block combined with superficial cervical plexus has been used as an anesthetic and analgesic technique in mid-clavicle fracture surgeries. The authors describe two cases which patients underwent extraction of osteosynthesis material from the clavicle, using clavipectoral postoperative period. mentioned presented itself easy-to-perform technique, apparently safe effec...

Patients with preexisting neurologic disease present a unique challenge to the anesthesiologist. The cause of postoperative neurologic deficits is difficult to evaluate, because neural injury may occur as a result of surgical trauma, tourniquet pressure, prolonged labor, improper patient positioning, or anesthetic technique. Progressive neurologic diseases such as multiple sclerosis may coincid...

Radical prostatectomy is one of most common treatment options currently recommended for clinically localized prostate cancer. Evaluation of intraoperative and postoperative complications is important in evaluation of relative morbidity of this treatment option. Furthermore, investigation of complications of surgical treatment in correlation with not only surgical technique, but comorbidity, ASA...

BACKGROUND AND OBJECTIVES Medial branch blocks are an important tool for the diagnosis of facet joint arthropathy. The most commonly used technique involves multiple needle placements, one for each nerve blocked. This multiple needle technique may require a large amount of local anesthetic for anesthetizing the skin, thereby increasing the rate of false-positive blocks. TECHNIQUE Diagnostic l...

BACKGROUND AND OBJECTIVES Head and neck reconstructive surgery represents a major challenge facing the need to achieve a good cosmetic and functional outcome. Anesthesia may be an important and determining factor in the technique success due to its role in hemodynamic stability and regional blood flow. On the other hand, regional anesthesia, changes in blood volume, and vasoactive drugs may inf...

The effect of anesthetic technique on postoperative outcomes remains in question. This systematic review compares the role of regional versus general anesthesia, with a particular focus on postoperative cognitive function. Potentially relevant articles were identified by searching publicly available computerized databases for this systematic review. Any surgical procedure was accepted with the ...