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Young Kelly D - - 2014
Topical anaesthetics, often used by anaesthetists, dentists and dermatologists, have increasingly been recognised for their utility in paediatrics. With topical anaesthetics, the 'ouchless' paediatric practice becomes an achievable goal. The primary drawback to their use is the length of time for anaesthetic effect, but planning ahead and making use of ...
Alletag Michelle J MJ From the *Pediatric Emergency Medicine, University of Texas Southwestern Medical Center at Dallas, Dallas, TX; †Yale New Haven Hospital; and ‡Pediatric Emergency Medicine, Yale University School of Medicine, New Haven, - - 2014
Disc batteries as foreign bodies present challenges in both diagnosis and management and carry a high risk for complications. We describe a novel device for disc battery removal using a magnet and basic medical supplies readily available in the emergency department setting. We also review diagnosis, complications, and management recommendations ...
Escallier K E KE Washington University School of Medicine, Saint Louis, Missouri, - - 2014
Although the brain is the target organ of general anaesthesia, the utility of intra-operative brain monitoring remains controversial. Ideally, the incorporation of brain monitoring into routine practice would promote the maintenance of an optimal depth of anaesthesia, with an ultimate goal of avoiding the negative outcomes that have been associated ...
Gottlieb Ori O Department of Anesthesia and Critical Care, University of Chicago, 5841 South Maryland Avenue, MC 4028, Chicago, IL 60637, USA. Electronic address: - - 2014
Adopting an anesthesia information management system (AIMS) is a challenge for anesthesia departments. The transition requires a physician champion and the support of members in every section. This change can be facilitated by visiting similar institutions that are already using AIMS, shadow charting for a sufficient period of time, and ...
Abe Andrew A University of Kansas, Lawrence, KS, USA. Electronic address: - - 2014
With over 50,000 dietary supplements available, resurgence in consumer interest over the past few decades has resulted in an explosion of use of these agents worldwide. Disillusionment with current medications and belief in "natural medicines" has resulted in a multibillion dollar industry. Active ingredients in a number of herbs are ...
Treasure Trevor E TE Assistant Professor, Department of Oral and Maxillofacial Surgery, University of Texas School of Dentistry, Houston, TX. Electronic address: - - 2014
A paradigm shift in the training, practice, and study of office-based anesthesia is necessary for our specialty. Practice improvement plans are required to prevent low-probability-high-consequence anesthesia mishaps in our offices. A scarcity of statistical data exists regarding the true risk of office-based anesthesia in oral and maxillofacial surgery. Effective proactive ...
Hoppentocht M M Department of Pharmaceutical Technology and Biopharmacy, University of Groningen, The - - 2014
In 50years following the introduction of the first dry powder inhaler to the market several developments have occurred. Multiple-unit dose and multi-dose devices have been introduced, but first generation capsule inhalers are still widely used for new formulations. Many new particle engineering techniques have been developed and considerable effort has ...
Marshall Elizabeth M EM Department of Anaesthesia, Glasgow Royal Infirmary and Stobhill ACH, Glasgow, - - 2014
The present study aims to study whether using a videolaryngoscope (A.P. Advance™) facilitates or hinders intubation by non-anaesthetists inexperienced in its use. Thirty doctors from Emergency and Intensive Care Medicine backgrounds performed laryngoscopy and tracheal intubation using the Macintosh laryngoscope (MAC), A.P. Advance™ Normal Blade (AP N) and A.P. Advance™ ...
Mulroy Michael F MF From the *Department of Anesthesiology, Virginia Mason Medical Center, Seattle, WA; †Department of Anesthesiology, Wake Forest School of Medicine, Winston, Salem, NC; and ‡Department of Anesthesiology, Hospital for Special Surgery, New York, - - 2014
Regional blocks are frequently invasive procedures that create the risk of infection, local anesthetic toxicity, and wrong-site performance. National guidelines have been developed by the Joint Commission and the American Society of Regional Anesthesia and Pain Medicine (ASRA) to reduce the potential for each of these risks. Checklists have been ...
Gantwerker Eric A EA Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati and Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, - - 2014
Since the time of Chevalier Jackson, innumerable unique foreign bodies have been documented and removed. Advances in endoscopic airway management have revolutionized the types of foreign bodies that we are able to remove without open surgery. The literature on fish aspiration has mostly encompassed fish bones and parts, not whole ...
Rangasamy Valluvan V Department of Anaesthesia, All India Institute of Medical Sciences, New Delhi, - - 2014
Literature on anesthetic management of juvenile myasthenia gravis (JMG) for thymectomy is limited. Recently, use of inhalational agents and total intravenous anesthesia with propofol and remifentanyl has been reported. All these techniques individually or in combination have been tried to avoid the use of muscle relaxant. We report successful use ...
Bodart E - - 2014
Foreign body inhalation is an emergency in pediatric medicine, particularly in children before the age of 3 years. Whereas clinical assessment and chest X-ray usually guide the diagnosis, rigid bronchoscopy still remains the gold standard in terms of management of foreign body inhalation. However, flexible fibroscopy can also be quite ...
Komasawa Nobuyasu N Department of Anesthesiology, Osaka Medical College, Daigaku-machi 2-7, Takatsuki, Osaka, 569-8686, Japan, - - 2014
In the 2010 American Heart Association guidelines, supraglottic devices (SGDs) such as the laryngeal mask are proposed as alternatives to tracheal intubation for cardiopulmonary resuscitation. Some SGDs can also serve as a means for tracheal intubation after successful ventilation. The purpose of this study was to evaluate the effect of ...
Chang Ta C TC Bascom Palmer Eye Institute, Miami, Florida, - - 2014
This article reviews the potentially adverse neurodevelopmental effects of early exposure to general anesthesia and examines a changing paradigm in the management of pediatric glaucoma. Literature across multiple subspecialties has examined the potentially neurotoxic effects of general anesthesia on the developing child's brain. Associations between general anesthesia exposure early in ...
Merchant Richard R Canadian Anesthesiologists' Society, 1 Eglinton Avenue East, Suite 208, Toronto, ON, M4P 3A1, Canada, - - 2014
The Guidelines to the Practice of Anesthesia Revised Edition 2014 (the guidelines) were prepared by the Canadian Anesthesiologists' Society (CAS), which reserves the right to determine their publication and distribution. Because the guidelines are subject to revision, updated versions are published annually. The Guidelines to the Practice of Anesthesia Revised ...
Gordon Robert - - 2014
There are currently no widely accepted guidelines on standards for the practice of chiropractic or manual therapy manipulation under anesthesia, and the evidence base for this practice is composed primarily of lower-level evidence. The purpose of this project was to develop evidence-informed and consensus-based guidelines on spinal manipulation under anesthesia ...
Knudsen Kati K Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University, Box 564, Uppsala, SE 751 22, Sweden ; Department of Health and Caring Sciences, University of Gävle, Gavle, SE 801 76, - - 2014
In Sweden, airway guidelines aimed toward improving patient safety have been recommended by the Swedish Society of Anaesthesia and Intensive Care Medicine. Adherence to evidence-based airway guidelines is known to be generally poor in Sweden. The aim of this study was to determine whether airway guidelines are present in Swedish ...
Jackson Rebecca R North Bristol NHS - - 2013
It is common practice for epidural analgesia to be offered to women in labour with a suspected occipito-posterior (OP) position. Therefore, this article will challenge whether this practice ensures informed choice and optimal outcomes. Based on a case study, I will explore how midwives can promote normality in an OP ...
Cheng Yvonne W - - 2013
Abstract Objective: Little data exist regarding clinicians' role in the rising annual incidence rate of cesarean delivery in the U.S. We aimed to examine if clinicians' practice environment is associated with recommending cesarean deliveries. Study Design: This is a survey study of clinicians who practice obstetrics in the U.S. This ...
Schmidt Alexander R - - 2013
Perioperative airway problems frequently result in significant morbidity and mortality in children. Therefore, proficiency in airway management is one of the most important key elements in the safe conduct of paediatric anaesthesia. This review includes important anatomical and physiological aspects of the paediatric airway, challenges encountered, and their management with ...
Sola Chrystelle - - 2013
Adverse events associated with anesthetic management of anterior mediastinal masses in pediatrics are common. To avoid an extremely hazardous general anesthesia, the use of real-time ultrasonography offers an effective alternative in high-risk cases. We report the anesthetic management including a light sedation and ultrasound guidance for regional anesthesia, surgical node ...
Goudra Basavana - - 2013
The anesthesia community is still divided as to the appropriate airway management in patients undergoing endoscopic retrograde cholangiopancreatography. Increasingly, gastroenterologists are comfortable with deep sedation (normally propofol) without endotracheal intubation. There are no comprehensive reviews addressing the various pros and cons of an un-intubated airway management. It is hoped that ...
Chloros Thomas T Program "Cardiopulmonary Resuscitation", University of Athens, Medical School, Athens, - - 2013
According to the 2010 European Resuscitation Council guidelines on cardiopulmonary resuscitation (CPR), one can appreciate that the classic laryngeal mask airway (CLMA) is acceptable as an alternative airway device to endotracheal intubation for airway management in cardiac arrest victims. To compare a relatively new supraglottic airway device, the Supreme Laryngeal ...
Law J Adam - - 2013
Previously active in the mid-1990s, the Canadian Airway Focus Group (CAFG) studied the unanticipated difficult airway and made recommendations on management in a 1998 publication. The CAFG has since reconvened to examine more recent scientific literature on airway management. The Focus Group's mandate for this article was to arrive at ...
Neyrinck Arne - - 2013
The number of diagnostic and interventional procedures outside the operating room has dramatically increased over the last years. However, providing well tolerated anesthesia with the same standard of care in these locations is often challenging to the anesthesiologist. The remote locations include different organizational aspects and hazards. Airway management in ...
Schnall Bruce M - - 2013
Review the current management for pediatric nasolacrimal duct obstruction and congenital dacryocele. Early probing in the office, and probing beyond 1 year of age in a facility with general anesthesia are equally effective. Congenital nasolacrimal duct obstruction is associated with anisometropic amblyopia. Infants with unilateral dacryocele are at risk for ...
Asai Takashi - - 2013
Monitoring is crucial to assure safety during difficult airway management. Several reports have indicated that the most of the adverse outcomes associated with difficult airway management could have been avoided with the use of necessary monitors, such as a pulse oximeter and a capnometer. Nevertheless, airway complications continue to be ...
Onyekwulu F A - - 2013
The aim of this study is to provide an overview on the use of the Laryngeal Mask Airway (LMA) amongst anaesthesia practitioners in Nigeria This is a multicentre questionnaire based study involving eight tertiary health care institutions in Nigeria. The questionnaires were administered to anaesthetists. They were standardised open- and ...
Aceto Paola - - 2013
The well-known difficulties in airway management in obese patients are caused by obesity-related airways and respiratory changes. Anesthesiologists confront a number of troubles, including rapid oxygen desaturation, difficulty with laryngoscopy/intubation and mask ventilation, and increased susceptibility to the respiratory depressant effects of anesthetic drugs. Preoperative assessment of the airways in ...
Kohama Hanako - - 2013
PURPOSE: American Heart Association (AHA) 2010 cardiopulmonary resuscitation guidelines recommend high-quality chest compressions (minimum interruption, a pace >100 compressions/min, and a depth more than 5 cm). They propose minor changes for pregnant women: manual left deviation of the uterus or a left-lateral incline of 27°-30° to alleviate pressure on the inferior ...
Aponte-Feliciano Antonio - - 2013
Horace Wells, a contender for recognition as the discoverer of anesthesia, is celebrated in the town where he conducted most of his work, Hartford, CT. His only descendant was his son, Charles Thomas Wells (1839-1909), an influential and successful business executive at Aetna Insurance Company. He was a man of ...
Klein Kathryn S - - 2013
Ophthalmologists and neonatologists were surveyed to assess current practices for anesthetic and airway management techniques used during laser treatment for retinopathy of prematurity. Of the 351 practitioners who completed the survey, most perform fewer than 10 treatments annually. Intravenous sedation, rather than general anesthesia, is used by 60% of respondents. ...
D'Agostino Maria-Antonietta - - 2013
Ultrasound allows one to detect easily joint involvement. In addition to its primary use as a diagnostic tool, ultrasound is increasingly used by rheumatologists to guide musculoskeletal interventions. The correct position of the needle in the target area offers the chance to improve efficacy of the local procedure. Knowledge of ...
Alcaide Maria L - - 2013
Vaginal practices are a variety of behavioral techniques that women use to manage their sexual life and personal hygiene. Women perceive vaginal practices as a beneficial practice. However, vaginal cleansing has been identified as one of the main risk factors for bacterial vaginosis and is potentially implicated in Human Immune ...
Gruber Christina - - 2013
ABSTRACT: INTRODUCTION: Airway management is an important component of cardiopulmonary resuscitation (CPR). Recent guidelines recommend keeping any interruptions of chest compressions as short as possible and not lasting more than 10 seconds. Endotracheal intubation seems to be the ideal method for establishing a secure airway by experienced providers, but emergency ...
van Oostrom Hugo - - 2013
OBJECTIVE: To compare airway management using the v-gel supraglottic airway device (v-gel SGAD) to that using an endotracheal tube (ETT), with respect to practicability, leakage of volatile anaesthetics and upper airway discomfort in cats. STUDY DESIGN: Prospective, randomized clinical trial. ANIMALS: Twenty European Shorthair cats (9 males, 11 females), weighing ...
Van Zundert T C R V - - 2013
In extreme emergency situations, patients may need to undergo endotracheal intubation, while in a non-supine position. This manuscript offers several options to the anesthesiologist to cope with tracheal intubations in nonstandard positions. The authors stress that there is a need for adequate training in an anaesthesia skills lab, whereby classic ...
Mortuaire G - - 2013
INTRODUCTION: Systemic and topical nasal decongestants are widely used in otorhinolaryngology and general practice for the management of acute rhinosinusitis and as an adjuvant in certain forms of chronic rhinosinusitis. These products, very effective to rapidly improve nasal congestion, are sometimes available over the counter and can be the subject ...
Boesch Jordyn M - - 2013
This article discusses anesthesia for horses with colic from acute gastrointestinal disease. Emphasis is placed on new developments in pre-, intra-, and immediate postoperative management over the last decade, including early goal-directed therapy (EGDT) in the resuscitation of septic patients, the controversy over the optimal fluid type to administer, and ...
Ball Ryan D RD Department of Anesthesiology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, - - 2013
To survey anesthesia providers for their opinion on "best practice" in perioperative peripheral intravenous catheter (PIV) management, and to determine if they follow those opinions. Survey instrument. Academic medical center. 266 United States (U.S.) anesthesia provider respondents (attending anesthesiologists, anesthesiology residents, anesthesia assistants, certified registered nurse-anesthetists and student registered nurse-anesthetists). ...
Rush Stephen - - 2013
A philosophical approach to tactical and remote medicine should be reflected in the gear (e.g., equipment and technology) chosen as well as the protocols used. The gear needs to be lightweight and small volume. Asmuch as possible, it should have multiple uses, and there should be no redundancy with other ...
Wahrig Bettina - - 2013
This contribution explores the intertwining history of the obstetrician's hand and of (measurable) time. In a long-term historical perspective both on the metaphorical and practical role of the hand in obstetrical discourse and on the changing relation between continuous and discontinuous time, I come to the conclusion that the introduction ...
Sermeus L - - 2013
These guidelines, made by BARA, are, like the "Safety First Guidelines" of the SARB, clinical recomendations for a good and safe practice when performing peripheral nerve blocks (PNB). These recommendations were made according to the most recent literature and experts opinion and are therefore prone to changes due to evolution ...
Ciccozzi Alessandra A Anesthesiology and Pain Medicine, Department of Life, Health and Environmental Sciences, University of L'Aquila, Viale San Salvatore, Edificio 6, 67100 L'Aquila, - - 2013
The introduction into clinical practice of new tools for intubation as videolaringoscopia has dramatically improved the success rate of intubation and the work of anesthesiologists in what is considered the most delicate maneuver. Nevertheless intubation difficulties may also be encountered with good anatomical visualization of glottic structures in videolaringoscopia. To ...
Merchant Richard - - 2012
OVERVIEW: The Guidelines to the Practice of Anesthesia Revised Edition 2013 (the guidelines) were prepared by the Canadian Anesthesiologists' Society (CAS), which reserves the right to determine their publication and distribution. Because the guidelines are subject to revision, updated versions are published annually. The Guidelines to the Practice of Anesthesia ...
van Zundert T C R V - - 2012
The practice of anaesthesia was revolutionised by the ideas of Archie Brain. The routine use of a facemask to manage the airway was not a hands-free technique, despite the development of various harnesses, and made adequate record-keeping difficult. The tracheal tube was associated with some morbidity, which some felt was ...
Zhou Cheng - - 2012
Application of volatile anesthetics greatly alters modern medicine. There are obvious advantages of volatile anesthetics such as strong anesthetic potency, rapid onset and elimination through respiration system. Isoflurane is one of the most widely used volatile anesthetics in clinic. Emulsified isoflurane, the emulsion of isoflurane, is a novel intravenous general ...
Holck Guilherme - - 2012
Obstetric anesthesia has become a widely evidence-based practice, with an increasing number of specialized anesthesiologists and a permanent research production. We believe that with the review of commonly discussed and controversial points the reader will be able to incorporate an evidence-based practice into their routine and offer to parturients and ...
Hutchon D J R - - 2012
Over the past 40 years, there have been a number of review articles attempting to rationalise cord clamping practice. Early cord clamping was originally thought to be important in active management of the third stage of labour, but this was never evidence based. Without an evidence base to justify it, ...
Ellis Harold - - 2012
This year marks the 150th anniversary of the death of a distinguished surgeon, whose lifetime saw the introduction of anaesthesia into practice but who died before the advent of antisepsis.
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