Resection and reconstruction of the SVC is a challenging Intraoperative situation owing to the potential complications after clamping a patent vessel. Hemodynamic imbalance and neurological effects of SVC clamping can be life threatening. These complications can be prevented by careful intraoperative monitoring and management. Anaesthesiologist must be aware of different options to manage such ...

PREOPERATIVE PLANNING Reviewing your patient’s health status and medications preoperatively is mandatory. Someone with poorly controlled blood pressure or heart rate is at greater risk for suprachoroidal hemorrhage (SCH). I like my anesthesia team to know that the control of vital signs is important in glaucoma surgery. Anticoagulant use can contribute to more bleeding should an SCH occur, and ...

The purpose of this study was to evaluate the effects of intraoperative fluid therapy on length of hospital stay and pulmonary complications in patients undergoing spine surgery. A total of 1307 patients were analyzed. Sixteen pulmonary complications were observed. Patients with a higher volume of administered crystalloids, colloids, and total intravenous fluids were more likely to have postope...

PURPOSE To examine possible differences in the clinical outcomes of topical anesthesia (TA) and regional anesthesia including retrobulbar anesthesia (RBA) and peribulbar anesthesia (PBA) in phacoemulsification. DESIGN Systematic review and meta-analysis. PARTICIPANTS Patients from previously published randomized controlled trials (RCTs) of phacoemulsification under TA and RBA/PBA reporting ...

Placement of a penile prosthesis is an excellent option for well-selected patients, offering high patient satisfaction and a low rate of complications. Most urologists who perform the procedure are not high volume implanters and may have limited experience with troubleshooting intraoperative issues. In this review, the authors use current literature to provide recommendations for the management...

purpose : to evaluate efficacy, complications, and patient satisfaction using local anesthesia (la), in comparison to with general anesthesia (ga) in external dacryocystorhinostomy (dcr) methods : in this prospective study, 149 patients with complete nasolacrimal duct (nld) obstruction who were candidates for external dcr were randomized in 2 groups: ga 73 patients, and la 76 patients. intraope...

Objectives/Hypothesis To evaluate the safety and complications of endoscopic airway surgery using supraglottic jet ventilation with a team-based approach. Study Design Retrospective cohort study. Methods Subjects at two academic institutions diagnosed laryngotracheal stenosis who underwent between January 2008 December 2018 were identified. Patient characteristics (age, gender, race, follow-up ...

We have reported the usefulness of the subxiphoid approach in thymectomy. However, such a new operation method may have unknown complications that rarely occur. Surgeons cannot completely avoid intraoperative and postoperative complications. We report a case of intraoperative injury of the orifice of the left internal thoracic vein flowing to the left brachiocephalic vein and postoperative peri...

INTRODUCTION In the treatment of cholelithiasis in adults, laparoscopic cholecystectomy is the method of first choice. There is plentiful literary evidence of the low complication incidence in this age group, but similar assessment is lacking in the paediatric population. In this work, the authors focus on cholelithiasis in children and the possible use of laparoscopy in the diagnostic - therap...

While antegrade nailing for proximal and diaphyseal femur fractures is a commonly utilized fixation method with benefits including early mobilization and high rates of fracture union, both intraoperative and postoperative complications may occur. Intraoperative errors include leg length discrepancy, anterior cortical perforation, malreduction of the fracture, and neurovascular injury, and posto...