Anesthesia, General: Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery.Anesthesia: 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.Anesthesia, Local: A blocking of nerve conduction to a specific area by an injection of an anesthetic agent.Anesthesia, Epidural: Procedure in which an anesthetic is injected into the epidural space.Anesthesia, Spinal: Procedure in which an anesthetic is injected directly into the spinal cord.Anesthesia, Conduction: Injection of an anesthetic into the nerves to inhibit nerve transmission in a specific part of the body.Anesthesia, Inhalation: Anesthesia caused by the breathing of anesthetic gases or vapors or by insufflating anesthetic gases or vapors into the respiratory tract.Anesthesia, Intravenous: Process of administering an anesthetic through injection directly into the bloodstream.Anesthesia, Obstetrical: A variety of anesthetic methods such as EPIDURAL ANESTHESIA used to control the pain of childbirth.Anesthesia Recovery Period: The period of emergence from general anesthesia, where different elements of consciousness return at different rates.Anesthesia, Dental: A range of methods used to reduce pain and anxiety during dental procedures.Anesthetics, Local: 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.Anesthetics, Inhalation: 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)Anesthetics, Intravenous: 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)Adjuvants, Anesthesia: Agents that are administered in association with anesthetics to increase effectiveness, improve delivery, or decrease required dosage.Propofol: 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.Isoflurane: A stable, non-explosive inhalation anesthetic, relatively free from significant side effects.Anesthesiology: A specialty concerned with the study of anesthetics and anesthesia.Methyl Ethers: A group of compounds that contain the general formula R-OCH3.Anesthetics, Combined: The use of two or more chemicals simultaneously or sequentially to induce anesthesia. The drugs need not be in the same dosage form.Anesthetics: 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.Monitoring, Intraoperative: The constant checking on the state or condition of a patient during the course of a surgical operation (e.g., checking of vital signs).Nitrous Oxide: 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.Lidocaine: 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.Halothane: 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)Bupivacaine: A widely used local anesthetic agent.Anesthesia, Closed-Circuit: 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.Fentanyl: 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)Nerve Block: 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.Anesthetics, General: 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)Ambulatory Surgical Procedures: Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.Preanesthetic Medication: Drugs administered before an anesthetic to decrease a patient's anxiety and control the effects of that anesthetic.Ketamine: 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.Thiopental: A barbiturate that is administered intravenously for the induction of general anesthesia or for the production of complete anesthesia of short duration.Anesthesia, Caudal: Epidural anesthesia administered via the sacral canal.Pentobarbital: 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)Anesthetics, Dissociative: 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)Enflurane: An extremely stable inhalation anesthetic that allows rapid adjustments of anesthesia depth with little change in pulse or respiratory rate.Intubation, Intratracheal: 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.Xylazine: An adrenergic alpha-2 agonist used as a sedative, analgesic and centrally acting muscle relaxant in VETERINARY MEDICINE.Conscious Sedation: 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)Anesthesia Department, Hospital: Hospital department responsible for the administration of functions and activities pertaining to the delivery of anesthetics.Anesthesia, IntratrachealPain, Postoperative: Pain during the period after surgery.Intraoperative Complications: 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.Prilocaine: A local anesthetic that is similar pharmacologically to LIDOCAINE. Currently, it is used most often for infiltration anesthesia in dentistry.Intraoperative Period: The period during a surgical operation.Anesthesia and Analgesia: Medical methods of either relieving pain caused by a particular condition or removing the sensation of pain during a surgery or other medical procedure.Cesarean Section: Extraction of the FETUS by means of abdominal HYSTEROTOMY.Mepivacaine: 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)Electroencephalography: 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.Methohexital: An intravenous anesthetic with a short duration of action that may be used for induction of anesthesia.Consciousness: Sense of awareness of self and of the environment.Hypnotics and Sedatives: Drugs used to induce drowsiness or sleep or to reduce psychological excitement or anxiety.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Prospective Studies: 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.Alfentanil: 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.Surgical Procedures, Minor: 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)Xenon: 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.Hemodynamics: The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.Postoperative Nausea and Vomiting: Emesis and queasiness occurring after anesthesia.Neuromuscular Nondepolarizing Agents: 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.EthersMidazolam: 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.Double-Blind Method: 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.Surgical Procedures, Operative: Operations carried out for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases. (Taber, 18th ed.)Ether: 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.Postoperative Complications: 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.Chloralose: 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.Heart Rate: The number of times the HEART VENTRICLES contract per unit of time, usually per minute.Pain Measurement: 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.Carticaine: A thiophene-containing local anesthetic pharmacologically similar to MEPIVACAINE.Sufentanil: An opioid analgesic that is used as an adjunct in anesthesia, in balanced anesthesia, and as a primary anesthetic agent.Blood Pressure: PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS.Analgesics, Opioid: Compounds with activity like OPIATE ALKALOIDS, acting at OPIOID RECEPTORS. Properties include induction of ANALGESIA or NARCOSIS.Consciousness Monitors: Devices used to assess the level of consciousness especially during anesthesia. They measure brain activity level based on the EEG.Laryngeal Masks: 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.Neuromuscular Blocking Agents: 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.Medetomidine: 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.Intraoperative Awareness: 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.)Piperidines: A family of hexahydropyridines.Neuromuscular Blockade: 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.Succinylcholine: 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.Laryngoscopy: Examination, therapy or surgery of the interior of the larynx performed with a specially designed endoscope.Manuals as Topic: Books designed to give factual information or instructions.Analgesia: Methods of PAIN relief that may be used with or in place of ANALGESICS.Androstanols: Androstanes and androstane derivatives which are substituted in any position with one or more hydroxyl groups.Intraoperative Care: 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.Hypotension, Controlled: 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.Tetracaine: A potent local anesthetic of the ester type used for surface and spinal anesthesia.Ophthalmologic Surgical Procedures: Surgery performed on the eye or any of its parts.Operating Rooms: Facilities equipped for performing surgery.Etomidate: Imidazole derivative anesthetic and hypnotic with little effect on blood gases, ventilation, or the cardiovascular system. It has been proposed as an induction anesthetic.Deep Sedation: 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)Carbon Dioxide: A colorless, odorless gas that can be formed by the body and is necessary for the respiration cycle of plants and animals.Dose-Response Relationship, Drug: The relationship between the dose of an administered drug and the response of the organism to the drug.Ephedrine: 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.Hernia, Inguinal: 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.Urethane: Antineoplastic agent that is also used as a veterinary anesthetic. It has also been used as an intermediate in organic synthesis. Urethane is suspected to be a carcinogen.Hypotension: 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.Local Government: Smallest political subdivisions within a country at which general governmental functions are carried-out.Amides: 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)Postoperative Period: The period following a surgical operation.Treatment Outcome: 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.Oxygen: 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.Epinephrine: 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.Brachial Plexus: 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.Shivering: Involuntary contraction or twitching of the muscles. It is a physiologic method of heat production in man and other mammals.Respiration: 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).Dogs: The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065)Droperidol: 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)Maxillary Nerve: The intermediate sensory division of the trigeminal (5th cranial) nerve. The maxillary nerve carries general afferents from the intermediate region of the face including the lower eyelid, nose and upper lip, the maxillary teeth, and parts of the dura.Blood Gas Analysis: Measurement of oxygen and carbon dioxide in the blood.Body Temperature: The measure of the level of heat of a human or animal.Laryngismus: A disorder in which the adductor muscles of the VOCAL CORDS exhibit increased activity leading to laryngeal spasm. Laryngismus causes closure of the VOCAL FOLDS and airflow obstruction during inspiration.Procaine: 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).Injections: Introduction of substances into the body using a needle and syringe.Mandibular Nerve: 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.Nurse Anesthetists: Professional nurses who have completed postgraduate training in the administration of anesthetics and who function under the responsibility of the operating surgeon.Vecuronium Bromide: Monoquaternary homolog of PANCURONIUM. A non-depolarizing neuromuscular blocking agent with shorter duration of action than pancuronium. Its lack of significant cardiovascular effects and lack of dependence on good kidney function for elimination as well as its short duration of action and easy reversibility provide advantages over, or alternatives to, other established neuromuscular blocking agents.Hypothermia: Lower than normal body temperature, especially in warm-blooded animals.Needles: Sharp instruments used for puncturing or suturing.Tooth Extraction: The surgical removal of a tooth. (Dorland, 28th ed)Neoplasm Recurrence, Local: The local recurrence of a neoplasm following treatment. It arises from microscopic cells of the original neoplasm that have escaped therapeutic intervention and later become clinically visible at the original site.Acepromazine: A phenothiazine that is used in the treatment of PSYCHOSES.Surgical Procedures, Elective: Surgery which could be postponed or not done at all without danger to the patient. Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery.Dexmedetomidine: 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.Cervical Plexus: 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.Barbiturates: A class of chemicals derived from barbituric acid or thiobarbituric acid. Many of these are GABA MODULATORS used as HYPNOTICS AND SEDATIVES, as ANESTHETICS, or as ANTICONVULSANTS.Atracurium: A non-depolarizing neuromuscular blocking agent with short duration of action. Its lack of significant cardiovascular effects and its lack of dependence on good kidney function for elimination provide clinical advantage over alternate non-depolarizing neuromuscular blocking agents.Fiber Optic Technology: The technology of transmitting light over long distances through strands of glass or other transparent material.Analgesia, Epidural: 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.Awareness: The act of "taking account" of an object or state of affairs. It does not imply assessment of, nor attention to the qualities or nature of the object.Premedication: 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.Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Dermatologic Surgical Procedures: Operative procedures performed on the SKIN.Monitoring, Physiologic: The continuous measurement of physiological processes, blood pressure, heart rate, renal output, reflexes, respiration, etc., in a patient or experimental animal; includes pharmacologic monitoring, the measurement of administered drugs or their metabolites in the blood, tissues, or urine.Gynecologic Surgical Procedures: Surgery performed on the female genitalia.Ethyl EthersTiletamine: Proposed anesthetic with possible anticonvulsant and sedative properties.Morphine: 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.Alfaxalone Alfadolone Mixture: A 3:1 mixture of alfaxalone with alfadolone acetate that previously had been used as a general anesthetic. It is no longer actively marketed. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1445)Abdomen: That portion of the body that lies between the THORAX and the PELVIS.Preoperative Care: 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)Dental Care for Disabled: Dental care for the emotionally, mentally, or physically disabled patient. It does not include dental care for the chronically ill ( = DENTAL CARE FOR CHRONICALLY ILL).Rats, Sprague-Dawley: 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.Perioperative Care: Interventions to provide care prior to, during, and immediately after surgery.Pancuronium: A bis-quaternary steroid that is a competitive nicotinic antagonist. As a neuromuscular blocking agent it is more potent than CURARE but has less effect on the circulatory system and on histamine release.Partial Pressure: The pressure that would be exerted by one component of a mixture of gases if it were present alone in a container. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)Orthopedic Procedures: Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.Skin Temperature: The TEMPERATURE at the outer surface of the body.Pain: An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.Postoperative Care: 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)Oral Surgical Procedures: Surgical procedures used to treat disease, injuries, and defects of the oral and maxillofacial region.Pulmonary Atelectasis: Absence of air in the entire or part of a lung, such as an incompletely inflated neonate lung or a collapsed adult lung. Pulmonary atelectasis can be caused by airway obstruction, lung compression, fibrotic contraction, or other factors.Chloral Hydrate: A hypnotic and sedative used in the treatment of INSOMNIA.Body Temperature Regulation: The processes of heating and cooling that an organism uses to control its temperature.Autonomic Nerve Block: 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.Injections, Intravenous: Injections made into a vein for therapeutic or experimental purposes.Cataract Extraction: The removal of a cataractous CRYSTALLINE LENS from the eye.Benzocaine: A surface anesthetic that acts by preventing transmission of impulses along NERVE FIBERS and at NERVE ENDINGS.Brain: The part of CENTRAL NERVOUS SYSTEM that is contained within the skull (CRANIUM). Arising from the NEURAL TUBE, the embryonic brain is comprised of three major parts including PROSENCEPHALON (the forebrain); MESENCEPHALON (the midbrain); and RHOMBENCEPHALON (the hindbrain). The developed brain consists of CEREBRUM; CEREBELLUM; and other structures in the BRAIN STEM.Dental Pulp Test: Investigations conducted on the physical health of teeth involving use of a tool that transmits hot or cold electric currents on a tooth's surface that can determine problems with that tooth based on reactions to the currents.Methoxyflurane: An inhalation anesthetic. Currently, methoxyflurane is rarely used for surgical, obstetric, or dental anesthesia. If so employed, it should be administered with NITROUS OXIDE to achieve a relatively light level of anesthesia, and a neuromuscular blocking agent given concurrently to obtain the desired degree of muscular relaxation. (From AMA Drug Evaluations Annual, 1994, p180)Tourniquets: 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)Respiration, Artificial: Any method of artificial breathing that employs mechanical or non-mechanical means to force the air into and out of the lungs. Artificial respiration or ventilation is used in individuals who have stopped breathing or have RESPIRATORY INSUFFICIENCY to increase their intake of oxygen (O2) and excretion of carbon dioxide (CO2).Sensation: 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.Bronchial Spasm: Spasmodic contraction of the smooth muscle of the bronchi.Guaifenesin: An expectorant that also has some muscle relaxing action. It is used in many cough preparations.Zolazepam: A pyrazolodiazepinone with pharmacological actions similar to ANTI-ANXIETY AGENTS. It is commonly used in combination with TILETAMINE to obtain immobilization and anesthesia in animals.Dental Care for Chronically Ill: Dental care for patients with chronic diseases. These diseases include chronic cardiovascular, endocrinologic, hematologic, immunologic, neoplastic, and renal diseases. The concept does not include dental care for the mentally or physically disabled which is DENTAL CARE FOR DISABLED.Meperidine: 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.Evoked Potentials, Auditory: The electric response evoked in the CEREBRAL CORTEX by ACOUSTIC STIMULATION or stimulation of the AUDITORY PATHWAYS.Single-Blind Method: A method in which either the observer(s) or the subject(s) is kept ignorant of the group to which the subjects are assigned.Drug Interactions: The action of a drug that may affect the activity, metabolism, or toxicity of another drug.Apnea: A transient absence of spontaneous respiration.Random Allocation: 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.Analgesics: Compounds capable of relieving pain without the loss of CONSCIOUSNESS.Risk Management: The process of minimizing risk to an organization by developing systems to identify and analyze potential hazards to prevent accidents, injuries, and other adverse occurrences, and by attempting to handle events and incidents which do occur in such a manner that their effect and cost are minimized. Effective risk management has its greatest benefits in application to insurance in order to avert or minimize financial liability. (From Slee & Slee: Health care terms, 2d ed)Cerebrovascular Circulation: The circulation of blood through the BLOOD VESSELS of the BRAIN.Reflex: An involuntary movement or exercise of function in a part, excited in response to a stimulus applied to the periphery and transmitted to the brain or spinal cord.Pneumonia, Aspiration: A type of lung inflammation resulting from the aspiration of food, liquid, or gastric contents into the upper RESPIRATORY TRACT.Cardiac Output: The volume of BLOOD passing through the HEART per unit of time. It is usually expressed as liters (volume) per minute so as not to be confused with STROKE VOLUME (volume per beat).Regional Blood Flow: The flow of BLOOD through or around an organ or region of the body.Emergencies: Situations or conditions requiring immediate intervention to avoid serious adverse results.Airway Management: Evaluation, planning, and use of a range of procedures and airway devices for the maintenance or restoration of a patient's ventilation.Infusions, Intravenous: 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.Propoxycaine: A local anesthetic of the ester type that has a rapid onset of action and a longer duration of action than procaine hydrochloride. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1017)Airway Obstruction: Any hindrance to the passage of air into and out of the lungs.Patient Satisfaction: 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.Neuromuscular Depolarizing Agents: Drugs that interrupt transmission at the skeletal neuromuscular junction by causing sustained depolarization of the motor end plate. These agents are primarily used as adjuvants in surgical anesthesia to cause skeletal muscle relaxation.Electric Stimulation: Use of electric potential or currents to elicit biological responses.gamma-Cyclodextrins: Cyclic GLUCANS consisting of eight (8) glucopyranose units linked by 1,4-glycosidic bonds.Analgesia, Patient-Controlled: 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).Wakefulness: A state in which there is an enhanced potential for sensitivity and an efficient responsiveness to external stimuli.Surgery, Oral: A dental specialty concerned with the diagnosis and surgical treatment of disease, injuries, and defects of the human oral and maxillofacial region.Algorithms: A procedure consisting of a sequence of algebraic formulas and/or logical steps to calculate or determine a given task.Unconsciousness: Loss of the ability to maintain awareness of self and environment combined with markedly reduced responsiveness to environmental stimuli. (From Adams et al., Principles of Neurology, 6th ed, pp344-5)Cats: The domestic cat, Felis catus, of the carnivore family FELIDAE, comprising over 30 different breeds. The domestic cat is descended primarily from the wild cat of Africa and extreme southwestern Asia. Though probably present in towns in Palestine as long ago as 7000 years, actual domestication occurred in Egypt about 4000 years ago. (From Walker's Mammals of the World, 6th ed, p801)Femoral Nerve: 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.

Bilateral neck exploration under hypnosedation: a new standard of care in primary hyperparathyroidism? (1/770)

OBJECTIVE: The authors review their experience with initial bilateral neck exploration under local anesthesia and hypnosedation for primary hyperparathyroidism. Efficacy, safety, and cost effectiveness of this new approach are examined. BACKGROUND: Standard bilateral parathyroid exploration under general anesthesia is associated with significant risk, especially in an elderly population. Image-guided unilateral approaches, although theoretically less invasive, expose patients to the potential risk of missing multiple adenomas or asymmetric hyperplasia. Initial bilateral neck exploration under hypnosedation may maximize the strengths of both approaches while minimizing their weaknesses. METHODS: In a consecutive series of 121 initial cervicotomies for primary hyperparathyroidism performed between 1995 and 1997, 31 patients were selected on the basis of their own request to undergo a conventional bilateral neck exploration under local anesthesia and hypnosedation. Neither preoperative testing of hypnotic susceptibility nor expensive localization studies were done. A hypnotic state (immobility, subjective well-being, and increased pain thresholds) was induced within 10 minutes; restoration of a fully conscious state was obtained within several seconds. Patient comfort and quiet surgical conditions were ensured by local anesthesia of the collar incision and minimal intravenous sedation titrated throughout surgery. Both peri- and postoperative records were examined to assess the safety and efficacy of this new approach. RESULTS: No conversion to general anesthesia was needed. No complications were observed. All the patients were cured with a mean follow-up of 18 +/- 12 months. Mean operating time was <1 hour. Four glands were identified in 84% of cases, three glands in 9.7%. Adenomas were found in 26 cases; among these, 6 were ectopic. Hyperplasia, requiring subtotal parathyroidectomy and transcervical thymectomy, was found in five cases (16.1%), all of which had gone undetected by localization studies when requested by the referring physicians. Concomitant thyroid lobectomy was performed in four cases. Patient comfort and recovery and surgical conditions were evaluated on visual analog scales as excellent. Postoperative analgesic consumption was minimal. Mean length of hospital stay was 1.5 +/- 0.5 days. CONCLUSIONS: Initial bilateral neck exploration for primary hyperparathyroidism can be performed safely, efficiently, and cost-effectively under hypnosedation, which may therefore be proposed as a new standard of care.  (+info)

Benzodiazepine premedication: can it improve outcome in patients undergoing breast biopsy procedures? (2/770)

BACKGROUND: Women awaiting needle-guided breast biopsy procedures may experience high anxiety levels. A randomized, double-blind, placebo-controlled study was designed to evaluate the ability of midazolam and diazepam (in a lipid emulsion [Dizac]) to improve patient comfort during needle localization and breast biopsy procedures. METHODS: Ninety women received two consecutive doses of a study medication, one before the mammographic needle localization and a second before entering the operating room. Patients were assigned randomly to receive saline, 2.0 ml intravenously, at the two time points; midazolam, 1.0 mg intravenously and 2.0 mg intravenously; or diazepam emulsion, 2.0 mg intravenously and 5.0 mg intravenously, respectively. Patients assessed their anxiety levels before the needle localization, before entering the operating room, and on arrival in the operating room. Patients completed a questionnaire evaluating their perioperative experience at the time of discharge. RESULTS: Patient satisfaction during needle localization was significantly improved in both benzodiazepine treatment groups (vs. saline). The incidence of moderate-to-severe discomfort during needle localization was lower in the midazolam (20%) and diazepam emulsion (6%) groups compared with the saline group (70%) (P<0.05). The preoperative visual analogue scale anxiety scores were similar in all three groups. In the operating room, however, anxiety scores were 55% and 68% lower after midazolam (21+/-19) and diazepam emulsion (15+/-14) compared with saline (46+/-28). Finally, there was no difference in the time to achieve home-readiness or actual discharge time among the three groups. CONCLUSIONS: Premedication with midazolam or diazepam emulsion improved patients' comfort during needle localization procedures and significantly reduced intraoperative anxiety levels before breast biopsy procedures without prolonging discharge times. Use of diazepam emulsion may be an effective alternative to midazolam in this population.  (+info)

Endovascular abdominal aortic aneurysm repair with percutaneous transfemoral prostheses deployment under local anaesthesia. Initial experience with a new, simple-to-use tubular and bifurcated device in the first 27 cases. (3/770)

BACKGROUND: Modification of endografts are required to simplify and improve the safety of the endovascular management of abdominal aortic aneurysms (AAA). OBJECTIVES: The aim of this study is to evaluate the efficacy of a new custom-made, tubular and bifurcated device. MATERIALS AND METHODS: The graft consisted of a continuous, self-expanding, stainless steel, Z-stent structure, covered with a thin wall PTFE tube. Bifurcated grafts were constructed in vivo from three PTFE tubes with a continuous Z-stent structure. Twenty-seven high risk patients with a mean age of 74 (62-86) years and AAA, mean diameter 5.9 cm, were treated in the last 26 months. Tube grafts were deployed in 13 aortic and one iliac cases, bifurcated grafts in nine cases and aorto-uni-iliac grafts with femorofemoral bypass in four cases. Grafts were deployed percutaneously under local anaesthesia. Patients were followed with contrast CT periodically. RESULTS: All grafts were deployed. There were no open conversions or other major complications. There were nine proximal and one distal postoperative endoleak. Four sealed spontaneously, three were treated successfully with endovascular techniques and three are under surveillance. In the 7 (2-23) months follow-up, one patient died due to heart failure 3 months post-procedure. CONCLUSIONS: Local anaesthesia and percutaneous graft introduction simplify and improve the efficacy of the procedure. Continuous aortic graft support provides stability and reduces the risk of migration. PTFE is a flexible, low-profile material for use in endovascular stent-grafts. The bifurcation concept used offers a simple technique for bifurcated grafts.  (+info)

Inadvertent inhalation anaesthesia during surgery under retrobulbar eye block. (4/770)

I describe a case of inadvertent inhalation anaesthesia during surgery under retrobulbar anaesthesia and its management. Some of the hazards of supplementary oxygen delivery during monitored anaesthetic care and the actions taken to prevent this mishap recurring are discussed.  (+info)

Peribulbar anaesthesia during keratoplasty: a prospective study of 100 cases. (5/770)

AIMS: A prospective study was carried out in order to evaluate the efficacy and safety of peribulbar anaesthesia during keratoplasty and to describe surgical conditions. METHODS: Of 137 consecutive keratoplasties, 100 (73%) were performed under peribulbar anaesthesia. Patients received a mean volume of 16.5 (SD 4) ml (range 9-22 ml) of a mixture of etidocaine, bupivacaine, and hyaluronidase. Ocular compression duration was at least 20 minutes and intraocular pressure (IOP) was measured with a Tonopen after injection, compression, and before trephination. Degree of akinesia, pain scoring, complications, and surgical conditions were studied. RESULTS: Before trephination, IOP was 5.73 mm Hg below the preinjection value and was never above 21 mm Hg. Akinesia was complete in 80% of cases and 94% of patients found that surgery was painless. Two patients (2%) were very agitated during surgery. The last patient presented with an acute intraoperative suprachoroidal haemorrhage that did not result in a true expulsive haemorrhage despite an "open sky" situation. Surgical conditions were judged to be optimal by the patients in 92% of cases and by the surgeon in 98% of cases. CONCLUSION: These results demonstrate that peribulbar anaesthesia offers excellent anaesthesia and akinesia during keratoplasty and may be recommended for this type of surgery.  (+info)

Topical anaesthesia of intact skin: liposome-encapsulated tetracaine vs EMLA. (6/770)

In this randomized, double-blind study, we have compared the ability of 5% liposome-encapsulated tetracaine (amethocaine) (LET) vs 5% eutectic mixture of local anaesthetics (EMLA) to produce local anaesthesia of intact skin in 40 healthy volunteers. Volunteers had both preparations applied to their forearms under an occlusive dressing for 1 h. Superficial anaesthesia was measured by a total of nine 1-mm pinpricks on each arm. Deeper anaesthesia was assessed by single insertion of a sterile 22-gauge needle to a depth of 3 mm and pain was reported on a visual analogue scale (VAS). If the volunteer perceived greater than four of the 1-mm pinpricks, the 3-mm insertion was not performed. Results showed that the number of pinpricks perceived was significantly less (P < 0.01) for LET (median 1.0; range 0-9) vs EMLA (1.5; 0-9). In volunteers who had deeper anaesthesia assessed, there was no significant difference (P = 0.065) in VAS scores for LET (mean 1.5 (SD 1.4); n = 34) vs EMLA (2.4 (2.1); n = 28). Overall anaesthetic effect, as ranked by all of the subjects, was significantly better for LET compared with EMLA (P = 0.024). We have demonstrated that when applied in equal volumes, 5% LET produced better superficial local anaesthesia than EMLA.  (+info)

Inhibition of inspiratory motor output by high-frequency low-pressure oscillations in the upper airway of sleeping dogs. (7/770)

1. We utilized a chronically tracheostomized, unanaesthetized dog model to study the reflex effects on inspiratory motor output of low-amplitude, high-frequency pressure oscillations (HFPOs) applied to the isolated upper airway (UA) during stable non-rapid eye movement (NREM) sleep. 2. HFPOs (30 Hz and +/-2 to +/-4 cmH2O) were applied via a piston pump during eupnoea, inspiratory resistive loading and tracheal occlusion. 3. When applied to the patent UA during expiration, and especially during late expiration, HFPOs prolonged expiratory time (TE) and tonically activated the genioglossus muscle EMG. When applied to the patent UA during inspiration, HFPOs caused tonic activation of the genioglossus muscle EMG and inhibition of inspiratory motor output by either: (a) a shortening of inspiratory time (TI), as inspiration was terminated coincident with the onset of HFPOs; or (b) a prolonged TI accompanied by a decreased rate of rise of diaphragm EMG and rate of fall of tracheal pressure. These effects of HFPOs were observed during eupnoea and inspiratory resistive loading, but were maximal during tracheal occlusion where the additional inhibitory effects of lung inflation reflexes were minimized. 4. During eupnoea, topical anaesthesia of the UA abolished the HFPO-induced prolongation of TE, suggesting that the response was mediated primarily by mechanoreceptors close to the mucosal surface; whereas the TE-prolonging effects of a sustained square wave of negative pressure (range, -4.0 to -14.9 cmH2O) sufficient to close the airway were preserved following anaesthesia. 5. These results demonstrate that high-frequency, low-amplitude oscillatory pressure waves in the UA, similar to those found in snoring, produce reflex inhibition of inspiratory motor output. This reflex may help maintain UA patency by decreasing the collapsing pressure generated by the inspiratory pump muscles and transmitted to the UA.  (+info)

Feasibility of endovascular repair of abdominal aortic aneurysms with local anesthesia with intravenous sedation. (8/770)

PURPOSE: Local anesthesia has been shown to reduce cardiopulmonary mortality and morbidity rates in patients who undergo selected peripheral vascular procedures. The efforts to treat abdominal aortic aneurysms (AAAs) with endovascular techniques have largely been driven by the desire to reduce the mortality and morbidity rates as compared with those associated with open aneurysm repair. Early results have indicated a modest degree of success in this goal. The purpose of this study was to investigate the feasibility of endovascular repair of AAAs with local anesthesia. METHODS: During a 14-month period, 47 patients underwent endovascular repair of infrarenal AAAs with local anesthesia that was supplemented with intravenous sedation. Anesthetic monitoring was selective on the basis of comorbidities. The patient ages ranged from 48 to 93 years (average age, 74.4 +/- 9.8 years). Of the 47 patients, 55% had significant coronary artery disease, 30% had significant chronic obstructive pulmonary disease, and 13% had diabetes. The average anesthesia grade was 3.1, with 30% of the patients having an average anesthesia grade of 4. The mean aortic aneurysm diameter was 5.77 cm (range, 4.5 to 12.0 cm). All the implanted grafts were bifurcated in design. RESULTS: Endovascular repair of the infrarenal AAA was successful for all 47 patients. One patient required the conversion to general anesthesia to facilitate the repair of an injured external iliac artery via a retroperitoneal approach. The operative mortality rate was 0. No patient had a myocardial infarction or had other cardiopulmonary complications develop in the perioperative period. The average operative time was 170 minutes, and the average blood loss was 623 mL (range, 100 to 2500 mL). The fluid requirements averaged 2491 mL. Of the 47 patients, 46 (98%) tolerated oral intake and were ambulatory within 24 hours of graft implantation. The patients were discharged from the hospital an average of 2.13 days after the procedure, with 87% of the patients discharged less than 48 hours after the graft implantation. Furthermore, at least 30% of the patients could have been discharged on the first postoperative day except for study protocol requirements for computed tomographic scanning at 48 hours. CONCLUSION: This is the first reported series that describes the use of local anesthesia for the endovascular repair of infrarenal AAAs. Our preliminary results indicate that the endovascular treatment of AAAs with local anesthesia is feasible and can be performed safely in a patient population with significant comorbidities. The significant potential advantages include decreased cardiopulmonary morbidity rates, shorter hospital stays, and lower hospital costs. A definitive evaluation of the benefits of local anesthesia will necessitate a direct comparison with other anesthetic techniques.  (+info)

*List of local anesthetics

... local anesthetics Dental anesthesia Dibucaine number Epidural Intravenous regional anesthesia Local anesthesia Local anesthetic ... Local anesthetic toxicity Methemoglobin Sodium channel blocker Spinal anesthesia Topical anesthesia Veterinary anesthesia Büchi ... This is a list of local anesthetic agents. Not all of these drugs are still used in clinical practice and in research. Some are ... 4-Aminobenzoic acid Amino amide Amino esters Anesthesia Anesthetic Brachial plexus block Cocaine analogues: ...

*Spinal anaesthesia

Epidural anesthesia is a technique whereby a local anesthetic drug is injected through a catheter placed into the epidural ... The degree of neuronal blockade depends on the amount and concentration of local anaesthetic used and the properties of the ... An epidural often does not cause as significant a neuromuscular block as a spinal, unless specific local anesthetics are also ... This technique has some similarity to spinal anesthesia, both are neuraxial, and the two techniques may be easily confused with ...

*Levobupivacaine

... (rINN) /liːvoʊbjuːˈpɪvəkeɪn/ is a local anaesthetic drug belonging to the amino amide group. It is the S- ... Most ADRs relate to administration technique (resulting in systemic exposure) or pharmacological effects of anesthesia, however ... Burlacu CL, Buggy DJ (April 2008). "Update on local anesthetics: focus on levobupivacaine". Ther Clin Risk Manag. 4 (2): 381-92 ... Levobupivacaine is indicated for local anaesthesia including infiltration, nerve block, ophthalmic, epidural and intrathecal ...

*Local anesthetic

Local anesthesia of body cavities includes intrapleural anesthesia and intra-articular anesthesia. Transincision (or transwound ... epidural anesthesia combined with general anesthesia) Abdominal surgery (epidural anesthesia/spinal anesthesia, often combined ... They are used in various techniques of local anesthesia such as: Topical anesthesia (surface) Topical administration of cream, ... Typical operations performed under conduction anesthesia include: Dentistry (surface anesthesia, infiltration anesthesia or ...

*Dental anesthesia

... page 216 Local Anesthesia for the Dental Hygienist, Logothetis, Elsevier, 2012 Local Anesthesia for the Dental Hygienist, ... Dental anesthesia (or dental anaesthesia) is a field of anesthesia that includes not only local anesthetics but sedation and ... Nerve block - a common form of local dental anesthesia; blocks the reception of pain in one region of the mouth at a time. ... Pressure anesthesia - pressure with a cotton swab in the area to distract the nerve sensation of pain when the needle enters ...

*Ropivacaine

Basic of Anesthesia, Robert Stoelting, page 289) Rossi S, editor. Australian Medicines Handbook 2006. Adelaide: Australian ... Picard, J; Meek, T (2006). "Lipid emulsion to treat overdose of local anaesthetic: the gift of the glob". Anaesthesia. 61 (2): ... Ropivacaine (rINN) /roʊˈpɪvəkeɪn/ is a local anaesthetic drug belonging to the amino amide group. The name ropivacaine refers ... Most ADRs relate to administration technique (resulting in systemic exposure) or pharmacological effects of anesthesia, however ...

*Local anesthesia

A local anesthetic is a drug that causes reversible local anesthesia and a loss of nociception. When it is used on specific ... Local anesthetics vary in their pharmacological properties and they are used in various techniques of local anesthesia such as ... The following terms are often used interchangeably: Local anesthesia, in a strict sense, is anesthesia of a small part of the ... Clinical local anesthetics belong to one of two classes: aminoamide and aminoester local anesthetics. Synthetic local ...

*August Bier

On a new technique to induce local anesthesia in extremities)". Langenbeck's Archiv für Klinische Chirurgie (in German). 86: ... He was the first to perform spinal anesthesia and intravenous regional anesthesia. After professorships in Greifswald and Bonn ... The profound anesthesia of his legs was demonstrated with repeated kicks to his shins. Later that evening, they celebrated ... A tribute to a great surgeon who contributed much to the development of modern anesthesia on the 50th anniversary of his death ...

*Tumescent anesthesia

... is a technique for delivery of local anesthesia. It is designed to maximize safety by using ... and permits procedures to be performed on patients without subjecting them to the inherent risks of local anesthesia and blood ... Klein, J(2000). "About the Author". Tumescent Technique: Tumescent Anesthesia & Microcannular Liposuction. St. Louis, Missouri ... pharmacokinetic principles to achieve extensive regional anesthesia of skin and subcutaneous tissue with a high dose but low ...

*Baricity

... is used in anesthesia to determine the manner in which a particular drug will spread in the intrathecal space. ... Solutions with a baricity less than 0.999 are termed hypobaric, and are usually created by mixing the local anesthetic with ... These properties allow the anesthesia provider to preferentially control the spread of the block by choice of mixture and ... Hyperbaric solutions are created by mixing dextrose 5-8% with the desired local anesthetic. Hyperbaric solutions will flow in ...

*Diphenhydramine

Smith DW, Peterson MR, DeBerard SC (August 1999). "Local anesthesia. Topical application, local infiltration, and field block ... Diphenhydramine also has local anesthetic properties, and has been used as such in people allergic to common local anesthetics ... Diphenhydramine also acts as an intracellular sodium channel blocker, which is responsible for its actions as a local ...

*Buccal nerve

2005). ISBN 0-443-07168-3 Specific Malamed, Stanley (2012). Handbook of Local Anesthesia. Elsevier. p. 234. ISBN 9780323074131 ...

*Gruvis Malt

2][dead link] "Local Anesthesia". Providencephoenix.com. Retrieved 2014-08-12. [3][dead link] [4][dead link] [5][dead link] " ...

*Carl Ludwig Schleich

Local anesthesia with indifferent liquids.) - 1894 Von der Seele. Essays. (From the soul, essays) - 1910 See Von der Seele. ... Carl Ludwig Schleich and the Development of Local Anesthesia. Buch- und Zeitschriften-Verlag "Die Quintessenz," (1973). ... He is best known for his contribution to clinical anesthesia. In addition, he was also a philosopher, poet and painter. ... Glial cells: The other cells of the nervous system NCBI History of anesthesia in Germany Schleich, Carl Ludwig (1936). Those ...

*Hysteroscopy

Local anesthesia can be used. Simple operative hysteroscopy can also be done in an office or clinic setting. Analgesics are not ... Hysteroscopic intervention can also be done under general anesthesia (endotracheal or laryngeal mask) or Monitored Anesthesia ...

*Vasoconstriction

Vasoconstrictors mixed with local anesthetics are used to increase the duration of local anesthesia by constricting the blood ... Yagiela JA (1995). "Vasoconstrictor agents for local anesthesia". Anesth Prog. 42 (3-4): 116-20. PMC 2148913 . PMID 8934977. ... Vasoconstrictors are also used clinically to increase blood pressure or to reduce local blood flow. ...

*Karl Koller (ophthalmologist)

Honegger, H; Hessler H (October 1970). "[The discovery of local anesthesia. II. The friendship between Karl Koller and Sigmund ... Honegger, H; Hessler H (September 1970). "[Discovery of local anesthesia by Karl Koller. I]". Klinische Monatsblätter für ... Wyklicky, H (May 1985). "[100 years of local anesthesia]". Wien. Klin. Wochenschr. Austria. 97 (10): 449-50. ISSN 0043-5325. ... Later, cocaine was also used as a local anaesthetic in other medical fields such as dentistry. In the 20th century, other ...

*Procaine

Vasoconstrictors in local anesthesia for dentistry. Anesth Prog. 1992;39:187-93. http://www.ecstasydata.org/search.php? ... Procaine is a local anesthetic drug of the amino ester group. It is used primarily to reduce the pain of intramuscular ... Like other local anesthetics (such as mepivacaine, and prilocaine), procaine is a vasodilator, thus is often coadministered ... Prior to the discovery of amylocaine and procaine, cocaine was the most commonly used local anesthetic.[citation needed] ...

*Hyfrecator

These are done under local anesthesia. An example of such a combination procedure is the standard method of electrodesiccation ... without local anaesthesia. In many other uses to destroy larger lesions, a local anesthetic injection or regional nerve block ...

*Eye surgery

Local anesthesia is most commonly used. Topical anesthesia using lidocaine topical gel are often used for quick procedures. ... The physician administering anesthesia, or a nurse anesthetist or anesthetist assistant with expertise in anesthesia of the eye ... Since topical anesthesia requires cooperation from the patient, general anesthesia is often used for children, traumatic eye ... Since the eye is heavily supplied by nerves, anesthesia is essential. ...

*Diabetic retinopathy

Vitrectomy is often done under local anesthesia. The doctor makes a tiny incision in the sclera, or white of the eye. Next, a ...

*Thiamylal

Seizure after local anesthesia for nasopharyngeal angiofibroma. Kaohsiung Journal of Medical Sciences. 2007 Feb;23(2):97-100.. ...

*Neosaxitoxin

On the other hand, NSTX local infiltration produces long lasting anesthesia, well over all the current available local ... NSTX local safety: All available local anesthetic are associated with local damage in different models. This undesired effect ... Epstein-Barash H, Shichor I, Kwon AH, Hall S, Lawlor MW, Langer R, Kohane DS (April 2009). "Prolonged duration local anesthesia ... Zink W, Graf B (July-August 2004). "Review Articles: Local Anesthetic Myotoxicity". Regional Anesthesia and Pain Medicine. 29 ( ...

*Channel blocker

Butterworth JF, Strichartz GR (April 1990). "Molecular mechanisms of local anesthesia: a review". Anesthesiology. 72 (4): 711- ... Local anesthetics work by inducing a phasic block state in the targeted neurons. Initially, open channel blockers do not ... Mert T, Gunes Y, Guven M, Gunay I, Ozcengiz D (March 2002). "Comparison of nerve conduction blocks by an opioid and a local ...

*ARTAS System

The scalp is numbed using local anesthesia. The patient is seated in a semi prone position, and a skin tensioner is placed on ...

*Cervical cancer

Alternatives include local surgical procedures such as a loop electrical excision procedure or cone biopsy. If a cone biopsy ... the surgeon is not able to microscopically confirm clear margins of cervical tissue once the woman is under general anesthesia ...

*Carpal tunnel syndrome

The surgery may be done with local or regional anesthesia with or without sedation, or under general anesthesia. In general, ... al Youha, Sarah; Lalonde, Donald (May 2014). "Update/Review: Changing of Use of Local Anesthesia in the Hand". Plastic and ... The injections are done under local anesthesia. This treatment is not appropriate for extended periods, however. In general, ... "Endoscopic Carpal Tunnel Release using a modified application technique of local anesthesia: safety and effectiveness". Journal ...
Since the introduction of Tumescent Local Anesthesia by Dermatologist and Pharmacologist J.A. Klein, this method of subcutaneous infiltration of large volumes of diluted anesthetic has been more rapid
The purpose of this systematic review and meta-analysis of randomized controlled trials (RCTs) was to evaluate the effect of combined femoral and sciatic nerve block (SNB) versus femoral and local infiltration anesthesia (LIA) after total knee arthroplasty (TKA). The electronic databases PubMed, Embase, Cochrane Library, and Web of Science were searched from their inception to 15 June 2016. Articles comparing combined femoral and SNB versus femoral and LIA for pain control were eligible for this meta-analysis. This systematic review and meta-analysis was performed according to the PRISMA statement criteria. The primary endpoint was the visual analogue scale (VAS) score with rest at 12, 24, and 48 h, which represents the pain control after TKA. Data regarding active knee flexion, length of hospital stay, anesthesia time, and morphine use at 24 and 48 h were also compiled. The complications of postoperative nausea and vomiting (PONV) and fall were also noted to assess the safety of morphine-sparing
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So many people, not just doctors, think local anesthesia is so safe as to be without consequences. Well there is a reason why injectable lidocaine is not sold over the counter. It can have fatal results in the wrong hands. During anesthesiology residency, we are taught the consequences of intravascular injection of local anesthesia, the maximum dose of local that can be given to a patient, the pharmacodynamics of local anesthesia, the mechanism of action of local anesthesia on nerve impulses and on and on. How many surgeons, internists, or FPs have a complete understanding of the drug? Like any pharmaceutical given to a patient, there are always potential complications. But without a full comprehension of the qualities of locals, the risks for a fatal error are that much greater. So let me repeat this one more time people. Without proper training and monitoring, ANESTHESIA IS NOT EASY. In these unfortunate patients cases, it was also deadly ...
Local anesthesia is any technique to induce the absence of sensation in a specific part of the body, generally for the aim of inducing local analgesia, that is, local insensitivity to pain, although other local senses may be affected as well. It allows patients to undergo surgical and dental procedures with reduced pain and distress. In many situations, such as cesarean section, it is safer and therefore superior to general anesthesia. It is also used for relief of non-surgical pain and to enable diagnosis of the cause of some chronic pain conditions. Anesthetists sometimes combine both general and local anesthesia techniques. The following terms are often used interchangeably: Local anesthesia, in a strict sense, is anesthesia of a small part of the body such as a tooth or an area of skin. Regional anesthesia is aimed at anesthetizing a larger part of the body such as a leg or arm. Conduction anesthesia encompasses a great variety of local and regional anesthetic techniques. A local anesthetic ...
Conjunctival Mullerectomy is a well known procedure used to correct upper lid ptosis via a posterior approach. Patients who undergo this procedure are often given local anesthesia to alleviate intraoperative and postoperative pain. Local anesthesia can be given via frontal nerve block or subconjunctival injection combined with sedation in most cases. Both techniques are currently acceptable options for local anesthesia, however postoperative pain has not been systematically evaluated between these two techniques.. The investigators aim to compare intra-operative and postoperative pain with these two techniques in patients undergoing conjunctival Mullerectomy for ptosis repair. Patients will be randomized to receive local anesthesia via frontal nerve block or via subconjunctival injection. In addition, the investigators will measure the surgical outcomes of the ptosis surgery with standard measures. ...
Background: Local anesthetics act by different mechanisms to produce their effects in control acute and chronic pain. Methods: A total of 22 patients (14 female, 8 male) who need tooth apisectomy under infiltration local anesthesia were examined in two situations: Before and after administration of local anesthesia. For all patients salivary sample has been collected by salivette to estimate the level of opiorphin using ELISA Kits, the pain was assessed after administration of local anesthesia using Visual Analogue Scale (VAS). Results: the results showed a significant differences of salivary opiorphin before and after administration of local anesthesia (5.96+5.38) ng/ml and (14.49±3.66) ng/ml respectively with p<0.05, the results also showed that the pain assessment by VAS was (0.831±0.4587) with inverse correlation between the VAS and salivary opiorphin levels but with no significant difference (p>0.05). Conclusions: local
Information about advantages and disadvantages of local anesthesia, complications, local anesthesia long term side effects, benefits of local anesthesia, risks and more.
Abstract BACKGROUND: Although some patients with symptomatic spinal disease may benefit greatly from surgery, their multiple attendant comorbidities may make general anesthesia risky or contraindicated. However, there is scarce literature describing the efficacy and safety of local anesthesia to perform these operations. Here we report seven patients who successfully underwent spinal surgery utilizing local anesthesia to limit the risks and complications of general anesthesia. METHODS: Seven patients for whom general anesthesia was contraindicated were prospectively followed for a minimum of 3 months following spinal surgery performed under local anesthesia. Pain and functional improvement were assessed utilizing the Visual Analog Scores (VAS) and Oswestry Disability Index (ODI) scores. RESULTS: Five patients had interlaminar decompressions for stenosis alone, while two patients had laminectomies for debulking of tumors. The mean duration of surgery was 79.8 ± 16.6 min, the mean estimated blood loss
ABSTRACT. Objectives: The aim of this article is to illustrate the possibility of performing a cochlear implant with local anesthesia and sedation, the anesthesic technique and the advantages of that in comparison to a general anesthesia.. Materials and method: The investigators describe two successful surgeries done with local anesthesia, including the neural telemetry and the conditions the patient presented after the surgery, with a very good recovery and no complications during and after the procedure.. Key words: local anesthesia, cochlear implant ...
Offering comprehensive coverage of a wide range of topics, this practical how to manual explores and teaches methods that enhance good local anesthesia practices, while alerting readers to specific hazards and errors in technique that may result in complications. Basic concepts for the safe and effective practice of local anesthesia in dentistry today are emphasized, along with the most current advances in science, technology, and pain control techniques.Basic concepts for the safe and effective practice of local anesthesia in dentistry are emphasized.Recent advances in science, technology, and pain control techniques are presented.Clear instructions for administering local anesthetics are accompanied by high-quality photographs and drawings to enhance the readers understanding.Numerous boxes and tables are presented throughout to provide a quick reference and comparison of techniques, drugs, and dosages.In-depth discussions are provided on the anesthetic agents used in dentistry, along with their
Offering comprehensive coverage of a wide range of topics, this practical how to manual explores and teaches methods that enhance good local anesthesia practices, while alerting readers to specific hazards and errors in technique that may result in complications. Basic concepts for the safe and effective practice of local anesthesia in dentistry today are emphasized, along with the most current advances in science, technology, and pain control techniques.Basic concepts for the safe and effective practice of local anesthesia in dentistry are emphasized.Recent advances in science, technology, and pain control techniques are presented.Clear instructions for administering local anesthetics are accompanied by high-quality photographs and drawings to enhance the readers understanding.Numerous boxes and tables are presented throughout to provide a quick reference and comparison of techniques, drugs, and dosages.In-depth discussions are provided on the anesthetic agents used in dentistry, along with their
Offering comprehensive coverage of a wide range of topics, this practical how to manual explores and teaches methods that enhance good local anesthesia practices, while alerting readers to specific hazards and errors in technique that may result in complications. Basic concepts for the safe and effective practice of local anesthesia in dentistry today are emphasized, along with the most current advances in science, technology, and pain control techniques.Basic concepts for the safe and effective practice of local anesthesia in dentistry are emphasized.Recent advances in science, technology, and pain control techniques are presented.Clear instructions for administering local anesthetics are accompanied by high-quality photographs and drawings to enhance the readers understanding.Numerous boxes and tables are presented throughout to provide a quick reference and comparison of techniques, drugs, and dosages.In-depth discussions are provided on the anesthetic agents used in dentistry, along with their
Offering comprehensive coverage of a wide range of topics, this practical how to manual explores and teaches methods that enhance good local anesthesia practices, while alerting readers to specific hazards and errors in technique that may result in complications. Basic concepts for the safe and effective practice of local anesthesia in dentistry today are emphasized, along with the most current advances in science, technology, and pain control techniques.Basic concepts for the safe and effective practice of local anesthesia in dentistry are emphasized.Recent advances in science, technology, and pain control techniques are presented.Clear instructions for administering local anesthetics are accompanied by high-quality photographs and drawings to enhance the readers understanding.Numerous boxes and tables are presented throughout to provide a quick reference and comparison of techniques, drugs, and dosages.In-depth discussions are provided on the anesthetic agents used in dentistry, along with their
Local anesthesia is the temporary loss of sensation including pain in one part of the body produced by a topically-applied or injected agent without depressing the level of consciousness. Prevention of pain during dental procedures can nurture the relationship of the patient and dentist, building trust, allaying fear and anxiety, and promoting a positive dental attitude. The technique of local anesthetic administration is an important consideration in the behavior guidance of a pediatric patient. Age-appropriate "nonthreatening" terminology, distraction, topical anesthetics, proper injection technique, and nitrous oxide/oxygen analgesia/anxiolysis can help the patient have a positive experience during administration of local anesthesia. ...
Controlling discomfort during dental work is one of our top priorities. Advances in anesthesia over the last century have made that objective easier to attain, especially for routine procedures.. The term anesthesia means "without feeling or pain." It refers to the use of substances to prevent a patients nervous system from sensing pain. There are two basic types: general, through intravenous injection (IV) or gas inhalation that places a patient in an unconscious state; and local, which only affects the part of the body involved in the procedure while the patient remains conscious.. The latter type has become very important in dentistry, especially for mild to moderate procedures. Because teeth and gum tissues are rich in nerves, patients can have a heightened level of sensitivity that can increase anxiety and discomfort during dental work. Local anesthesia reduces that discomfort and relaxes both patient and dental provider.. We typically administer local anesthesia in two ways: by applying ...
Tumescent anesthesia is a technique for delivery of local anesthesia. It is designed to maximize safety by using pharmacokinetic principles to achieve extensive regional anesthesia of skin and subcutaneous tissue with a high dose but low risk of reaching toxic levels of drug in the blood. The subcutaneous infiltration of a large volume of very dilute lidocaine and epinephrine causes the targeted tissue to become swollen and firm, or tumescent, and permits procedures to be performed on patients without subjecting them to the inherent risks of local anesthesia and blood loss. Klein, J(2000). "About the Author". Tumescent Technique: Tumescent Anesthesia & Microcannular Liposuction. St. Louis, Missouri: Mosby, Inc, 2000. Rudolph H. De Jong. International Journal of Cosmetic Surgery and Aesthetic Dermatology. March 1, 2002, 4(1): 3-7. doi:10.1089/153082002320007412. Tumescent ...
BACKGROUND: Carbon dioxide concentration under ophthalmic drapes increases during eye surgery under local anaesthesia. A new prototype has been designed which combines continuous suction of carbon dioxide enriched air and continuous oxygen insufflati
Unless the patient has a cardiovascular contraindication to receiving glyocopyrrolate, we suggest to give 0.2- 0.4 mg intravenously to reduce secretions in the oro- and hypopharynx. For best effect do this before administering topical local anesthetics.. Many practitioners like to supplement their airway anesthesia technique with intravenous sedation, using hypnotic drugs such as Dexmedetomidine, Propofol and Benzodiazepines or centrally-acting drugs which suppress laryngeal reflexes such as Remifentanil or Alfentanil. While there is nothing wrong with this in principle, please do not rely on sedatives to compensate for poor local anesthetic technique. In addition, in cases where you provide topical airway anesthesia for awake fiberoptic intubation, please consider carefully why you chose this approach in the first place. Most likely you expect a difficult airway and want to maintain spontaneous respiration until intubation is achieved. Think for a minute about what would happen if you got your ...
Question : Is it possible for me to have my ear surgery performed with local anesthesia? Answer : I have performed otoplasty under local anesthesia. Once t
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The choice of anesthesia can determine whether the levator is exposed to risk of developing ptosis. Topical anesthesia eliminates all problems with local anesthesia including hematoma and edema of the eyelid and myotoxic effects on the levator. If lid akinesis is needed, a Nadbath retroauricular block is better than a Van Lint eyelid block. If ocular akinesis is required, a theoretical advantage may exist with peribulbar anesthesia versus retrobulbar anesthesia with less direct damage to the muscles. However, two did not find a significant difference between these two forms of anesthesia.8,21 The use of ocular massage and compression may decrease the amount of eyelid edema and hematoma formation, but may increase the amount of anesthesia available for myotoxicity. The use of hyaluronidase is also controversial; it may limit the amount of anesthesia volume needed but may increase the distribution of anesthesia around the levator complex ...
Local anaesthetics. Local anaesthetics are drugs which act on nerves to stop or "block" transmission of information. We often use local anaesthetics to block sensory nerves. This means that the painful stimulus cannot pass up to the brain and the animal does not feel the pain. Local anaesthetics will also affect motor nerves which cause the muscles to move. It can therefore cause temporary inhibition of muscle movement. Some drugs last a number of hours so also provide effective pain relief for the first evening after surgery.. Benefits of local anaesthetic use. Using local anaesthetics have been shown to have a number of benefits when used in people including:. ...
Soft-tissue numbness after local anaesthesia is considerably longer than pulpal anaesthesia and the duration of the typical dental appointment. This often impacts on patients normal daily activities. The aim of this randomized, single-blind study was to evaluate the reversal of soft-tissue anaesthesia using phentolamine in asymptomatic endodontic patients.. Adults patients requiring endodontic therapy in a maxillary or mandibular asymptomatic tooth were randomised toeither phentolamine ( n=46) or sham treatment (39) at the end of the endodontic treatment appointment. Soft-tissue anaesthesia was monitored by patients every 15 minutes for 5 hours with postoperative injection site pain and tooth pain being reported using a Heft-Parker visual analog score every 30 minutes for the first 2 postoperative hours and every hour for 3 hours.. They found:-. ...
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If your pet is having a minor surgical or diagnostic procedure performed, we sometimes use a local anesthetic to help control pain. For example, when we perform a biopsy (in which a small portion of tissue is surgically removed so it can be examined), we often use a local anesthetic. Local anesthetics cause a loss of sensation in the area where the procedure is being performed. We sometimes use a sedative and/or anxiolytic (anti-anxiety medication) in combination with the local anesthetic to keep pets calm during a procedure.. Please contact us if you have any questions or concerns about your pet receiving local anesthesia or about the procedure for which your pet is scheduled.. ...
What Happens After Breast Augmentation The breast augmentation procedure can take place in a hospital outpatient facility or in a surgical center. The entire procedure requires almost 2 hours but you are always advised to go home once its done. Only selective cases require local anesthesia, whereas majorly the procedure takes place through general anesthesia.…. Read more ...
Follow these instructions before being given local anesthesia by Niagara Oral Surgery & Dental Implants & Dr. Nigalye. ☎ 716-276-3553
1 Answer - Posted in: anesthesia, local anesthesia - Answer: It is best to ask an anesthetist. The link below has names of anesthetics ...
Board certified Jocelyn Leveque MD offers a wide range of cosmetic procedures that require the patient to be put under only local anesthesia at her Florida medical center
Local anaesthesia is a type of anaesthesia generally used to block pain sensation only in a specific area of the body that needs to be anesthestized.
Local anesthesia. Intra- cervical block. Use 5cc of 1% xylocaine, Inject with 25gauge 1½ inch needle 1-2cc at 12 oclock into cervix for tenaculum site 1-2cc at each 3 and 9 oclock intracervical 1 ½
Buy Local Anesthesia and analgesia raws Ropivacaine hydrochloride CAS 132112-35-7 from Zhuzhou shaohui Hezhong Tech & Dev Co., Ltd,Cutting Cycle Steroids Distributor online Service suppliers.
Reviews and ratings for lidocaine viscous when used in the treatment of local anesthesia. Share your experience with this medication by writing a review.
Title: Local anesthesia for office biopsy of the prostate: effects on pain control, quality of life and surgical intervention. Introduction: Loca
He is THE pioneer in India.. He can provide accurate diagnosis and precise treatment for back pain, knee pain, heel pain without the need of MRI or X-ray imaging.. He has evolved this surgery and developed the Gore System of Surgery, which is a mathematical, precise and safe method of surgery under local anesthesia in an awake and aware patient. ...
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|p|With local anesthesia, patients remain awake and conscious. Only a very small area of the body, such as a patch of skin, is made insensitive to pai
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Bassett, K.; DiMarco, A.; and Naughton, D. Local Anesthesia for Dental Professionals Pearson, 2010 ( ISBN # 978-0-13-158930-8). Class dates: June 5th through August 5th, 2017 - didactic portion. August 4th and 5th, 2017 - clinical portion. Fee: $1200.00 for the course. Attire: Please wear scrubs, closed toe shoes, and lab jacket. Bring safety glasses. All necessary materials are provided for lab. ...
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http://www.4shared.com/document/3LDovMvz/la2.html BY THE NAME OF ALLAH PHARMACOLOGY OF LOCAL ANESTHESIA This lecture will talk about the pharmacology of loc
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Although most eye surgery can be performed under local anaesthesia alone, we also offer the option of local anaesthesia with safe, conscious intravenous sedation given by a very experienced and skilled consultant anaesthetist (often referred to as "twilight anaesthesia").. This form of anaesthesia is so called because patients are only mildly sedated, feeling relaxed and sleepy, in the "twilight state". It is more commonly known as "i.v. sedation".. Twilight anaesthesia is extremely popular with our patients and the effects are reversed very quickly. It enables local anaesthetic injections to be given painlessly with little recollection of the surgery and helps to keep patients calm, relaxed and comfortable.. ...
The type of anesthesia that is best for you is usually dependant on your mental state and the procedure that is required. For those patients that are not nervous and require relatively non-traumatic procedures, local anesthesia is usually the anesthesia of choice. If the patient has slight apprehension, we can use local anesthesia as well as nitrous oxide. For patients that are emotionally unable or unwilling to cope with the thought of being alert during a dental procedure, we have other alternatives. Popularly known as sleep dentistry, enteral conscious sedation is the answer for many. This therapy consists of giving the patient an oral medication starting one hour before treatment followed by additional oral medication at the time of treatment. The patient will be given nitrous oxide as well as local anesthesia. The reason that it is called sleep dentistry is because most people sleep through most of the procedure. There also is the option of I.V. Sedation where we have an anesthesiologist ...
The Capitol Anesthesiology Association has been providing care since 1973 to patients who need anesthesia. The team of over 80 physicians and 130 Registered Nurses specializing in providing anesthesia for a variety of patients including individuals who need obstetric, pediatric, and cardiothoracic care. The team is made up of anesthesia specialists from over 20 facilities in Austin TX. They are committed to providing anesthesia that meets the highest quality standards and the professionals make sure that their patients feel comfortable and secure.. Many services are provided by Capitol Anesthesiology Association including general anesthesia, local anesthesia, and regional anesthesia. General anesthesia is performed when patients are having major surgery and need to be completely unaware of their surroundings. Regional anesthesia is performed when one area of the body need to be operated on such as an arm or leg. Local anesthesia or Monitored Anesthesia Care is a controlled anesthesia experience ...
I was put on the operating table (? I think thats what its called right?) The anesthesiologist gave me a pillow and asked me to sit up. Then he asked me to bend down as low as I can. Thank God I had been doing lots of stretching exercise before this. I could bend down quite low but still it was kinda difficult with my bump. At this point I know what is going on coz Ive heard about a lot of c-section stories from my friends. The anesthesiologist was going to give me the local anesthesia. He was wiping my back with some disinfectant liquid. Then he kept poking the area that he will be injecting the local anesthesia and telling me that he is going to inject soon. I was kinda irritated coz he was poking damn hard and I was in a very uncomfortable position (I was asked to bend down remember?). As I was still being irritated by the anesthesiologist, he injected the local anesthesia in. It was slightly painful. Nothing I was expecting coz all my friends told me that it was damn painful la. I guess I ...
Local anesthesia implies that a local anesthetic is applied to or under the skin. Regardless of how it is administered, local anesthesia blocks transmission of pain sensation in the nerve fibers which come in contact with the anesthetic agent so that a given area is anesthetized. EMLA-cream is a local anesthetic which is applied to the skin prior to placing the iv cannula into a vein. Local anesthetic can also be applied in combination with general anesthetic to decrease pain sensation during and after surgery. ...
Reasons for performing study: The role of the communicating branch between the medial and lateral palmar nerves of horses (i.e. the ramus communicans) in conveying sensory impulses proximally should be determined to avoid errors in interpreting diagnostic anaesthesia of the palmar nerves.. Hypothesis: Sensory nerve fibres in the ramus communicans of horses pass proximally from the lateral palmar nerve to merge with the medial palmar nerve, but not vice versa.. Objective: To determine the direction of sensory impulses through the ramus communicans between lateral and medial palmar nerves. ...
Was wondering if a RN with no certification in anesthesia, can administer tumescent anesthesia for lipo if trained by the physician. I am unsure if this is within the scope of practice of a RN in
Local anesthetic-soaked cotton pledgets or swabs. These are soaked in either viscous or aqueous solutions of local anesthetic and then left for 5-15 minutes on the region of mucosa that requires anesthesia. The cotton acts as a reservoir for the anesthetic agent, producing a dense block. This technique is especially effective in the nasal passages applicationof highly concentrated local anesthetic-soaked cotton pledget reservoirs can be exploited to achieve highly specific nerve ...
摘要:[目的]探讨局部麻醉联合骶管麻醉在经皮腰椎内窥镜手术中的镇痛效果。[方法]2016 年 1 月~2018 年 6 月在本院因腰椎间盘突出症接受经皮内窥镜下腰椎间盘切除术治疗的 50 例患者纳入本研究,随机分为两组,每组 25 例。局麻组采用局部浸润麻醉;联合组为在局麻组的基础上术前 10 min 行骶管麻醉。记录导针刺破皮肤软组织扩 开期(T1)、椎间孔成形期(T2)、纤维环及后纵韧带操作期(T3)、神经根松解髓核取出期(T4) 各时段的视觉模拟 评分(visual analogue scale, VAS)及平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO2)的变化情况,采用 Likert 五分量表法评价患者对术中疼痛的体验。[结果]局麻组有 2 例术中在椎间孔成形时因疼痛临时增加静脉强化麻醉完 成手术。联合组患者均顺利完成手术,未增加镇痛药物,术后有 1 例出现尿潴留,经导尿治疗
New technological advances could change the way we look at anesthesia and sedation As the worlds of healthcare and technology continue to collide, medical professionals are always looking at different ways new technology can be applied in the operating room. … Continue reading →. ...
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Question: I am male, 29 years old and would like to fix my ears. The outer edge rolls back a little too far and looks very unusual. Is this outpatient
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WOMEN UNDERGOING operations for sterilization could be saved from unnecessary risk if doctors administered local anesthesia instead of general anesthesia, University of North Carolina scientists
The following list consists of all three categories of tests, listed in alphabetical order.. Biopsy: Although physical exams and MRIs can determine if there is a lump or mass in your breast, a biopsy is an actual sampling of the tissue of the lump or mass. By sampling the tissue, the tissue can then be examined by a pathologist, who can determine if the mass is cancerous, and can create a pathology report with all of the details. A biopsy is usually minimally invasive and involves numbing the breast with local anesthesia and then inserting a tiny needle to obtain samples of tissue from the lump. Sometimes biopsies involve making a small incision to obtain a sample.. Blood Cell Counts: Your doctor may order a blood cell count test to be done at any time, before your treatment, or during your treatments. These tests check the numbers of cells you have. White blood cells guard against infection, and if they are low, you are more susceptible to infection. Red blood cells bring oxygen to various ...
Intraligamentary-anesthesia. Local anaesthesia is state of the art in dentistry.. The available technical devices and pharmaceutical products are a safe basis for a pain free or at least pain reduced dental treatment.. ...
Its hard to imagine any properly-trained surgeon who doesnt know of the need for adjunctive breast irradiation after lumpectomy. As always, theres room for some judgment: from a few very elderly and frail women Ive removed a cancerous lump under local anesthesia and elected -- fully consulting with patient and family about options -- simply to follow along with no other treatment except, for some, hormone therapy. But the study is said to have controlled for age and other factors. So what can it mean? Are female surgeons more interested in saving the lives of their patients than males? Is it that we males prefer the feel and look of uncooked and unbrowned breasts (truth be told, Ive heard it said more than a few times that the irradiated breast is preferred by its owner, because of youthful firmness)? After a night of carousing and piggish behavior, did the menfolk sleep through the lecture on complete breast treatment ...
It is the most basic treatment having been used for over 20 years. The treatment requires local anesthesia only, like contrast study, a catheter is passed through the wrest and the coronary artery is spread out with a balloon. The treatment is operated from outside of the body by inserting a soft wire into the narrowed section making a path for a balloon to pass through. Once it has reached the narrowed section, the balloon is swollen to its original size of blood tube. At this time, the pressure applied to dilate is adjusted according to hardness of its pathological lesion. The size of balloon is available in every 0.25mm, and we choose one that is, most suitable to the pathological lesion from balloons with various traits.. At the end of the treatment, we remove everything including the balloon and the wire from the body ...
a surgical procedure usually performed under local anesthesia in which the cervix is dilated and the endometrial lining of the uterus is scraped with a curet; performed to obtain tissue samples or to stop prolonged bleeding or to remove small tumors or to remove fragments of placenta after childbirth or as a method of abortion. ...
But really, you shouldnt judge a man based on his grasp of English grammar; surgery, after all, is a universal language. The outcome of the operation is not dependent on my doctors ability to eloquently avoid split infinitives. It is based on his ability to provide me with a limited amount of local anesthesia and meticulously grind away at my nasal and sinusoid cartilage and bone with a miniature bone-saw, while keeping the blood out of my eyes, which will be open the entire time ...
Anyone who has received a local anesthesia and watched while a doctor operated on their leg or arm, you may remember a strange sensation: Your own body part seems foreign, as if it doesnt belong to your body.
When more information is needed about any skin disease, condition, or growth, a small piece of tissue can be removed painlessly under local anesthesia and then
http://www.mediafire.com/?tlyzczx48fc9dk6 بسم الله الرحمن الرحيم Local Anesthesia Lecture number 12 (2nd on 21.12.2011)Dr. Mahmoud Al-Mustafa
Question - Kid swallowed otogesic ear drops-5 ml and started vomiting. Safe to give more liquid?. Ask a Doctor about Local anesthesia, Ask a Pediatrician
Happy Nope the friend had local anesthesia. But she wanted me to get her a nausea med so that explained some things, but also saw that there was
Anesthesiologists have virtually no training in tumescent local anesthesia. Most anesthesiologists have never witnessed tumescent liposuction totally by local anesthesia. Most anesthesiologists are not aware that liposuction by the tumescent technique can consistently be accomplished with the patient experiencing less pain and less discomfort than with the use of systemic anesthesia. Tumescent local anesthesia requires special skills and considerable clinical experience before it can be accomplished in an effective, safe, and efficient manner. Without specific training, no anesthesiologist can achieve adequate local anesthesia to permit liposuction without the help of general anesthesia or intravenous (IV) anesthesia. Although the present situation is improving, most anesthesiologists lack the scientific knowledge about the pharmacology of tumescent local anesthesia. All of the scientific literature of the past 15 years concerning the safety and efficacy of tumescent local anesthesia has been ...
BACKGROUND We evaluated the anesthetic efficacy and the postoperative analgesic effects of 0.75% levobupivacaine versus 0.75% ropivacaine for peribulbar anesthesia in patients undergoing primary vitreoretinal surgery. METHODS We investigated 120 patients subjected to vitreoretinal surgery under peribulbar anesthesia. They were randomized into two equal groups according to the local anesthetic (LA) used, namely, 0.75% levobupivacaine or 0.75% ropivacaine, both with the addition of hyaluronidase. Nerve block was carried out by injection of 5-7 mL of the LA using single injection percutaneous peribulbar anesthesia with a short needle. RESULTS When compared with 0.75% ropivacaine, 0.75% levobupivacaine provided more successful akinesia at 10 min after block (P=0.026), fewer supplementary injections (P=0.026), and less volume (mL) was used (P=0.031). Also, levobupivacaine provided significantly longer motor block duration (342±27 min versus 206±40 min, P=0.001) and significantly longer sensory block
BACKGROUND: Liposuction of the neck has become a popular, minimally invasive technique for fat reduction and skin tightening. OBJECTIVES: To evaluate the safety of neck liposuction in a large series of patients. METHODS: Between 2003 and 2011, 320 pa
Sigma-Aldrich offers abstracts and full-text articles by [Thomas Oleg Meier, Vincenzo Jacomella, Robert Karl Josef Clemens, Beatrice Amann-Vesti].
According to a pair of European studies, using hypnosis in combination with local anesthesia may speed healing, reduce the need for post-operative drugs, and reduce hospitalization time for certain surgeries that typically require a general anesthetic.. In a Belgian study of 78 breast cancer patients, 18 women experienced hypnosis and local anesthetic for partial mastectomy, sentinel node biopsy, or lymph node removal while the others had general anesthesia for the same procedures. In the other study involving 54 thyroid patients, 18 had the hypnosis/local anesthesia combination for removal of the thyroid gland while the others underwent general anesthetic.. In both studies, patients undergoing the combination hypnosis/local anesthesia option fared better in terms of recovery time, hospital stay, and opiate drug use. Additionally, researchers found that the potential effectiveness of hypnosis is not affected by either gender or age. Instead, they found that patient motivation, trust, and ...
TROLLIP, G S et al. Vasectomy under local anaesthesia performed free of charge as a family planning service: complications and results. SAMJ, S. Afr. med. j. [online]. 2009, vol.99, n.4, pp.238-242. ISSN 2078-5135.. OBJECTIVE: To evaluate the safety and efficacy of vasectomy performed under local anaesthesia by junior doctors at a secondary level hospital as part of a free family planning service. METHOD: Men requesting vasectomy were counselled and given written instructions to use alternative contraception until two semen analyses 3 and 4 months after vasectomy had confirmed azoospermia. Bilateral vasectomy was performed as an outpatient procedure under local anaesthesia by junior urology registrars. Statistical analysis was performed using the Mann-Whitney, Kruskal-Wallis, Fishers exact or Spearmans rank correlation tests as appropriate. RESULTS: Between January 2004 and December 2005, 479 men underwent vasectomy at Karl Bremer Hospital, Western Cape, South Africa; their average age was ...
To assess the effect of hyaluronidase on eye and eyelid movements when used as an adjunct in sub-Tenons anaesthesia. A total of 60 patients who had sub-Tenons anaesthesia prior to phacoemulsification surgery were divided into two equal groups in a double-masked randomised controlled fashion. Of these, Group A had 4 ml lignocaine 2%, while Group B had 4 ml lignocaine 2% with the addition of sodium hyaluronidase 75 IU/ml. Ocular motility, levator, and orbicularis oculi function were measured in all patients at 5 and 8 min. Levator function was scored from 0 (no function) to 3 (complete function) while orbicularis function was scored from 0 to 2. The score for ocular motility was the sum in four positions of gaze, each position scoring from 0 to 2. Results were compared using a nonparametric test. Group B achieved significantly better ocular and lid akinesia than Group A both at 5 and 8 min with P|0.01. The median scores for levator function at 5 and 8 min were 2 for Group A and 0 for Group B. For
This certificate prepares experienced Dental Hygienists to administer local anesthesia in the office setting. This 21-hour program includes 10 hours of classroom lecture and 11 hours of clinical experience. The program covers the neurophysiology and pharmacology of local anesthetic agents and how to effectively deliver them within the oral cavity. Completion of this certificate qualifies the student to apply for state certification to administer local anesthesia through the Wisconsin Department of Safety and Professional Services, Dentistry Examining Board.
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Inguinal hernia repair is one of the most frequently performed procedures in Switzerland (about 15000 cases per year) [1]. The most common complication postoperatively is development of chronic pain in up to 30% of patients irrespective of the operative technique [2-7]. Callesen et al. [3] found the persistence of pain at 1 and 4 weeks after surgery to be a predictive factor on the development of chronic pain. Courtney et al. [8] concluded that chronic pain persists in most patients who report pain up to 3 months after hernia repair. Surgical procedures like the ilioinguinal neurectomy recently described by Mui et al. [9] lead to a significant reduction of chronic pain but also to numbness and discomfort in the groin region. Whereas Ravichandran et al. [10] in contrast showed no significance of the elective division of the ilioinguinal nerve.. In addition to the problems caused by hernia surgery the objective evaluation of the postoperative pain is limited. The Visual Analogue Scale (VAS) is ...
We can easily take for granted the comfort we now experience when we undergo dental work. For much of human history that hasnt been the case.. Local anesthesia has been a major factor in the evolution of pain-free dentistry. The term refers to the numbing of nerve sensation in the tissues involved in a procedure. This type of anesthesia is usually applied in two ways: topical and injectable.. We apply topical anesthetic agents to the top layers of tissue using a cotton swab, adhesive patch or a spray. Topical agents are useful for increasing comfort during cleanings for patients with sensitive teeth or similar superficial procedures. Topical anesthesia is also used in conjunction with injections as a way to prevent feeling the minor prick of the needle. In essence, you shouldnt feel any pain or discomfort from beginning to end of your procedure.. Injectable anesthesia deadens pain at deeper levels of tissue. This makes it possible for us to perform more invasive procedures like tooth ...
Comparison of Plain, Warmed, and Buffered Lidocaine for Anesthesia of Traumatic Wounds - G.X. Brogan Jr.. Comparison of Room Temperature and Body Temperature Local Anaesthetic Solutions - L. C. Bainbridge. Development of an Electronically Heated Painless Injection System - K. Konuma. Local Anaesthesia: to Warm or Alter the pH? A Survey of Current Practice - D. J. Courtney. Reducing the Pain of Local Anesthetic Infiltration: Warming and Buffering have a Synergistic Effect - Timothy J. Mader, Stephen J. Playe, Jane L. Garb. The Warming of Local Anesthetic Agents to Decrease Discomfort - L. H. Bloom. Warming Anesthetics Reduces Pain of Injections - Bill Hendrick. Warming Lignocaine Reduces the Pain of Injection During Peribulbar Local Anaesthesia for Cataract Surgery - R.W. Bell. ...
This course will provide dental practitioners with a review of local anesthesia techniques in mandibular blocks, palatal injections and various techniques for profound anesthesia. It will also serve as a review in nitrous oxide sedation for use in dentistry. This course is open to dentists, registered dental hygienists, and RDHAPs. Note that this is not a certification course.
Lesson Plan Overview Technique Overview Infiltration Technique Inferior Alveolar Nerve (IAN) Block Technique Long Buccal Nerve Injection Periodontal Ligament Injection
Water jet assisted liposuction is another method of liposuction being used by cosmetic surgeons today. As in all types of liposuction, fatty deposits are removed from beneath the skin for a more contoured look. Liposuction is optimal for people who are in good physical shape and who arent interested in using liposuction as a weight loss measure.. Instead of injecting the body with tumescent fluid and removing the fat cells manually with a cannula, or using laser technology to melt and dislodge the fat, water jet assisted liposuction actually uses a slightly pressurized stream of saline to dislodge fat and simultaneously remove the cells. Instead of destroying fat cells, this type of liposuction loosens the fat cells to facilitate more gentle removal. Water Jet Assisted liposuction injects tumescent fluid (saline and medicines including a local anesthetic) into the body part being treated. Tumescent fluid is proven effective and several alternate liposuction technologies are now using the ...
OBJECTIVES Evaluation of pain during and after phacoemulsification with topical anesthesia in patients with senile cataract and investigation of factors related with pain. MATERIALS AND METHODS Ninety-two adult patients scheduled for routine clear corneal phacoemulsification with topical anesthesia who had no previous cataract surgery in their fellow eyes were included in the study. Verbal pain scale and visual analog scale were used to measure pain intensity. Demographic characteristics, concomitant systemic diseases, drug consumption, need of additional anesthesia during surgery, surgical complications, duration of surgery and surgeon comfort were also evaluated for each patient. RESULTS Seventy-two patients (78.3%) reported pain during surgery and 68 patients (73.9%) reported pain in the period after the surgery. When the intensity of pain during the surgery was evaluated, the percentage of patients reporting mild, moderate and intense pain was 35.9%, 25.0% and 17.4%, respectively. The average
Purchase Local Anesthesia for Plastic Surgery, An Issue of Clinics in Plastic Surgery, Volume 40-4 - 1st Edition. Print Book & E-Book. ISBN 9780323264068, 9780323264075
Looking for can gynecomastia surgery be done under local anesthesia? My primary goal with this article is to aid you in your endeavour to gather more facts regarding
Local anesthesia is a widely used technique of anesthesia. It is used as a stand-alone embodiment, and in combination with other types of anesthetics .. Synonymous with the term " local anesthetic "are: local anesthesia, as well as the terminology is wrong phrase, as" local anesthesia ".. ...
Written by a dental hygienist for dental hygienists, Local Anesthesia for the Dental Hygienist helps you learn the safe and effective administration o
Dental Hygienists authorized by the Oklahoma Board of Dentistry to perform this advanced procedure may administer local anesthesia.. Applications are located at the bottom of the page, but you must read the following information before enrolling. Failure to do so could potentially delay or void your enrollment.. Course Schedule (click Here). ...
New treatments for nasal polyps: Nasal Polyp Removal With Local Anesthesia. Nasal Polyps Site, Info, tips and treatments for Nasal Polyps.
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The thought of heading to the doctor for a procedure that requires local anesthesia probably doesnt seem like that big of a deal. However, imagine if you were going to feel everything that was happening during the procedure. Well for some, this horrible nightmare is a reality. In very rare cases, some individuals have a resistance to local anesthesia, and no matter the amount received, they can still feel pain. In a report from the BBC, a woman named Lori Lemon, discusses how since she was young she has always had to go to the dentist and other doctors expecting to endure pain. Even after crying out during dental procedures, doctors never took Lori seriously. She describes a visit to the dentist as a young child when her condition first became apparent, "They started working on me and I, being obedient, I just raised my hand and let em know, I can feel this," she says. Another injection still proved that she had a resistance to local anesthesia. "Finally I just kind of screamed and was in ...
The thought of heading to the doctor for a procedure that requires local anesthesia probably doesnt seem like that big of a deal. However, imagine if you were going to feel everything that was happening during the procedure. Well for some, this horrible nightmare is a reality. In very rare cases, some individuals have a resistance to local anesthesia, and no matter the amount received, they can still feel pain. In a report from the BBC, a woman named Lori Lemon, discusses how since she was young she has always had to go to the dentist and other doctors expecting to endure pain. Even after crying out during dental procedures, doctors never took Lori seriously. She describes a visit to the dentist as a young child when her condition first became apparent, "They started working on me and I, being obedient, I just raised my hand and let em know, I can feel this," she says. Another injection still proved that she had a resistance to local anesthesia. "Finally I just kind of screamed and was in ...
Only one previous study has systematically investigated the visual experience of patients during cataract surgery.12This study assessed the visual experience of 56 patients during extracapsular cataract surgery under regional anaesthesia (peribulbar and retrobulbar blocks). Visual awareness was absent or limited to only light perception for four patients. The remaining patients observed colours (80%), movements (68%), flashes (66%), abstract colour images (55%), and objects (20%). During the course of surgery, patients also observed a change in light brightness (64%) and colours (20%).. Limited aspects of the visual experience during extracapsular cataract surgery under regional anaesthesia have also been reported in two other studies. In one study, surgical instruments were observed by 73% of patients during surgery under retrobulbar anaesthesia.13In another study, no patients observed surgical instruments during surgery under peribulbar anaesthesia but 20% of patients perceived abstract visual ...
What Is Refractive Eye Surgery?. By Gray Rollins. Refractive eye surgery is a type of eye surgery that is used to rectify refractive errors of the eye and decrease dependency on corrective lenses such as eyeglasses and contact lenses. Successful refractive procedures can reduce myopia or nearsightedness, hyperopia or farsightedness, and astigmatism or elongated corneas. A number of different procedures exist for refractive eye surgery depending upon the type and severity of the refractive error. There are four main types of refractive eye surgery procedures: flap and photoablation procedures; corneal incision procedures; thermal procedures; and implants. Currently, the most common refractive eye surgeries involve the use of lasers to reshape the cornea. Flap procedures involve cutting a small flap in the cornea so that the tissue underneath can be reshaped to correct the refractive error. LASIK, short for Laser Assisted In-Situ Keratomileusis, is the most popular refractive surgery and is used ...
TVT (tension-free vaginal tape): an ambulatory surgical procedure under local anesthesia for treatment of female stress urinary incontinence. ...
This MasterClass examines the changing role of manual small incision cataract surgery (MSICS). Experts will demonstrate very clearly the surgical steps and dynamics of modern MSICS, sharing personal experiences putting theory into practice, discussing the management of complications, and sharing pearls for challenging cases.. Course of Faculty:. ...
Manual Small Incision Cataract Surgery also known as manual phaco or MSICS or SICS. This is the most cost effective cataract cataract extraction method with consistent very good visual outcome.We are demonstrating a real small incision 5.5 mm in this video. (You have seen a lot of SICS video at youtube but there incision size more than 8 mm). All types of cataracts (hard cataract,posterior polar cataract, mature cataract, hypermature cataract) can be operated by this method. Because we are breaking nucleus in the tunnel and taking out in the pieces. The breaking of the nucleus is done in the tunnel,so cornea is spared form the injury. Most of the cases having bright clear cornea and 20/30 or better vision on the first post operative day
Background: The reoperation rate after recurrent groin hernia surgery is more than twice that recorded for primary groin hernia procedures. The aim was to define the outcome from routine redo hernia surgery by analysing a large population-based cohort from a national hernia register.. Methods: All recurrent groin hernia operations registered in the Swedish Hernia Register from 1992 to 2008 were analysed using multivariable analysis with stratification for preceding repair.. Results: Altogether 174 527 hernia operations were recorded in the Swedish Hernia Register between 1992 and 2008, including 19 582 reoperations. The preceding repair was included in the register for 5565 of these recurrent repairs. With laparoscopic repair as reference standard, the hazard ratio for recurrence was 2.55 (95 per cent confidence interval 1.66 to 3.93) after sutured repair, 1.53 (1.20 to 1.95) after Lichtenstein repair, 2.31 (1.76 to 3.03) after plug repair, 1.36 (0.95 to 1.94) after open preperitoneal mesh and ...

Local anesthesia: Uses, types, and risksLocal anesthesia: Uses, types, and risks

The dose and type of anesthesia will depend on the persons age and weight. The drug prevents the nerves from sending signals ... Surgeons use local anesthesia to numb a specific part of the body during minor procedures. ... Local anesthesia is generally considered very safe. For minor surgery, it is safer than general anesthesia. ... Local anesthesia is used to numb the feelings in a specific part of the body. This prevents pain during surgical procedures.. ...
more infohttps://www.medicalnewstoday.com/articles/265689.php?iacp

Tumescent Local Anesthesia | SpringerLinkTumescent Local Anesthesia | SpringerLink

Since the introduction of Tumescent Local Anesthesia by Dermatologist and Pharmacologist J.A. Klein, this method of ... Special emphasis was laid on all aspects of phlebologic surgery in tumescent local anesthesia. All contributions were made by ... Since the introduction of Tumescent Local Anesthesia by Dermatologist and Pharmacologist J.A. Klein, this method of ...
more infohttps://link.springer.com/book/10.1007%2F978-3-642-56744-5

Local anesthesia in cattleLocal anesthesia in cattle

Local anesthetic techniques usually are simple, cheap and have relatively few side effects. Unless otherwise stated, local ... Food-animal practitioners commonly perform local-anesthetic techniques due to the dangers associated with general anesthesia. ... For anesthesia prior to hyperthermia or freezing of lid lesions, or H-plasty, a simple line block with a local anesthetic agent ... Food-animal practitioners commonly perform local-anesthetic techniques due to the dangers associated with general anesthesia. ...
more infohttp://veterinarynews.dvm360.com/local-anesthesia-cattle

Local Anesthesia: No Longer Cocaine! | HowStuffWorksLocal Anesthesia: No Longer Cocaine! | HowStuffWorks

Local anesthesia involves numbing a small area by injecting an anesthetic under the skin. Learn about local anesthesia and find ... Local anesthesia is used to make a very small area of the body, such as a patch of skin, insensitive to pain. It typically ... Local anesthesia usually wears off within four to five hours. The pain relief lasts longer than the actual procedure most of ... Drugs used in local anesthesia usually end in the suffix -aine (such as lidocaine, novocaine or tetracaine) because theyre ...
more infohttps://science.howstuffworks.com/anesthesia2.htm

Local Anesthesia With Sedation: Overview, Indications, TechniqueLocal Anesthesia With Sedation: Overview, Indications, Technique

... anesthesia with sedation offers anesthesia personnel and the surgeon great flexibility in tailoring the degree of anesthesia to ... encoded search term (Local Anesthesia With Sedation) and Local Anesthesia With Sedation What to Read Next on Medscape. Related ... Local anesthesia. Local anesthesia encompasses infiltration of the operative site, tumescent techniques, and nerve blocks. ... General anesthesia. Although monitored anesthesia care (MAC) is a safe method for providing anesthesia, general anesthesia is ...
more infohttps://emedicine.medscape.com/article/1817607-overview

Prolonged duration local anesthesia with minimal toxicity | PNASProlonged duration local anesthesia with minimal toxicity | PNAS

2003) Prolonged duration local anesthesia from tetrodotoxin-enhanced local anesthetic microspheres. Pain 104:415-421. ... whereas local effect (e.g., local anesthesia) has a much weaker relationship to body size (32). Therefore, the same formulation ... Prolonged duration local anesthesia with minimal toxicity. Hila Epstein-Barash, Iris Shichor, Albert H. Kwon, Sherwood Hall, ... Prolonged duration local anesthesia with minimal toxicity. Hila Epstein-Barash, Iris Shichor, Albert H. Kwon, Sherwood Hall, ...
more infohttps://www.pnas.org/content/106/17/7125

ASDS Members Innovators in the Use of Local AnesthesiaASDS Members Innovators in the Use of Local Anesthesia

... which prompts the conclusion that local anesthesia is strongly encouraged.. The proven safety of local anesthesia has supported ... The tumescent method infuses local anesthesia into subcutaneous fat, thereby eliminating the need for general anesthesia or ... "This news is no surprise to our members, who have pioneered the use of local anesthesia during surgery for over 30 years," said ... "The use of local anesthesia is one of many advancements that has moved the specialty forward." ...
more infohttp://www.prweb.com/releases/2017/04/prweb14236234.htm

Local anesthesia - WikipediaLocal anesthesia - Wikipedia

A local anesthetic is a drug that causes reversible local anesthesia and a loss of nociception. When it is used on specific ... Local anesthetics vary in their pharmacological properties and they are used in various techniques of local anesthesia such as ... The following terms are often used interchangeably: Local anesthesia, in a strict sense, is anesthesia of a small part of the ... Clinical local anesthetics belong to one of two classes: aminoamide and aminoester local anesthetics. Synthetic local ...
more infohttps://en.wikipedia.org/wiki/Local_anesthesia

Handbook of Local Anesthesia - Stanley F. Malamed - Google BooksHandbook of Local Anesthesia - Stanley F. Malamed - Google Books

Basic concepts for the safe and effective practice of local anesthesia in dentistry today are emphasized, along with the most ... and pain control techniques.Basic concepts for the safe and effective practice of local anesthesia in dentistry are emphasized. ... that is gaining widespread use in the United States.Discussions of the armamentarium needed to succeed in local anesthesia ... manual explores and teaches methods that enhance good local anesthesia practices, while alerting readers to specific hazards ...
more infohttps://books.google.com/books?id=DM1pAAAAMAAJ&q=premolar&dq=related:ISBN3805554893&source=gbs_word_cloud_r&hl=en

Handbook of Local Anesthesia - Stanley F. Malamed - Google BooksHandbook of Local Anesthesia - Stanley F. Malamed - Google Books

Basic concepts for the safe and effective practice of local anesthesia in dentistry today are emphasized, along with the most ... and pain control techniques.Basic concepts for the safe and effective practice of local anesthesia in dentistry are emphasized. ... that is gaining widespread use in the United States.Discussions of the armamentarium needed to succeed in local anesthesia ... manual explores and teaches methods that enhance good local anesthesia practices, while alerting readers to specific hazards ...
more infohttps://books.google.com/books?id=c8xpAAAAMAAJ&q=usually&dq=related:ISBN3805554893&source=gbs_word_cloud_r&hl=en

Light-triggered local anesthesiaLight-triggered local anesthesia

... this is important in that it demonstrates a method by which patients would be able to take control of relatively local pain, ... being able to deliver local analgesia on demand, for the duration and with the intensity desired. ... Researchers have demonstrated a system that provides photo-triggered release of local anesthetics in a manner that could be ... Light-triggered local anesthesia. (Nanowerk Spotlight) Systemic pain medicine - which acts on the whole nervous system, rather ...
more infohttps://www.nanowerk.com/spotlight/spotid=42148.php

Video-Assisted Thoracoscopy is Feasible Under Local AnesthesiaVideo-Assisted Thoracoscopy is Feasible Under Local Anesthesia

... Hans J. M. Smit, Franz M. N. H. Schramel, Tom G. Sutedja, Luud ... We performed an analysis to determine whether multithoracoport VAT under local anesthesia (LA) is feasible. ... Video-assisted thoracoscopy (VAT) is usually performed under general anesthesia (GA). ...
more infohttps://www.hindawi.com/journals/dte/1998/627547/abs/

9780323074124 - Handbook of Local Anesthesia / | eCampus.com9780323074124 - Handbook of Local Anesthesia / | eCampus.com

Malameds Local Anesthesia Administration is $109.27. Free shipping on all orders over $35.00. ... 9780323074124 Our cheapest price for Handbook of Local Anesthesia / ... Handbook of Local Anesthesia / Malameds Local Anesthesia Administration DVD (Book with DVD). by Malamed, Stanley F. *ISBN13: ... This money-saving package includes the 6th edition of Handbook of Local Anesthesia - Book and DVD. ...
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Local Anesthesia - Lanka Business OnlineLocal Anesthesia - Lanka Business Online

Local Anesthesia. Author LBO. Posted on June 17, 2004. , Shipping and Transport ...
more infohttp://www.lankabusinessonline.com/local-anesthesia/

Application of local anesthesia for DCRApplication of local anesthesia for DCR

Local anesthesia is then placed intranasally in the area of the nasal mucosa of the middle meatus. This will allow for a ... Additional local anesthetic is placed subcutaneously along the medial portion of the upper and lower eyelid. The same mixture ... This video demonstrates the application of local anesthetic for a patient who is undergoing an awake external DCR. Palpation of ...
more infohttp://webeye.ophth.uiowa.edu/eyeforum/video/plastics/4/8-DCR-anaesthesia.htm

Dibucaine User Reviews for Local Anesthesia at Drugs.comDibucaine User Reviews for Local Anesthesia at Drugs.com

Reviews and ratings for dibucaine when used in the treatment of local anesthesia. Share your experience with this medication by ... Reviews for Dibucaine to treat Local Anesthesia. Nupercainal (dibucaine): "Nupricainal is #1 in our first aid kit and has been ... Local Anesthesia lidocaine topical, bupivacaine, Marcaine, cocaine topical, More.... Burns, External lidocaine topical, ...
more infohttps://www.drugs.com/comments/dibucaine-topical/for-local-anesthesia.html

9780323073714 - Local Anesthesia for the Dental | eCampus.com9780323073714 - Local Anesthesia for the Dental | eCampus.com

9780323073714 Our cheapest price for Local Anesthesia for the Dental Hygienist is $30.56. Free shipping on all orders over $ ... Local Anesthesia for the Dental Hygienist helps you learn the safe and effective administration of local anesthesia. Coverage ... Local Anesthesia for the Dental Hygienist. by Logothetis, Demetra Daskalos *ISBN13: 9780323073714. ... Expert author Demetra Logothetis is a dental hygiene educator with 15 years of experience teaching local anesthesia ...
more infohttp://www.ecampus.com/local-anesthesia-dental-hygienist-1st/bk/9780323073714

Local Anesthesia for Prostate BiopsyLocal Anesthesia for Prostate Biopsy

Local anesthesia for office biopsy of the prostate: effects on pain control, quality of life and surgical intervention. ... Local Anesthesia for Prostate Biopsy: Effects on Pain Control, Quality of Life, and Surgical Intervention. Trial Phase:. Phase ... TITLE Local anesthesia for prostate biopsy: Effects on pain control, quality of life, and. surgical intervention.. SPECIFIC ... Local Anesthesia for Prostate Biopsy: Effects on Pain Control, Quality of Life, and Surgical Intervention ...
more infohttp://www.knowcancer.com/cancer-trials/NCT00422708/

Local Anesthesia Course - Manor CollegeLocal Anesthesia Course - Manor College

Program offers a training course to prepare licensed dental hygienists for certification in administering local anesthesia. ... Local Anesthesia Course. Local Anesthesia for the Dental Hygienist. Saturday, March 30 & Sunday, March 31, 2019, 8:15 am-5:45 ... Bassett, K., DiMarco and Naughton, D. (2010). Local Anesthesia for Dental Professionals. Upper Saddle River, NJ: Pearson. ISBN ... for a substitute patient if there is a potential medical issue that precludes the participant from receiving local anesthesia. ...
more infohttps://manor.edu/academics/adult-continuing-education/dentalhealth/local-anesthesia-course/

Local Anesthesia | Dentistry.comLocal Anesthesia | Dentistry.com

Local anesthesia is most often used before filling cavities or to prepare your teeth for a dental crown or other minor dental ... there may come a time when you need dental care that requires local anesthesia. Local anesthesia is most often used before ... This local anesthetic and others like it in the "-caine" family have replaced novocaine as the dental local anesthesia of ... Local anesthesia is a drug used by your dentist to numb a small part of your mouth for a short period of time. You remain awake ...
more infohttps://www.dentistry.com/topics/local-anesthesia/

STAT!Ref - Local Anesthesia for Dental ProfessionalsSTAT!Ref - Local Anesthesia for Dental Professionals

Local Anesthesia for Dental Professionals, 2/e provides a user-friendly, primary resource for instructors and students of pain ... Local Anesthesia for Dental Professionals, 2/e provides unparalleled coverage in a straightforward, user-friendly format. It ... Comprehensive yet accessible content: The text is an all-in-one resource in local anesthesia for dental and dental hygiene ... Local Anesthesia for Dental Professionals, 2/e provides a user-friendly, primary resource for instructors and students of pain ...
more infohttp://online.statref.com/publictitleinfo/TitleInfo.aspx?fxid=693

Local Anesthesia (Ambulatory Care) - What You Need to KnowLocal Anesthesia (Ambulatory Care) - What You Need to Know

Care guide for Local Anesthesia (Ambulatory Care). Includes: possible causes, signs and symptoms, standard treatment options ... Risks of local anesthesia:. You may have a severe reaction to the anesthesia. Even with local anesthesia, you may feel some ... What you need to know about local anesthesia:. Local anesthesia is medicine used to numb a small part of your body. It is used ... What will happen during local anesthesia:. Your healthcare provider will give you an injection or apply anesthesia medicine ...
more infohttps://www.drugs.com/cg/local-anesthesia-ambulatory-care.html

Local Anesthesia? | Medical Billing and Coding Forum - AAPCLocal Anesthesia? | Medical Billing and Coding Forum - AAPC

Local anesthesia. I need some help regarding local anesthesia.. Excision of 1 cm cyst of left ear lobe/cheek junction, with 2.5 ... The anesthesia codes in CPT are all for general or MAC anesthesia. Per the surgery section guidelines, local anesthesia is ... This was done under local anesthesia by the surgeon and therefore not separately reportable/payable. Local anesthesia by the ... Type of anesthesia was local.. Need to know what anesthesia code should be assign in this scenario.. Thanks for your help in ...
more infohttps://www.aapc.com/discuss/threads/local-anesthesia.19522/?view=date

Local Anesthesia for Prostate Biopsy - Full Text View - ClinicalTrials.govLocal Anesthesia for Prostate Biopsy - Full Text View - ClinicalTrials.gov

Local Anesthesia for Prostate Biopsy. The safety and scientific validity of this study is the responsibility of the study ... Title: Local anesthesia for office biopsy of the prostate: effects on pain control, quality of life and surgical intervention. ... Local Anesthesia for Prostate Biopsy: Effects on Pain Control, Quality of Life, and Surgical Intervention. ... Introduction: Local anesthetic should be administered prior to transrectal needle biopsy of the prostate to control pain in the ...
more infohttps://clinicaltrials.gov/show/NCT00422708

Results of Endoscopic Dacryocystorhinostomy under Local Anesthesia with Minimal SedationResults of Endoscopic Dacryocystorhinostomy under Local Anesthesia with Minimal Sedation

G. L. Fanning, "Local anesthesia for dacryocystorhinostomy," Current Anaesthesia and Critical Care, vol. 11, pp. 306-309, 2000. ... Results of Endoscopic Dacryocystorhinostomy under Local Anesthesia with Minimal Sedation. Woong Chul Choi,1 Ji-Sun Paik,2 and ... F. Ciftci, S. Pocan, K. Karadayi, and O. Gulecek, "Local versus general anesthesia for external dacryocystorhinostomy in young ... K. E. McGoldrick, "Ocular pathology and systemic diseases: anesthetic implications," in Anesthesia for Ophthalmic and ...
more infohttps://www.hindawi.com/journals/joph/2017/6712491/ref/
  • Local pain management that uses other techniques than analgesic medication include: Transcutaneous electrical nerve stimulation, which has been found to be ineffective for lower back pain[citation needed], however, it might help with diabetic neuropathy. (wikipedia.org)
  • In order to to achieve repeated on-demand local anesthesia, the researchers chemically tethered gold nanorods - that are able to convert NIR light into heat - to liposomes containing tetrodotoxin and dexmedetomidine. (nanowerk.com)
  • This video demonstrates the application of local anesthetic for a patient who is undergoing an awake external DCR. (uiowa.edu)
  • Comprehensive information is provided on Articaine, a highly debated local anesthetic recently approved by the FDA, that is gaining widespread use in the United States. (google.com)
  • Local anesthesia only lasts a short time, so it is mainly used for minor outpatient procedures, where the patient can leave on the same day. (medicalnewstoday.com)
  • The type of local anesthetic you inject might be given before procedures like stitches or debridement (the removal of dead or damaged tissue). (howstuffworks.com)
  • ASDS members have pioneered the use of local anesthesia for minimally invasive procedures. (prweb.com)
  • ASDS members perform minimally invasive procedures every day utilizing local anesthesia, delivering safe and effective results. (prweb.com)
  • The proven safety of local anesthesia has supported the growth and success of minimally invasive medical and cosmetic procedures. (prweb.com)
  • Updated instructions for administering the various techniques of intraoral anesthesia are presented in consistent, step-by-step procedures. (google.com)
  • Local anesthesia is most often used before filling cavities or to prepare your teeth for a dental crown or other minor dental procedures. (dentistry.com)
  • EMLA cream can be used by itself prior to procedures or as a skin numbing agent before injecting a local anesthetic. (appliedradiology.com)
  • From the point of view of nanotechnology, it is an unusually clear demonstration of the ability of nanoscientifically-based triggering methods to induce local effects. (nanowerk.com)
  • To address those issues, we developed liposomal formulations of saxitoxin (STX), a compound with ultrapotent local anesthetic properties but little or no cytotoxicity. (pnas.org)
  • Coverage is tailored to fit the role and needs of the dental hygienist and promotes patient-centered care by integrating discussions of the Human Needs Paradigm with complete instructions for local anesthesia administration. (ecampus.com)
  • Local Anesthesia for Dental Professionals, 2/e provides unparalleled coverage in a straightforward, user-friendly format. (statref.com)
  • The presence of particles themselves enhances local anesthetic myotoxicity in vivo ( 3 ), and can cause inflammatory responses at the nerve that may considerably outlast the duration of blockade ( 2 , 3 , 8 ). (pnas.org)
  • Typical options include topicals, infiltrative, nerve blocks and intra-procedural anesthesia, which is mixed with fillers and injected simultaneously. (prweb.com)
  • Discussions of the armamentarium needed to succeed in local anesthesia delivery have been updated to reflect the latest available drugs and devices. (google.com)
  • To provide the necessary knowledge and skills to successfully complete the training course and to apply for a state license to administer local anesthesia in approved clinical settings. (manor.edu)
  • Upon successful completion of the clinical competencies and written final examination, the participant will be issued a Certificate of Completion and is eligible to apply for a state license to administer local anesthesia. (manor.edu)
  • In order to determine the effectiveness of local anesthesia when inserting a cannula into a vein on the dorsum of the hand, 450 adult inpatients at the University Hospital of Marburg were allocated to different treatment and control groups. (news-medical.net)
  • However, by depositing 20 mls of local anesthetic (after aspiration to make sure a vessel has not been entered), I am usually successful in obtaining anesthesia and resultant relaxation and protrusion of/to the globe. (dvm360.com)
  • The best way to minimize the intensity of a painful stimulus is to provide suitable skin and track anesthesia to the level of the target anatomy. (appliedradiology.com)