Bztients with neurologic diseases who require surgery may present the anesthetist with special challenges related to their pharmocotherapy. It is well established that such therapy may alter these patients' otherwise normal response to anesthesia. There are many classes of drugs utilized and this AANA Journal course addresses the pharmacokinetic pharmacodynamic and anesthetic implications of an...

OBJECTIVES/HYPOTHESIS Determine the incidence and characterize perioperative airway complications in patients who have undergone medialization thyroplasty (MT) and subsequently undergo procedures requiring anesthesia. STUDY DESIGN Retrospective review of post-MT anesthesia encounters in a large academic hospital. METHODS A series of post-MT patients was reviewed, identifying anesthesia enco...

BACKGROUND Obesity is present in a significant proportion of children presenting for anesthesia. Although it is perceived that obese adults have more frequent complications, the incidence of complications in obese children is unknown. Because of anticipated difficulties with mask ventilation, anesthesia is most frequently induced intravenously in obese adults, whereas inhalation induction is us...

BACKGROUND The aim of this study was to compare students' satisfaction between problem-based learning (PBL) and lecture-based traditional teaching of anesthesia. METHODS One hundred and thirty-seven fifth-year medical students were enrolled in a course which used a hybrid curriculum for teaching about anesthesia. The hybrid curriculum included 9 essential lectures and 3 related PBL case discu...

At our institution, implementation of a formal training course in Basic Focus Assessed Transthoracic Echocardiography (FATE) was associated with an improvement in anesthesia trainees' ability to obtain transthoracic echocardiography (TTE) images. Total image acquisition scores improved by a median (Q1, Q3) 9.1 (2.9,14.7) percentage points from pre-to post-hands-on FATE course (n=20; p=0.001). P...

a 45-year-old prisoner violently inserted a 30 cm bottle into his rectum in the prison. he complained of lower abdominal fullness and inability to pass stool. his vital signs were stable and the abdominal examination did not reveal any peritoneal sign. multiple longitudinal ulcer like anal fissures were also remarkable in different positions of the anal wall extending to the rectum. attempts we...

It should come as no surprise that malpractice attorneys are among the many people who do not understand what nurse anesthetists do or what their capabilities are. Recently, a newsletter directed to both anesthesia providers and lawyers, quoted several malpractice attorneys who were under the impression that the American Society of Anesthesiologists (ASA) Statement on the Anesthesia Care Team w...

The Coronary Artery Bypass Grafting (CABG) is associated with different morbidity and mortality. One of the morbidity associated with CABG are the hemodynamic changes during surgery which has become a major concern for professionals. One of the reasons for this morbidity is lack of adequate pain control and the use of opioids as part of a balanced anesthetic technique will lead to hemodynamic s...

BACKGROUND New ways of decreasing post-operative analgesic drug requirements are of special interest after major surgery. Magnesium sulfate (MgSO(4)) alters pain processing and reduces the induction and maintenance of central sensitization by blocking the N-methyl-D-aspartate (NMDA) receptor in the spinal cord. We investigated whether supplementation of spinal anesthesia with combined intrathec...

purpose : to evaluate efficacy, complications, and patient satisfaction using local anesthesia (la), in comparison to with general anesthesia (ga) in external dacryocystorhinostomy (dcr) methods : in this prospective study, 149 patients with complete nasolacrimal duct (nld) obstruction who were candidates for external dcr were randomized in 2 groups: ga 73 patients, and la 76 patients. intraope...