OBJECTIVE To compare spinal anesthesia with the gold standard general anesthesia for elective laparoscopic cholecystectomy in healthy patients. DESIGN Controlled randomized trial. SETTING University hospital. PATIENTS One hundred patients with symptomatic gallstone disease and American Society of Anesthesiologists status I or II were randomized to have laparoscopic cholecystectomy under s...

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...

Obstetric anesthesia is one of the high risk subspecialties of anesthesia practice. Anesthesia related complications are the sixth leading cause of maternal mortality. Difficult or failed intubation following induction of general anesthesia for CS remains the major contributory factor to anesthesia-related maternal complications. The airway management of obstetric patients is a challenging issu...

BACKGROUND AND HYPOTHESIS General anesthesia is used for laparoscopic enteral access because pneumoperitoneum requires relaxation of the abdominal muscles. We wanted to determine whether these procedures could be performed with similar results and cost under local anesthesia. DESIGN Randomized controlled study with 30-day follow-up including a cost-benefit analysis. SETTING University-affil...

children, similar to adults, are required to fast before general anesthesia in order to reduce  the volume and acidity of stomach contents. it is thought that npo regulations reduce the risk of regurgitation and aspiration of gastric contents during surgery. recent developments have encouraged a shift from the standard 'nil by mouth from midnight' fasting policy to more relaxed regime...

PURPOSE OF REVIEW Regional analgesia for labor pain and general anesthesia for cesarean section in the morbidly obese parturient is associated with increased maternal and perinatal complications. The purpose of this review is to describe the anesthetic management of the morbidly obese parturient. RECENT FINDINGS Compared to the lean parturient, the morbidly obese parturient has an increased l...

OBJECTIVE To assess the safety and adverse events associated with the use of general anesthesia in children undergoing elective dermatologic procedures. DESIGN A multicenter retrospective review. SETTING Children's Hospital and Health Center, San Diego, Calif, and Northwestern University School of Medicine, Chicago, Ill. PATIENTS The study population comprised 269 children and adolescents...

BACKGROUND The role of regional anaesthesia in cleft lip surgery in the developing world is not well documented. METHOD A retrospective chart review of 100 patients aged >14 years who had cleft lip surgery during an Operation Smile South Africa (OSSA) volunteer surgical programme in Madagascar during 2007 and 2008. The nerve blocks used included a bilateral infraorbital nerve block, a dorsaln...

BACKGROUND Children with cardiomyopathy (CM) often undergo procedures that require general anesthesia (GA) but little is known about anesthesia-related adverse events or postprocedural outcomes. METHODS After approval, all children with CM who underwent nonopen heart surgical procedures and/or diagnostic imaging under GA at a tertiary children's hospital during January 2002 to May 2005 were i...