Equipment Needles, catheters, and syringes Effective regional anesthesia requires comprehensive knowledge of equipment—that is, the needles, syringes, and catheters that allow the anesthetic to be injected into the desired area….
Key Points • Along its course above the clavicle, the brachial plexus is bounded by the anterior and middle scalene muscles. The two muscles constitute the scalene triangle with its…
Regional anesthesia is a fast-growing field with application in a wide range of surgical procedures. Better technique with the help of ultrasound, better and safer local anesthetics, and better drug…
Key Points Neonates and infants are more prone to developing systemic toxicity to local anesthetics (LAs), particularly amide LAs, compared with older children and adults. This is due to reduced…
Introduction: Rising Demand and Resource Constraint One of the few constants throughout health-care is an inexorable rise in demand. This rise has been ongoing for many years and is driven…
Worldwide more than 200 million surgeries are performed each year; in the United States more than 50 million inpatient procedures occur annually. In 2009, the World Health Organization demonstrated that…
“Wherever we see systematic measurement of results in health-care–no matter what the country–we see those results improve.” Michael E. Porter, Harvard Business Review (October 2013) Extensive evidence exists demonstrating that…
Introduction Since the inception of anesthesia changed and expanded surgery, some patients have experienced changes in cognitive function postoperatively. Elderly patients are at higher risk of these changes in neurocognitive…
The goal of this chapter is to make the following points: 1. Taxpayers, employers, and employees demand that medicine deliver better value. Physicians need evidence-based medicine to establish which interventions…
Defining Palliative Care Palliative care is defined by the World Health Organization as “an approach that improves the quality of life of patients and their families facing the problem associated…
