Vascular bypass is a surgical procedure widely used to treat peripheral vascular disease. The intraoperative anesthetic technique and the most appropriate postoperative analgesia for these high-risk patients remain controversial. We present the case of a patient undergoing femoropopliteal-distal bypass in our service, presenting with relevant comorbidities to the choice of anesthetic technique....

Providing anesthetic care to the patient with a difficult airway keenly interests anesthesiologists and is a situation that often provokes much anxiety and trepidation. However, dealing effectively and safely with these patients is a skill that all anesthesiologists should be familiar with and are expected to perform with competency. Difficult airways arise from multiple causes. Access to the o...

R E F E R E N C E S 1 Morikawa H, Mima H, Fujita I-I, Mishima S. Oxygen embolism due to hydrogen peroxide irrigation during cervical spinal surgery. Can J Anaesth 1995, 42: 231-3. 2 SaissyJM, Guignard B, Pats B, Lenoir B, Rouvier B. Risks of hydrogen peroxide irrigation in military surgery. (French) Ann Fr Anesth Reanim 1994; 13: 749-53. 3 Ferrari M, Catena S, Ferrari F, Bianchi R, Villani A. S...

BACKGROUND An anesthetic state can reduce adverse airway reaction during laryngeal mask airway (LMA) removal in children. However, the anesthetic state has risks of upper airway obstruction or delayed emergence; so possibly less anesthetic depth is advisable. Caudal analgesia reduces the requirement of anesthetic agents for sedation or anesthesia; it is expected to reduce the sevoflurane requir...

STUDY OBJECTIVE To determine whether a regional block team with a dedicated space for performance of regional anesthetics would decrease turnover time and shorten the working day in a busy orthopedic practice with lengthy turnover times. DESIGN Prospective, randomized study. SETTING Tertiary-care teaching hospital. PATIENTS 927 orthopedic procedures over a three-month period. INTERVENTI...

General or regional anesthesia can be appropriate for patients undergoing abdominal surgery. In common practice, balanced anesthesia with inhalational anesthetics, opioids and neuromuscular blockers are used in general anesthesia for abdominal surgical procedures. Endotracheal intubation as well as Laryngeal Mask Airway can be used for airway control. Regional anesthesia, mainly central blocks,...