BACKGROUND The role of anesthesia as an elicitor of mast cell (MC) mediator release symptoms in mastocytosis is poorly investigated. OBJECTIVE To determine the frequency and type of MC mediator release symptoms during anesthetic procedures in mastocytosis patients. METHODS Medical records were reviewed regarding the anesthetic techniques for 501 mastocytosis patients (459 adults and 42 chil...

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...

BACKGROUND Esophageal stent placement is a minimally invasive procedure for treatment of esophageal strictures that cannot be treated with surgical procedure. It requires some forms of anesthesia. This procedure could be performed in the operating room and in the endoscopy unit. OBJECTIVE The study is aimed to report and evaluate the choices and techniques, drugs used and complications of ane...

The development of general anesthesia techniques and anesthetic substances has opened new horizons for the expansion improvement surgical techniques. Nevertheless, more complex procedures have brought a higher complexity longer duration anesthesia, which led to series adverse events such as hemodynamic instability, under- or overdosage drugs, an increased number post-anesthetic events. In order...

Pulmonary aspiration of gastric contents during anesthesia is a complication that is fortunately rare, yet potentially catastrophic. Despite its infrequency, techniques geared toward preventing this serious outcome influence many of our routine practices and beliefs. Reports on large-scale clinical studies have opened new insights and questions about the effectiveness of long-standing anestheti...

Postoperative vomiting (PV) after adenotonsillectomy in children is a common problem with an incidence as high as 40-80%. Only few studies in the recent literature compared the effect of different anesthetic techniques concerning PV in children. The aim of this study was to compare the incidence of PV in two groups of children who underwent two different general anesthesia techniques in order t...

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...

BACKGROUND Pediatric mastocytosis consists of a spectrum of clinical variants characterized by increased numbers of resident mast cells in various organ systems. Mast cells are instrumental in mediating anaphylaxis and patients with mastocytosis are at risk to develop provoked and unprovoked episodes of anaphylaxis. METHODS We examined perianesthetic records of patients with pediatric mastocy...

This paper reviews the available literature on normal fetal and transitional circulation and its importance in understanding the abnormal circulation related to tetralogy of Fallot (TOF). The anatomical defects of TOF are described along with the clinical manifestations related to each defect. Surgical management and risk factors, which play a major role in the anesthetic management of these pa...