Is Pre-Emptive Analgesia Clinically Effective?

Mar 2, 2019 by in ANESTHESIA Comments Off on Is Pre-Emptive Analgesia Clinically Effective?

Introduction The concept of pre-emptive analgesia originated at a time of growing appreciation for the dynamic characteristics of the pain pathway. Experimental studies made it clear that noxious stimuli could…

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How Young Is the Youngest Infant for Outpatient Surgery?

Mar 2, 2019 by in ANESTHESIA Comments Off on How Young Is the Youngest Infant for Outpatient Surgery?

Introduction Outpatient surgery accounts for a significant percentage of anesthetics delivered annually in the United States. Many pediatric procedures, such as hernia repair, circumcision, endoscopy, and heel cord tenotomy, are…

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Optimal Postoperative Analgesia

Mar 2, 2019 by in ANESTHESIA Comments Off on Optimal Postoperative Analgesia

Introduction Postoperative pain management in the United States was fairly standardized before the 1980s. Mild-to-moderate pain was treated with acetaminophen or a nonsteroidal antiinflammatory drug (NSAID), and moderate-to-severe pain was…

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Does Labor Analgesia Affect Labor Outcome?

Mar 2, 2019 by in ANESTHESIA Comments Off on Does Labor Analgesia Affect Labor Outcome?

Introduction In 1847, only months after the first demonstration of anesthesia, James Simpson, an obstetrician, administered ether to a woman in labor for childbirth. He was quite impressed with the…

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When Should a Combined Spinal–Epidural Be Used?

Mar 2, 2019 by in ANESTHESIA Comments Off on When Should a Combined Spinal–Epidural Be Used?

Introduction The combined spinal–epidural (CSE) technique produces reliable and rapid onset of spinal anesthesia combined with the flexibility to extend the height and duration of a block provided by continuous…

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What Works for Brain Protection?

Mar 2, 2019 by in ANESTHESIA Comments Off on What Works for Brain Protection?

Introduction Despite recent advances in anesthesia techniques and monitoring measures, intraoperative and postoperative neurologic events remain the most devastating complications and continue to concern anesthesia providers. Even without any significant…

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