Anesthetic exposure in young children raises concerns about neurodevelopmental safety, with preclinical evidence suggesting potential neurotoxicity of volatile anesthetics. This study aimed to assess whether the combination of dexmedetomidine and remifentanil, by reducing sevoflurane exposure, has any differential effect on neurodevelopmental outcomes in young children compared with sevoflurane…
Nephrectomies are usually performed under general anaesthesia alone or in combi-nation with regional anaesthesia and rarely under regional anaesthesia alone. We report themanagement of a patient with chronic obstructive pulmonary disease with a history of recurrentspontaneous pneumothorax undergoing nephrectomy under regional anaesthesia alone
Pain is the primary complaint and the main reason for prolonged recovery after laparoscopic cholecystectomy. The authors hypothesized that patients undergoing laparoscopic cholecystectomy will have less pain four hours after surgery when receiving maintenance of anesthesia with propofol when compared to isoflurane, desflurane, or sevoflurane
Anaesthesia represents one of the most important medical advances in history,and,nowadays, can widely beconsidered safe,thanks to the discovery of new drugs and the adoption of modern technologies .Nevertheless,anaesthetic practices still represent cause for concern regarding the consequence sthey produce. Various anaesthetics are frequently used without knowing their effects on specific diseas…
Atelectasis is derived from the Greek words ateles and ektasis, meaning incomplete expansion. It is also referred to as collapse of the lung. Atelectasis is the loss of lung volume, either a part or all of a lung with or without mediastinal shift.
Complete atelectasis of primary spontaneous pneumothorax (PSP) requires immediate air reduction. Surgical intervention has been considered proper treatment for persistent air leakage or recurrence. We examined whether this is the proper treatment by evaluating the natural course and treatment outcomes of complete lung atelectasis
Laryngeal framework surgery (LFS) is an indispensable surgical approach for the treatment of voice problems. The purpose of this review is to single out some relevant articles published on the topic of LFS from 2015 to mid-2016. Articles referring to injection laryngoplasty (augmentation) are entirely left aside
Technological advancements in imaging and intervention have allowed many disease processes to be treated outside of the operating room (OR). These advancements have provided alternative treatments to patients who are considered too high a risk or too unstable for traditional surgical procedures. As a result, there has been considerable increase in use of various levels of procedural sedation, i…
Appropriate supervision has been shown to reduce medical errors in anesthesiology residents and other trainees across various specialties. Nonetheless, supervision of pediatric anesthesiology fellows has yet to be evaluated. The main objective of this survey investigation was to evaluate supervision of pediatric anesthesiology fellows in the United States. We hypothesized that there was an in…
Procedural sedation and analgesia (PSA) has become a widespread practice given the increasing demand to relieve anxiety, discomfort and pain during invasive diagnostic and therapeutic procedures. The role of, and credentialing required by, anaesthesiologists and practitioners performing PSA has been debated for years in different guidelines. For this reason, the European Society of Anaesthesiol…