Narcolepsy is a neurological disease characterized by excessive daytime sleepiness, cataplexy, and/or a sudden loss of muscle tone due to malfunction of the orexinergic system, which may cause delayed emergence from general anesthesia. We report a successful anesthetic management of 24-year-old female narcoleptic patient undergoing left anterior cruciate ligament reconstruction. Anesthesia was ...

Approximately 3,500 Americans undergo heart transplantation each year. A portion of this patient population will possibly present later for an elective noncardiac surgery. Anesthesia professionals can be tasked to assess and provide the anesthesia management for heart transplant recipients undergoing a noncardiac surgical procedure. A 57-year-old man with a complicated cardiac history before un...

Dr. Krensavage and Mr. Richards describe “sudden development of anesthesia circuit obstruction by an end-tidal CO, cap in the gas sampling elbow” in their letter in the July issue of Anesthesia & Analgesza (1). They recommend dismantling the elbow from the circuit tubing and performing a visual inspection of the tubing. This may not be necessary. A technique that I have used and taught for year...

Objective: The role of anesthesia in maternal mortality is unknown the Democratic Republic Congo (DRC). This study was conducted with objective analyzing determinants morbidity and linked to course cesarean section. Methods: a prospective, analytical mono-centric carried out on women who underwent section at Centre Hospitalier Mère-Enfant Monkole from January 1st, 2011 December 31st, 2018. vari...

Low molecular weight heparins were first introduced in the United States in May 1993 as an alternative to currently available anticoagulant therapy. Like standard heparin, these anticoagulants inhibit activation of a number of coagulation enzymes, but low molecular weight heparins have their primary inhibitory effect on factor Xa. A decrease in plasma protein binding by low molecular weight hep...

background. given the influence of systemic blood pressure on pulpal blood flow, anxiolytics prescribed may alter the pulpal blood flow along with the local anesthetic solution containing a vasoconstrictor. this study evaluated the impact of preoperative anxiolytics and vasoconstrictors in local anesthetic agents on pulpal oxygen saturation. methods. thirty anxious young healthy individuals wit...

background: because of airway stimulations during the bronchoscopy and lack of direct access to the airway, preferred method of anesthesia for rigid bronchoscopy is already controversial. in this study we compared inhalation anesthesia with total intravenous anesthesia (tiva) for rigid bronchoscopy. method and materials: 30 patients aged 2-6 years were chosen divided on two same groups. anesthe...

bacterial meningitis after spinal and epidural anesthesia is a very rare but serious complication. we report a case of meningitis developing a number of hours after a spinal block for caesarean section. no organism was grown but the csf pattern was suggestive of bacterial meningitis. severe neurological sequelae were present after three months of hospitalization. meningitis is a serious complic...

OBJECTIVES Postictal agitation (PIA) represents one of the most common complications during a modified electroconvulsive therapy (ECT) course. Its clinical management can be challenging especially in cases with poor response to benzodiazepines. Dexmedetomidine, a highly selective alpha-2 adrenoceptor agonist acting predominantly in the locus coeruleus, exerts sedative effects without causing re...

BACKGROUND Intraoperative awareness in patients undergoing general anesthesia is an infrequent but well-described adverse outcome. The reported incidence of this phenomenon is between 0.1% and 0.9%. METHODS With institutional review board approval, the authors reviewed continuous quality improvement data from 3 yr (2002-2004) at the locations where the physician group provided anesthesia. Boa...