To the Editor: An important study by Savilampi et al.1 demonstrating the rate of pulmonary aspiration in adults undergoing monitored anesthesia care with remifentanil was recently published in AneStheSiology. There is an important limitation of the study worth considering when interpreting the study results. The method of aspiration detection does not differentiate between pharyngeal-to-pulmona...

Regional anesthesia techniques have been increasingly used in orthopedic surgery procedures. Regional anesthesia techniques can be classified as central neuraxial blocks including spinal and epidural anesthesia, peripheral nerve blocks including upper extremity and lower extremity blocks and regional intravenous anesthesia (RIVA) (Table 1). In many clinical studies have been reported that regio...

Day care procedures, diagnostic and therapeutic are increasingly popular, due to advances in anesthesia, surgery and medical technology. Carefully selected patients with optimized co morbid conditions, if any can be taken up for ambulatory surgery which includes sedation, regional and general anesthesia. Careful selection of drugs and airway devices with a proper plan leads to success. Standard...

Background and Purpose: In this study the goal was to analyze costs of regional versus general anaesthesia techniques through a retrospective study. Using an interdisciplinary approach of cost management in health care institutions, independent financial analysis of costs of surgical procedures and resource utilization was conducted. The study has several aims: to emphasize benefits of regional...

The purpose of this study was to evaluate the anesthesia care provided during obstetric adverse events. Malpractice claims filed against nurse anesthetists for care involving obstetric anesthesia (n = 41) were extracted from the American Association of Nurse Anesthetists Foundation Closed Claim database. The events represented in the claims occurred from 1990 to 1996 and represented anesthetics...

In 1993 Medicare paid more money to anesthesia providers for cataract surgery than for any other surgical procedure. Patients undergoing cataract surgery often receive monitored anesthesia care (MAC). Thus, cuts in anesthesia payments from Medicare for cataract surgery may be forthcoming. If few interventions were being done after a retrobulbar block was placed, then a registered nurse might be...

Dexamethasone Increases the Frequency of Post-Dural Puncture Headache (PDPH): An Evidence Based Reality Fardin Yousefshahi Department of Anesthesia and Critical Care, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran Corresponding author: Fardin Yousefshahi, Department of Anesthesia and Critical Care, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Ira...