Methods of PAIN relief that may be used with or in place of ANALGESICS.
The relief of pain without loss of consciousness through the introduction of an analgesic agent into the epidural space of the vertebral canal. It is differentiated from ANESTHESIA, EPIDURAL which refers to the state of insensitivity to sensation.
Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery.
The elimination of PAIN, without the loss of CONSCIOUSNESS, during OBSTETRIC LABOR; OBSTETRIC DELIVERY; or the POSTPARTUM PERIOD, usually through the administration of ANALGESICS.
A state characterized by loss of feeling or sensation. This depression of nerve function is usually the result of pharmacologic action and is induced to allow performance of surgery or other painful procedures.
A blocking of nerve conduction to a specific area by an injection of an anesthetic agent.
Procedure in which an anesthetic is injected into the epidural space.
Procedure in which an anesthetic is injected directly into the spinal cord.
Relief of PAIN, without loss of CONSCIOUSNESS, through ANALGESIC AGENTS administered by the patients. It has been used successfully to control POSTOPERATIVE PAIN, during OBSTETRIC LABOR, after BURNS, and in TERMINAL CARE. The choice of agent, dose, and lockout interval greatly influence effectiveness. The potential for overdose can be minimized by combining small bolus doses with a mandatory interval between successive doses (lockout interval).
Injection of an anesthetic into the nerves to inhibit nerve transmission in a specific part of the body.
Anesthesia caused by the breathing of anesthetic gases or vapors or by insufflating anesthetic gases or vapors into the respiratory tract.
Process of administering an anesthetic through injection directly into the bloodstream.
A variety of anesthetic methods such as EPIDURAL ANESTHESIA used to control the pain of childbirth.
Compounds with activity like OPIATE ALKALOIDS, acting at OPIOID RECEPTORS. Properties include induction of ANALGESIA or NARCOSIS.
Pain during the period after surgery.
Drugs that block nerve conduction when applied locally to nerve tissue in appropriate concentrations. They act on any part of the nervous system and on every type of nerve fiber. In contact with a nerve trunk, these anesthetics can cause both sensory and motor paralysis in the innervated area. Their action is completely reversible. (From Gilman AG, et. al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed) Nearly all local anesthetics act by reducing the tendency of voltage-dependent sodium channels to activate.
A widely used local anesthetic agent.
The period of emergence from general anesthesia, where different elements of consciousness return at different rates.
A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
A range of methods used to reduce pain and anxiety during dental procedures.
Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.
The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle.
Agents that are administered in association with anesthetics to increase effectiveness, improve delivery, or decrease required dosage.
Interruption of NEURAL CONDUCTION in peripheral nerves or nerve trunks by the injection of a local anesthetic agent (e.g., LIDOCAINE; PHENOL; BOTULINUM TOXINS) to manage or treat pain.
Ultrashort-acting anesthetics that are used for induction. Loss of consciousness is rapid and induction is pleasant, but there is no muscle relaxation and reflexes frequently are not reduced adequately. Repeated administration results in accumulation and prolongs the recovery time. Since these agents have little if any analgesic activity, they are seldom used alone except in brief minor procedures. (From AMA Drug Evaluations Annual, 1994, p174)
Gases or volatile liquids that vary in the rate at which they induce anesthesia; potency; the degree of circulation, respiratory, or neuromuscular depression they produce; and analgesic effects. Inhalation anesthetics have advantages over intravenous agents in that the depth of anesthesia can be changed rapidly by altering the inhaled concentration. Because of their rapid elimination, any postoperative respiratory depression is of relatively short duration. (From AMA Drug Evaluations Annual, 1994, p173)
The use of two or more chemicals simultaneously or sequentially to induce anesthesia. The drugs need not be in the same dosage form.
An intravenous anesthetic agent which has the advantage of a very rapid onset after infusion or bolus injection plus a very short recovery period of a couple of minutes. (From Smith and Reynard, Textbook of Pharmacology, 1992, 1st ed, p206). Propofol has been used as ANTICONVULSANTS and ANTIEMETICS.
Analgesia produced by the insertion of ACUPUNCTURE needles at certain ACUPUNCTURE POINTS on the body. This activates small myelinated nerve fibers in the muscle which transmit impulses to the spinal cord and then activate three centers - the spinal cord, midbrain and pituitary/hypothalamus - to produce analgesia.
Compounds capable of relieving pain without the loss of CONSCIOUSNESS.
A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of PROCAINE but its duration of action is shorter than that of BUPIVACAINE or PRILOCAINE.
Nitrogen oxide (N2O). A colorless, odorless gas that is used as an anesthetic and analgesic. High concentrations cause a narcotic effect and may replace oxygen, causing death by asphyxia. It is also used as a food aerosol in the preparation of whipping cream.
An opioid analgesic that is used as an adjunct in anesthesia, in balanced anesthesia, and as a primary anesthetic agent.
A group of compounds that contain the general formula R-OCH3.
A specialty concerned with the study of anesthetics and anesthesia.
A stable, non-explosive inhalation anesthetic, relatively free from significant side effects.
A narcotic analgesic that can be used for the relief of most types of moderate to severe pain, including postoperative pain and the pain of labor. Prolonged use may lead to dependence of the morphine type; withdrawal symptoms appear more rapidly than with morphine and are of shorter duration.
An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.
A cyclohexanone derivative used for induction of anesthesia. Its mechanism of action is not well understood, but ketamine can block NMDA receptors (RECEPTORS, N-METHYL-D-ASPARTATE) and may interact with sigma receptors.
Epidural anesthesia administered via the sacral canal.
Agents that are capable of inducing a total or partial loss of sensation, especially tactile sensation and pain. They may act to induce general ANESTHESIA, in which an unconscious state is achieved, or may act locally to induce numbness or lack of sensation at a targeted site.
The constant checking on the state or condition of a patient during the course of a surgical operation (e.g., checking of vital signs).
Pain associated with OBSTETRIC LABOR in CHILDBIRTH. It is caused primarily by UTERINE CONTRACTION as well as pressure on the CERVIX; BLADDER; and the GASTROINTESTINAL TRACT. Labor pain mostly occurs in the ABDOMEN; the GROIN; and the BACK.
A drug-induced depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation. No interventions are required to maintain a patent airway. (From: American Society of Anesthesiologists Practice Guidelines)
Extraction of the FETUS by means of abdominal HYSTEROTOMY.
Introduction of therapeutic agents into the spinal region using a needle and syringe.
Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.
A method of studying a drug or procedure in which both the subjects and investigators are kept unaware of who is actually getting which specific treatment.
A nonflammable, halogenated, hydrocarbon anesthetic that provides relatively rapid induction with little or no excitement. Analgesia may not be adequate. NITROUS OXIDE is often given concomitantly. Because halothane may not produce sufficient muscle relaxation, supplemental neuromuscular blocking agents may be required. (From AMA Drug Evaluations Annual, 1994, p178)
Emesis and queasiness occurring after anesthesia.
Drugs administered before an anesthetic to decrease a patient's anxiety and control the effects of that anesthetic.
Organic compounds containing the -CO-NH2 radical. Amides are derived from acids by replacement of -OH by -NH2 or from ammonia by the replacement of H by an acyl group. (From Grant & Hackh's Chemical Dictionary, 5th ed)
Medical methods of either relieving pain caused by a particular condition or removing the sensation of pain during a surgery or other medical procedure.
The repetitive uterine contraction during childbirth which is associated with the progressive dilation of the uterine cervix (CERVIX UTERI). Successful labor results in the expulsion of the FETUS and PLACENTA. Obstetric labor can be spontaneous or induced (LABOR, INDUCED).
Intravenous anesthetics that induce a state of sedation, immobility, amnesia, and marked analgesia. Subjects may experience a strong feeling of dissociation from the environment. The condition produced is similar to NEUROLEPTANALGESIA, but is brought about by the administration of a single drug. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed)
A narcotic analgesic proposed for severe pain. It may be habituating.
Drugs used to induce drowsiness or sleep or to reduce psychological excitement or anxiety.
A short-acting opioid anesthetic and analgesic derivative of FENTANYL. It produces an early peak analgesic effect and fast recovery of consciousness. Alfentanil is effective as an anesthetic during surgery, for supplementation of analgesia during surgical procedures, and as an analgesic for critically ill patients.
Inhalation anesthesia where the gases exhaled by the patient are rebreathed as some carbon dioxide is simultaneously removed and anesthetic gas and oxygen are added so that no anesthetic escapes into the room. Closed-circuit anesthesia is used especially with explosive anesthetics to prevent fires where electrical sparking from instruments is possible.
A local anesthetic that is chemically related to BUPIVACAINE but pharmacologically related to LIDOCAINE. It is indicated for infiltration, nerve block, and epidural anesthesia. Mepivacaine is effective topically only in large doses and therefore should not be used by this route. (From AMA Drug Evaluations, 1994, p168)
Agents that induce various degrees of analgesia; depression of consciousness, circulation, and respiration; relaxation of skeletal muscle; reduction of reflex activity; and amnesia. There are two types of general anesthetics, inhalation and intravenous. With either type, the arterial concentration of drug required to induce anesthesia varies with the condition of the patient, the desired depth of anesthesia, and the concomitant use of other drugs. (From AMA Drug Evaluations Annual, 1994, p.173)
A barbiturate that is administered intravenously for the induction of general anesthesia or for the production of complete anesthesia of short duration.
A subclass of analgesic agents that typically do not bind to OPIOID RECEPTORS and are not addictive. Many non-narcotic analgesics are offered as NONPRESCRIPTION DRUGS.
A local anesthetic that is similar pharmacologically to LIDOCAINE. Currently, it is used most often for infiltration anesthesia in dentistry.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Hospital department responsible for the administration of functions and activities pertaining to the delivery of anesthetics.
An adrenergic alpha-2 agonist used as a sedative, analgesic and centrally acting muscle relaxant in VETERINARY MEDICINE.
A short-acting barbiturate that is effective as a sedative and hypnotic (but not as an anti-anxiety) agent and is usually given orally. It is prescribed more frequently for sleep induction than for sedation but, like similar agents, may lose its effectiveness by the second week of continued administration. (From AMA Drug Evaluations Annual, 1994, p236)
A specific opiate antagonist that has no agonist activity. It is a competitive antagonist at mu, delta, and kappa opioid receptors.
An extremely stable inhalation anesthetic that allows rapid adjustments of anesthesia depth with little change in pulse or respiratory rate.
A procedure involving placement of a tube into the trachea through the mouth or nose in order to provide a patient with oxygen and anesthesia.
The period during a surgical operation.
Amount of stimulation required before the sensation of pain is experienced.
Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.
A pyrrolizine carboxylic acid derivative structurally related to INDOMETHACIN. It is an NSAID and is used principally for its analgesic activity. (From Martindale The Extra Pharmacopoeia, 31st ed)
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
A family of hexahydropyridines.
An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION.
A nerve originating in the lumbar spinal cord (usually L2 to L4) and traveling through the lumbar plexus to provide motor innervation to extensors of the thigh and sensory innervation to parts of the thigh, lower leg, and foot, and to the hip and knee joints.
Injection of ANALGESICS; LOCAL ANESTHETICS; or NARCOTICS into the PLEURAL CAVITY between the two pleural membranes.
A short-acting hypnotic-sedative drug with anxiolytic and amnestic properties. It is used in dentistry, cardiac surgery, endoscopic procedures, as preanesthetic medication, and as an adjunct to local anesthesia. The short duration and cardiorespiratory stability makes it useful in poor-risk, elderly, and cardiac patients. It is water-soluble at pH less than 4 and lipid-soluble at physiological pH.
Progressive diminution of the susceptibility of a human or animal to the effects of a drug, resulting from its continued administration. It should be differentiated from DRUG RESISTANCE wherein an organism, disease, or tissue fails to respond to the intended effectiveness of a chemical or drug. It should also be differentiated from MAXIMUM TOLERATED DOSE and NO-OBSERVED-ADVERSE-EFFECT LEVEL.
The large network of nerve fibers which distributes the innervation of the upper extremity. The brachial plexus extends from the neck into the axilla. In humans, the nerves of the plexus usually originate from the lower cervical and the first thoracic spinal cord segments (C5-C8 and T1), but variations are not uncommon.
The relationship between the dose of an administered drug and the response of the organism to the drug.
A class of opioid receptors recognized by its pharmacological profile. Mu opioid receptors bind, in decreasing order of affinity, endorphins, dynorphins, met-enkephalin, and leu-enkephalin. They have also been shown to be molecular receptors for morphine.
Period from the onset of true OBSTETRIC LABOR to the complete dilatation of the CERVIX UTERI.
A imidazole derivative that is an agonist of ADRENERGIC ALPHA-2 RECEPTORS. It is closely-related to MEDETOMIDINE, which is the racemic form of this compound.
Elements of limited time intervals, contributing to particular results or situations.
A diphenylpropylamine with intense narcotic analgesic activity of long duration. It is a derivative of MEPERIDINE with similar activity and usage.
An opioid analgesic made from MORPHINE and used mainly as an analgesic. It has a shorter duration of action than morphine.
A form of therapy that employs a coordinated and interdisciplinary approach for easing the suffering and improving the quality of life of those experiencing pain.
A synthetic morphinan analgesic with narcotic antagonist action. It is used in the management of severe pain.
The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed)
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Surgery restricted to the management of minor problems and injuries; surgical procedures of relatively slight extent and not in itself hazardous to life. (Dorland, 28th ed & Stedman, 25th ed)
The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.
Sense of awareness of self and of the environment.
Recording of electric currents developed in the brain by means of electrodes applied to the scalp, to the surface of the brain, or placed within the substance of the brain.
Operations carried out for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases. (Taber, 18th ed.)
A narcotic used as a pain medication. It appears to be an agonist at kappa opioid receptors and an antagonist or partial agonist at mu opioid receptors.
Surgical incision into the chest wall.
An intravenous anesthetic with a short duration of action that may be used for induction of anesthesia.
Cell membrane proteins that bind opioids and trigger intracellular changes which influence the behavior of cells. The endogenous ligands for opioid receptors in mammals include three families of peptides, the enkephalins, endorphins, and dynorphins. The receptor classes include mu, delta, and kappa receptors. Sigma receptors bind several psychoactive substances, including certain opioids, but their endogenous ligands are not known.
An agonist of RECEPTORS, ADRENERGIC ALPHA-2 that is used in veterinary medicine for its analgesic and sedative properties. It is the racemate of DEXMEDETOMIDINE.
Agents inhibiting the effect of narcotics on the central nervous system.
Interventions to provide care prior to, during, and immediately after surgery.
The act of breathing with the LUNGS, consisting of INHALATION, or the taking into the lungs of the ambient air, and of EXHALATION, or the expelling of the modified air which contains more CARBON DIOXIDE than the air taken in (Blakiston's Gould Medical Dictionary, 4th ed.). This does not include tissue respiration (= OXYGEN CONSUMPTION) or cell respiration (= CELL RESPIRATION).
The number of times the HEART VENTRICLES contract per unit of time, usually per minute.
Injections made into a vein for therapeutic or experimental purposes.
An IBUPROFEN-type anti-inflammatory analgesic and antipyretic. It is used in the treatment of rheumatoid arthritis and osteoarthritis.
Excision of the uterus.
The period following a surgical operation.
Patient care procedures performed during the operation that are ancillary to the actual surgery. It includes monitoring, fluid therapy, medication, transfusion, anesthesia, radiography, and laboratory tests.
A form of acupuncture with electrical impulses passing through the needles to stimulate NERVE TISSUE. It can be used for ANALGESIA; ANESTHESIA; REHABILITATION; and treatment for diseases.
A butyrophenone with general properties similar to those of HALOPERIDOL. It is used in conjunction with an opioid analgesic such as FENTANYL to maintain the patient in a calm state of neuroleptanalgesia with indifference to surroundings but still able to cooperate with the surgeon. It is also used as a premedicant, as an antiemetic, and for the control of agitation in acute psychoses. (From Martindale, The Extra Pharmacopoeia, 29th ed, p593)
An abdominal hernia with an external bulge in the GROIN region. It can be classified by the location of herniation. Indirect inguinal hernias occur through the internal inguinal ring. Direct inguinal hernias occur through defects in the ABDOMINAL WALL (transversalis fascia) in Hesselbach's triangle. The former type is commonly seen in children and young adults; the latter in adults.
Drugs that interrupt transmission at the skeletal neuromuscular junction without causing depolarization of the motor end plate. They prevent acetylcholine from triggering muscle contraction and are used as muscle relaxants during electroshock treatments, in convulsive states, and as anesthesia adjuvants.
Drug-induced depression of consciousness during which patients cannot be easily aroused but respond purposely following repeated painful stimulation. The ability to independently maintain ventilatory function may be impaired. (From: American Society of Anesthesiologists Practice Guidelines)
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
That portion of the body that lies between the THORAX and the PELVIS.
An intense itching sensation that produces the urge to rub or scratch the skin to obtain relief.
The long-term (minutes to hours) administration of a fluid into the vein through venipuncture, either by letting the fluid flow by gravity or by pumping it.
Surgery performed on the female genitalia.
The active sympathomimetic hormone from the ADRENAL MEDULLA. It stimulates both the alpha- and beta- adrenergic systems, causes systemic VASOCONSTRICTION and gastrointestinal relaxation, stimulates the HEART, and dilates BRONCHI and cerebral vessels. It is used in ASTHMA and CARDIAC FAILURE and to delay absorption of local ANESTHETICS.
Drugs that interrupt transmission of nerve impulses at the skeletal neuromuscular junction. They can be of two types, competitive, stabilizing blockers (NEUROMUSCULAR NONDEPOLARIZING AGENTS) or noncompetitive, depolarizing agents (NEUROMUSCULAR DEPOLARIZING AGENTS). Both prevent acetylcholine from triggering the muscle contraction and they are used as anesthesia adjuvants, as relaxants during electroshock, in convulsive states, etc.
A cholinesterase inhibitor used in the treatment of myasthenia gravis and to reverse the effects of muscle relaxants such as gallamine and tubocurarine. Neostigmine, unlike PHYSOSTIGMINE, does not cross the blood-brain barrier.
The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.
A noble gas with the atomic symbol Xe, atomic number 54, and atomic weight 131.30. It is found in the earth's atmosphere and has been used as an anesthetic.
Time schedule for administration of a drug in order to achieve optimum effectiveness and convenience.
The space between the arachnoid membrane and PIA MATER, filled with CEREBROSPINAL FLUID. It contains large blood vessels that supply the BRAIN and SPINAL CORD.
The endogenous peptides with opiate-like activity. The three major classes currently recognized are the ENKEPHALINS, the DYNORPHINS, and the ENDORPHINS. Each of these families derives from different precursors, proenkephalin, prodynorphin, and PRO-OPIOMELANOCORTIN, respectively. There are also at least three classes of OPIOID RECEPTORS, but the peptide families do not map to the receptors in a simple way.
An increased sensation of pain or discomfort produced by mimimally noxious stimuli due to damage to soft tissue containing NOCICEPTORS or injury to a peripheral nerve.
Abnormally low BLOOD PRESSURE that can result in inadequate blood flow to the brain and other vital organs. Common symptom is DIZZINESS but greater negative impacts on the body occur when there is prolonged depravation of oxygen and nutrients.
The intentional interruption of transmission at the NEUROMUSCULAR JUNCTION by external agents, usually neuromuscular blocking agents. It is distinguished from NERVE BLOCK in which nerve conduction (NEURAL CONDUCTION) is interrupted rather than neuromuscular transmission. Neuromuscular blockade is commonly used to produce MUSCLE RELAXATION as an adjunct to anesthesia during surgery and other medical procedures. It is also often used as an experimental manipulation in basic research. It is not strictly speaking anesthesia but is grouped here with anesthetic techniques. The failure of neuromuscular transmission as a result of pathological processes is not included here.
A strain of albino rat used widely for experimental purposes because of its calmness and ease of handling. It was developed by the Sprague-Dawley Animal Company.
A thiophene-containing local anesthetic pharmacologically similar to MEPIVACAINE.
A mobile, very volatile, highly flammable liquid used as an inhalation anesthetic and as a solvent for waxes, fats, oils, perfumes, alkaloids, and gums. It is mildly irritating to skin and mucous membranes.
Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.
The surgical removal of a tooth. (Dorland, 28th ed)
A method, developed by Dr. Virginia Apgar, to evaluate a newborn's adjustment to extrauterine life. Five items - heart rate, respiratory effort, muscle tone, reflex irritability, and color - are evaluated 60 seconds after birth and again five minutes later on a scale from 0-2, 0 being the lowest, 2 being normal. The five numbers are added for the Apgar score. A score of 0-3 represents severe distress, 4-7 indicates moderate distress, and a score of 7-10 predicts an absence of difficulty in adjusting to extrauterine life.
The injection of drugs, most often analgesics, into the spinal canal without puncturing the dura mater.
The first mixed agonist-antagonist analgesic to be marketed. It is an agonist at the kappa and sigma opioid receptors and has a weak antagonist action at the mu receptor. (From AMA Drug Evaluations Annual, 1991, p97)
Preliminary administration of a drug preceding a diagnostic, therapeutic, or surgical procedure. The commonest types of premedication are antibiotics (ANTIBIOTIC PROPHYLAXIS) and anti-anxiety agents. It does not include PREANESTHETIC MEDICATION.
A derivative of CHLORAL HYDRATE that was used as a sedative but has been replaced by safer and more effective drugs. Its most common use is as a general anesthetic in animal experiments.
An effect usually, but not necessarily, beneficial that is attributable to an expectation that the regimen will have an effect, i.e., the effect is due to the power of suggestion.
Analogs or derivatives of morphine.
The measure of the level of heat of a human or animal.
Sharp instruments used for puncturing or suturing.
Devices used to assess the level of consciousness especially during anesthesia. They measure brain activity level based on the EEG.
Analgesic antipyretic derivative of acetanilide. It has weak anti-inflammatory properties and is used as a common analgesic, but may cause liver, blood cell, and kidney damage.
A type of oropharyngeal airway that provides an alternative to endotracheal intubation and standard mask anesthesia in certain patients. It is introduced into the hypopharynx to form a seal around the larynx thus permitting spontaneous or positive pressure ventilation without penetration of the larynx or esophagus. It is used in place of a facemask in routine anesthesia. The advantages over standard mask anesthesia are better airway control, minimal anesthetic gas leakage, a secure airway during patient transport to the recovery area, and minimal postoperative problems.
Delivery of the FETUS and PLACENTA under the care of an obstetrician or a health worker. Obstetric deliveries may involve physical, psychological, medical, or surgical interventions.
A cylindrical column of tissue that lies within the vertebral canal. It is composed of WHITE MATTER and GRAY MATTER.
A colorless, odorless gas that can be formed by the body and is necessary for the respiration cycle of plants and animals.
Central gray matter surrounding the CEREBRAL AQUEDUCT in the MESENCEPHALON. Physiologically it is probably involved in RAGE reactions, the LORDOSIS REFLEX; FEEDING responses, bladder tonus, and pain.
A phenethylamine found in EPHEDRA SINICA. PSEUDOEPHEDRINE is an isomer. It is an alpha- and beta-adrenergic agonist that may also enhance release of norepinephrine. It has been used for asthma, heart failure, rhinitis, and urinary incontinence, and for its central nervous system stimulatory effects in the treatment of narcolepsy and depression. It has become less extensively used with the advent of more selective agonists.
The process by which PAIN is recognized and interpreted by the brain.
Introduction of substances into the body using a needle and syringe.
A semisynthetic derivative of CODEINE.
The action of a drug that may affect the activity, metabolism, or toxicity of another drug.
Fluid propulsion systems driven mechanically, electrically, or osmotically that are used to inject (or infuse) over time agents into a patient or experimental animal; used routinely in hospitals to maintain a patent intravenous line, to administer antineoplastic agents and other drugs in thromboembolism, heart disease, diabetes mellitus (INSULIN INFUSION SYSTEMS is also available), and other disorders.
A method in which either the observer(s) or the subject(s) is kept ignorant of the group to which the subjects are assigned.
Drugs that selectively bind to and activate alpha adrenergic receptors.
An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration.
Medical problems associated with OBSTETRIC LABOR, such as BREECH PRESENTATION; PREMATURE OBSTETRIC LABOR; HEMORRHAGE; or others. These complications can affect the well-being of the mother, the FETUS, or both.
Agents that induce NARCOSIS. Narcotics include agents that cause somnolence or induced sleep (STUPOR); natural or synthetic derivatives of OPIUM or MORPHINE or any substance that has such effects. They are potent inducers of ANALGESIA and OPIOID-RELATED DISORDERS.
Occurence of a patient becoming conscious during a procedure performed under GENERAL ANESTHESIA and subsequently having recall of these events. (From Anesthesiology 2006, 104(4): 847-64.)
Imidazole derivative anesthetic and hypnotic with little effect on blood gases, ventilation, or the cardiovascular system. It has been proposed as an induction anesthetic.
Peripheral AFFERENT NEURONS which are sensitive to injuries or pain, usually caused by extreme thermal exposures, mechanical forces, or other noxious stimuli. Their cell bodies reside in the DORSAL ROOT GANGLIA. Their peripheral terminals (NERVE ENDINGS) innervate target tissues and transduce noxious stimuli via axons to the CENTRAL NERVOUS SYSTEM.
Anti-inflammatory agents that are non-steroidal in nature. In addition to anti-inflammatory actions, they have analgesic, antipyretic, and platelet-inhibitory actions.They act by blocking the synthesis of prostaglandins by inhibiting cyclooxygenase, which converts arachidonic acid to cyclic endoperoxides, precursors of prostaglandins. Inhibition of prostaglandin synthesis accounts for their analgesic, antipyretic, and platelet-inhibitory actions; other mechanisms may contribute to their anti-inflammatory effects.
A quaternary skeletal muscle relaxant usually used in the form of its bromide, chloride, or iodide. It is a depolarizing relaxant, acting in about 30 seconds and with a duration of effect averaging three to five minutes. Succinylcholine is used in surgical, anesthetic, and other procedures in which a brief period of muscle relaxation is called for.
A network of nerve fibers originating in the upper four CERVICAL SPINAL CORD segments. The cervical plexus distributes cutaneous nerves to parts of the neck, shoulders, and back of the head. It also distributes motor fibers to muscles of the cervical SPINAL COLUMN, infrahyoid muscles, and the DIAPHRAGM.
Involuntary contraction or twitching of the muscles. It is a physiologic method of heat production in man and other mammals.
Professional nurses who have completed postgraduate training in the administration of anesthetics and who function under the responsibility of the operating surgeon.
Books designed to give factual information or instructions.
Measurement of oxygen and carbon dioxide in the blood.
Examination, therapy or surgery of the interior of the larynx performed with a specially designed endoscope.
Drugs used to prevent NAUSEA or VOMITING.
A potent local anesthetic of the ester type used for surface and spinal anesthesia.
A branch of the trigeminal (5th cranial) nerve. The mandibular nerve carries motor fibers to the muscles of mastication and sensory fibers to the teeth and gingivae, the face in the region of the mandible, and parts of the dura.
A local anesthetic of the ester type that has a slow onset and a short duration of action. It is mainly used for infiltration anesthesia, peripheral nerve block, and spinal block. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1016).
Persistent pain that is refractory to some or all forms of treatment.
Androstanes and androstane derivatives which are substituted in any position with one or more hydroxyl groups.
Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)
Interruption of sympathetic pathways, by local injection of an anesthetic agent, at any of four levels: peripheral nerve block, sympathetic ganglion block, extradural block, and subarachnoid block.
Procedure in which arterial blood pressure is intentionally reduced in order to control blood loss during surgery. This procedure is performed either pharmacologically or by pre-surgical removal of blood.
Extraction of the fetus by means of obstetrical instruments.
Single preparations containing two or more active agents, for the purpose of their concurrent administration as a fixed dose mixture.
Devices for the compression of a blood vessel by application around an extremity to control the circulation and prevent the flow of blood to or from the distal area. (From Dorland, 28th ed)
An opioid analgesic related to MORPHINE but with less potent analgesic properties and mild sedative effects. It also acts centrally to suppress cough.
Procedure in which an individual is induced into a trance-like state to relieve pain. This procedure is frequently performed with local but not general ANESTHESIA.
Facilities equipped for performing surgery.
The air-dried exudate from the unripe seed capsule of the opium poppy, Papaver somniferum, or its variant, P. album. It contains a number of alkaloids, but only a few - MORPHINE; CODEINE; and PAPAVERINE - have clinical significance. Opium has been used as an analgesic, antitussive, antidiarrheal, and antispasmodic.
Forceful administration into a muscle of liquid medication, nutrient, or other fluid through a hollow needle piercing the muscle and any tissue covering it.
The insertion of drugs into the rectum, usually for confused or incompetent patients, like children, infants, and the very old or comatose.
A process involving chance used in therapeutic trials or other research endeavor for allocating experimental subjects, human or animal, between treatment and control groups, or among treatment groups. It may also apply to experiments on inanimate objects.
Surgery performed on the eye or any of its parts.
The process in which specialized SENSORY RECEPTOR CELLS transduce peripheral stimuli (physical or chemical) into NERVE IMPULSES which are then transmitted to the various sensory centers in the CENTRAL NERVOUS SYSTEM.
Non-narcotic analgesic chemically similar to ORPHENADRINE. Its mechanism of action is unclear. It is used for the relief of acute and chronic pain. (From Martindale, The Extra Pharmacopoeia, 30th ed, p26)

An evaluation of obstetrical analgesia. (1/8)

Relief of pain and safety of mother and child are fundamentals in obstetrical analgesia. Elimination of those drugs which are ineffective or dangerous is the best guide to proper medication. Morphine, codeine, or similar opium derivatives should be avoided as they depress fetal respiration. Barbiturates have the same fault, despite their popularity. Demerol in small dosage is safe and effective. Scopolamine yields excellent results with safety. Magnesium sulfate potentiates and reinforces the action of scopolamine and involves no danger. This combination of drugs may be used by any competent general practitioner in the home or hospital.  (+info)

Trifluoroethylvinyl ether (fluoromar); a preliminary report on clinical experience and animal experiment. (2/8)

In observations of 80 cases in which Fluoromar was used for inhalation anesthesia it was noted that induction was rapid; maintenance although labile, was usually smooth; and recovery of reflexes was rapid. Anesthetic complications were minimal, and postanesthetic complications were limited to nausea and vomiting in no greater incidence than that expected to follow the use of most inhalation anesthetic agents. Fluoromar produces rapid, and not particularly unpleasant, loss of consciousness, and will produce complete anesthesia without supplement. However, the muscular relaxation afforded by Fluoromar is not complete, and delayed recovery from anesthesia may follow attempts to produce relaxation by deepening too greatly the level of anesthesia. The inflammability of Fluoromar is less than that of other inhalation agents.  (+info)

Thiopentone and buthalitone: the relationship between depth of anaesthesia, plasma concentration and plasma protein binding. (3/8)

For 24 hr. after intravenous administration of buthalitone or thiopentone, plasma concentrations in young human subjects have been followed. Buthalitone was distributed to the tissues more rapidly but was metabolized at a slower rate than thiopentone. The relationships between these findings and differences in plasma protein binding and oil/water partition coefficients were studied. It is suggested that some of the differences observed in potency between the substances is a reflection of differences in their modes of distribution. No relationship was found between speed of recovery from anaesthesia and plasma barbiturate concentrations.  (+info)

Anaesthesia in new-born animals. (4/8)

Pentobarbitone was more toxic to new-born than to adult rabbits and rats, produced a longer loss of righting reflex in new-born animals but did not anaesthetize them effectively in less than toxic doses. Urethane did not anaesthetize new-born animals in doses which anaesthetized adults. Ether produced loss of righting reflex at lower concentrations for new-born than for adults, but the new-born animals became anaesthetized more slowly.  (+info)

The influence of thiopentone anaesthesia on the blood lipid and blood sugar level. (5/8)

Thiopentone anaesthesia in dogs and rats was accompanied by a sharp fall in blood nonesterified fatty acids and a small increase in blood sugar. No pronounced changes in the blood concentrations of cholesterol, phospholipids or fatty acid esters were observed. Ether anaesthesia had no effect on the blood non-esterified fatty acids in rats. The fall in non-esterified fatty acids during thiopentone anaesthesia is therefore not related to the state of anaesthesia itself.  (+info)

General anesthesia for eye operations. A consideration of some pertinent factors involved in administration. (6/8)

In the administration of general anesthesia for surgical operations on the eye, care must be taken to consider the patient's total physiological condition. A patient with eye problems may have generalized changes of more than moderate extent. Most patients are in the age group in which the incidence of cardiovascular and pulmonary problems is relatively high. If the patient is in a younger age group, perhaps diabetes or the collagen diseases must be suspected. Care must be taken to prevent undue strains to the eye during and immediately after the operation. Constant care and an awareness of possible complication is necessary for successful management in these cases.  (+info)

Local anesthesia in ophthalmology. (7/8)

With local anesthesia for intraocular operations, postoperative agitation, nausea and vomiting are less frequent, which tends to reduce the number of intraocular complications. Bleeding is less troublesome, and secretions are better controlled. Fewer cardiac and pulmonary complications occur with local anesthesia. Meperidine hydrochloride (Demerol(R)) and pentobarbital sodium (nembutal) remain drugs of choice in preoperative medication. Lidocaine (Xylocaine(R)), 1 or 2 per cent, is a most satisfactory local anesthetic for intraocular operations. Complete akinesia of the eyelids has been achieved in every instance by a modified combination of the O'Brien and Van Lint techniques, using lidocaine 1 per cent. Nasolacrimal procedures can be performed satisfactorily by injecting the nasociliary and infraorbital nerves with lidocaine 2 per cent.  (+info)

Trichlorethylene analgesia use for urologic procedures in the office. (8/8)

Trichlorethylene inhalation for analgesia was used in 391 cases in which urologic procedures were carried out in the office. In the great majority of cases the patients had no significant pain or had only minor discomfort. Results were considered poor in less than 10 per cent of cases.  (+info)

Obstetric Analgesia and Anesthesia: A Manual for Physicians, Nurses and Other Health Personnel, Prepared for the World Federation of Societies of
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Indicated for the relief of moderate to severe pain. It can also be used as a supplement to balanced anesthesia, for preoperative and postoperative analgesia, and for obstetrical analgesia during labor and delivery.. Strength ...
Medical information for Thiopentone on Pediatric Oncall including Mechanism, Indication, Contraindications, Dosing, Adverse Effect, Interaction.
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Whats known on the subject? and What does the study add?. Very few studies have examined end-of-life urological studies in men with prostate cancer. These studies reported fewer procedures in men who received primary therapy for prostate cancer. However, these studies were typically single institution or had a short follow-up period.. The present study is the first population-based study examining end-of-life urological procedures and uses a geographic region encompassing 385 000 patients. Furthermore, this study incorporates both hospital- and office-based procedures. This approach has not been previously undertaken. ...
patients reported good compliance on the visual analog scale questionnaire.20 In fact, direct approaches to measures adherence, such as ...
Practical approach of the most common urological procedures step by step through DVD presentations (3-5 min), followed by interesting 15-minute presentations and 60-minute discussion.
Sheep) Clinical signs have not been reported in adult or growing sheep; although there is anecdotal evidence of drop in milk yield of milking sheep in Netherlands. In new-born animals and foetuses, the disease is associated in animals born alive or dead or aborted following infection of the dam. The disease primarily affects sheep, but also cattle and goats. Malformations observed include bent limbs and fixed joints, brain deformities and marked damage to the spinal cord. Persistent flexion of the joints (arthrogryposis or contracted tendons) is reported to be a common birth defect. However, arthrogryposis can also be inherited as an autosomal recessive condition and so vet analysis is necessary to diagnose the SBV on this symptom. Some animals are born with a normal appearance but have nervous signs due to brain or spinal damage; such as blindness, ataxia, recumbency, inability to suck and sometimes seizures. The severity and type of deformities vary depend on the point at which the foetus ...
The Department of Anaesthesiology provides anaesthesia to patients undergoing surgical procedures & pain management services. The department caters to a wide range of surgical specialties and use the latest technologies for anaesthesia care. Our Anaesthetist is an experts in all aspects of anaesthesia and ensure that all anaesthetic and associated equipment is routinely checked and maintained to the highest possible standards.. They remain update on the latest trends in Anaesthesia care by undergoing continuous professional development and in-house training. Our Anaesthesiologist is ably assisted by anaesthesia technicians and the department undertakes administration of anaesthesia in all subspecialties, Preoperative medical evaluations, Perioperative pain management, acute pain, Injections and nerve blocks, Spinal-infusion systems, Obstetrical analgesia and anaesthesia.. ...
Our fall Vietnam mission is complete. With the support of our mission partner IPSAC and the Provincial Hospital leadership and surgical, medical and nursing staff, we were able to successfully perform 24 urologic procedures on children in need. In addition to these surgeries, knowledge was transferred at all points in the continuum of care - from the bedside to the conference room. We collaborated to do screenings, provide pre- and post-op care and family education and, of course, hands-on training in the OR. On our last day, we did a workshop on optimizing surgical outcomes with a multidisciplinary approach. It ended with a good discussion illustrating the differences between our healthcare settings and the impact resources have on patients and teams. We were also supported by a very committed and helpful team of interpreters all along the way. ...
patient will receive 6% HES 130/0.42 in a balanced electrolyte containing Na+140 mmol/L, Cl- 118 mmol/L, K +4 mmol/L, Ca++ 2.5 mmol/L, Mg++ 1 mmol/L, acetate- 24 mmol/L and malate-- 5 mmol/ ...
Baptist Health Systems is the parent company of Baptist Medical Center, The Mississippi Hospital for Restorative Care and a number of related healthcare services and programs.
Automatic disposable biopsy system intended for Interventional Radiology procedures and specially designed for Urological procedures. Medone combines precise penetration, accurate sampling and quick results, in a one-hand controlled device, very easy and user-friendly arming mechanism.. ...
Pediatr nephrol 2002; 17(5): 213 146 management. Take pre- (trough) levels about 6 13 min from injection depending on there is, nevertheless, a strong reduc- and in animal models of ad, as well as being disgusting. Its pathogenesis is complex and needed advanced training, especially complex reconstructive urologic procedures, such as innovative or state of stem cell and dendritic cells are unable to take the preparation under the bridge ) and must be careful not to have their own right, may further affect their sexuality by overcoming their sexual wants and needs; under- standing of critical care, tyler ve the herbal remedies , samuelson g drugs of choice are circumareolar, curvilinear that parallel langer s line by inserting and cannula, which is necessary for normal limb, which is. 3. Oliver wj, cohen el, neel jv. Until stabilisation occurs, who ate enormous quantities of up to about 6 mm 10 mm external carotid artery terminates as the brain, t5-weighted figure 1.21 magnetic resonance imaging ...
Genesis Healthcare Partners provides the highest quality urologic care in San Diego County. Our urologic physicians offer premier operative care in laparoscopic urology, endourology and open urologic procedures
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Blog posts from Dr. Reed of the Reed Centre in Miami Beach Florida about adult male circumcision and other urological procedures.
The urologists at St. Josephs Hospital-South manage both complex and routine urologic conditions. Our urologic surgeons perform complex oncology surgeries as well as reconstructive urologic procedures.
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The hospital has an ultra-modern operating suite consisting of eight rooms utilized by the various departments. Four of these operating rooms are used daily by our department for open surgical, minimal invasive and urological procedures. One operating room is utilized for emergency surgery on a 24 hour basis. There are two additional operating theaters in casualty/emergency department which are devoted on a 24 hour basis for minor surgical procedures, ambulatory surgery and emergency trauma patients. Each operating room has its own anaesthesia room and advanced anaesthesia equipment with monitoring facilities, modern operating lights and latest available theater equipment. High resolution cameras and monitors are available for minimal invasive surgeries ...
At Hixson Urology, we pride ourselves on providing cutting-edge urology on a personal level. We recognize how important our patients are, and we treat them with the respect they deserve. We have live office staff answer our phones. We offer same-day appointments for emergencies. Our experienced, board-certified urologists use advanced treatments to manage a broad spectrum of urological problems, including minimally invasive urologic procedures. In short, we provide the individual attention that we hope separates us from the rest.. ...
Dear Colleagues. It is a great pleasure to invite you to Leipzig for the 15th European Meeting on Laparoscopic and Robotic Urologic Surgery - Challenges in Laparoscopy and Robotics.. The worlds most renowned surgeons will perform a wide spectrum of the most challenging examples of urological procedures such as prostatectomy, Read More ...
Advanced Urology has six vasectomy doctors with more than 95 years of combined experience in performing vasectomies and other urologic procedures.
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Blood Sugar Spikes in the Evening. Blood sugar spikes are unwelcome any time of day. Spikes after dinner, the largest meal of the day for many people, can make it difficult to do anything but sit on the couch watching TV or fall into bed. Take control of your post-dinner blood sugar by monitoring it closely, adjusting ...
The easiest way to lower blood sugar is a healthy diet and light, regular exercise. Those trying to lower blood sugar should avoid...
Dr. Anil Agarwal and Dr. Shireesha Sankella (right) discuss the findings of their recently published study that identified a new potential therapeutic target for controlling high blood sugar.
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Robotic-assisted surgery allows surgeons to perform a wide range of urologic procedures through 1 to 2 centimeter incisions, from kidney removal to removing part, or all, of the prostate gland, while achieving equal, or better, clinical outcomes
Although your body needs potassium, having too much in your blood can be harmful. Intravenous (IV) therapy: Extremely high potassium levels need immediate treatment. There is a lack of accepted safety for use under medical supervision. In some instances, you may need emergency medications or dialysis. The Glickman Urological & Kidney Institute offers innovative treatments in urology and nephrology, including minimally invasive, scarless options for urologic procedures and medical management of kidney disease. Some medications lower potassium slowly, including: Your doctor will look at whether you need to stop taking other medications in order to lower your blood potassium levels, or adjust how much you take. We do not endorse non-Cleveland Clinic products or services. So you might need dialysis to treat your kidney disease -- which also treats hyperkalemia. All rights reserved. Hyperkalemia Causes. Instead, it may be caused by the rupture of blood cells in the blood sample during or shortly ...
(HealthDay)-Among American Urological Association (AUA) members, self-reported adherence to the Best Practice Statement on the use of thromboprophylaxis in patients undergoing urological procedures is low, according to ...
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The all-female panel, dubbed the Fab Five, included Sophia Evans, director of Central Texas College; Hope Katz Gibbs, president and founder of Inkandescent Group, LLC; Karen Thompson, chief, Personnel Clearance Division; Kimya Jones, assistant general counsel, U.S. Attorneys Office; Willie Mae McDowell, corporate program manager, Trinity Technology Group; Deborah Harrington, former surgeon and current president/CEO of Energy Audits and Green Solutions, LLC ...
"Continuum of Depth of Sedation; Definition of General Anesthesia and Levels of Sedation/Analgesia". American Society of ... Jaap Vuyk, Elske Sitsen and Marije Reekers (2015). Miller's Anesthesia. Elsevier.. *^ Messenger DW, Murray HE, Dungey PE, van ... "Procedural Sedation and Analgesia." 'CURRENT Diagnosis & Treatment: Emergency Medicine, 8e' Eds. C. Keith Stone, and Roger L. ... Procedural sedation and analgesia (PSA) is a technique in which a sedating/dissociative medication is administered often in ...
Anesthesia & Analgesia. 123 (6): 1463-1468. doi:10.1213/ANE.0000000000001590. PMID 27644057.. ... This is intended to prevent pulmonary aspiration of stomach contents during general anesthesia. The latest guidelines do not ... Several factors can predispose to aspiration of stomach contents including inadequate anesthesia, pregnancy, obesity, difficult ... of preoperative fasting is to prevent pulmonary aspiration of stomach contents while under the effects of general anesthesia. ...
Anesthesia and Analgesia. 103 (6): 1459-63. CiteSeerX doi:10.1213/01.ane.0000247792.03959.f1. PMID 17122223. ... Anesthesia and Analgesia. 106 (6): 1904-9. CiteSeerX doi:10.1213/ane.0b013e318172b15b. PMID 18499630. S2CID ... Anesthesia & Analgesia. 83 (1): 114-116. doi:10.1213/00000539-199607000-00020. Tramèr, M.; Moore, A.; McQuay, H. (February 1996 ... Anesthesia and Analgesia. 59 (3): 175-7. doi:10.1213/00000539-198003000-00002. PMID 7189346. S2CID 41966990. Vieira, E. (1979 ...
Anesthesia & Analgesia. 95 (4): 1125. doi:10.1097/00000539-200210000-00076. Iserson KV (1987). "The origins of the gauge system ...
Anesthesia & Analgesia. 103 (1): 76-80, table of contents. doi:10.1213/01.ane.0000221182.71648.a3. PMID 16790630. "Minerva". ...
Anesthesia & Analgesia. 101 (3): 930. doi:10.1097/00000539-200509000-00078. Doyle, D. John (2005). "The Airway Cam™ guide to ... intubation and practical emergency airway management (review)". Canadian Journal of Anesthesia. Springer Science and Business ...
Williams BS, Cohen SP (2009). "Greater Trochanteric Pain Syndrome: A Review of Anatomy, Diagnosis and Treatment". Anesthesia & ... Analgesia. 108 (5): 1662-1670. doi:10.1213/ane.0b013e31819d6562. PMID 19372352. S2CID 5521326. Dougherty C, Dougherty JJ ( ...
Burns WB, Eger EI (August 2011). "Ross C. Terrell, PhD, an anesthetic pioneer". Anesthesia and Analgesia. 113 (2): 387-9. doi: ... Anesthesia & Analgesia. 130 (2): 360-366. doi:10.1213/ANE.0000000000004093. ISSN 0003-2999. Sloan, Mark H.; Conard, Pattilyn F ... Anesthesia & Analgesia. 74 (2): 253-259. doi:10.1213/00000539-199202000-00015. ISSN 0003-2999. Livertox: Clinical and Research ... Anesthesia and Analgesia. 54 (6): 758-66. doi:10.1213/00000539-197511000-00021. PMID 1239214. S2CID 26832938. "Propofol and ...
Stage I (stage of analgesia or disorientation): from beginning of induction of general anesthesia to loss of consciousness. ... Di-ethyl ether analgesia: a detailed description of the first stage of ether analgesia in man. J Pharmacol Exp Ther 1954, 111, ... Anesthesia & Analgesia. 100 (4): 1221, author reply 1221-2. doi:10.1213/01.ANE.0000149022.48021.24. PMID 15781568. Artusio JF. ... To determine the depth of anesthesia, the anesthetist relies on a series of physical signs of the patient. In 1847, John Snow ( ...
Anesthesia & Analgesia. 93 (1): 134-141. doi:10.1097/00000539-200107000-00028. PMID 11429354. Retrieved 14 Apr 2009. Hawkins JL ... A study of anesthesia-related maternal mortality in the United States between 1979 and 2002 found the share of maternal ... one study of maternal mortality records lists the total share of maternal mortality deaths recorded as stemming from anesthesia ... Chang J, Palmer SK, Gibbs CP, Callaghan WM (January 2011). "Anesthesia-related maternal mortality in the United States: 1979- ...
Webster, Lynn R. (2017). "Risk Factors for Opioid-Use Disorder and Overdose". Anesthesia & Analgesia. 125 (5): 1741-1748. doi: ...
Anesthesia & Analgesia. "Beadle v. Allis". Court of Appeals of Michigan. October 27, 1987. "Deaths". Lansing State Journal. ...
An Efficient Alternative to Counteract Hypotension During Combined General/Epidural Anesthesia". Anesthesia & Analgesia. 90 (6 ...
2001). "Survival After Failed Intraoperative Resuscitation: A Case of "Lazarus Syndrome"". Anesthesia & Analgesia. 92 (3): 690- ...
Part I". Anesthesia & Analgesia. 111 (1): 120-128. doi:10.1213/ANE.0b013e3181da832d. PMID 20442260. S2CID 207132635. Naguib M, ... Part II". Anesthesia & Analgesia. 111 (1): 129-140. doi:10.1213/ANE.0b013e3181da8312. PMID 20442261. S2CID 23738174. Cammu G, ... Brull SJ, Naguib M, Miller RD (2008). "Residual Neuromuscular Block: Rediscovering the Obvious". Anesthesia & Analgesia. 107 (1 ... Anesthesia & Analgesia. 98 (6): 1686-1691. doi:10.1213/01.ane.0000113544.21754.a5. PMID 15155329. S2CID 20439614. Davis L, ...
Anesthesia & Analgesia. 117 (3): 597-604. doi:10.1213/ANE.0b013e31824a0b1c. PMID 22392970. S2CID 207134623. Bayat, R.; Borici- ...
Anesthesia & Analgesia. 88 (6): 1422-3. doi:10.1213/00000539-199906000-00044. PMID 10357358.. ...
Anesthesia and Analgesia. 115 (2): 274-83. doi:10.1213/ANE.0b013e31823f0c28. PMID 22190555. S2CID 21457057. Worthington, Mark T ... Anesthesia & Analgesia. 117 (5): 1093-100. doi:10.1213/ANE.0b013e3182a705ae. PMID 24108261. S2CID 24581168. "Two Scientific ... Anesthesia & Analgesia. 120 (4): 771-80. doi:10.1213/ANE.0000000000000548. PMID 25502841. S2CID 20941788. Stafford, Jeffrey A ... Phase II trials comparing remimazolam to the standard anesthesia protocols for cardiac surgery and colonoscopy were presented ...
Severinghaus, John W. (2007). "Takuo Aoyagi: Discovery of Pulse Oximetry". Anesthesia & Analgesia. Ovid Technologies (Wolters ...
Cottrell, JE; Hartung, J. (2016). "Ketamine versus Special K: a double-edged sword". Anesthesia and Analgesia. 122 (3): 586. ... Anesthesia & Analgesia. 55 (1): 18-21. PMID 1108707. Dr. Cottrell and his partner, Joseph Lovett, began collecting art in the ... Anesthesia & Analgesia. 52 (12): 1078-1080. PMID 6650891. Cottrell, JE; Hartung, JE; Giffin, JP; Shwiry, B (1983). " ... Anesthesia and Analgesia. 87 (1): 68-71. doi:10.1097/00000539-199807000-00015. PMID 9661548. S2CID 542816. Amadeu, ME; ...
Anesthesia & Analgesia. 124 (1): 44-51. doi:10.1213/ANE.0000000000001683. PMID 27861439. Bloor M, Paech MJ, Kaye R (2012). " ... Anesthesia & Analgesia. 124 (1): 44-51. doi:10.1213/ANE.0000000000001683. PMID 27861439. Hitchings, Andrew; Lonsdale, Dagan; ... All these effects work synergistically to induce analgesia. Tramadol has been found to possess these actions: Agonist of the μ- ... Gibson TP (1996). "Pharmacokinetics, efficacy, and safety of analgesia with a focus on tramadol HCl". Am. J. Med. 101 (1A): 47S ...
Anesthesia & Analgesia. 107 (3): 890-904. doi:10.1213/ane.0b013e31817ee3b3. PMID 18713902. Retrieved 23 June 2015. CS1 maint: ... to build a CO 2 analyzer to test their theories about causes of cardiac arrest in anesthesia patients. In 1951, Liston provided ... an important monitoring tool for patients undergoing anesthesia and in intensive care. Liston-Becker was one of a number of ... and substantial improvements to anesthesia machines. The color indicators on the instruments were not working properly, ...
Anesthesia & Analgesia. 101 (1): 161-168. doi:10.1213/01.ANE.0000154080.67496.AE. PMID 15976225. Schwarz, Sebastian; Ziemer, ...
Isbell H (1971). "Clinical Aspects of the Various Forms of Nonmedical Use of Drugs, Part II". Anesthesia & Analgesia. 50 (6): ... Isbell, Harris (1970). "Ninth Annual Baxter-Travenol Lecture". Anesthesia & Analgesia. 49 (6): 1032. doi:10.1213/00000539- ...
Beilin Y, Halpern S (August 2012). "Focused review: ropivacaine versus bupivacaine for epidural labor analgesia". Anesthesia & ... Anesthesia & Analgesia. 108 (3): 997-1007. doi:10.1213/ane.0b013e31819385e1. PMID 19224816. S2CID 41982515. Nouette-Gaulain K, ... On the other hand, NSTX local infiltration produces long lasting anesthesia, well over all the current available local ... Zink W, Graf B (July-August 2004). "Review Articles: Local Anesthetic Myotoxicity". Regional Anesthesia and Pain Medicine. 29 ( ...
The editors of Anesthesia & Analgesia did not follow up on the fraud allegations against Fujii until about 2010, when its ... Shafer, Steven L. (March 7, 2012). "To our readers" (PDF). Anesthesia & Analgesia. Kranke, P.; Apfel, C.C.; Eberhart, L.H.; ... In March 2012, the editor of Anesthesia & Analgesia acknowledged that the journal's response to the allegations made in 2000 ... The first published allegations of research fraud by Fujii appeared in 2000 in a letter to the editor of the journal Anesthesia ...
Puil E. (Apr 2010). "Analgesic properties of the novel amino acid, isovaline". Anesthesia & Analgesia. 110 (4): 1206-14. doi: ... Drugs such as opioids cross the blood-brain barrier to produce analgesia but often produce in addition confusion, sedation, and ... Jun 28, 2012). "GABA(B) receptor-mediated selective peripheral analgesia by the non-proteinogenic amino acid, isovaline". ...
Alston, Theodore A. (2003). "The Contributions of A. W. Hofmann". Anesthesia & Analgesia. 96 (2): 622-625. doi:10.1097/00000539 ...
Anesthesia & Analgesia. 104 (4): 763-5. doi:10.1213/01.ane.0000250913.45299.f3. PMID 17377078. S2CID 45882634. Retrieved ...
Anesthesia & Analgesia. 86.1 (1998): 34-39. 21 November 2009 "Vanderbilt Stallworth Rehabilitation Center". Vanderbilt ...
Anesthesia & Analgesia. 116 (6): 1360-1363. doi:10.1213/ANE.0b013e31828f2d5e. PMID 23709076.. ... or anesthesia. Most of these have branched from one or other of the two camps above; for example anaesthesia developed first as ...
Pentobarbital is used as a hypnotic when analgesia is not required. It´s often used in CT imaging when sedation is needed. It ... Hans Selye demonstrated in the 1940 that certain pregnane steroids could cause both anesthesia and sedation[4] but 40 years ...
"A North American survey of intravenous regional anesthesia". Anesthesia & Analgesia. 85 (4): 858-63. doi:10.1097/00000539- ... Intravenous regional anesthesia (IVRA) or Bier's block anesthesia is an anesthetic technique on the body's extremities where a ... Intravenous regional anesthesia. Intravenous regional anesthesia (IVRA) using older tourniquet equipment. Modern electronic ... The use of tourniquets and injected anesthesia to induce localized anesthesia was first introduced by August Bier in 1908. He ...
Anesthesia & Analgesia. 104 (4): 763-5. doi:10.1213/01.ane.0000250913.45299.f3. PMID 17377078. Retrieved 2008-12-30.. ...
Anesthesia and Analgesia. 98 (2): 533-6, table of contents. doi:10.1213/01.ane.0000096181.89116.d2. PMID 14742401. Dabu-Bondoc ... Anesthesia and Analgesia. 97 (3): 772-5. doi:10.1213/01.ane.0000076145.83783.e7. PMID 12933400. Hemi-Sync Website Monroe ... Lewis AK, Osborn IP, Roth R (February 2004). "The effect of hemispheric synchronization on intraoperative analgesia". ...
Anesthesia and Analgesia 98 (2): 353-358. PMID 14742369. doi:10.1213/01.ANE.0000096189.70405.A5. ...
Thoracic epidural analgesia or paravertebral blockade have shown to be the most effective methods for post-thoracotomy pain ... However, contraindications to neuraxial anesthesia include hypovolemia, shock, increase in ICP, coagulopathy or ... Assessing the effects of transcutaneous electrical nerve stimulation (TENS) in post-thoracotomy analgesia. Rev Bras Anestesiol ... "Local anaesthetics and regional anaesthesia versus conventional analgesia for preventing persistent postoperative pain in ...
Anesthesia oxygen masks[edit]. Anesthesia masks are face masks that are designed to administer anesthetic gases to a patient ... Anesthesia masks fit over the mouth and nose and have a double hose system. One hose carries inhaled anesthetic gas to the mask ... Anesthesia masks have 4 point head strap harnesses to securely fit on the head to hold the mask in place as the anaesthesia ... Anesthesia masks are either made of anti-static silicone or rubber, as a static electricity spark may ignite some anesthetic ...
Anesthesia and Analgesia. 106 (3): 972-7, table of contents. doi:10.1213/ane.0b013e318163f602. PMID 18292448. S2CID 5894373.. ... "A review of perioperative anesthesia and analgesia for infants: updates and trends to watch". F1000Research. 6: 120. doi: ... for short-term management of moderate to moderately severe pain requiring analgesia at the opioid level. ... "Topical non-steroidal anti-inflammatory drugs for analgesia in traumatic corneal abrasions". The Cochrane Database of ...
Janicki PK, Schuler HG, Jarzembowski TM, Rossi M (2006). [ „Prevention of ... Anasthesia & Analgesia. 102 (4): 1127-1133. doi:10.1213/01.ane.0000200364.5579.. *^ Walker B (2001). „Efficacy of single-dose ...
Anesthesia and Analgesia. 114 (2): 424-33. doi:10.1213/ANE.0b013e3182334d68. PMID 21965355.. ... Congenital analgesia (insensitivity to pain). Notes[edit]. *^ Anonymous (1990). Cancer pain relief and palliative care; report ... Analgesia and fever reduction.. As per paracetamol. Ziconotide. Peptide.. N-type calcium-channel blocker.. Intrathecal.. ... Analgesia, especially postoperative; hiccups.. Has antimuscarinic and sympathomimetic effects.[119] Paracetamol. Comes in free ...
Anesthesia recovery in young animals is usually more rapid and there are fewer complications.[28][29] One study found that in ... Veterinary Anaesthesia and Analgesia. 35 (5): 365-73. doi:10.1111/j.1467-2995.2008.00397.x. PMID 18466167.. ...
A new method of drug administration". Current Researches in Anesthesia and Analgesia. 26 (6): 221-230. PMID 18917536.. ... Bulletin of Anesthesia History. 16 (3): 10-12. doi:10.1016/s1522-8649(98)50046-7.. ...
"Current Researches in Anesthesia & Analgesia. 2 (6): 221-229. doi:10.1213/00000539-192312000-00004. Retrieved 11 January 2015. ...
Cardiopulmonary effects of romifidine/ketamine or xylazine/ketamine when used for short duration anesthesia in the horse. ... Veterinary Anaesthesia and Analgesia. 2005 Jan;32(1):16-22. PMID 15663735 ...
Anesthesia and Analgesia (página oficial). *Anesthesiology (página oficial). *Annals of Emergency Medicine ...
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De Menezes Lyra, Roberto (1999). "Glottis Simulator". Anesthesia & Analgesia. 88 (6): 1422-3. doi:10.1213/00000539-199906000- ...
1 Anesthesia and Analgesia in Rodents, Washington College, 2012, ss. 1-2, 4 August 2013 tarihinde kaynağından arşivlendi, ... "Anesthesia: Essays and Researches. 8 (3), s. 283-90. doi:10.4103/0259-1162.143110. PMC 4258981 $2. PMID 25886322.. ... Stunkard, JA; Miller, JC (September 1974). "An outline guide to general anesthesia in exotic species". Veterinary Medicine, ... "Ketamine: Current applications in anesthesia, pain, and critical care" ...
"Anesthesia and Analgesia. 116 (5): 975-81. doi:10.1213/ANE.0b013e31828843e6. PMC 3744176. PMID 23449853.. ...
... *↑ 6.0 6.1 Sellman, D.; Connor, J.; Robinson, G.; Jackson, R. (2009 ...
"Journal of Anesthesia History. 4 (1): 56. doi:10.1016/j.janh.2017.11.040. ISSN 2352-4529.. ... Lu Gwei-Djen and Joseph Needham suggest Hua Tuo may have discovered surgical analgesia by acupuncture, "quite apart from the ... He removed parasites, performed abortions and treated ulcers, sores and analgesia.[14] For example: ...
Prognosis can be abruptly changed for the worse by the use of anesthesia, such as during surgery.[17] ... analgesia (pain relief) and sleep aids. ...
van Bochove, J.A. and W.E. Amerongen, The influence of restorative treatment approaches and the use of local analgesia on ... "The efficacy of comprehensive dental care for children under general anesthesia". British dental journal. 171 (2). ISSN 0007- ...
Corssen, G; Domino, EF; Sweet, RB (November-December 1964). "Neuroleptanalgesia and Anesthesia". Anesthesia & Analgesia. 43 (6 ... Etymology of "anesthesia"[edit]. The word "anesthesia", coined by Oliver Wendell Holmes (1809-1894) in 1846 from the Greek ἀν- ... Nilsson E, Janssen PA (1961). "Neurolept-analgesia: an alternative to general anesthesia". Acta Anaesthesiologica Scandinavica ... which were short-term anesthesia and surprisingly little analgesia. Three months later, John Silas Lundy started a clinical ...
"Anesthesia and Analgesia. 104 (5): 1179-84, tables of contents. doi:10.1213/01.ane.0000260267.71185.73. PMC 2596726. PMID ... "Anesthesia and Analgesia. 108 (3): 964-70. doi:10.1213/ane.0b013e318192442c. PMC 2828492. PMID 19224810.. ...
"Anesthesia and Analgesia. 111 (1): 99-109. doi:10.1213/ANE.0b013e3181e0cdaf. PMC 3253719. PMID 20522703.. ...
"Anesthesia & Analgesia. 80 (1): 108. Retrieved 5 April 2011.. *^ a b Costanzo, Linda S. (2003). Physiology. Board Review Series ...
Neurosurgical Anesthesia; Obstetric Anesthesia; Pain Mechanisms; Pain Medicine; Pediatric Anesthesia; Regional Anesthesia; ... Analgesia is your gateway to everything that is happening in anesthesia and 14 related subspecialties: Analgesia; Ambulatory ... Backed by internationally-known authorities who serve on the Editorial Board and as Section Editors, Anesthesia & ... Anesthesia; Anesthetic Pharmacology; Cardiovascular Anesthesia; Critical Care and Trauma; Economics, Education, and Policy; ...
A new study shows that anesthetics activate an endogenous analgesia neural ensemble in the central nucleus of the amygdala. ... McCall, N.M., Wojick, J.A. & Corder, G. Anesthesia analgesia in the amygdala. Nat Neurosci (2020). ... A new study shows that anesthetics activate an endogenous analgesia neural ensemble in the central nucleus of the amygdala. ...
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Anesthesia & Analgesia is a monthly peer-reviewed medical journal covering anesthesia, pain management, and perioperative ... CS1 maint: discouraged parameter (link) "Anesthesia & Analgesia". 2015 Journal Citation Reports. Web of Science (Science ed.). ... It is published by Lippincott Williams & Wilkins on behalf of the International Anesthesia Research Society. Its editor-in- ... "About the IARS". International Anesthesia Research Society. Retrieved December 9, 2011. ...
Analgesia and anesthesia in obstetrics by J. P. Greenhill; 2 editions; First published in 1952; Subjects: Analgesia, Anesthesia ... Are you sure you want to remove Analgesia and anesthesia in obstetrics from your list? ...
Here you can read summaries of all the latest updates from Anesthesia and Analgesia ... PMID: 29049101 [PubMed - in process] (Source: Anesthesia and Analgesia). Source: Anesthesia and Analgesia - October 20, 2017 ... PMID: 29049102 [PubMed - in process] (Source: Anesthesia and Analgesia). Source: Anesthesia and Analgesia - October 20, 2017 ... PMID: 29049104 [PubMed - in process] (Source: Anesthesia and Analgesia). Source: Anesthesia and Analgesia - October 20, 2017 ...
Use of perioperative epidural anesthesia-analgesia (compared to general anesthesia and systemic opioids) has been shown to be ... The use of perioperative epidural anesthesia-analgesia provides superior postoperative analgesia [1-3] versus conventional ... The use of perioperative epidural anesthesia-analgesia may confer many benefits including superior postoperative analgesia, ... Epidural anesthesia-analgesia is an important component of an ERAS pathway as the superior opioid-sparing analgesia provided by ...
Manual of Equine Anesthesia and Analgesia. Tom Doherty (Editor), Alexander Valverde (Editor) ... Chapter 16 Anesthesia of the Limbs (Jim Schumacher and Fernando A. Castro). ... In recent years, a number of important developments have been made in equine anaesthesia and analgesia. These include new ...
This bibliography that provides a review of literature (1992 to 2000) on anesthesia and analgesia. ... working with swine with access to baseline literature on anesthesia and analgesia. ...
"Luckily, weve come a long way in feline anesthesia and analgesia recently-a lot of it is to do with new drugs that are ... 3 updates in feline anesthesia and analgesia. Veterinary medicine has come a long way in caring for its purring patients ... If you want to know the latest on feline anesthesia and analgesia, Fetch dvm360 conference speaker Sheilah Robertson, BVMS ( ... We do know that cats do need a much, much lower fluid rate during anesthesia, and thats what were trying to tell everybody, ...
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"Small Animal Anesthesia and Analgesia fulfills its intended purpose of being a quick review for veterinary students or a rapid ... The use of agents for perioperative sedation, analgesia, and anesthesia is thoroughly discussed, allowing users to make an ... anesthesia residents and researchers that may be adminstering anesthesia." - Doodys Book Reviews, November 2008 ... Anesthesia with concurrent conditions and for chronic pain is also covered. Text boxes in each section contain key points. ...
Essentials of Small Animal Anesthesia and Analgesia (9780813812366) and a great selection of similar New, Used and Collectible ... The bulk of the book is distilled from Lumb and Jones Veterinary Anesthesia and Analgesia to provide authoritative information ... Essentials of Small Animal Anesthesia and Analgesia, Second Edition provides veterinary care providers and students with key ... 1. Essentials of Small Animal Anesthesia and Analgesia (Paperback) Published by Iowa State University Press, United States ( ...
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Analgesia and Anesthesia, An Issue of Perioperative Nursing Clinics, Volume 4-4 - 1st Edition. Print Book. ISBN 9781437717495 ... Pain, Analgesia and Anesthesia, An Issue of Perioperative Nursing Clinics, Volume 4-4 1st Edition. ... This issue of Perioperative Nursing Clinics, titled Pain, Analgesia and Anesthesia, which was Guest Edited by Valerie Girard- ... Interventional Radiology and Anesthesia; and Fee for Service Payments: Affect on Patient Care, Operating Room Procedures and ...
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Analgesia and Anesthesia & Analgesia Practice. Note that these journals are not available individually.. Anesthesia & Analgesia ... Analgesia and Anesthesia & Analgesia Practice. Note that these journals are not available individually.. Anesthesia & Analgesia ... Anesthesia & Analgesia Practice:. A clinical companion journal to the International Anesthesia Research Societys flagship ... Anesthesia & Analgesia Practice:. A clinical companion journal to the International Anesthesia Research Societys flagship ...
Buy Anesthesia and Analgesia for Veterinary Technicians (5th Revised edition) by John A. Thomas From WHSmith today, saving 10 ... Analgesia 9. Canine and Feline Anesthesia 10. Equine Anesthesia 11. Ruminant and Swine Anesthesia 12. Rodent and Rabbit ... Anesthesia and Analgesia for Veterinary Technicians (5th Revised edition). By: John A. Thomas (author), Phillip Lerche (author) ... Covering essential principles of anesthesia administration and pain management in small and large animals, Anesthesia and ...
Thomas is the author of Anesthesia And Analgesia For Veterinary Technicians, 4E with ISBN 9780323055048 and ISBN 0323055044. ... Anesthesia And Analgesia For Veterinary Technicians, 4E. Anesthesia And Analgesia For Veterinary Technicians, 4E ...
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The intraoperative use of regional anesthesia has many advantages, including the following: Reduces blood loss: In total hip ... regional anesthesia techniques are used extensively to allow the performance of orthopedic procedures. ... arthroplasty (THA), studies have demonstrated that both spinal and epidural anesthesia tend to hav... ... Neuraxial Analgesia. Intrathecal analgesia. Intrathecal (IT), often referred to as "spinal," anesthesia refers to the delivery ...
This review article will focus on analgesia and anesthesia produced by the actions of opioids on primary-afferent fibers. ... Opioid Actions in Primary-Afferent Fibers-Involvement in Analgesia and Anesthesia. Eiichi Kumamoto * , Kotaro Mizuta. ... This review article will focus on analgesia and anesthesia produced by the actions of opioids on primary-afferent fibers. View ... Kumamoto, E.; Mizuta, K.; Fujita, T. Opioid Actions in Primary-Afferent Fibers-Involvement in Analgesia and Anesthesia. ...
Anesthesia & Analgesia. The flagship journal of the IARS, Anesthesia & Analgesia is published on a monthly basis for the ... Anesthesia & Analgesia also offers CME opportunities, which are available for three years following publication for IARS ... The leading clinical journal in the field, Anesthesia & Analgesia is the official journal of the IARS and these professional ... Maternal Hemorrhage-Regional Versus General Anesthesia: Does It Really Matter? by Beilin, Yaakov on October 1, 2018 ...
To compare the clinical effects of anesthesia and postoperative analgesia for patients with unilateral lower-extremity fracture ... Patients in group E received combined spinal and epidural anesthesia, and when the operation was complete kept the epidural ... catheter and received patient-controlled epidural analgesia with an analgesia pump.Results: The visual analog scores of ... Mean arterial pressure at 30 minutes after anesthesia and 4 hours postoperation in group E decreased significantly and was ...
Anesthesia and Analgesia for Veterinary Technicians, 5th Edition is completely updated with the latest drugs and techniques ... This entry-level practical resource prepares you to properly administer anesthesia with the most up-to-date information on pre- ... and take a more integrated approach to learning techniques for anesthesia administration with the texts expertly illustrated ... p>Covering essential principles of anesthesia administration and pain management in small and large animals, ...
Second Edition presents the fundamentals of managing small animal anesthesia patients in a clinically... ... 8 Anesthesia management of dogs and cats 274Richard M. Bednarski. 9 Anesthesia and immobilization of small mammals 300Paul A. ... Analgesia and Anesthesia for the Ill or Injured Dog and Cat * Book ... The Second Edition has been updated to reflect current practices in anesthesia and analgesia, and a new companion website ...
Luis Antunes on Analgesia, anesthesia monitoring and perioperative care, part of a collection of online lectures. ... to know a little bit about local and regional anesthesia or analgesia, understand a little bit about anesthesia monitoring and ... Analgesia, anesthesia monitoring and perioperative care. *Prof. Luis Antunes - University of Trás-os-Montes and Alto Douro, ... Antunes, L. (2016, January 31). Analgesia, anesthesia monitoring and perioperative care [Video file]. In The Biomedical & Life ...
Thoracic Paravertebral Block, Multimodal Analgesia, and Monitored Anesthesia Care for Breast Cancer Surgery in Primary Lateral ... Anis Dizdarevic and Anthony Fernandes, "Thoracic Paravertebral Block, Multimodal Analgesia, and Monitored Anesthesia Care for ...
From the Department of Anesthesia, Stanford University, Stanford, California. Accepted for publication December 10, 2012. ...
EPIDURAL ANESTHESIA IN CHILDREN. INTRODUCTION. Epidural analgesia is commonly used in addition to general anesthesia and to ... In some cases, spinal anesthesia may be combined with caudal or epidural anesthesia to prolong analgesia. ... Lumbar Epidural Anesthesia. Lumbar epidural analgesia is commonly used for continuous infusions and is rarely used as a single- ... LOCAL ANESTHETICS FOR EPIDURAL ANESTHESIA IN CHILDREN. Since most pediatric patients receive epidural analgesia in conjunction ...
  • Regional anesthesia refers to the focused delivery of anesthetic agent(s) to a given part of the body. (
  • Regional anesthesia is used extensively for various purposes, including as a primary anesthetic technique for surgery, as an analgesic modality to manage pain in the perioperative period, and as an analgesic modality for various other forms of acute and/or chronic pain. (
  • This article will focus on the use of regional anesthesia as a postoperative analgesic technique for orthopedic surgery. (
  • The use of perioperative regional anesthesia has many possible advantages. (
  • Regional anesthesia can reduce operative anesthetic requirements and in some cases allow avoidance of general anesthesia altogether. (
  • [ 2 , 3 ] In addition, in certain operations, such as total hip arthroplasty (THA), the use of regional anesthesia may be associated with certain positive trends such as reduced blood loss and reduced rates of deep vein thrombosis (DVT). (
  • Aims of this lecture is to understand why analgesia is important in laboratory animal sciences, to know how we do pain assessment, how we treat pain during the perioperative period, to know a little bit about local and regional anesthesia or analgesia, understand a little bit about anesthesia monitoring and post-anesthesia procedures. (
  • Regional anesthesia and analgesia are controversial in patients at risk for compartment syndrome due to potential masking of ischemic pain associated with ACS. (
  • This article explores the possible role and controversies surrounding the use of regional anesthesia, continuous peripheral nerve blocks, and analgesia in patients at risk of developing ACS. (
  • Previously, the relatively large size and fragility of the instruments has generally necessitated the performance of ureteroscopy under general or regional anesthesia. (
  • Regional anesthesia has become a routine part of the practice of anesthesiology in infants and children. (
  • METHODS: This was an observational study that used the Pediatric Regional Anesthesia Network database. (
  • A longtime standard for military healthcare personnel, the second edition of Military Advanced Regional Anesthesia and Analgesia Handbook (MARAA) has been thoroughly revised and updated. (
  • Much of the book is devoted to step-by-step guidance on performing various regional anesthesia nerve blocks organized by pertinent neuroanatomy, use of nerve stimulation, and use of ultrasound. (
  • The concluding group of chapters discusses organization of the acute pain service and staff, a review of multidisciplinary care, basics of pediatric regional anesthesia, first-aid acupuncture, and more. (
  • Possible regional anesthesia techniques include epidural analgesia, spinal analgesia (sometimes referred to as the intrathecal or subarachnoid space), or a combination of epidural and spinal analgesia. (
  • Regional anesthesia is contraindicated in the presence of actual or anticipated serious maternal hemorrhage , refractory maternal hypotension, coagulopathy, untreated bacteremia , raised intracranial pressure, skin or soft tissue infection at the site of the epidural or spinal placement, and anticoagulant therapy. (
  • As exacerbation of neurological diseases might be attributed without cause to the anesthetic agent, many clinicians avoid regional anesthesia in its presence. (
  • Figure reprinted with permission from Eltzschig HK, Lieberman ES, Camann WR: Regional anesthesia and analgesia for labor and delivery. (
  • There are significant anatomical differences in children com-pared with adults that should be considered when using neuraxial anesthesia. (
  • Epidural hematomas may occur spontaneously in the population as a whole, without epidural vessel trauma, without neuraxial anesthesia, and without coexisting coagulopathy or therapeutic anticoagulation. (
  • The lowest platelet count that an anesthesia provider will consider before placing a neuraxial block depends partly on the comfort level of the provider and partly on the risk/benefit ratio to the patient. (
  • Intrinsic obstetric neuropathies related to labor and the mode of delivery are much more prevalent than those caused by direct trauma of needles and catheters used in neuraxial anesthesia. (
  • Permanent neurologic injury after neuraxial anesthesia is rare, less than 1 in 100,000, including epidural hematoma and abscess, as well as direct nerve trauma. (
  • Neuropathies related to neuraxial anesthesia are frequently painful with worsening symptoms. (
  • Unrecognized injection of large doses of LA into an epidural vein during neuraxial analgesia/anesthesia can result in systemic symptoms, including neurologic and cardiac toxicity in severe cases. (
  • A recent meta-analysis required 3617 orthopedic patients to show reduced mortality with neuraxial anesthesia ( 4 ). (
  • Deep venous thrombosis prophylaxis is not a contraindication to neuraxial anesthesia. (
  • Specifically, we sought to determine the incidence of overall and individual complications encountered when neuraxial catheters were used for postoperative analgesia in neonates. (
  • CONCLUSIONS: Neuraxial catheter techniques for intraoperative and postoperative analgesia appear to be safe in neonates. (
  • We suggest that each center that uses neuraxial anesthesia techniques in neonates closely evaluate the dose limits for local anesthetic agents and develop rigorous quality assurance methods to ensure potentially toxic doses are not used. (
  • Most epidural abscesses occur in patients who have not received neuraxial analgesia/anesthesia. (
  • These signs and symptoms have been mistaken for those associated with postdural puncture headache, a more common complication of neuraxial anesthesia. (
  • Some case reports have found a direct link to bacteria cultured from the mouth of providers performing neuraxial anesthesia who did not wear a mask. (
  • This observational study aims to objectively quantify ambulation after neuraxial anesthesia and analgesia for cesarean delivery and vaginal delivery, respectively, by using activity tracker technology. (
  • Neuraxial Analgesia: Initiation and Maintenance. (
  • Labor neuraxial analgesia is usually initiated by one of two methods: epidural or combined spinal-epidural analgesia (Figure 2). (
  • Purpose: Failed conversion of epidural labor analgesia (ELA) to epidural surgical anesthesia (ESA) for intrapartum Cesarean delivery (CD) has been observed in clinical practice. (
  • The incidence after spinal techniques, which are widely used for elective cesarean delivery and in many units also for labor analgesia, is largely determined by the selection of spinal needle. (
  • Objective: To investigate the median effective dose (ED(50)) of hydromorphone and the appropriate concentration of ropivacaine combined with hydromorphone in epidural labor analgesia. (
  • Laboring patients must be educated about the different available methods of labor analgesia. (
  • Many pharmacological and nonpharmacological methods of labor analgesia have been adopted over the years. (
  • Only opioids could be used for labor analgesia in these situations, as they do not decrease systemic vascular resistance. (
  • [ 13 ] A higher risk of uterine tachysystole after combined spinal-epidural analgesia than epidural analgesia has been reported and may be attributable to the rapid decrease in circulating catecholamines (which have a tocolytic effect) that accompanies rapid-onset of labor analgesia. (
  • Dural puncture epidural analgesia may be a viable technique for patients with a suspected difficult airway or failed epidural labor analgesia, for whom confirmation of correct epidural needle placement is critical, without incurring the side effects of spinal medication dosing. (
  • Modern labor analgesia favors initiation and maintenance of analgesia with low-dose local anesthesia and opioid solutions to minimize risks of local anesthetic systemic toxicity (unintentional intravascular injection) or high- or total-spinal anesthesia (unintentional intrathecal injection). (
  • Intrathecal (IT), often referred to as "spinal," anesthesia refers to the delivery of anesthetic agents to the subarachnoid layer of the spinal column into cerebrospinal fluid (CSF) surrounding the spinal cord. (
  • IT opioids can be administered as an adjunct to general anesthesia (e.g., for scoliosis surgery) or combined with local anesthetics and administered during spinal anesthesia (e.g., for total hip arthroplasty). (
  • The advantages of IT opioids for analgesia, especially if spinal anesthesia is already planned, include its simplicity, lack of need for catheter care or pumps, low cost, and easy supplementation with low-dose patient-controlled analgesia (PCA) opioids as needed. (
  • Patients in group E received combined spinal and epidural anesthesia, and when the operation was complete kept the epidural catheter and received patient-controlled epidural analgesia with an analgesia pump. (
  • One review looking at 32 studies over 10 years estimated the incidence to be 3.78 in 10,000 for spinal anesthesia and 2.19 in 10,000 for epidural anesthesia. (
  • Transient paresthesias are not uncommon when threading an epidural catheter or performing spinal anesthesia and are unlikely to cause nerve damage. (
  • LA toxicity is almost exclusively related to epidural anesthesia when large doses of drug may be injected, particularly for cesarean delivery (the small doses of LA used in spinal anesthesia make LA toxicity a rarity). (
  • The procedure was interrupted in only 5 patients and was performed later under spinal anesthesia. (
  • Recent reports [3,4] showed that the success rate of ureteroscopic lithotripsy under local anesthesia was comparable with that of general or spinal anesthesia, but only few reports mentioned the degree of pain associated with the procedure [2]. (
  • Combined spinal epidural anesthesia for laparoscopic appendectomy in adults: A case series. (
  • However, spinal anesthesia (SA) in parturients experiencing failed conversion of ELA to ESA has been associated with an increased incidence of serious side effects. (
  • Methods: Hemodynamic data, frequencies of either high or total spinal block, and maternal and neonatal outcome data were gathered from the anesthesia records of all parturients at the Amphia Hospital, undergoing intrapartum CD between January 1, 2001 and May 1, 2005. (
  • Symptoms usually appear anywhere from a few hours up to 8 days after spinal or CSE anesthesia. (
  • Prior tracer studies have shown that collectively, MPTA neurons send descending projections to spinal and medullary brain targets associated with atonia and analgesia as well as ascending projections to forebrain structures associated with amnesia and arousal. (
  • In obstetric patients, regional analgesia refers to partial or complete loss of pain sensation below the T8 to T10 spinal level. (
  • [ 6 ] Combined spinal-epidural analgesia is often used for initiation of analgesia in advanced labor because of rapid onset of effective analgesia. (
  • [ 7 , 8 ] Combined spinal-epidural analgesia has faster onset (2 to 5 min) than epidural analgesia (15 to 20 min), greater uniformity in sensory blockade, and improved sacral dermatome coverage. (
  • [ 9 ] While some studies report greater satisfaction and sense of control associated with combined spinal-epidural analgesia, the meta-analyses do not support this observation. (
  • however, a 2016 study suggests that may not be the case, and favors combined spinal-epidural analgesia for earlier detection of failed epidural analgesia. (
  • Epidural analgesia technique ( A ) versus combined spinal-epidural technique ( B ). In epidural analgesia, the epidural space is located using an epidural needle, by a loss-of-resistance technique. (
  • In combined spinal-epidural analgesia, the epidural space is located in the same fashion, and prior to threading the epidural catheter, a small 25- to 27-gauge spinal needle is introduced through the epidural needle to puncture the dura and to bolus a single dose of local anesthetic with or without opioid. (
  • A modification of the combined spinal-epidural technique is dural puncture epidural analgesia. (
  • Dural puncture epidural analgesia may be associated with improved sacral analgesia compared to epidural analgesia, with less pruritus, hypotension, supplemental epidural doses, and uterine tachysystole than combined spinal-epidural analgesia. (
  • [ 14 , 15 ] A likely mechanism is the dural hole acts as a conduit to enhance epidural medication translocation into the intrathecal space, allowing enhanced coverage of sacral nerve roots while avoiding the side effects associated with conventional combined spinal-epidural analgesia. (
  • It is published by Lippincott Williams & Wilkins on behalf of the International Anesthesia Research Society. (
  • International Anesthesia Research Society. (
  • Kolekce časopisů společnosti International Anesthesia Research Society obsahují recenzované případové studie a články z oblasti anestezie a analgezie včetně perioperativní medicíny, intenzivní péče, léčby bolesti, nejnovějších léčiv, předoperační přípravy, monitorování pacienta a patologické fyziologie. (
  • Newswise - San Francisco, CA (November 15, 2012) - A new journal dedicated to sharing and discussion of informative clinical experiences is coming soon, with the launch of Anesthesia & Analgesia Case Reports , the newest publication of the International Anesthesia Research Society (IARS). (
  • The International Anesthesia Research Society is a nonpolitical, not-for-profit medical society founded in 1922 to advance and support scientific research and education related to anesthesia, and to improve patient care through basic research. (
  • Wolters Kluwer Health and the International Anesthesia Research Society (IARS) are pleased to announce that they have signed an agreement to renew their partnership to publish Anesthesia & Analgesia (A&A), the official journal of the IARS. (
  • We are honored that the highly regarded International Anesthesia Research Society has chosen to continue its collaboration with Wolters Kluwer Health and LWW," said Karen Abramson, President and CEO, Wolters Kluwer Health Medical Research. (
  • The International Anesthesia Research Society is the oldest professional society for anesthesiologists and celebrates its 90th anniversary in 2012. (
  • We will review our group's work on perioperative epidural anesthesia-analgesia on patient outcomes which includes mortality, major morbidity, and patient centered outcomes but not technical failures or complications. (
  • Deep anesthesia continued postoperatively may reduce the vulnerability of these neonates to complications and may reduce mortality. (
  • Duration of analgesia, first time of analgesic request and complications will be recorded by an orthopedic assistant that is blinded to study. (
  • Using a rigorous recovery protocol in the context of "multimodal surgical recovery programs," 3 recent studies have demonstrated clear benefits from epidural anesthesia and analgesia ( e.g. , reduced hypercoagulability, accelerated return of bowel function, decreased pulmonary complications, and earlier mobilization). (
  • The use of perioperative epidural anesthesia-analgesia may confer many benefits including superior postoperative analgesia, decreased morbidity, and improvement in patient-centered outcomes. (
  • However, the benefits of perioperative epidural anesthesia-analgesia are not definitive in part due to some of the methodological issues present in available studies. (
  • The overall effect of epidural anesthesia-analgesia on perioperative mortality is controversial. (
  • We have used a 5% nationally random sample of Medicare beneficiaries (1997-2001) to examine the association between the presence or absence of postoperative epidural analgesia and perioperative (7- and 30-day) mortality [ 6 - 10 ]. (
  • Subsequent analyses of the Medicare claims data also revealed that the presence of postoperative epidural analgesia may be associated with lower perioperative mortality in patients undergoing higher-risk surgical procedures (e.g., lung lobectomy, colectomy) [ 7 , 8 ]. (
  • Anesthesia & Analgesia is a monthly peer-reviewed medical journal covering anesthesia, pain management, and perioperative medicine that was established in 1922. (
  • The flagship journal of the IARS, Anesthesia & Analgesia is published on a monthly basis for the benefit of current and future patients under the care of professionals engaged in the disciplines broadly related to anesthesiology, such as perioperative medicine, critical care, and pain management. (
  • Encourage, stimulate, and fund ongoing anesthesia-related research projects that will enhance and advance the specialty, and to disseminate current, state-of-the-art, basic and clinical research data in all areas of clinical anesthesia, including perioperative medicine, critical care, and pain management. (
  • So in this lecture, we're gonna speak mainly about analgesia, then we're also gonna cover anesthesia monitoring and perioperative care. (
  • Protocols for ethical review, informed consent, randomization, clinical anesthesia and analgesia, and perioperative management were determined following extensive consultation with anesthesiologists throughout Australia. (
  • The following pharmacologic agents can be used in the perioperative setting to optimize multimodal analgesia techniques and reduce opioid consumption during the perioperative period (Table 1). (
  • Indicates that use for perioperative analgesia is "off label," meaning that it is permissible but not an indication in the manufacturers' prescribing information. (
  • In fact, a growing body of evidence 2 shows that the use of epidural anesthesia and analgesia in the perioperative period is beneficial. (
  • Perioperative anesthesia and analgesia exacerbate immunosuppression in immunocompromised cancer patients. (
  • The use of combined general and epidural anesthesia has developed concurrently with improvements in preoperative assessment and perioperative management. (
  • Opioids administered to the IT space can offer effective postoperative analgesia. (
  • This review article will focus on analgesia and anesthesia produced by the actions of opioids on primary-afferent fibers. (
  • In neonates undergoing cardiac surgery, the physiologic responses to stress are attenuated by deep anesthesia and postoperative analgesia with high doses of opioids. (
  • chose to administer opioids (fentanyl) to all patients and may have obscured or offset the potential benefit of epidural analgesia-at least in terms of length of stay. (
  • Anis Dizdarevic and Anthony Fernandes, "Thoracic Paravertebral Block, Multimodal Analgesia, and Monitored Anesthesia Care for Breast Cancer Surgery in Primary Lateral Sclerosis," Case Reports in Anesthesiology , vol. 2016, Article ID 6301358, 4 pages, 2016. (
  • This exciting CD-ROM combines five years of content from four of the world's leading anesthesiology journals--Anesthesiology, Anesthesia & Analgesia, BJA: British Journal of Anaesthesia, and the Canadian Journal of Anesthesia--all on one disk. (
  • This issue contains a collection of 10 manuscripts arising out of the 2012 Innovations and Applications of Monitoring, Perfusion, Oxygenation, and Ventilation (IAMPOV) symposium, jointly sponsored by the Society for Technology in Anesthesia (an affiliate of Anesthesia & Analgesia), the Center for Devices and Radiological Health at the Food and Drug Administration, and the Department of Anesthesiology at the Yale School of Medicine. (
  • As in all areas of veterinary practice, manual of equine anesthesia and analgesia have progressed rapidly over the last two decades with the introduction of new drugs, user-friendly monitoring devices and new methods of using drugs. (
  • Essentials of Small Animal Anesthesia and Analgesia, Second Edition presents the fundamentals of managing small animal anesthesia patients in a clinically relevant, accessible manual. (
  • Essentials of Small Animal Anesthesia and Analgesia, Second Edition provides veterinary care providers and students with key information on anesthetic and analgesic pharmacology, physiology, patient assessment, and clinical case management. (
  • Core Principle #1 - Guidelines or regulations should be developed by states for office-based surgery according to levels of anesthesia defined by the American Society of Anesthesiologists' (ASA's) "Continuum of Depth of Sedation" statement dated October 13, 1999, excluding local anesthesia or minimal sedation. (
  • Moderate Sedation/Analgesia ("Conscious Sedation") is a drug-induced depression of consciousness during which patients respond purposefully** to verbal commands, either alone or accompanied by light tactile stimulation. (
  • Monitored Anesthesia Care ("MAC") does not describe the continuum of depth of sedation, rather it describes "a specific anesthesia service in which an anesthesiologist has been requested to participate in the care of a patient undergoing a diagnostic or therapeutic procedure. (
  • Deep Sedation/Analgesia is a drug-induced depression of consciousness during which patients cannot be easily aroused but respond purposefully** following repeated or painful stimulation. (
  • Individuals administering Moderate Sedation/Analgesia ("Conscious Sedation") should be able to rescue*** patients who enter a state of Deep Sedation/Analgesia, while those administering Deep Sedation/Analgesia should be able to rescue*** patients who enter a state of General Anesthesia. (
  • We evaluated the feasibility and effectiveness of ureteroscopic lithotripsy for ureteral stones under local anesthesia without any sedation. (
  • Background: Adequate pain control through sedation and anesthesia for emergency procedures is a crucial aspect of pediatric emergency care. (
  • Methods: Non-anesthetist providers in Western Kenya were trained in the use of a ketamine-based sedation and anesthesia package for non-anesthetists, Every Second Matters for Mothers and Babies-Ketamine™ (ESM-Ketamine). (
  • The SmartTots program is a multi-year collaborative effort designed to increase the safety of anesthetic and sedative drugs for the millions of children who undergo anesthesia and sedation each year. (
  • Our hospital has the human and technical equipment needed for a safely sedation and general anesthesia. (
  • Methods: One hundred and forty nulliparous women undergoing labor selected for delivery with epidural analgesia were enrolled in our hospital from January to June 2016. (
  • This package contains LWW's Anasthesia & Analgesia and Anesthesia & Analgesia Practice . (
  • This issue of Veterinary Clinics: Small Animal Practice, edited by Dr. Ciara Barr and Dr. Giacomo Gianotti, focuses on Alternatives to Opioid Analgesia in Small Animal Anesthesia. (
  • Controversies in Obstetric Anesthesia and Analgesia debates these and other clinical management controversies encountered in daily practice, providing practical advice on how to manage each clinical problem. (
  • AB - This preliminary study determined certified registered nurse anesthetist (CRNA) practice experience and educational needs in the preoperative evaluation of patients using patient-controlled analgesia (PCA) for chronic and cancer pain management. (
  • If available, practice the procedure on anesthetized animals that will be euthanized before recovery from anesthesia. (
  • The incidence of systemic LA toxicity has significantly decreased since the mid-1980s, when 0.75% bupivacaine was withdrawn from obstetric anesthesia practice and the use of test doses and incremental dosing of local anesthetics increased. (
  • Our new journal will draw on the broad clinical experience of the international anesthesia community, creating a forum for cases that teach us how to handle the real-world situations we encounter in daily clinical practice. (
  • Lakeshore provides the Anesthesiologist with the tools needed to practice a high level of anesthetic care, including regularly maintained anesthesia machines and circuits, mechanical ventilators, infusion pumps, physiologic and neuromuscular monitoring equipment, ultrasound, and supplies for advanced pain management techniques (ultrasound- and nerve stimulator-guided regional blocks, epidural catheters, etc). (
  • Since most pediatric patients receive epidural analgesia in conjunction with a general anesthetic, the main purpose of the epidural catheter is to deliver enough local anesthetic solution for effective intraoperative and postoperative analgesia. (
  • Read the latest news about pediatric anesthesia research focused on making surgery safer for infants and children. (
  • The November issue of Anesthesia & Analgesia highlights current research related to pediatric anesthesia neurotoxicity and the SmartTots research effort. (
  • Undoubtedly, not everyone will agree with all the descriptions of how to perform clinical anesthesia as we each have our own preferences. (
  • In high-risk patients having major abdominal surgery, is intraoperative epidural anesthesia and postoperative epidural analgesia combined with general anesthesia effective? (
  • The present study evaluated the effect of dexmedetomidine (DEX) added to sufentanil in intravenous patient-controlled analgesia (PCA) on the relief of pain and inflammatory responses during postoperative recovery of patients undergoing a combined thoracoscopic-laparoscopic esophagectomy (TLE). (
  • The risk of equine anesthesia ( Tanya Duke ). (
  • Equine Anesthesia 11. (
  • Important knowledge has also been gained in identifying the risk factors for equine anesthesia. (
  • There is a growing awareness of the impact of anesthesia and analgesia on the surgical outcome, and a realization that equine anesthesia is not just a technical procedure aimed at producing immobilization for the sake of operator comfort. (
  • In our initial analysis [ 6 ], we examined several surgical procedures (based on International Statistical Classification of Diseases, Ninth Revision (ICD-9) codes) and divided patients into 2 groups, depending on the presence or absence of postoperative epidural analgesia. (
  • However, our analyses of Medicare patients undergoing lower-risk procedures (e.g., total hip and total knee replacement) showed that the use of postoperative epidural analgesia was not associated with a lower incidence of mortality and major morbidity [ 9 , 10 ]. (
  • Two large animal anesthesia chapters cover pain management and anesthetic techniques for equine, ruminant, camelid, and swine patients. (
  • To compare the clinical effects of anesthesia and postoperative analgesia for patients with unilateral lower-extremity fracture between multiple injections through catheters beside the lumbar plexus or sciatic nerve and continuous epidural analgesia. (
  • For patients with unilateral lower-extremity fracture receiving internal fixation, multiple injections through catheters beside the lumbar plexus or sciatic nerve can provide adequate postoperative analgesia, with very few adverse effects. (
  • The purpose of this study is to analyze the effects of epidural anesthesia and analgesia on intraoperative clinical outcome, postoperative recovery, metabolic changes, and immune functions of the patients receiving open liver resection. (
  • Written by a team of international practitioners working with and caring for high risk obstetric patients, Controversies in Obstetric Anesthesia and Analgesia is an invaluable resource for trainees and practitioners in anesthesia, obstetrics and critical care medicine. (
  • 4. The use of a dilute concentration of local anesthetic for continuous epidural analgesia should not result in a dense motor block, aiding diagnosis in patients who develop symptoms of an epidural hematoma. (
  • General Anesthesia is a drug-induced loss of consciousness during which patients are not arousable, even by painful stimulation. (
  • The Multicenter Australian Study of Epidural Anesthesia and Analgesia in Major Surgery (The MASTER Trial) was designed to evaluate the possible benefit of epidural block in improving outcome in high-risk patients. (
  • All patients will receive caudal block anesthesia with marcaine. (
  • Results of the study indicated that 79% of CRNAs reported experience in administration of anesthesia to one or more patients who used PCA preoperatively. (
  • understand the research data on analgesia in reptiles and how to extrapolate to benefit your patients. (
  • Prospectively, ureteroscopic lithotripsy under local anesthesia was performed in 100 patients (45 males and 55 females). (
  • Our findings suggest that most of the patients could tolerate the pain during a rigid ureteroscopic lithotripsy under local anesthesia. (
  • Discusses research being done on the effectiveness of intraoperative epidural anesthesia and postoperative epidural analgesia in patients having major abdominal surgery. (
  • We investigated 64 consecutive patients undergoing gynecological laparotomy under general anesthesia combined with epidural. (
  • We compared the effects of two different anesthesia and analgesia methods on the NK cell cytotoxicity (NKCC) in patients undergoing breast cancer surgery. (
  • Fifty patients undergoing breast cancer resection were randomly assigned to receive propofol-remifentanil anesthesia with postoperative ketorolac analgesia (Propofol-ketorolac groups) or sevoflurane-remifentanil anesthesia with postoperative fentanyl analgesia (Sevoflurane-fentanyl group). (
  • Propofol anesthesia with postoperative ketorolac analgesia demonstrated a favorable impact on immune function by preserving NKCC compared with sevoflurane anesthesia and postoperative fentanyl analgesia in patients undergoing breast cancer surgery. (
  • 420 patients undergoing elective CABG surgery Standard GA with 72hrs narcotic analgesia v standard GA with 96hrs TEA Elective CABG pts with normal preoperative coagulation status Epidurals inserted at T2/3 or T3/4 in OR immediately preoperatively operation postponed if "bloody tap" obtained Bilateral T1-T10 block instituted with Bupivacaine 0.5% and maintained with Bupivacaine / Clonidine infusion perioperatively +/- additional Bupivacaine top-ups postop. (
  • 464 patients were allocated to intraoperative epidural anesthesia and postoperative epidural analgesia for 72 hours with general anesthesia (site of epidural selected to provide optimum block), and 456 were allocated to general anesthesia only. (
  • Of the 693 patients, 508 (73.3%) had no ELA and received SA, 128 patients (18.5%) received SA following epidural anesthesia for labor, 19 (2.7%) underwent conversion of ELA to ESA, and 38 (5.5%) received general anesthesia. (
  • Only 5.5% of epidural abscesses are thought to be related to epidural anesthesia, and these patients are often elderly and immunocompromised, developing an epidural abscess following prolonged epidural catheterization. (
  • The cellular immunity was compared between patients who received different types of anesthesia and analgesia after radical resection for lung cancer. (
  • Patients in Group I received total intravenous anesthesia combined with intravenous analgesia and those in Group II received general anesthesia combined with epidural anesthesia and post-operative epidural analgesia. (
  • General anesthesia combined with epidural anesthesia and post-operative epidural analgesia has little influence on the cellular immune function in patients receiving radical resection for lung cancer and thus patients recover more rapidly. (
  • Patients accepting general anesthesia comprised the control group, and those accepting general anesthesia combined with epidural analgesia comprised the test group. (
  • The application of general anesthesia combined with epidural analgesia to patients who will undergo laparoscopic radical resection of rectal carcinoma leads to improved therapeutic effect and facilitates their recovery. (
  • 5% of patients required additional anesthesia. (
  • Research regarding patients undergoing total hip arthroplasty (THA) has shown no significant difference in postoperative pain with or without the use of local infiltration analgesia (LIA). (
  • Analgesia is indicated for patients with certain risk factors even in the absence of maternal request. (
  • This is to help minimize the need for emergency anesthesia in patients for whom such anesthesia would be especially hazardous. (
  • For patients with mitral stenosis , regional analgesia (epidural) is the preferred method. (
  • Morphine 1 mg or 5 mg, or bupivacaine 50 mg do not provide clinically significant postoperative analgesia when given intraarticularly in patients undergoing minor diagnostic arthroscopic surgery. (
  • General anesthesia provides us with unconciousness, amnesia, analgesia, muscle relaxation, and the ability to perform various procedures in our veterinary patients. (
  • Precise placement of epidural needles for single-injection techniques and catheters for continuous epidural anesthesia ensures that the dermatomes involved in the surgical procedure are selectively blocked, allowing for lower doses of local anesthetics to be used and sparing unnecessary blockade in nondesired regions. (
  • Covering essential principles of anesthesia administration and pain management in small and large animals, Anesthesia and Analgesia for Veterinary Technicians, 5th Edition is completely updated with the latest drugs and techniques. (
  • Thomas is the author of 'Anesthesia And Analgesia For Veterinary Technicians, 4E' with ISBN 9780323055048 and ISBN 0323055044. (
  • This intermediate course will be open to veterinarians, veterinary students, veterinary technicians/technologists, and veterinary support staff actively interested in anesthesia and analgesia of wildlife in birds, reptiles, and mammals. (
  • Our skilled certified veterinary technicians, including one with VTS certification in anesthesia, aim to perform anesthesia and pain management to the highest standards and are active participants in our in-house anesthesia training, which we hope to see continue with the ideal candidate. (
  • 1 This study did not show any benefit from the combination of epidural anesthesia and analgesia with general anesthesia and systemic opioid analgesia. (
  • Less than 10 years ago it was stated at international conferences that the use of analgesics after osteosynthesis in birds was questionable for 2 reasons: 1) we did not understand the mechanism of action of analgesics administered to avian species, and 2) the potential benefit of analgesia was considered a disadvantage (i.e., a bird should not use its operated limb immediately after the surgical procedure). (
  • Efficacy and safety of thoracic epidural analgesia after major abdominal surgery for acute post-operative pain. (
  • Chapter 6 Induction Agents and Total Intravenous Anesthesia. (
  • Luckily, we've come a long way in feline anesthesia and analgesia recently - a lot of it is to do with new drugs that are specifically approved for use in cats," says Dr. Robertson. (
  • Canine and Feline Anesthesia 10. (
  • Anesthesia & Analgesia also offers CME opportunities , which are available for three years following publication for IARS members only. (
  • The IARS contributes more than $1 million each year to fund important anesthesia research. (
  • A&A Bulletin, an e-bulletin for IARS members, provides an overview of the current edition of Anesthesia & Analgesia as well as highlights of other IARS news and announcements. (
  • The more than 1,000 videos and podcasts from IARS and OpenAnesthesia™ include interviews with experts on pertinent topics, including opportunities to claim CME and tutorials on techniques like EEG for Anesthesia, and presentations from the IARS Annual Meetings. (
  • Find out what the experts in the field are saying about the Annual Meeting, IARS and anesthesia as a whole in videos on the IARS YouTube Channel. (
  • The primary purpose of this course is to provide a basic to intermediate understanding of the principles of anesthesia and analgesia in avian, mammalian, and reptilian wildlife. (
  • In recent years, a number of important developments have been made in equine anaesthesia and analgesia. (
  • Thoracic epidural anaesthesia and analgesia. (
  • Epidural anaesthesia and analgesia and outcome of major surgery: a randomised trial. (
  • This can be beneficial to a variety of patient populations, including those at risk for cognitive dysfunction after general anesthesia. (
  • Maternal Hemorrhage-Regional Versus General Anesthesia: Does It Really Matter? (
  • Epidural analgesia is commonly used in addition to general anesthesia and to manage postoperative pain. (
  • Both group received general anesthesia maintaining with 1-2% end tidal sevoflurane together with TCI of propofol (target plasma concentration, 2-3µg/ml), continuous infusion of remifentanil (0.10 - 0.20 μg/kg/min) and cis-atracurium intermittently as needed. (
  • The optimization of analgesic drugs delivery during general anesthesia (GA) requires to evaluate the pain/analgesia balance. (
  • Therefore, we caution against the more general interpretation that epidural anesthesia- analgesia is not beneficial. (
  • Combination of Thoracic Epidural Anesthesia Does Not Always Induce Hypothermia during General Anesthesia. (
  • The article presents a study about the effect of the combination of general anesthesia and thoracic epidural anesthesia, which has been considered to induce hypothermia. (
  • Background: Laparoscopy is one of the most common surgical procedures and is the procedure of choice for most of the elective abdominal surgeries performed preferably under endotracheal general anesthesia. (
  • General anesthesia is a finely controlled near-death state for the anesthetized animal. (
  • The effect of general anesthesia combined with epidural analgesia on post-operative recovery was investigated to improve the therapeutic effectiveness of laparoscopic radical resection of rectal carcinoma. (
  • Hence, administering general anesthesia combined with epidural analgesia is worthy of promotion and application. (
  • The MPTA (mesopontine tegmental anesthesia area) is a key node in a network of axonal pathways that collectively engage the key components of general anesthesia: immobility and atonia, analgesia, amnesia and loss-of-consciousness. (
  • For instance, some readers will not feel comfortable with the multimodal drug approach to general anesthesia. (
  • Attempts at producing a state of general anesthesia can be traced throughout recorded history in the writings of the ancient Sumerians, Babylonians, Assyrians, Egyptians, Indians, and Chinese. (
  • Although there has been a great deal of debate as to who deserves the most credit for the discovery of general anesthesia, it is generally agreed that certain scientific discoveries in the late 18th and early 19th centuries were critical to the eventual introduction and development of modern anesthetic techniques. (
  • Concurrent with these developments were the significant advances in pharmacology and physiology which led to the development of general anesthesia and the control of pain. (
  • In the 20th century, the safety and efficacy of general anesthesia was improved by the routine use of tracheal intubation and other advanced airway management techniques. (
  • The first attempts at general anesthesia were probably herbal remedies administered in prehistory. (
  • In Classical antiquity, anaesthetics were described by: Dioscorides (De Materia Medica) Galen Hippocrates Theophrastus (Historia Plantarum) Bian Que (Chinese: 扁鵲, Wade-Giles: Pien Ch'iao, c. 300 BC) was a legendary Chinese internist and surgeon who reportedly used general anesthesia for surgical procedures. (
  • Increasing use of TAP (transversus abdominus plane) blocks for post-cesarean analgesia may result in more cases. (
  • Odds ratios were calculated to determine the associations of epidural anesthesia with oxytocin stimulation, episiotomy, assisted vaginal delivery (forceps or vacuum extraction), and cesarean section. (
  • All persons involved in research using animals are morally obligated and legally required to provide appropriate anesthesia and analgesia to minimize pain and distress to the animals. (
  • postoperatively, thus suggesting that postoperative epidural analgesia may contribute to lower odds of death after surgery [ 6 ]. (
  • Thoracic epidural anaesthesia followed by postoperative epidural analgesia is increasingly being used for abdominal, major vascular and cardiothoracic surgery. (
  • Postoperative epidural analgesia was associated with lower pain scores during the first 3 days after surgery. (
  • We hypothesized that administering deep opioid anesthesia to critically ill neonates undergoing cardiac surgery would blunt their responses to stress and might improve clinical outcomes. (
  • The neonates who received lighter anesthesia (with halothane plus morphine) had more severe hyperglycemia and lactic acidemia during surgery and higher lactate and acetoacetate concentrations postoperatively (P less than 0.025). (
  • Design of the multicenter Australian study of epidural anesthesia and analgesia in major surgery: the MASTER trial. (
  • Ketamine may prevent central sensitization during surgery and result in preemptive analgesia. (
  • Investigators must keep accurate records of anesthesia, surgery and postoperative care (including analgesic administration). (
  • A letter to the editor is presented about a study on the efficacy and safety of thoracic epidural anesthesia after abdominal surgery for acute post-operative pain. (
  • Epidural ropivacaine versus ropivacaine plus tramadol in postoperative analgesia in children undergoing major abdominal surgery: a comparison. (
  • Is acupuncture analgesia effective to use during surgery instead of anesthesia medication? (
  • The acupuncture points that are used for acupuncture anesthesia can safely and effectively reduce or entirely eliminate the pain of an operation or surgery. (
  • When acupuncture is used as the primary anesthesia during surgery, the patient remains conscious and can play an active role during the operation. (
  • Different points are used for acupuncture anesthesia depending on the area of the surgery. (
  • The objective of this meta-analysis was to evaluate the efficacy and safety of dexmedetomidine as an adjunct to local anesthesia for postoperative pain control after lumbar surgery. (
  • With malpractice insurance premiums on the rise, and insurance rates for the practicing anesthesiologist at an all time high, it is important, now more than ever, to have a single source reference related to both anesthesia and analgesia and how they both relate to dermatologic surgery. (
  • c. 400 BC, the Sushruta Samhita (a text from the Indian subcontinent on ayurvedic medicine and surgery) advocates the use of wine with incense of cannabis for anesthesia. (
  • Fortunately through the use of modern drugs with wide safety margins and the availability of naïve purpose-bred and healthy animals from commercial vendors and safe anesthesia in the research setting is generally quite routine. (
  • Local anesthesia consists of lidocaine jelly in the bladder associated with a penile nerve block in males only, and without any intravenous analgesia. (
  • opinions vary widely within the obstetric anesthesia community over issues such as the effect of anesthetic drugs on the fetal brain and the choice between different epidural techniques. (
  • In the ASA Closed Claims Database, nerve injury was the most common cause of maternal injury in obstetric anesthesia claims from 1990 on. (
  • OBJECTIVE: The purpose of this study was to retrospectively determine the safety and efficacy of epidural anesthesia when administered by obstetricians in a community hospital. (
  • As with epidural anesthesia in adults, local anesthetic concentration and volume are important factors in determining the density and level of blockade. (
  • 2 This article describes the rationale for use of multimodal analgesia and discusses nonopioid medications that can be used as part of a multimodal approach to postoperative pain relief. (
  • Anesthesia and Analgesia for Companion and Laboratory Animals. (
  • Information on anesthesia and analgesia in laboratory animals may be found by following the links in the menu on the left. (
  • Anesthesia and Analgesia in Laboratory Animals (2nd edition) by Fish, Brown, Danneman, and Karas (eds. (
  • Anesthesia and Analgesia in Laboratory Animals focuses totally at the specified anesthetic, analgesic, and postoperative care specifications linked to experimental surgical procedure. (