Regional anesthesia is being administered to an increasing number of infants and children, and there is a growing body of literature regarding age-related differences in local anesthetic pharmacology and toxicology, and in clinical application of various regional anesthetic techniques in pediatrics. This lecture will review some aspects of the basic, translational and clinical science of region...

Regional anesthetic techniques are rapidly evolving to meet the needs of an ever increasing day surgery patient population. Rapidity and control of onset and offset of anesthesia with minimal side effects are now required of regional anesthetic techniques if these are to compete with general anesthesia. Spinal and combined spinal epidural (CSE) anesthesia for the day surgery patient are discuss...

BACKGROUND Carotid artery disease is not rare in cardiac patients. Patients with cardiac risk factors and carotid stenosis are prone to neurological and cardiovascular complications. With cardiac risk factors, carotid endarterectomy operation becomes challenging. Regional anesthesia is an alternative option, so we aimed to investigate the operative results of carotid endarterectomy operations u...

BACKGROUND The authors used the American Society of Anesthesiologists Closed Claims Project database to identify specific patterns of injury and legal liability associated with regional anesthesia. Because obstetrics represents a unique subset of patients, claims with neuraxial blockade were divided into obstetric and nonobstetric groups for comparison. METHODS The American Society of Anesthe...

A N ever increasing demand for regional anesthesia from both patients and surgeons matches the growing realization that both peripheral and neuraxial blockade can provide superior pain management and perhaps improve patient outcomes, to meet evolving expectations for ambulatory, cost-effective surgery. Our aging population presents with an increasing range of co-morbid-ities, demanding a wider ...

INTRODUCTION Bacterial colonization of catheter tips is common in regional anesthesia and is a suspected risk factor for infectious complications. This is the first study evaluating the effect of CHG-impregnated dressings on bacterial colonization of regional anesthesia catheters in a routine clinical setting. METHODS In this prospective study, regional anesthesia catheter infection rates wer...

The aim of this study was to analyze hemodynamic changes in hypertensive and normotensive patients undergoing total hip or knee replacement in spinal and general anesthesia. Eighty patients who underwent total hip or knee replacement surgery in the period between July 2010 and February 2011 at Sveti Duh University Hospital were retrospectively evaluated. Seventeen patients underwent the operati...

In this study, we aimed to compare the effect of general versus regional anesthesia on postoperative outcomes in patients undergoing surgical repair of hip fracture. Randomized controlled trials, prospective studies and retrospective observational studies were searched in PubMed, Medline and Embase database published between January 2005 and March 2014. The overall outcome was measured by odds ...

PURPOSE To compare surgical outcomes and complications after percutaneous nephrolithotomy (PCNL) under regional or general anesthesia. MATERIALS AND METHODS One hundred and one patients who underwent PCNL as a first-line treatment for kidney calculi between June 2004 and June 2013 were enrolled in this retrospective study. Patients were classified into two groups by anesthetic method: 77 were...