cystic hygroma (ch) in the cervical region presents as a challenge to the anesthetist. the anaesthetic difficulties are usually associated with ch because of tumor extension into the mouth, airway management, thoracic extension, hemorrhage, involvement of pretracheal region, post operative respiratory obstruction and coexisting anomalies (down syndromes, turner syndromes and congenital cardiac ...

Results Data were collected for 43 patients (24 female), 65.1% were aged 60-79 years and 62.3% were ASA 3. Preoperatively 16.3% received level 2 or 3 care. Prior to non-elective laparotomy 23.3% of patients had previous abdominal surgery within the preceding 11 days. Seventy-three percent of surgeries were conducted from 08:00 to 17:59 (5% from 00:00 to 07:59). Consultant surgeon and consultant...

Fifty-five patients were followed up after day surgery for breast lumpectomy. It was found that local infiltration with bupivacaine significantly decreased analgesic requirement in recovery. Almost half of the patients could not be contacted during the 24 hour post-operative follow-up by telephone. 7.1% complained of severe pain despite oral analgesics. 14.3% of patients had queries regarding w...

OBJECT To identify pre-operative prognostic parameters for survival in patients with spinal epidural neoplastic metastasis when the primary tumour is unknown. METHODS This study was a retrospective chart review of patients who underwent surgery for spinal epidural neoplastic metastases between February 1997 and January 2011. The inclusion criteria were as follows: known post-operative surviva...

KEY FINDINGS (1) Estimates using national data provide tentative evidence of a positive relationship between health information technology (HIT) and clinical quality. Electronic medical records (EMRs) are associated with a statistically significant aversion of two post-operative infections per year at the average U.S. acute care hospital. (2) The study found no significant relationships for two...

Extreme degree of rotation and flexion of the head during posterior fossa surgeries can lead to acute post-operative submandibular sialadenitis that can cause respiratory compromise. Identification of this problem is vital to prevent deterioration in the early post-operative period. This condition responds well to conservative management provided airway obstruction is taken care of. We discuss ...