The use of general (face-mask inhalation and intravenous) anesthesia has been the method of choice for tympanostomy tube insertion in children. However, there is no exact guideline for the choice of anesthesia method and there is no evidence to support the use of one anesthesia method over another. Clinically, the anesthesia method used to be decided by old customs and the surgeon's blind faith...

From the Department of Anesthesia, Critical Care, and Pain Relief, Fortis Hospitals, Bangalore, Karnataka 560075, India. Address reprint requests to Murali Chakravarthy, MD, DA, DNP, FIACTA, Fortis Hospitals, Department of Anesthesia, Critical Care, and Pain Relief, Bannerughatta Road, Bangalore, Karnataka 560076, India. E-mail: [email protected] © 2014 Elsevier Inc. All rights reserve...

BACKGROUND There are few data that describe the frequency, anesthetic type, provider, or disposition of children requiring outpatient anesthesia in the United States (US). Since the early 1980s, the frequency of ambulatory surgery has increased dramatically because of advances in medical technology and changes in payment arrangements. Our primary aim in this study was to quantify the number of ...

BACKGROUND The authors used continuous quality improvement (CQI) program data to investigate trends in quality of anesthesia care associated with changing staffing patterns in a university hospital. METHODS The monthly proportion of cases performed by solo attending anesthesiologists versus attending-resident teams or attending-certified registered nurse anesthetist (CRNA) teams was used to m...

This prospective observational study compared the effects of general and spinal anesthesia in 173 severe preeclamptic women undergoing emergency cesarean section. 146 (84.5%) patients underwent spinal anesthesia (SA) and 27 (15.5%) patients had general anesthesia (GA). Most of the patients were primigravid and nulliparous. Intraoperatively SA group required more intravenous fluid and vasopresso...

The paper describes the professional activities and merits of pediatric surgeon, science editor Russian Journal Pediatric Surgery, Anesthesia Intensive Care, Vladimir I. Petlakh in celebration his anniversary.

OBJECTIVES Propofol has virtually replaced other agents for induction of anesthesia in the ambulatory setting because of its favorable recovery profile. Psycho-mimetic effects, common after use of ketamine, are not so well known for propofol. We present two case reports where patients had two spectrum of abnormal psychological outbreaks after propofol anesthesia. CASE REPORTS Two healthy youn...

Optimizing perioperative care to provide maximum benefit at minimum cost may be best achieved using a perioperative clinical pathway (PCP). Using our joint replacement surgical home (JSH) model PCP, we examined length of stay (LOS) following total joint arthroplasty (TJA) to evaluate patient care optimization. We reviewed a spectrum of clinical measurements in 190 consecutive patients who under...

The author provides an overview of the various postoperative therapeutic regimens for surgical patients recovering from anesthesia. Because anesthesia care begins preoperatively and continues well into the postoperative period, a thorough understanding of the altered pulmonary physiology caused by anesthesia, narcotics and surgery, as well as the appropriate implementation of postoperative resp...