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 << Prev 20  Showing 1 to 20 of 61 Matches Next 20 >>

1. Does neuraxial anesthesia reduce intraoperative blood loss? A meta-analysis.
Match Strength: 7.025

STUDY OBJECTIVE: To perform a meta-analysis of available randomized controlled trials to determine if neuraxial anesthesia would decrease blood loss, compared with general anesthesia. DESIGN: Retrospective analysis. SETTING: University medical center. MEASUREMENTS: The National Library of Medicine's PubMed database was searched from the period of 1966 to December 10, 2003 for all abstracts containing words related to neuraxial anesthesia and general anesthesia. The search was limited to randomized controlled trials and the English language and yielded 667 articles. MAIN RESULTS: A total of 66 ... Read More »
» Published in J Clin Anesth. 2006 Sep;18(6):427-35.

2. The discriminant power of simultaneous monitoring of spontaneous electroencephalogram and evoked potentials as a predictor of different clinical states of general anesthesia.
Match Strength: 6.432

Spontaneous or evoked electrical brain activity is increasingly used to monitor general anesthesia. Previous studies investigated the variables from spontaneous electroencephalogram (EEG), acoustic (AEP), or somatosensory evoked potentials (SSEP). But, by monitoring them separately, the available information from simultaneous gathering could be missed. We investigated whether the combination of simultaneous information from EEG, AEP, and SSEP shows a more discriminant power to differentiate between anesthesia states than from information derived from each measurement alone. Therefore, we ... Read More »
» Published in Anesth Analg. 2006 Oct;103(4):894-901.

3. Interscalene regional anesthesia for arthroscopic shoulder surgery: a safe and effective technique.
Match Strength: 6.316

There has been resistance to the use of interscalene regional block for arthroscopic shoulder surgery because of concerns about potential complications and failed blocks with the subsequent need for general anesthesia. The purpose of this study was to assess whether interscalene regional block is safe and effective and offers many advantages over general anesthesia for outpatient arthroscopic shoulder surgery. Through a retrospective chart review of consecutive arthroscopic shoulder surgeries over a 2.5-year time period, in a tertiary university medical center with an anesthesiology residency, ... Read More »
» Published in J Shoulder Elbow Surg. 2006 Sep-Oct;15(5):567-70.

4. Digital versus local anesthesia for finger lacerations: a randomized controlled trial.
Match Strength: 6.249

OBJECTIVES: To compare the pain of needle insertion, anesthesia, and suturing in finger lacerations after local anesthesia with prior topical anesthesia with that experienced after digital anesthesia. METHODS: This was a randomized controlled trial in a university-based emergency department (ED), with an annual census of 75,000 patient visits. ED patients aged > or = 8 years with finger lacerations were enrolled. After standard wound preparation and 15-minute topical application of lidocaine-epinephrine-tetracaine (LET) in all wounds, lacerations were randomized to anesthesia with either ... Read More »
» Published in Acad Emerg Med. 2006 Oct;13(10):1046-50. Epub 2006 Sep 13.

5. Ultrasonographic guidance in pediatric regional anesthesia Part 1: Theoretical background.
Match Strength: 6.241

Recent findings support the use of ultrasonographic guidance in pediatric regional anesthesia. This review article illustrates basic knowledge in physics of ultrasound and ultrasonographic appearance of neuronal structures, which are prerequisites for the safe application of this technique in daily clinical practice. A critical view on education and ethics in science should emphasize future developments in ultrasonography for pediatric regional anesthesia. Publication Types: Historical Article, ... Read More »
» Published in Paediatr Anaesth. 2006 Oct;16(10):1008-18.

6. Integrating the science of consciousness and anesthesia.
Match Strength: 6.228

The nature and mechanism of human consciousness is emerging as one of the most important scientific and philosophical questions of the 21st century. Disregarded as a subject of serious inquiry throughout most of the 20th century, it has now regained legitimacy as a scientific endeavor. The investigation of consciousness and the mechanisms of general anesthesia have begun to converge. In the present article I provide an introduction to the study of consciousness, describe the neural correlates of consciousness that may be targets of general anesthetics, and suggest an integrated approach to the ... Read More »
» Published in Anesth Analg. 2006 Oct;103(4):975-82.

7. Use of the laryngeal mask airway in patients with severe muscular dystrophy who require sedation or anesthesia.
Match Strength: 5.637

Severe muscular dystrophy (MD) has historically led to death in early adulthood, due to mainly cardiopulmonary complications. However, with newer methods of cardiac and respiratory management, survival has improved, and patients with MD are more frequently undergoing procedures requiring deep sedation or anesthesia. Respiratory management of these patients during procedures is challenging; safe and effective options for respiratory support are needed. In this report, we describe our experience using the laryngeal mask airway (LMA) to provide respiratory support during deep sedation or ... Read More »
» Published in Pediatr Pulmonol. 2006 Nov;41(11):1077-81.

8. Feasibility analysis of loop colostomy closure in patients under local anesthesia.
Match Strength: 5.604

PURPOSE: To verify prospectively the practicability of performing loop colostomy closure under local anesthesia and sedation. METHODS: In this study, 21 patients underwent this operation. Lidocaine 2% and bupivacaine 0.5% were utilized. Pain was evaluated during the operation, on the first postoperative day and at hospital discharge. Intraoperative events, postoperative complications and the acceptability of this procedure were analyzed. RESULTS: The mean duration of the operation was 133 minutes (range: 85 to 290 minutes). The mean postoperative hospitalization was four days (range: one to ... Read More »
» Published in Acta Cir Bras. 2006 Sep-Oct;21(5):275-8.

9. The influence of sevoflurane on the bispectral index, regional cerebral oxygen saturation, and propofol concentration during propofol/N(2)O anesthesia.
Match Strength: 5.483

OBJECTIVE: This study was undertaken to investigate the influence of sevoflurane on the bispectral index (BIS), regional cerebral oxygen saturation (rSO(2)), and serum propofol concentration during propofol/N(2)O anesthesia. This study tested the hypothesis that sevoflurane affect BIS values, rSO(2), and the pharmacokinetics of propofol during propofol/ N(2)O anesthesia. METHODS: General anesthesia was administered to 15 ASA I-II patients with a continuous infusion of propofol to maintain a BIS value of 45 +/- 5. After recording baseline values, patients were assigned to receive sevoflurane (2 ... Read More »
» Published in J Clin Monit Comput. 2006 Dec;20(6):415-20. Epub 2006 Sep 28.

10. The contribution of remifentanil to middle latency auditory evoked potentials during induction of propofol anesthesia.
Match Strength: 5.358

There is a debate regarding whether opioids, as a component of general anesthesia, are adequately reflected in the assessment of anesthesia based on derivatives of the electroencephalogram. To test the hypothesis of a possible quantitative contribution of remifentanil on middle latency auditory evoked potentials, we studied its interaction with propofol anesthesia in 45 unpremedicated male patients undergoing elective lower limb orthopedic surgery. They were allocated randomly to three groups. The first two groups received remifentanil either with a high (8 ng mL(-1)) or a low (3 ng mL(-1) ... Read More »
» Published in Anesth Analg. 2006 Oct;103(4):902-7.

11. An anesthesia information system designed to provide physician-specific feedback improves timely administration of prophylactic antibiotics.
Match Strength: 5.273

Surgical site infections are a frequent cause of morbidity and mortality and add significantly to the cost of care. One component of the national Surgical Infection Prevention (SIP) program is to ensure timely administration of prophylactic antibiotics, a key factor to reduce postoperative infection. Our anesthesia department decided to assume the responsibility for timing and administration of antibiotic prophylaxis and we initiated a multitiered approach to remind the anesthesiologist to administer the prophylactic antibiotics. We used our anesthesia clinical information system to implement ... Read More »
» Published in Anesth Analg. 2006 Oct;103(4):908-12.

12. Thoracoscopic pleural biopsy for tuberculous pleurisy under local anesthesia.
Match Strength: 5.092

OBJECTIVE: We directly examined the thoracic cavity by thoracoscopy under local anesthesia, performed pleural biopsy, and made a definitive pathological diagnosis in tuberculous pleurisy. SUBJECTS AND METHODS: We performed a retrospective study of 32 patients who had been bacteriologically and pathologically diagnosed with tuberculous pleurisy by thoracoscopy under local anesthesia in our hospital between January 1995 and November 2004. RESULTS: Bacteriological examination of pleural fluids obtained by thoracentesis before examination showed that one sample was polymerase chain reaction (PCR) ... Read More »
» Published in Ann Thorac Cardiovasc Surg. 2006 Aug;12(4):245-8.

13. Chaos theory and the treatment of refractory status epilepticus: Who benefits from prolonged anesthesia, and is there a better way?
Match Strength: 4.997

Refractory status epilepticus (SE) is a condition of continuous seizure activity in which there is a regular, rapid, succession of spike discharges in the brain. It is incompatible with normal consciousness and is associated with an extremely high morbidity and mortality. Prior to 1990, prevailing opinion held that a brief period of anesthesia (up to two weeks) was to be recommended, but that if SE persisted this was a sign of irreversible brain damage. Therefore support of the patient in SE was not recommended beyond two weeks. On the basis of the theoretical constructs of chaos theory we ... Read More »
» Published in Med Hypotheses. 2007;68(2):439-41. Epub 2006 Sep 25.

14. The effects of the type of anesthesia on outcomes of lower extremity infrainguinal bypass.
Match Strength: 4.991

OBJECTIVE: Three main types of anesthesia are used for infrainguinal bypass: general endotracheal anesthesia (GETA), spinal anesthesia (SA), and epidural anesthesia (EA). We analyzed a large clinical database to determine whether the type of anesthesia had any effect on clinical outcomes in lower extremity bypass. METHODS: This study is an analysis of a prospectively collected database by the National Surgical Quality Improvement Program (NSQIP) of the Veterans Affairs Medical Centers. All patients from 1995 to 2003 in the NSQIP database who underwent infrainguinal arterial bypass were ... Read More »
» Published in J Vasc Surg. 2006 Nov;44(5):964-8; discussion 968-70. Epub 2006 Sep 26.

15. Inadvertent ocular perforation during lid anesthesia for hordeolum removal.
Match Strength: 4.763

PURPOSE: Ocular perforation during lid anesthesia is rarely reported. We describe here a case of inadvertent corneal perforation and traumatic cataract that occurred during lid anesthesia in a procedure for hordeolum removal. METHODS: A 33-year-old woman presented with a sudden visual loss of her left eye. She had undergone hordeolum removal the day before at a local clinic. On ophthalmologic examination, the cornea was perforated and the lens cortex was extruded into the anterior chamber. After cataract removal and IOL implantation, antibiotics were injected into the vitreous. RESULTS: Her ... Read More »
» Published in Korean J Ophthalmol. 2006 Sep;20(3):199-200.

16. Evaluation of mandibular block using a standardized method.
Match Strength: 4.506

The purpose of this prospective randomized study was to investigate the manifestations and efficiency of mandibular block (MB) using a standardized method. In this study, 123 patients requiring MB were randomly assigned to receive MB using a repeated measures design. Mandibular block was administered in each patient by using 2.1 mL of 2% lidocaine with 1:100 000 epinephrine for the inferior alveolar nerve, lingual nerve, and/or buccal nerve. Clinical parameters including the electric pulp test and test for soft tissue sensation using a sharp dental explorer were assessed on both the operated ... Read More »
» Published in Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Oct;102(4):462-8. Epub 2006 Jun 8.

17. What can patients see during glaucoma filtration surgery under peribulbar anesthesia?
Match Strength: 4.367

PURPOSE: To describe the visual sensations experienced by patients during glaucoma filtration surgery under peribulbar anesthesia and to determine possible risk factors that may affect the visual sensations experienced. SETTING: King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia. METHODS: In this prospective questionnaire study, 75 consecutive adult patients listed for glaucoma filtration surgery (trabeculectomy or Ahmed tube implantation) under peribulbar anesthesia were interviewed postoperatively about the visual sensations experienced in their operated eye during the surgery. ... Read More »
» Published in J Glaucoma. 2006 Oct;15(5):462-5.

18. Transesophageal echocardiography through nasal way as a guide to percutaneous closure of patent foramen ovale.
Match Strength: 4.263

Percutaneous device closure of patent foramen ovale (PFO) has become an effective and safe alternative to medical or surgery treatment. Transesophageal echocardiography (TEE), as commonly used to guide this procedure, has the limitation to require general anesthesia. Recently, intracardiac echocardiography (ICE) with AcuNav probe was used to guide percutaneous PFO closure. We report a 42 year-old man with two previous cryptogenetic strokes in whom both diagnosis and guidance of PFO closure were performed by means of TEE using the AcuNav catheter introduced through nasal way (TEENW). This ... Read More »
» Published in Echocardiography. 2006 Oct;23(9):790-2.

19. Effects of epidural anesthesia with 0.2% and 1% ropivacaine on predicted propofol concentrations and bispectral index values at three clinical end points.
Match Strength: 4.231

STUDY OBJECTIVE: To compare the effects of 0.2% epidural ropivacaine and those of 1% epidural ropivacaine on predicted propofol concentrations and bispectral index scores (BISs) at three clinical end points. DESIGN: Randomized double-blind study. SETTING: University hospital. PATIENTS: Thirty-five (35) ASA physical status I and II patients scheduled for elective surgery of the lower abdomen. INTERVENTIONS: Patients were randomly divided into 2 groups to receive epidurally 8 mL of 0.2% or 1% ropivacaine followed by the same solution at a rate of 6 mL/h. MEASUREMENTS: Twenty minutes after ... Read More »
» Published in J Clin Anesth. 2006 Sep;18(6):409-14.

20. Permanent sensory nerve impairment following third molar surgery: a prospective study.
Match Strength: 3.785

OBJECTIVE: This prospective study reports the proportion of permanent sensory impairment of the inferior alveolar and lingual nerves and the factors influencing such prevalence after the removal of mandibular third molars under local anesthesia. STUDY DESIGN: There were 1,087 patients with 1,087 mandibular third molars removed under local anesthesia from 1998 to 2003. Standardized data collection included the patient's name, age, gender, radiographic position of extracted tooth, grade of surgeon, proximity of the inferior alveolar nerve, and the prevalence of lingual and/or inferior alveolar ... Read More »
» Published in Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Oct;102(4):e1-7. Epub 2006 Aug 4.

 << Prev 20  Showing results 1 to 20 of 61 Next 20 >>

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