Retrobulbar Block

Feb 18, 2019 by in ANESTHESIA Comments Off on Retrobulbar Block

Abstract Cataract surgery is probably the most frequently performed surgical procedure in industrialized nations. Patients’ multiple medical comorbidities and advanced age make ocular regional anesthesia a safe modality. The anesthesiologist…

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Sedation of Pediatric Patients

Feb 18, 2019 by in ANESTHESIA Comments Off on Sedation of Pediatric Patients

Abstract Sedation can be categorized into several different levels from “minimal” to “deep” and (ultimately) as general anesthesia. Complications associated with sedation have been well documented. They are most commonly…

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Pulmonary Hypertension

Feb 18, 2019 by in ANESTHESIA Comments Off on Pulmonary Hypertension

Abstract Pulmonary hypertension is associated with increased morbidity and mortality in patients undergoing surgery. It is important to understand the pathophysiology and causes. Early diagnosis and detection of right ventricular…

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Preterm Labor

Feb 18, 2019 by in ANESTHESIA Comments Off on Preterm Labor

Abstract Preterm deliveries have decreased in recent years due to early diagnosis, pharmacologic interventions, and better monitoring technique. Preterm delivery causes significant morbidity and mortality. The American College of Obstetric…

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Postpartum Hemorrhage

Feb 18, 2019 by in ANESTHESIA Comments Off on Postpartum Hemorrhage

Keywords coagulopathy, major obstetric hemorrhage, postpartum hemorrhage (PPH), resuscitation   Case Synopsis A 29-year-old woman, gravida 4, para 2, has been delivered of a 4200-g infant. Her labor had been…

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Posterior Fossa Surgery

Feb 18, 2019 by in ANESTHESIA Comments Off on Posterior Fossa Surgery

Abstract The posterior fossa contains a number of vitally important neuronal and vascular structures, and surgery in this particular portion of the brain presents challenges for both the surgeon and…

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Perioperative Psychological Trauma

Feb 18, 2019 by in ANESTHESIA Comments Off on Perioperative Psychological Trauma

Case Synopsis A 4-year-old boy presents for inguinal hernia repair. In the preoperative holding area, he appears scared and agitated and refuses to leave his mother’s lap. On separation, he…

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Pituitary Tumors: Diabetes Insipidus

Feb 18, 2019 by in ANESTHESIA Comments Off on Pituitary Tumors: Diabetes Insipidus

Abstract Diabetes insipidus is commonly seen following pituitary surgery. Characterized by increased urine output, hypo-osmotic urine, and serum hypernatremia, diabetes insipidus is frequently transient and may require intraopertaive mangaement. However,…

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Peripheral Vascular Surgery

Feb 18, 2019 by in ANESTHESIA Comments Off on Peripheral Vascular Surgery

Abstract Peripheral arterial disease (PAD) is characterized by atherosclerotic occlusive disease of the lower extremities. PAD, cerebrovascular disease, and coronary artery disease are the three major syndromes of atherosclerosis. PAD…

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One-Lung Ventilation

Feb 18, 2019 by in ANESTHESIA Comments Off on One-Lung Ventilation

Abstract With modern lung isolation techniques, hypoxemia during one-lung ventilation is a much less frequent occurrence. When it does occur, however, it can be a challenge for the anesthesiologist. This…

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