conclusions anesthetic and surgical management was difficult due to the inability to position in supine and rapidly progressing hemorrhagic shock. surgical management for extraction of this iron bar and intensive monitoring and resuscitation resulted in an uneventful successful outcome. introduction penetrating thoracoabdominal injuries are potentially life threatening due to the associated hem...

The aim of this article is to give an overview of recent developments in the field of general anesthesia monitoring. We measure different physiological signals related to the functioning of several nervous systems. Using statistical or signal processing methods, monitors are derived and correlated to the dosage of anesthetic agents and to the status of the patient. Comparisons among existing mo...

EVOKED potentials (EPs) are the electrophysiologic responses of the nervous system to sensory or motor stimulation. Stimulating the nervous system initiates the transmission of neural signals that may be recorded as EPs from various points along the stimulated pathway. Intraoperative monitoring (IOM) of EP has gained popularity because EPs reflect the functional integrity of neural pathways in ...

This paper presents research regarding the monitoring of the brain and the adequacy of anesthesia during surgery. Particular variables are derived from EEG and ECG signals and are correlated to anesthetic gas (sevoflurane) concentration, in pediatric anesthesia. The methods used for parameter extraction are based on change detection theory and time-frequency representation. Preliminary results ...

This review attempts to discuss how the potential application of some sophisticated research approaches, e.g., calcium imaging/Ca2+ influx and monitoring gene and/or protein expression levels of receptor subtypes, provides a platform in which preclinical research models can inform clinical interventions and vice versa in the developing brain. This review focuses the discussion on representative...

Epidermolysis bullosa is a genetic mechanobullous disease of the stratified squamous keratinizing epithelium that affects the skin and mucous membranes. Its primary feature is the formation of blisters after minor shearing trauma to the skin or mucous membranes that can result in debilitating, even life-threatening scarring. The disease presents special problems for the anesthesia provider beca...

Wolf-Hirschhorn syndrome is a rare hereditary disease that results from a 4p chromosome deletion. Patients with this syndrome are characterized by craniofacial dysgenesis, seizures, growth delay, intellectual disability, and congenital heart disease. Although several cases have been reported, very little information is available on anesthetic management for patients with Wolf-Hirschhorn syndrom...

Supraclavicular brachial plexus blocks are not common in pediatric patients due to the risk of pneumothorax. Ultrasonography is an important tool for identifying nerves during regional anesthesia. Directly visualizing the target nerves and monitoring the distribution of the local anesthetic are potentially significant. In addition, ultrasound monitoring helps avoid complications, such as inadve...

We report on an anesthetic experience with a 74-year-old female with Isaacs' syndrome, who underwent elective surgery for open rotator cuff repair. Isaacs' syndrome is a rare peripheral motor neuron disorder with clinical manifestations such as involuntary muscle twitching, cramps, mild weakness and increased sweating. To avoid prolonged neuromuscular blockade, the patient was observed with neu...