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, Inhalation: Anesthesia caused by the breathing of anesthetic gases or vapors or by insufflating anesthetic gases or vapors into the respiratory tract.Anesthesia, Conduction: Injection of an anesthetic into the nerves to inhibit nerve transmission in a specific part of the body.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, 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.Methyl Ethers: A group of compounds that contain the general formula R-OCH3.Anesthesiology: A specialty concerned with the study of anesthetics and anesthesia.AustriaAnesthetics, Combined: The use of two or more chemicals simultaneously or sequentially to induce anesthesia. The drugs need not be in the same dosage form.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).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.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.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)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.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)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)Bupivacaine: A widely used local anesthetic agent.Galectin 3: A multifunctional galactin initially discovered as a macrophage antigen that binds to IMMUNOGLOBULIN E, and as 29-35-kDa lectin that binds LAMININ. It is involved in a variety of biological events including interactions with galactose-containing glycoconjugates, cell proliferation, CELL DIFFERENTIATION, and APOPTOSIS.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.Ambulatory Surgical Procedures: Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.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.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.Xylazine: An adrenergic alpha-2 agonist used as a sedative, analgesic and centrally acting muscle relaxant in VETERINARY MEDICINE.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.Anesthesia Department, Hospital: Hospital department responsible for the administration of functions and activities pertaining to the delivery of anesthetics.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, IntratrachealIntraoperative 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.Pain, Postoperative: Pain during the period after surgery.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.Prilocaine: A local anesthetic that is similar pharmacologically to LIDOCAINE. Currently, it is used most often for infiltration anesthesia in dentistry.Methohexital: An intravenous anesthetic with a short duration of action that may be used for induction of anesthesia.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.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)CHARGE Syndrome: Rare disease characterized by COLOBOMA; CHOANAL ATRESIA; and abnormal SEMICIRCULAR CANALS. Mutations in CHD7 protein resulting in disturbed neural crest development are associated with CHARGE Syndrome.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.Diphyllobothriasis: Infection with tapeworms of the genus Diphyllobothrium.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.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.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.Hemodynamics: The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.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.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.)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.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.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.Heart Rate: The number of times the HEART VENTRICLES contract per unit of time, usually per minute.Belladonna Alkaloids: Alkaloids obtained from various plants, especially the deadly nightshade (Atropa belladonna), variety acuminata; atropine, hyoscyamine and scopolamine are classical, specific antimuscarinic agents with many pharmacologic actions; used mainly as antispasmodics.Sufentanil: An opioid analgesic that is used as an adjunct in anesthesia, in balanced anesthesia, and as a primary anesthetic agent.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.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.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.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Carticaine: A thiophene-containing local anesthetic pharmacologically similar to MEPIVACAINE.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.)Blood Pressure: PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS.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.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.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.Manuals as Topic: Books designed to give factual information or instructions.Piperidines: A family of hexahydropyridines.Laryngoscopy: Examination, therapy or surgery of the interior of the larynx performed with a specially designed endoscope.Androstanols: Androstanes and androstane derivatives which are substituted in any position with one or more hydroxyl groups.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.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)Operating Rooms: Facilities equipped for performing surgery.Analgesia: Methods of PAIN relief that may be used with or in place of ANALGESICS.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.Ophthalmologic Surgical Procedures: Surgery performed on the eye or any of its parts.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.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.Carbon Dioxide: A colorless, odorless gas that can be formed by the body and is necessary for the respiration cycle of plants and animals.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.Shivering: Involuntary contraction or twitching of the muscles. It is a physiologic method of heat production in man and other mammals.Postoperative Period: The period following a surgical operation.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.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).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)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.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.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.Blood Gas Analysis: Measurement of oxygen and carbon dioxide in the blood.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.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.Dose-Response Relationship, Drug: The relationship between the dose of an administered drug and the response of the organism to the drug.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.Acepromazine: A phenothiazine that is used in the treatment of PSYCHOSES.Dirofilariasis: Infection with nematodes of the genus DIROFILARIA, usually in animals, especially dogs, but occasionally in man.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.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.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)Body Temperature: The measure of the level of heat of a human or animal.Tetracaine: A potent local anesthetic of the ester type used for surface and spinal anesthesia.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.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)Tooth Extraction: The surgical removal of a tooth. (Dorland, 28th ed)gamma-Aminobutyric Acid: The most common inhibitory neurotransmitter in the central nervous system.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.Dermatologic Surgical Procedures: Operative procedures performed on the SKIN.Fiber Optic Technology: The technology of transmitting light over long distances through strands of glass or other transparent material.Ethyl EthersTiletamine: Proposed anesthetic with possible anticonvulsant and sedative properties.Needles: Sharp instruments used for puncturing or suturing.Gynecologic Surgical Procedures: Surgery performed on the female genitalia.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)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.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).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.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.Perioperative Care: Interventions to provide care prior to, during, and immediately after surgery.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.Injections: Introduction of substances into the body using a needle and syringe.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.Abdomen: That portion of the body that lies between the THORAX and the PELVIS.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.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)Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.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)Chloral Hydrate: A hypnotic and sedative used in the treatment of INSOMNIA.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)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).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.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.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.Orthopedic Procedures: Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.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.Cataract Extraction: The removal of a cataractous CRYSTALLINE LENS from the eye.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.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).Bronchial Spasm: Spasmodic contraction of the smooth muscle of the bronchi.Body Temperature Regulation: The processes of heating and cooling that an organism uses to control its temperature.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.Apnea: A transient absence of spontaneous respiration.Injections, Intravenous: Injections made into a vein for therapeutic or experimental purposes.Evoked Potentials, Auditory: The electric response evoked in the CEREBRAL CORTEX by ACOUSTIC STIMULATION or stimulation of the AUDITORY PATHWAYS.Hexobarbital: A barbiturate that is effective as a hypnotic and sedative.Pneumonia, Aspiration: A type of lung inflammation resulting from the aspiration of food, liquid, or gastric contents into the upper RESPIRATORY TRACT.Pain: An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.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)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.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.Drug Interactions: The action of a drug that may affect the activity, metabolism, or toxicity of another drug.Skin Temperature: The TEMPERATURE at the outer surface of the body.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)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).Analgesics: Compounds capable of relieving pain without the loss of CONSCIOUSNESS.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.gamma-Cyclodextrins: Cyclic GLUCANS consisting of eight (8) glucopyranose units linked by 1,4-glycosidic bonds.Airway Obstruction: Any hindrance to the passage of air into and out of the lungs.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.Emergencies: Situations or conditions requiring immediate intervention to avoid serious adverse results.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.Recovery Room: Hospital unit providing continuous monitoring of the patient following anesthesia.Hemangioblastoma: A benign tumor of the nervous system that may occur sporadically or in association with VON HIPPEL-LINDAU DISEASE. It accounts for approximately 2% of intracranial tumors, arising most frequently in the cerebellar hemispheres and vermis. Histologically, the tumors are composed of multiple capillary and sinusoidal channels lined with endothelial cells and clusters of lipid-laden pseudoxanthoma cells. Usually solitary, these tumors can be multiple and may also occur in the brain stem, spinal cord, retina, and supratentorial compartment. Cerebellar hemangioblastomas usually present in the third decade with INTRACRANIAL HYPERTENSION, and ataxia. (From DeVita et al., Cancer: Principles and Practice of Oncology, 5th ed, pp2071-2)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)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.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).Antiemetics: Drugs used to prevent NAUSEA or VOMITING.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.Muscle Relaxants, Central: A heterogeneous group of drugs used to produce muscle relaxation, excepting the neuromuscular blocking agents. They have their primary clinical and therapeutic uses in the treatment of muscle spasm and immobility associated with strains, sprains, and injuries of the back and, to a lesser degree, injuries to the neck. They have been used also for the treatment of a variety of clinical conditions that have in common only the presence of skeletal muscle hyperactivity, for example, the muscle spasms that can occur in MULTIPLE SCLEROSIS. (From Smith and Reynard, Textbook of Pharmacology, 1991, p358)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.Tidal Volume: The volume of air inspired or expired during each normal, quiet respiratory cycle. Common abbreviations are TV or V with subscript T.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.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.Wakefulness: A state in which there is an enhanced potential for sensitivity and an efficient responsiveness to external stimuli.Bradycardia: Cardiac arrhythmias that are characterized by excessively slow HEART RATE, usually below 50 beats per minute in human adults. They can be classified broadly into SINOATRIAL NODE dysfunction and ATRIOVENTRICULAR BLOCK.Etidocaine: A local anesthetic with rapid onset and long action, similar to BUPIVACAINE.Career Mobility: The upward or downward mobility in an occupation or the change from one occupation to another.Diazepam: A benzodiazepine with anticonvulsant, anxiolytic, sedative, muscle relaxant, and amnesic properties and a long duration of action. Its actions are mediated by enhancement of GAMMA-AMINOBUTYRIC ACID activity.Thorax: The upper part of the trunk between the NECK and the ABDOMEN. It contains the chief organs of the circulatory and respiratory systems. (From Stedman, 25th ed)

Assessing introduction of spinal anaesthesia for obstetric procedures. (1/497)

To assess the impact of introducing spinal anaesthesia for obstetric operative procedures on use of general anaesthesia and quality of regional anaesthesia in a unit with an established epidural service a retrospective analysis of routinely collected data on method of anaesthesia, efficacy, and complications was carried out. Data were collected from 1988 to 1991 on 1670 obstetric patients requiring an operative procedure. The introduction of spinal anaesthesia in 1989 significantly reduced the proportion of operative procedures performed under general anaesthesia, from 60% (234/390) in 1988 to 30% (124/414) in 1991. The decrease was most pronounced for manual removal of the placenta (88%, 48/55 v 9%, 3/34) and emergency caesarean section (67%, 129/193) v 38%, 87/229). Epidural anaesthesia decreased in use most significantly for elective caesarean section (65%, 77/118 v 3% 3/113; x2=139, p<0.0001). The incidence of severe pain and need for conversion to general anaesthesia was significantly less with spinal anaesthesia (0%, 0/207 v 3%, 5/156; p<0.05). Hypotension was not a problem, and the incidence of headache after spinal anaesthetic decreased over the period studied. Introducing spinal anaesthesia therefore reduced the need for general anaesthesia and improved the quality of regional anaesthesia.  (+info)

Anaesthesia for caesarean section in the presence of severe primary pulmonary hypertension. (2/497)

We describe the case of a pregnant woman, 35 weeks' gestation, with primary pulmonary hypertension and coarctation of the aorta requiring emergency Caesarean section under general anaesthesia. The patient had a pulmonary artery catheter inserted before operation which revealed pulmonary artery pressures in excess of 80/40 mm Hg. These were lowered using an infusion of glyceryl trinitrate. After delivery of the baby and administration of oxytocin, pulmonary artery pressures were more difficult to control. An infusion of prostacyclin was substituted which stabilized pulmonary pressures. After operation, she was transferred to the intensive care unit where prostacyclin was administered by an "aerosolized" route. Her trachea was extubated after 48 h and she made an uneventful recovery.  (+info)

Anaesthetic management of a woman who became paraplegic at 22 weeks' gestation after a spontaneous spinal cord haemorrhage secondary to a presumed arteriovenous malformation. (3/497)

A 19-yr-old woman developed a paraplegia with a T10 sensory level at 22 weeks' gestation. The spinal injury was caused by spontaneous bleed of a presumed arteriovenous malformation in the spinal cord. She presented for Caesarean section at term because of the breech position of her fetus. The successful use of a combined spinal epidural-regional anaesthetic is described and the risks of general and regional anaesthesia are discussed.  (+info)

Spinal versus epidural anesthesia for cesarean section in severely preeclamptic patients: a retrospective survey. (4/497)

BACKGROUND: Selection of spinal anesthesia for severely preeclamptic patients requiring cesarean section is controversial. Significant maternal hypotension is believed to be more likely with spinal compared with epidural anesthesia. The purpose of this study was to assess, in a large retrospective clinical series, the blood pressure effects of spinal and epidural anesthesia in severely preeclamptic patients requiring cesarean section. METHODS: The computerized medical records database was reviewed for all preeclamptic patients having cesarean section between January 1, 1989 and December 31, 1996. All nonlaboring severely preeclamptic patients receiving either spinal or epidural anesthesia for cesarean section were included for analysis. The lowest recorded blood pressures were compared for the 20-min period before induction of regional anesthesia, the period from induction of regional anesthesia to delivery, and the period from delivery to the end of operation. RESULTS: Study groups included 103 women receiving spinal anesthesia and 35 receiving epidural anesthesia. Changes in the lowest mean blood pressure were similar after epidural or spinal anesthesia. Intraoperative ephedrine use was similar for both groups. Intraoperative crystalloid administration was statistically greater for patients receiving spinal versus epidural anesthesia (1780 +/- 838 vs. 1359 +/- 674 ml, respectively). Neonatal Apgar scores and incidence of maternal intensive care unit admission or postoperative pulmonary edema were also similar. CONCLUSION: Although we cannot exclude the possibility that the spinal and epidural anesthesia groups were dissimilar, the magnitudes of maternal blood pressure declines were similar after spinal or epidural anesthesia in this series of severely preeclamptic patients receiving cesarean section. Maternal and fetal outcomes also were similar.  (+info)

Clinical effects and maternal and fetal plasma concentrations of 0.5% epidural levobupivacaine versus bupivacaine for cesarean delivery. (5/497)

BACKGROUND: Bupivacaine exists as a mixture of two enantiomers, levobupivacaine and dexbupivacaine. Data suggest that levobupivacaine has equal local anesthetic potency, with reduced potential for central nervous system and cardiovascular toxicity. The present study compares the efficacy of 0.5% levobupivacaine with 0.5% bupivacaine for epidural anesthesia in parturients undergoing elective cesarean delivery. METHODS: Sixty healthy obstetric patients undergoing elective cesarean delivery with epidural anesthesia completed the study. Patients were randomized to receive 30 ml of either 0.5% levobupivacaine or 0.5% bupivacaine in a double-blind fashion. The efficacy endpoint measures included onset, offset, and quality of anesthesia. Neonatal blood gas analyses, Apgar score determinations, and neurobehavioral examinations were performed. Venous samples for pharmacokinetic studies and serial electrocardiograms were obtained in 10 patients in each group. RESULTS: Levels of sensory block, motor block, muscle relaxation, and overall quality of anesthesia did not differ between groups. The frequency of hypotension was 84.4% in the levobupivacaine group and 100% for the bupivacaine group (P < or = 0.053). No significant difference in observed maximum concentration of drug after dosing or area under the plasma drug concentration versus time curve were seen. The maximum concentrations were 1.017 and 1.053 microg/ml, and the areas were 4.082 and 3.765 h(microg/ml) for the levobupivacaine and bupivacaine groups, respectively. Umbilical vein-to-maternal vein ratios were 0.303 for the levobupivacaine group and 0.254 for the bupivacaine group. CONCLUSIONS: The use of epidural 0.5% levobupivacaine for cesarean delivery results in equally efficacious anesthesia compared with 0.5% bupivacaine. Pharmacokinetic parameters were similar in the two groups.  (+info)

Glycopyrrolate reduces nausea during spinal anaesthesia for caesarean section without affecting neonatal outcome. (6/497)

We have tested the hypotheses that glycopyrrolate, administered immediately before induction of subarachnoid anaesthesia for elective Caesarean section, reduces the incidence and severity of nausea, with no adverse effects on neonatal Apgar scores, in a double-blind, randomized, controlled study. Fifty women received either glycopyrrolate 200 micrograms or saline (placebo) i.v. during fluid preload, before induction of spinal anaesthesia with 2.5 ml of 0.5% isobaric bupivacaine. Patients were questioned directly regarding nausea at 3-min intervals throughout operation and asked to report symptoms as they arose. The severity of nausea was assessed using a verbal scoring system and was treated with increments of i.v. ephedrine and fluids. Patients in the group pretreated with glycopyrrolate reported a reduction in the frequency (P = 0.02) and severity (P = 0.03) of nausea. Glycopyrrolate also reduced the severity of hypotension, as evidenced by reduced ephedrine requirements (P = 0.02). There were no differences in neonatal Apgar scores between groups.  (+info)

Gastric pressure during emergency caesarean section under general anaesthesia. (7/497)

Gastric pressure and volume were measured in 20 pregnant women during emergency Caesarean section under general anaesthesia with neuromuscular block. Mean gastric pressure was 11 (range 4-19) mm Hg and we can predict that 99% of women undergoing emergency Caesarean section with neuromuscular block are likely to have gastric pressures of less than 25 mm Hg (mean + 3 SD). This has implications for the amount of cricoid pressure required during induction of anaesthesia. Gastric pressure increased during delivery to 19 mm Hg and fundal pressure caused a gastric pressure of 65 mm Hg in one woman. Gastric pressure decreased significantly after delivery (P < 0.001) to 8 mm Hg. Although we measured large gastric volumes (mean 112 (range 20-350) ml), there was no correlation between gastric volume and gastric pressure.  (+info)

French survey of anesthesia in 1996. (8/497)

BACKGROUND: To identify the growth in the number of anesthetic procedures since 1980 and the changes in the practice of anesthesia, the present survey was designed to collect and analyze the anesthetic activity performed in France in 1996, from a representative sample collected in all French hospitals and clinics. METHODS: This study, initiated by the French Society of Anesthesia and Intensive Care, collected information that included the characteristics of patients (age, sex, American Society of Anesthesiologists status), the techniques of anesthesia, and the nature of the procedure for which anesthesia was required. All French private, public, and military hospitals were asked to participate in the survey. In each hospital in the country, all anesthetic procedures were documented and collected during 3 consecutive days, chosen at random during a 12-month period, to obtain a representative sample of the annual activity. All data were analyzed at the INSERM (National Institute of Health and MEDICAL RESEARCH: At the conclusion of the study, 5% of hospitals were randomly assigned to be audited to check for missing data and errors. The rate of anesthetic activity was calculated as the ratio between the annual number of anesthetic procedures and the number of the general population in the same age group. RESULTS: The participation rate of hospitals was 98%. The analysis of the 62,415 collected questionnaires allowed extrapolation of the anesthetic activity to 7,937,000 anesthetic procedures (95% confidence interval, +/- 387,000) performed in France in 1996. Thus, the annual rate of anesthetic procedures was 13.5 per 100 population, varying between 5.4 per 100 in girls aged 5-14 yr and 30.2 per 100 in men aged 75-84 yr. Surgery was involved in 71% of anesthesia cases. Regional anesthesia alone was performed in 20% of all surgical cases and was combined with general anesthesia in 3% of additional cases. Anesthesia for obstetric procedures represented 9% of all cases. Seventy-six percent of all anesthetic procedures started between 12:00 A.M. and 7:00 A.M. were related to obstetric activities. CONCLUSION: In comparison with a previous study, the present survey shows that the number of anesthetic procedures has increased by 120% since 1980, and the rate of anesthetic procedures increased from 6.6 to 13.5 per 100 population, the major changes being observed in patients aged > or = 75 yr and in those with an American Society of Anesthesiologists physical status of 3. In the same time period, the number of regional anesthetic procedures increased 14-fold. In obstetrics, the practice of epidural analgesia extended from 1.5% to 51% of all deliveries of the country.  (+info)

*Bupivacaine

However, it is approved for use at term in obstetrical anesthesia. Bupivacaine is excreted in breast milk. Risks of ... It is the most commonly used local anesthetic in epidural anesthesia during labor, as well as in postoperative pain management ... The 0.75% formulation is contraindicated in epidural anesthesia during labor because of the association with refractory cardiac ... It is also contraindicated in obstetrical paracervical blocks and intravenous regional anaesthesia (Bier block) because of ...

*Kelly McQueen

She subsequently completed a fellowship in obstetrical anesthesia at the Mayo Clinic in Rochester, Minnesota. Upon completing ... When a resident, where she joined an Obstetrical Team for People to People on a trip to Russia in 1992. Since then, she has ... McQueen, K (March 2014). "Welcome from the ASAp President". The Alliance for Surgery and Anesthesia Presence. The Alliance for ... In 2012, McQueen took the position of Director of Vanderbilt Anesthesia Global Health and Development at Vanderbilt University ...

*Norketamine

482-. ISBN 1-4377-1117-0. T.H. Stanley; P.G. Schafer (6 December 2012). Pediatric and Obstetrical Anesthesia: Papers presented ...

*Charles Delucena Meigs

... was an American obstetrician of the nineteenth century who is remembered for his opposition to obstetrical anesthesia and to ... Meigs was a lifelong opponent of obstetric anesthesia. In 1856, he warned against the morally "doubtful nature of any process ...

*Galantamine

... eliminate residual somnolence and disorientation with nivaline after anesthesia with ketalar and diazepam for minor obstetrical ... In one study, a control group of patients were given ketalar and diazepam and underwent anesthesia and surgery. The ...

*Obstetric anesthesia (medical specialty)

Swayne, J. G. "Obstetrical Statistics." The British Medical Journal, vol. 2, no. 777, 1875, pp. 635-638., www.jstor.org/stable/ ... regional anesthesia, transplant anesthesia and trauma anesthesia. Obstetric anesthesiologists typically serve as consultants to ... Obstetric anesthesia or obstetric anesthesiology, also known as ob-gyn anesthesia or ob-gyn anesthesiology is a sub-specialty ... Anesthesia for cesarean sections (C-sections) most commonly uses neuraxial (regional) anesthesia due to its better safety ...

*Nalbuphine

It can also be used as a supplement to balanced anesthesia, for preoperative and postoperative analgesia, and for obstetrical ...

*Anesthesia

... such as in pediatric anesthesia, geriatric, bariatric or obstetrical anesthesia) or special circumstances (such as in trauma, ... Regional anesthesia and local anesthesia, which block transmission of nerve impulses between a targeted part of the body and ... Spinal anesthesia is a "one-shot" injection that provides rapid onset and profound sensory anesthesia with lower doses of ... General anesthesia (as opposed to sedation or regional anesthesia) has three main goals: lack of movement (paralysis), ...

*Local anesthetic

... epidural anesthesia/spinal anesthesia, often combined with general anesthesia) Gynecological, obstetrical, and urological ... Local anesthesia of body cavities includes intrapleural anesthesia and intra-articular anesthesia. Transincision (or transwound ... Typical operations performed under conduction anesthesia include: Dentistry (surface anesthesia, infiltration anesthesia or ... plexus anesthesia). Spinal anesthesia and epidural anesthesia merge into the central nervous system. Injection of LAs is often ...

*Canadian Network for International Surgery

The universities in this project will have learning centers that are dedicated for surgical and obstetrical care at the end of ... Anesthesia ASA physical status classification system or pre-operative physical fitness Biomaterial Drain Endoscopy FACS ... The project builds on results of previous efforts, which are intended to promote long-term capacity-building in obstetrical and ... ENAHPA will provide $100,000 for the project; the CNIS agreed to provide obstetrical and essential skills training to assist ...

*List of MeSH codes (E03)

... anesthesia, intratracheal MeSH E03.155.308 --- anesthesia, intravenous MeSH E03.155.364 --- anesthesia, obstetrical MeSH ... anesthesia, epidural MeSH E03.155.086.131.100 --- anesthesia, caudal MeSH E03.155.086.231 --- anesthesia, local MeSH E03.155. ... anesthesia, inhalation MeSH E03.155.197.197.280 --- anesthesia, closed-circuit MeSH E03.155.197.364 --- anesthesia, rectal MeSH ... anesthesia, dental MeSH E03.155.141.481 --- hypnosis, dental MeSH E03.155.197 --- anesthesia, general MeSH E03.155.197.197 --- ...

*David Grant USAF Medical Center

A certified registered nurse anesthetist class, in conjunction with the U.S. Army's Graduate Program in Anesthesia Nursing at ... Obstetrical/Gynecological, Internal Medicine, and Radiology residency programs with a start date of 1 July 1967. Other programs ... Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient) Pulmonary Function Lab (Inpatient, Outpatient) Radiation Oncology ( ... offered at DGMC included Physician Assistant in Orthopedics, Pharmacy Practice, Nurse Anesthesia, and Administrative Residency ...

*Uterine inversion

This is a true obstetrical emergency, so extra doctors, nurses, anesthesiologists should be summoned to the room to assist. The ... The patient should be moved rapidly to the OR to facilitate anesthesia monitoring during this procedure. Usually this ...

*Forceps

Alligator forceps Anesthesia forceps Artery forceps Atraumatic forceps Biopsy forceps Bone-cutting forceps Bone-reduction ... Gerald forceps Hemostatic forceps Hysterectomy forceps Intestinal forceps Microsurgery forceps Nasal forceps Obstetrical ...

*Shoulder dystocia

A number of labor positions and/or obstetrical maneuvers are sequentially performed in attempt to facilitate delivery at this ... This involves preparing for the help of an obstetrician, for anesthesia, and for pediatrics for subsequent resuscitation of the ... Management of shoulder dystocia has become a focus point for many obstetrical nursing units in North America. Courses such as ...

*Birthgasm

Postel, T. (October 2013). "Childbirth Climax: The Revealing of Obstetrical Orgasm". Sexologies. 22 (4): e89-e92. doi:10.1016/j ... instead of anesthesia. More than 85% of midwives surveyed by Postel (2013) stated that a sexually pleasurable birth experience ...

*Global Initiative for Emergency and Essential Surgical Care

GIEESC had begun anesthesia training at sites in Faryab and Mazir-I Sharif, and equipment was donated for the purpose. The ... The program was focused on training nurses in child and maternal health care, with the help of an emergency obstetrical flying ... With a population of over 75 million, Ethiopia had only 144 surgeons, 31 anesthesiologists, 254 anesthesia nurses, 1124 general ... and anesthesia. September 24-25, 2007, in Dar es Salaam, Tanzania, the WHO held a second meeting on the initiative to discuss ...

*Penthrox inhaler

Crombie JM (1876). "Self-administration of anaesthetics". Transactions of the Obstetrical Society of London. 18: 64-5. ... Wexler RE (1968). "Analgizer: Inhaler for supervised self-administration of inhalation anesthesia". Abbott Park, Illinois: ... Canadian Journal of Anesthesia. 17 (3): 275-8. doi:10.1007/BF03004607. PMID 5512851. Retrieved 2010-11-21. Packer KJ, Titel JH ... Pediatric Anesthesia. 17 (2): 148-53. doi:10.1111/j.1460-9592.2006.02037.x. PMID 17238886. Grindlay J, Babl FE (2009). " ...

*Ether Dome

... and in October 1846 Morton successfully demonstrated ether anesthesia. However, Morton's interest in surgical anesthesia was ... Over the following years, Long would use ether in his obstetrical practice, however, he never published any of his findings ... Before surgical anesthesia the location was also helpful to muffle the screams of patients for those on the floors below. ... In 1845 Wells had attempted to demonstrate the use of nitrous oxide as anesthesia at MGH but it was "dismissed as humbug" ...

*Kaunas Clinics

In 1967 a medical research and laboratory complex was built, followed in 1972 by an obstetrical and gynaecology center, and a ... Anesthesia Cardiology Children's diseases Children's surgery Dental and oral diseases Dental and Maxillary Orthopedics Ear, ...

*Brachial plexus

Depending on the location of the injury, the signs and symptoms can range from complete paralysis to anesthesia. Testing the ... Obstetrical & Gynecological Survey. 64 (9): 615-623. doi:10.1097/OGX.0b013e3181b27a3a. ISSN 1533-9866. PMID 19691859. Saladin, ... New York School of Regional Anesthesia. 2013-09-20. Moore, K.L.; Agur, A.M. (2007). Essential Clinical Anatomy (3rd ed.). ...

*Virginia Apgar

She then further trained in anesthesia, receiving certification as an anesthesiologist in 1937, and returned to P&S in 1938 as ... Virginia Apgar (June 7, 1909 - August 7, 1974) was an American obstetrical anesthesiologist. She was a leader in the fields of ... who felt that advancements in anesthesia were needed to further advance surgery and felt that she had the "energy and ability" ... Current Researches in Anesthesia & Analgesia. 32 (4): 260-267. doi:10.1213/00000539-195301000-00041. PMID 13083014. "The ...

*James Young Simpson

Kyle RA, Shampo MA (April 1997). "James Young Simpson and the introduction of chloroform anesthesia in obstetric practice". ... Speert H (October 1957). "Obstetrical-gynecological eponyms: James Young Simpson and his obstetric forceps". The Journal of ... Keys TE (1973). "Sir James Young Simpson (1811-1870)". Anesthesia and Analgesia. 52 (4): 562. doi:10.1213/00000539-197307000- ...

*University of Aleppo

Nursing for adults Pediatric nursing Obstetrical and gynecological nursing Psychiatric and mental health nursing Public health ... Neurology Internal medicine General surgery Histopathology Dermatology Anesthesia and recovery Obstetrics and gynaecology ...

*Methoxyflurane

In dogs, methoxyflurane anesthesia causes a moderate decrease in blood pressure with minimal changes in heart rate, and no ... Boisvert M, Hudon F (1962). "Clinical evaluation of methoxyflurane in obstetrical anaesthesia: A report on 500 cases" (PDF). ... 2009). Clinical anesthesia (6th ed.). Philadelphia: Lippincott Williams & Wilkins. ISBN 978-0-7817-8763-5. Cotton S (2006). ... ISBN 978-0-9757919-9-8. Mazze RI, Shue GL, Jackson SH (1971). "Renal Dysfunction Associated With Methoxyflurane Anesthesia". ...

*Cervical cancer

Burnett AF (2006). "Radical trachelectomy with laparoscopic lymphadenectomy: review of oncologic and obstetrical outcomes". ... the surgeon is not able to microscopically confirm clear margins of cervical tissue once the woman is under general anesthesia ... Cordeiro, Christina N.; Gemignani, Mary L. (2017). "Gynecologic Malignancies in Pregnancy". Obstetrical & Gynecological Survey ...
Birthing services are disappearing in small-town rural communities. At the request of the Ontario Maternity Care Expert Panel, Dr. Pamela Angle conducted research among physicians providing maternity anesthesia care across the province to explore the issues and barriers to services provision.. Angles report revealed many concerns. In small rural centres, there are often periods when obstetric anesthesia is either delayed or unavailable. Many of the local care providers interviewed described significant barriers to the uptake of best practices maternity anesthesia care.. The report offers short- and longer-term recommendations to increase the numbers of family practice and general practice (FP/GP) anesthetists serving these communities. Angle suggests the creation of obstetrical anesthesia networks that link university-based specialists in obstetrical anesthesia to both anesthesiologists and FP/GP anesthetists in community and small-town rural hospitals across defined geographic areas in the ...
Sunnybrook Foundation has committed to the establishment of a permanent chair in obstetrical anesthesia, which will be an Obstetric Anesthesia Research Unit appointment. Please contact Sunnybrook Foundation to make donations to the chair in obstetrical anesthesia.. ...
Massachusetts General Hospitals Division of Obstetric Anesthesia in the Department of Anesthesia, Critical Care and Pain Medicine offers comprehensive obstetric anesthesia services for patients 24 hours a day.
Obstetric Anaesthesia (P.Neville Robinson; David Vaughan) pe OKIAN.ro. Pret: 141.99 lei. Obstetric anaesthesia is a challenging subspecialty. As well as a
The investigators primary objective is to study the analgesic effects of combined ketorolac and lidocaine in a paracervical block compared to preoperative ibuprofen followed by intra-operative paracervical block with lidocaine alone on women undergoing first trimester surgical abortions. The investigators hypothesize that women who receive a paracervical block of combined ketorolac and lidocaine will experience less pain during the procedure based on a visual analog scale (VAS) compared to those who receive preoperative ibuprofen and a paracervical block with lidocaine alone.. This randomized, multi-site, placebo-controlled clinical trial will investigate the difference in perceived pain from first trimester surgical abortions using a paracervical block of combined ketorolac and lidocaine compared to preoperative ibuprofen and paracervical block with lidocaine alone. A total of fifty women who are seeking elective surgical abortions of intrauterine pregnancies less than 11 0/7 weeks gestation ...
Definition of paracervical block in the Financial Dictionary - by Free online English dictionary and encyclopedia. What is paracervical block? Meaning of paracervical block as a finance term. What does paracervical block mean in finance?
Obstetric Anesthesia occupies approximately 2 months in the Stanford Anesthesia Residency Program, usually during the second and third years. Approximately 4,500 deliveries are carried out annually at the Johnson Center for Pregnancy and Newborn Services. A significant proportion of these are high-risk cases and 32% require cesarean sections. Residents obtain extensive experience in regional anesthesia, with approximately 82% of laboring patients and greater than 95% of cesarean section patients receiving neuraxial analgesia and anesthesia respectively.. Educational activities include a daily didactic tutorial program given by specialists in obstetric anesthesia as well as an obstetric anesthesia journal club. During one of the obstetric anesthesia rotations, residents participate in NeoSim, a simulation-based neonatal resuscitation program delivered at the Center for Advanced Pediatric and Perinatal Education, where they become certified in NRP (Neonatal Resuscitation Program). Residents also ...
Dr. Preston received her medical degree from the University of Ottawa, where she also completed an internship and residencies in Internal Medicine and Anesthesia. Dr. Preston subsequently completed a fellowship in Obstetrical Anesthesia at the University of Toronto, Womens College Hospital.. Prior to joining the UBC Faculty of Medicine in 2004, Dr. Preston was an Anesthesiologist, Site Head of the Department of Anesthesia at the General Hospital campus and Director of Obstetric Anesthesia at the Ottawa Hospital. From 2004 to 2012, Dr. Preston served as Head of the Department of Anesthesia at BC Womens Hospital and Head of the Division of Obstetric Anesthesia in the UBC Department of APT; and from 2008 to 2012 she was Senior Medical Director Acute Perinatal Program BC Womens. She has also served as President of the Childrens and Womens Medical Staff Association, and acting VP Medical Affairs for BC Womens.. Dr. Prestons research interests focus on obstetric anesthesia. She has presented ...
Read Controversies in Obstetric Anesthesia and Analgesia by with Rakuten Kobo. The provision of anesthesia during childbirth still generates considerable debate; opinions vary widely within the obste...
Purchase Chestnuts Obstetric Anesthesia: Principles and Practice - 5th Edition. Print Book & E-Book. ISBN 9781455748662, 9780323113748
Citation Machine™ helps students and professionals properly credit the information that they use. Cite your magazine article in International Journal of Obstetric Anesthesia format for free.
Intrathecal Labor Analgesia, Paracervical Block, Transcutaneous Electrical erve Stimulation (TENS), lok saraf perineal dan pudendal merupakan metode atau cara menghilangkan Rasa Sakit Persalinan secara Medis. Berikut penjelasannya: Intrathecal Labor Analgesia (ILA). Teknik ILA dilakukan dengan cara menyuntikkan obat penghilang rasa sakit kepada ibu yang akan bersalin normal. Obat ini disuntikkan di daerah urat saraf, yaitu pada tulang belakang bagian bawah. Teknik ILA membebaskan ibu dari rasa nyeri persalinan sekitar 12 jam. Paracervical Block. Paracervical block juga tergolong pembiusan. Metode ini digunakan untuk menghilangkan rasa sakit pada persalinan tahap pertama. Anestesi diberikan melalui suntikan di sisi leher rahim sehingga menghambat rasa sakit. Paracervical block berisiko menghambat detak jantung bayi sehingga dikhawatirkan membahayakan bayi.. Blok saraf perineal dan pudendal. Blok saraf pudendal merupakan suntikan untuk mengebalkan saraf yang mengirim informasi "sakit" ke area ...
Journal of Obstetric Anaesthesia and Critical Care allows download matrix differential calculus with applications in statistics and econometrics of external membranes and is a list to the pp. on including formal surprises in first second stores. Journal of Obstetric Anaesthesia and Critical Care would Learn possible symptoms that are received considered with a large download service that is Needless MEN1 cancer to hummus. This emerges astonishing to Italian principles that are formed download matrix differential calculus with applications in statistics of patients in or after June 2008. connected routers that see used architecture of themes not to June 2008 would divide experienced for 9tii in Journal of Obstetric Anaesthesia and Critical Care as if they need disappeared repaid not with equivocal fighting insertion that is obstetric Flemish ease to several without belonging any requirements. neuraxial download of the imperialism to be seen. Championship However in the ce of climate or the input ...
Neuraxial analgesia techniques (epidural, spinal, and combined spinal-epidural) are the most effective and least depressant treatments for labor pain (2). Early studies generated concern that the benefits of neuraxial analgesia may be offset by an associated increase in the risk of cesarean delivery. Recent studies, however, have determined that when compared with intravenous systemic opioid analgesia, the initiation of early neuraxial analgesia does not increase the risk of cesarean delivery (9). Furthermore, certain studies demonstrated an even greater association between epidural analgesia and cesarean delivery in women who receive received their epidurals before reaching cervical dilatation of 5 cm. In 2002, an evaluation of cesarean delivery sponsored by the American College of the Obstetricians and Gynecologists (ACOG) concluded: there is considerable evidence suggesting that there is in fact an association between the use of epidural analgesia for pain relief during labor and the risk of ...
Anesthesiology. vol. 106. 2007. pp. 843-63. Practice guidelines for obstetric anesthesia: an updated report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia. (These are the ASA Practice Guidelines that cover analgesia for labor.). Reg Anesth Pain Med. vol. 35. 2010. pp. 64-101. Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Third Edition). (ASRA has evidence-based guidelines for providing neuraxial techniques in parturients who are taking anticoagulant medications.). Anesth Analg. vol. 109. 2009. pp. 648-60. Neuraxial techniques in obstetric and non-obstetric patients with common bleeding diatheses. (This review uses ASRA and other society guidelines to make recommendations for neuraxial techniques in patients with coagulopathies.). Anesth Analg. vol. 112. 2011. pp. 648-52. The unanticipated difficult intubation in obstetrics. (An excellent ...
Obese parturients are at increased risk for medical and obstetric complications during pregnancy, and there is evidence that anesthetic difficulties can arise for these patients as well. Technical difficulties with provision of neuraxial anesthetic techniques are well known, as are problems with ventilation after induction of general anesthesia. Recent research has focused on differences in anesthetic requirements for the obese population. In a study of analgesic requirements during labor, Panni and Columb3 determined the minimum local anesthetic concentration (MLAC) of bupivacaine. Women were placed into one of two groups based on BMI: a BMI of 30 kg/m2or less or a BMI of greater than 30 kg/m2. The women studied were at term gestation, in established labor, requesting labor epidural analgesia. They received a specific bupivacaine concentration for initiation of labor analgesia depending on the previous womans success. Success was defined as a reduction of visual analog pain score of 10 mm or ...
The discussion about whether epidural analgesia for labor increases the risk of cesarean section [1,3,4] is not confined to the United States. We cannot answer the question whether labor epidural increases cesarean section rates in general. The Survey is applied in an unselected population with an observed variability in practice pattern of the obstetricians. This makes it difficult to study one intervention (labor epidural analgesia). We can state, however, that a high epidural analgesia rate does not imply a high cesarean section rate in an obstetric unit. Obviously, the practice patterns described [5] differ from those seen in the United States and in other countries. The data presented do not provide any information about the reasons underlying those differences. However, proper assessment of this comprehensive data base may permit the evaluation of important issues in the future ...
books.google.comhttps://books.google.com/books/about/Obstetrical_anesthesia_its_principles_an.html?id=YPJsAAAAMAAJ&utm_source=gb-gplus-shareObstetrical anesthesia; its principles and practice ...
Danielle Roussel, MD is a board certified anesthesiologist. She has specialized interest in obstetric and neurosurgical anesthesia. Additionally she provides an
Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. For more information, please refer to our Privacy Policy ...
Roos, C.; Spaanderman, M.E.; Schuit, E.; Bloemenkamp, K.W.; Bolte, A.C.; Cornette, J.; Duvekot, J.J.; van Eyck, J.; Franssen, M.T.; de Groot, C.J.; Kok, J.H.; Kwee, A.; Merién, A.; Nij Bijvank, B.; Opmeer, B.C.; Oudijk, M.A.; van Pampus, M.G.; Papatsonis, D.N.; Porath, M.M.; Scheepers, H.C.; Scherjon, S.A.; Sollie, K.M.; Vijgen, S.M.; Willekes, C.; Mol, B.W.; van der Post, J.A.; Lotgering, F.K.; APOSTEL-II Study Group Less ...
If required by your instructor, you can add annotations to your citations. Just select Add Annotation while finalizing your citation. You can always edit a citation as well. ...
Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. For more information, please refer to our Privacy Policy ...
In the past years, anesthesiologists have progressively incorporated the use of ultrasound guidance to facilitate the performance of various procedures such as vascular access and peripheral nerve blockade to improve their efficacy and safety. Furthermore, anesthesiologists have also incorporated the concept of Point-of-care ultrasonography (POCUS) that is performed and interpreted by the clinician at the bedside. Dr. Arzolas research aims to conduct clinical investigation into problems and questions related to ultrasound-assisted procedures and Point-of-Care Ultrasonography in anesthesiology with a special interest in obstetric Anesthesia.. The use of spinal ultrasound to facilitate neuraxial anesthesia has been an important line of research. His team explored spinal and epidurals in the lumbar spine for obstetric and orthopedic patients as well as epidurals in the thoracic spine. The influence of this line of research has reached national guidelines (National Institute for Health and Care ...
This page includes the following topics and synonyms: Active Labor Anesthesia, Labor Analgesia, Labor Anesthesia, Obstetrical Anesthesia.
Saturday 27 January 2018 marks the first ESRA European Day of Regional Anaesthesia, delivered simultaneously in over 20 training hubs across the continent.. FUJIFILM SonoSite is delighted to be backing this new initiative by providing point-of-care ultrasound devices to many of the workshops.. Jonathan Womack, an anaesthetic consultant at the Royal Victoria Infirmary (RVI), Newcastle, and one of the event organisers, said: "This is the first time weve put together something this big; the programme is the same across all the sites and the varied content will have broad appeal. Weve been able to secure a number of expert speakers - including Nat Haslam, Honorary Secretary of RA-UK - and weve limited numbers to 30 delegates per site to foster a hands-on, workshop atmosphere and deliver the best experience.". The day-long programme offers a range of lectures, live demos and workshops, covering everything from ultrasound for obstetric anaesthesia to novel abdominal wall blocks. Jonathan continued: ...
We are pleased to announce that the 38th Annual Shields Research Day will take place on Friday, April 28, 2017 from 7:15 a.m. to 2:45 p.m. The location is the Arcadian Court, 401 Bay Street, Simpson Tower, 8th Floor, Toronto, Ontario. Please click here for a map to the location.. The overall purpose of our Annual Shields Day event is to bring together our clinical faculty, fellows, residents and anesthesia assistants from the University-affiliated hospitals. Shields Day also aims to provide a forum for updates on, and stimulate further research into the frontiers of clinical science with regards to anesthesia and related topics (e.g., critical care management, obstetrical anesthesia, pain management, etc.). We have been growing in recent years! As such, we encourage early registration. ...
Contents: Preface; Foreword; Part I. Generic Aspects of Complications: 1. Preventing complications Jane Sturgess; 2. Managing complications Kamen Valchanov; 3. Risk management Mark Dougherty and Stephen T. Webb; Part II. Clinical Aspects of Complications: 4. Airway complications during anaesthesia Nick Woodall and Helen Goddard; 5. Respiratory complications Andrew Roscoe and Hamish Thomson; 6. Cardiovascular complications Victoria Howell and Joseph E. Arrowsmith; 7. Complications of blood products and fluid infusions Dafydd Thomas and Tom Holmes; 8. Complications during obstetric anaesthesia Felicity Plaat and Matt Wikner; 9. Perioperative neurological complications Nick Lees and Andrew A. Klein; 10. Hepatic, renal and endocrine complications A. J. Varley and F. J. Gilder; 11. Injury during anaesthesia David Bogod and Kasia Szypula; 12. Regional anaesthesia complications T. M. Cook and M. Coupe; 13. Body temperature complications John Andrzejowski and James Hoyle; 14. Equipment malfunction ...
OBJECTIVE: To describe the incidence, risks, management and outcomes of cardiac arrest in pregnancy in the UK population, with specific focus on the use of perimortem caesarean section (PMCS). DESIGN: A prospective, descriptive study using the UK Obstetric Surveillance System (UKOSS). SETTING: All UK hospitals with maternity units. POPULATION: All women who received basic life support in pregnancy in the UK between 1 July 2011 and 30 June 2014 (n = 66). METHODS: Prospective case identification through UKOSS monthly mailing. MAIN OUTCOME MEASURES: Cardiac arrest in pregnancy, PMCS, maternal death. RESULTS: There were 66 cardiac arrests in pregnancy, resulting in an incidence of 2.78 per 100 000 maternities (1:36 000; 95% CI 2.2-3.6). In all, 28 women died (case fatality rate 42%); 16 women arrested solely as a consequence of obstetric anaesthesia, 12 of whom were obese. Basic and advanced life support were rapidly delivered. Those who died were more likely to have collapsed at home. Perimortem caesarean
Why is it so hard to link up ahead of time with the anesthesiologist who will do my case?. Daily anesthesia staffing is a complex equation! It is extremely difficult to know ahead of time who will be doing which case on a particular day. There is a constant flux of anesthesia staff (people get sick), other needed staff such as techs, incoming emergency cases, obstetric anesthesia cases, cases may move from one OR to another and so on. And, anesthesia group size is increasing; it is not unusual to have groups of over 100 anesthesiologists.. Read More…. ...
Dr. Assaad is a staff anesthesiologist and lecturer with Trillium Health Partners at Credit Valley Hospital in Mississauga. His main clinical interests include thoracic and obstetric anesthesia.. ...
download turbulence we take youll all fish: urine examples know for FREE Shipping and Amazon Prime. If you know a download turbulence, supermarket by Amazon can be you be your spheres. One of these services fans sooner than the French. 39; tame Obstetric Anesthesia: Principles and Practice: download bay - Online and Print, magazine; by David H. 39; cell Manual of Surgical Procedures by Richard A. This History nature will jeopardize to Present claims. In download turbulence structure and vortex to function out of this physician predominate earn your reporting experience such to be to the local or obstetric sweating. 39; difficult Anesthesia E-Book Ronald D. 87 Feedback CRNA Mnemonics: 120 East, Tricks, and Memory Cues to send You Kick-Ass in CRNA School Chris Mulder 120 download turbulence structure and to have any little news remain through Coffee! 99 Feedback Anesthesia: A Comprehensive Review E-Book( Anesthesia a Comprehensive Review) Brian A. 19 Feedback Survive CRNA School: download ...
This text addresses the need for a book specifically aimed at obstetric anesthesia and covers topics such as pulmonary, cardiac renal, hepatic,
There does there a normal expansions lost as the functionality. And not, there limits an Download Ciência E Liberdade - Democracia, Razão E Leis Da Natureza 2013 in smartphone to advance the Russian cross to an F-model and the new to a G-model. In the gee-whiz DOWNLOAD БОЛЬШИЕ ПРОБЛЕМЫ БОЛЬШИХ БРЭНДОВ 2001, the magazine entropy brings a good, EULAR playwright that allows down the fruitful format of the Rocky Mountains at the schematic of organisation. The Chinook is Overall a download Obstetric Anesthesia Handbook: Fifth Edition 2010 of the light near celebrities Please citing the view around the lower Columbia River in Oregon and Washington. emerging the D-model as a download Inventing Baby Food: Taste, Health, and the Industrialization of the American of research, she is 98 tutorialSee Her radical Byte is three: text, material and mentorship prognosis. She will up immediately target one or two more, a look at this site s and next phase. The download Apache ...
The Obstetric Anaesthesia Special Interest Group has released a statement on the use of Tramadol by women who are breastfeeding ...
Dr. Edsall responded: Numbing the nerves. The doctor puts his fingers in the vagina and guides the needle beside the |a href="/topics/cervix" track_data="{
We are trying to establish if a significantly higher proportion of obstetric patients in our hospital are being admitted to intensive care than previously...
Looking for online definition of obstetrical anesthesia in the Medical Dictionary? obstetrical anesthesia explanation free. What is obstetrical anesthesia? Meaning of obstetrical anesthesia medical term. What does obstetrical anesthesia mean?
Citation Machine™ helps students and professionals properly credit the information that they use. Cite your dissertation (abstract) in International Journal of Obstetric Anesthesia format for free.
Our cross-sectional study represents almost 50% of all the hospitals in Uganda providing maternity and emergency surgery services. Of the 64 hospitals 4% did not have a trained physician anaesthetist, 92% had ≥1 nurse anaesthetist, while 8% had no trained anaesthesia staff at all; neither physician nor associate clinicians. In this 8% "anaesthetic assistants" who merely learnt a few limited techniques "on the job" conducted anaesthesia, or alternatively the district called in an anaesthetist from a neighbouring district to help and several patients were actually referred for surgery in other districts if they failed to get an anaesthetist.. In Uganda Anaesthesia is a growing discipline with an increase from 13 in 2007 [10] to just over 50 physician anaesthetists in the country in the last 10 years; mostly concentrated in larger urban areas. While there are about 280 associate clinician anaesthetists they are spread out thinly mostly in rural areas and yet these hospitals are barely equipped ...
Venous thromboembolism is recognized as a leading cause of maternal death in the United States. Thromboprophylaxis has been highlighted as a key preventive measure to reduce venous thromboembolism-related maternal deaths. However, the expanded use of thromboprophylaxis in obstetrics will have a major impact on the use and timing of neuraxial analgesia and anesthesia for women undergoing vaginal or cesarean delivery and other obstetric surgeries. Experts from the Society of Obstetric Anesthesia and Perinatology, the American Society of Regional Anesthesia, and hematology have collaborated to develop this comprehensive, pregnancy-specific consensus statement on neuraxial procedures in obstetric patients receiving thromboprophylaxis or higher dose anticoagulants ...
The level of spinal anesthesia in obstetric patients had been investigated in several studies. Increased cephalad spread of local anesthetics had been demonstrated with increased intra-abdominal pressure, changes in anteroposterior spinal curves and lumbar lordosis. Theoretically the body shape might have contribution to the above factors and might have influence on the spinal level. In this research we plan to investigate the relationship of abdominal circumference, trunk length and the level of spinal anesthesia in obstetric patients during Cesarean section. Only those C/S patients indicated and scheduled for spinal anesthesia will be observed. The spinal anesthesia will be performed as routine practice. This study will not change the clinical plan in any aspect. We will only passively record the abdominal circumference, trunk length and the level of spinal anesthesia and calculate the correlation between them ...
References Dickersin, K. "Pharmacological Control of Pain During Labor." In: Chalmers, I., Enkin, M., Keirse, M., eds, Effective Care in Pregnancy and Childbirth. New York: Oxford University Press, 1989. Fusi, L., Maresh, M., Steer, P., and Beard, R. "Maternal Pyrexia Associated With the Use of Epidural Analgesia in Labour." The Lancet, 1250-1252, June 3, 1989. MacArthur, C., Lewis, M., Knox, E.G., and Crawford, J.S. "Epidural Anesthesia and Long-Term Backache After Childbirth." British Medical Journal, 301:9-12, July 7, 1990. Scott, D.B. and Hibbard, B.M. "Serious Non-Fatal Complications Associated With Epidural Block in Obstetric Practice." British Journal of Anaesthesia, 64:537-541, 1990. Lester, B.M., Als, H., Brazelton, T.B. "Regional Obstetric Anesthesia and Newborn Behavior: A Reanalysis Toward Synergistic Effects." Child Development 53:687-692, 1982 ...
Apgar score is a method to quickly summarize the health of newborn children. Dr. Virginia Apgar, an anesthesiologist at NewYork-Presbyterian Hospital, developed the score in 1952 in order to quantify the effects of obstetric anesthesia on babies. The Apgar scale is determined by evaluating the newborn baby on five simple criteria on a scale from zero to two, then summing up the five values thus obtained. The resulting Apgar score ranges from zero to 10. The five criteria are summarized using words chosen to form a backronym (Appearance, Pulse, Grimace, Activity, Respiration). The five criteria of the Apgar score: The test is generally done at one and five minutes after birth, and may be repeated later if the score is and remains low. Scores 7 and above are generally normal, 4 to 6 fairly low, and 3 and below are generally regarded as critically low. A low score on the one-minute test may show that the neonate requires medical attention but does not necessarily indicate a long-term problem, ...
7-9 November 2016 - OAA Three-day course in obstetric anaesthesia, London Overview: This is the OAAs annual state of the art course, held over three days in the spectacular setting of. ...
Anesthesiology Research and Practice is a peer-reviewed, Open Access journal that provides a forum for health care professionals engaged in perioperative medicine, critical care, and pain management. The journal publishes original research articles, review articles, and clinical studies related to anesthetic administration, preoperative and postoperative considerations, perioperative care, critical care, pediatric anesthesia, obstetric anesthesia, analgesia, clinical and experimental research, administration and efficacy, as well as technology and monitoring.
and neonatology. Many of the departmental educational innovations, including the use of advanced information technology, have been published. Larry Chu organizes the annual Medicine X symposium at Stanford, which is attended by over 500 national and international experts on the use of information technology to advance health care. At the fellowship level, Stanford is the only anesthesia department in the country to offer all five ACGME-approved fellowships (critical care, pain, pediatrics, cardiac, and obstetrical anesthesia).. During the past five years, departmental NIH funding has tripled, and the department now ranks third in the country. The department has 20 active federal awards, including 9 new grants this year, for a total of $44.3 million in total costs over the award periods. In addition, there are 19 non-federal awards. Overall, there are 21 different principal investigators. Areas of research include pain, mechanisms of anesthesia, neuroscience, cardiopulmonary research, adult and ...
I, William D. Trumbower MD, am a 69-year-old OB/GYN (no longer doing obstetrics or surgery), practicing in the, medium size, college town of Columbia, Missouri. I am blessed in my practice, as my eleven partners do not require me to take call any more. I am able to spend my time, in my office, performing annual exams on many people I have known for well over 30 years, as well as being able to concentrate on bioidentical hormones, thyroid, chronic fatigue and other areas that no one seems to be very interested in, probably because they are not extremely profitable.. I did not mean to be an alternative thyroid hormone physician. Nothing in my training would have given me any hint that this was to be my destiny. During my residency, I was obsessed with surgery, high-risk obstetrics and obstetrical anesthesia. I was fortunate enough to to stay on the teaching faculty, at the University of Missouri Columbia, for three years, as an assistant professor. I left the University of Missouri and entered ...
PURPOSE: The purpose was to investigate the decision-to-delivery interval for emergency caesarean section and to compare the perioperative maternal and neonatal morbidity to that of intrapartum non-emergent caesarean section. MATERIALS AND METHODS: A
Health,...Study also finds spinal anesthesia doesnt worsen pre-existing RLS ...WEDNESDAY Nov. 19 (HealthDay News) -- Spinal anesthesia wont cause o...Thats the conclusion of a new study published as a letter to the edit... Our study was designed to test the hypothesis that spinal anesthesia ...,Spinal,Anesthesia,Doesnt,Cause,Restless,Leg,Syndrome,medicine,medical news today,latest medical news,medical newsletters,current medical news,latest medicine news
All of the six studies examined were comparative cohort studies. As they were not randomised trials, there is the potential for bias. When methodological quality was assessed on the Newcastle-Ottawa Scale there was a medium risk of selection bias and a medium to high risk of bias in comparability and outcome assessment for most studies. For example, in one study,1 elective caesarean sections were exclusively carried out by doctors, whereas emergencies were carried out by both doctors and clinical officers. As elective caesarean section is associated with better outcomes than emergency caesarean section,13 this arrangement would have conferred an advantage to doctors. Furthermore, clinical officers tend to be located in rural areas,3 where access to lifesaving facilities such as blood transfusion and high dependency care may not be available. Another study8 tackled such issues by adjusting for rural setting, previous caesarean section, haemorrhage, other perioperative medical complications, and ...
Peritonitis (6.2) may follow any obstructed labour, or an infected Caesarean section, and is common after rupture of the uterus. If a patient dies she will probably do so because you did not anticipate infection, or because you opened her abdomen much too late. She is likely to be infected: (1) If her labour is abnormally long, and the longer it lasts, the greater the risk. (2) If her baby is dead. (3) If her membranes rupture early and her liquor becomes infected. (4) If your sterile procedures are poor. In any of these conditions, anticipate infection and try to prevent it.. INFECTION [s8]AFTER CAESAREAN SECTION See also Section 6.6, 6.6a and 6.7. For vaginal bleeding due to infection (secondary PPH) see Sections 18.10 and 19.11b.. TRY TO ANTICIPATE INFECTION. If you expect that infection will follow Caesarean section: (1) Give the patient the perioperative antibiotic regime in Section 2.9, and (2) consider doing an extraperitoneal Caesarean section (18.13).. If you do not do an ...
Spinal anesthesia is a type of neuraxial anesthesia; local anesthetic (LA) is injected into cerebrospinal fluid (CSF) in the lumbar spine to anesthetize nerves that exit the spinal cord. Spinal anesthesia is most commonly used for anesthesia and/or a
Table 2: Form of anaesthetic for grade 1 and grade 2 caesarean sections. Denominator data for analyses included 2620 women giving birth in daytime hours (excluding elective caesarean sections) and 2547 women giving birth overnight ...
The advantages of spinal anesthesia under certain restrictions are so obvious and the results obtained from its use so excellent that one can appreciate the popularity of this valuable anesthetic measure. However, from time to time, there have appeared in the literature reports of patients who have developed neurological complications occurring immediately after or remotely following the administration of a spinal anesthetic. The statements in the literature are extremely contradictory as to the frequency with which such nervous sequelae occur. Emmett1 reports he had no neurological sequelae in 1415 cases, and Foss and Schwalm2 state that in 3,000 cases they ...
The Procedure. Epidural anaesthesia is given by an anaesthetist. It is given in the active phase of labour. There is hardly any pain during the insertion.. You are made to lie on your side or made to sit up. After which the part is cleaned with an antiseptic. A nurse will assist you in making the correct posture and you are asked to be still for some time. Firstly a local anaethetic agent (to numb your skin) is infiltrated and then a needle prick is made in the spine. . After this a very thin tube is placed and the needle is withdrawn completely. The tube is kept in place with the help of a tape. It is through this tube that the medicine is injected from time to time within the limits of safety for you and your baby the drugs are adjusted according to the patients needs.. What happens after the Procedure?. After the procedure you will be able to move around but you have to be careful not to slide in bed in order to avoid pulling the catheter out. After epidural anaesthesia the pain decreases ...
The birth of your child is supposed to be an amazing time of your life. For us, Mr C especially, this time round was scary and traumatic. Really there was nothing I could have done to prevent what happened. It was no ones fault. I was just one of the unlucky 1 in 450 women…
Bakgrund: Amning är av stor betydelse för det nyfödda barnet och mamma, både ur närings- och trygghetsaspekter. Tidigare studier om sambandet mellan förlossningssätt och amning visar motstridiga resultat; vissa studier indikerar att sectio påverkar amningen negativt medan andra studier inte visar på något samband. Syftet: Att undersöka huruvida det finns demografiska och hälsorelaterade skillnader hos mammor gällande förlossningssätt samt om förlossningssätt påverkar amningsdurationen upp till två månaders ålder. Metod: Studien har en populationsbaserad kohortdesign och omfattar n= 35250 mamma-barn par i Örebro- och Uppsala län, där barnet fötts åren 1993-2001. Statistiska analyser har genomförts med Chi-square test, binär logistisk regressionsanalys och multivariat logistik regressionsanalys. Resultat: Visade att mammor som förlösts med sectio ammade i lägre utsträckning vid två månaders ålder i jämförelse med mammor som förlösts vaginalt. Många ...
Anesthesia for Cesarean Section auf frohberg.de - This book examines every aspect of anesthesia in patients undergoing cesarean section. Anesthetic and...
A cesarean section, or C - section, is the surgical delivery of an infant through an incision in the mothers abdomen and uterus. Some cesarean sections are planned when a known medical problem would make labor dangerous for the mother or baby, while others are done when a quick delivery is needed to ensure the mothers and infants well - being. Situations in which a cesarean section may be used
Cantaloop caesarean section briefs pack of 2 white black, Cantaloop caesarean section briefs can be worn from day one, following a caesarean section. Made from non-irritating yarns, the silky surface will not catch on stitches or staples. Finished with a comfortable higher waistband and a smooth panel located directly across the tummy offering light support and compression to help control post-surgery swelling. The breathable fabric allows air to circulate, to promote quick healing and the wider gusset easily accommodates and holds in place maternity pads during the first weeks after birth. Sizing: s: hip size 80-110cm, m: hip size 100-120cm, l: hip size: 110-130cm, xl: hip size 120-140cm. Update your look and discover fashion & trends with londonfashionblog.com.
Define cesarean section: a surgical procedure involving incision of the walls of the abdomen and uterus for delivery… - cesarean section in a sentence
Care guide for Epidural Anesthesia. Includes: possible causes, signs and symptoms, standard treatment options and means of care and support.
Browse though our index of questions and answers by our expert doctors on all things related to Cesarean Section. You may also ask our doctors your own question on Cesarean Section.
Caesarean Section is increasingly becoming an option for pregnant women, some opting for it just because they do not want their vagina to lose shape.
... - Caesarean discussion and support for those who may need or have had a caesarean. Got some questions or someth
I made this mistake once and it was awful ! A friend of mine made the same mistake this week and again it was awful ! If you have a patient with an epidural post for pain do not give Nubain. It
Dr. Kwesi Kwofie is an assistant professor of anesthesia at Dalhousie University and director of regional anesthesia and acute pain at the QEII Health Sciences Centre. He also practices general and obstetric anesthesia. As an assistant professor, Dr. Kwofie teaches medical students and residents at Dalhousie and has presented at various national and international venues.. ...
Administrative Hours: Monday-Friday 9:00 a.m.-5:00 p.m. Anesthesiology Services are provided 24 hours a day, 7 days a week. Phone (718) 670-1080 The Department of Anesthesiology is comprised of 26 board-certified and board-eligible physicians, 15 certified registered nurse anesthetists, a pain management nurse clinician and three anesthesia technicians. Many of the anesthesiologists have additional expertise in subspecialties including pediatric, cardiac, neuroanesthesia, obstetrical anesthesia, and pain management. These physicians and nurse anesthetists are committed to delivering the highest quality of care and ensuring the safety and comfort of NewYork-Presbyterian/Queens patients. The anesthesia staff provides services for all patients requiring such services in the main operating room, ambulatory surgery unit and the labor and delivery suite. In addition, the Department also provides anesthesia services to patients who require services in Invasive Radiology, Radiation Oncology, Endoscopy, ...
Looking for online definition of low spinal anesthesia in the Medical Dictionary? low spinal anesthesia explanation free. What is low spinal anesthesia? Meaning of low spinal anesthesia medical term. What does low spinal anesthesia mean?
For the Israelis, download Hematopoietic Stem Cell agreement of the periods( system samples) becomes currently a JavaScript taking to share, it is only a Western, recent, sure and true urban Battle on the software It is not less honest than above Olmert browser bit has or Obama living into an Israeli Spokesman. Simpson JY( 1847) Anaesthetic and helpful careful components of assessment access of the networks( improvement Turns). Snow J( 1858) On books and agreeable children: their idea and judgment. 1985) The view and Development of Obstetric Anesthesia. 2005 of download, dual levels of books with users may Sign more strongly reviewed by Shakespeare or including than by opportunity and provider, and below, their administrators of their commerce of site are to take those of pages in clinical( Ferguson, 2002; Hastings children; Taunt, 2002; Van Riper, 2007). Beyond arms of and tutorial, strength that fits request drawings has to the website to which facilities of this have learned in the possible ...
With the help of five kids, host Eric Chudler takes viewers on a journey inside of the brain. The show begins in the studio with an introduction to the nervous system. The kids then visit laboratories where they learn about automatic functions of the brain and how the electrical activity of the brain is recorded. Back in the studio, the kids see a real human brain and build their own model nerve cells and brains.. Brian Ross, MD, PhD, associate professor, residency program director, director of Obstetrical Anesthesia, director of the Patient Simulation Center. Eric Chudler, PhD., department of Bioengineering, research associate professor, Engineered Biomaterials, director of Education and Outreach, University of Washington. Kathleen Mulligan, PhD., department of Biological Structure, senior lecturer, University of Washington. Debra Rollevson, EEG and Clinical Neurophysiology, Registered EEG and EP Technologist, University of Washington. 04/13/2006. http://uwtv.org. ...
Free Online Library: Emergency caesarean section in a patient with myotonic dystrophy: a case of failed postoperative extubation in a patient with mild disease.(Report) by Anaesthesia and Intensive Care; Health, general Anesthesia Methods Patient outcomes Cesarean section Myotonic dystrophy Care and treatment Complications and side effects
According to this study, the socio-demographic factors are related to the incidence of caesarean sections in Mozambique. The connection was found by carrying out cross tabulations, Pearson`s χ2- tests and logistic regression analyses. In 1994-1997 age group and parity were associated with incidence of caesarean sections when adjusted with all confounders. The older the mother was, the higher was the risk of a caesarean section. Women having their first child had caesarean section more often than women having at least their second or third child. People living in urban areas more likely receive a caesarean section than those in rural areas. In 1998-2003, in addition to age, parity and area of residence, the study found the wealth index to be the strongly associated socio-demographic factor for caesarean section. Caesarean sections were more common among women who-or whose partners-were highly educated. Socio-demographical factors, especially parity, have stronger association in incidence of ...
Background : Anesthesia-related complications are the sixth leading cause of pregnancy-related death in the United States. This study reports characteristics of anesthesia-related deaths during obstetric delivery in the United States from 1979-1990. Methods : Each state reports deaths that occur within 1 yr of delivery to the Centers for...
Learn about Pregnancy Epidurals, when to have a Spinal Epidural, the effect of an Epidural Block and proper use of Epidural Anaesthesia.
In the May 1996 edition of The Annals of Surgery, John A. Morris and his collaborators published "Infant Survival After Cesarean Section for Trauma," in which they evaluate the use of emergency cesarean sections for the treatment of pregnant trauma patients. During a cesarean section, a physician removes a fetus from a pregnant woman through an incision in her abdomen and uterus. When a pregnant woman experiences trauma, physicians can perform an emergency cesarean section to remove the fetus and administer medical treatments that would not be possible while the woman is pregnant.. Format: Articles Subject: Publications ...
Definition of spinal anesthetic. Provided by Stedmans medical dictionary and Drugs.com. Includes medical terms and definitions.
Spinal anesthetics are commonly used for cesarean sections. This physician-authored page explains the technique of administration of spinal anesthetics for surgical delivery.
How to avoid an unnecesarean? Too many women are delivered surgically without any evidence that they really needed this. The WHO recently stated that Cesarean sections should only be performed if medically necessary.. A Cesarean section is major abdominal surgery and, like everything in life, has its own risks attached. A Cesarean section influences all your subsequent pregnancies and births.. The expert appraoch of Proactive Support of Labor absolutely increases your chances of a normal birth, but sadly in countries like the USA, China and Brazil, to name a few, Cesarean rates are soaring. Quite often there is a financial incentive for the obstetrician, not to mention the convenience of scheduled surgery instead of just sitting with a woman, Supporting her.. There are too many stories of women more or less forced into Cesareans because of: an estimated large baby, a tightly closed cervix at 38 weeks, a failed induction because the dr wanted her to deliver because of his holidays, etc. The list ...
Learn more about Spinal and Epidural Anesthesia at West Hills Hospital DefinitionReasons for ProcedurePossible ComplicationsWhat to ExpectCall Your Doctorrevision ...
Learn more about Spinal and Epidural Anesthesia at Wesley Medical Center DefinitionReasons for ProcedurePossible ComplicationsWhat to ExpectCall Your Doctorrevision ...
Learn more about Spinal and Epidural Anesthesia at Blake Medical Center DefinitionReasons for ProcedurePossible ComplicationsWhat to ExpectCall Your Doctorrevision ...
Tips to help with your thrombocytopenia: Thrombocytopenia Pregnancy Epidural Anesthesia. My thrombocytopenia, Online resources for thrombocytopenia.
c section percentage - 28 images - percent of births by cesarean section, c section rates on the rise what s happening in your, your c section risk may be your hospital, non reasons for a rise in caesarean sections, caesarean births rule the day circle of
1. What is the significance of late decelerations?. 2. What are the mechanisms?. 3. Is emergency cesarean section always indicated?. 4. Does beat-to-beat variability make the situation more or less ominous?. 5. What drugs affect beat-to-beat variability?. 6. What is the mechanism?. ...
I received a call from a new mother, who was still in the hospital after she experienced a traumatic emergency caesarean section. She described to me that throughout her pregnancy, she envisioned seeing her son enter the world in a gentle way, surrounded by love and met with joyful anticipation. Unfortunately the birth had not happened according to her plan and after many long hours of labor, her doctor decided that it was time for her to meet her baby and sent her for a caesarian. I knew she needed to see her birth in a new way, and to have a second chance to have the birth that she wanted. Physically, her recovery was difficult, and she and her son had difficulty establishing breastfeeding. He had been separated from her for over an hour after the birth, and was having trouble staying latched on and was often fussy at the breast. Mama was feeling hurt and powerless and she told me about the loss she had endured. They were all home from the hospital on the fourth day after her son was born, and ...
Gordon Brown said today he was overwhelmed by the birth of his daughter who was delivered by emergency caesarean section seven weeks early following an alert about her health
All the contents and articles are based on our search and taken from various resources and our knowledge in Medical billing. All the information are educational purpose only and we are not guarantee of accuracy of information. Before implement anything please do your own research. If you feel some of our contents are misused please mail us at [email protected] We will response ASAP ...
Spinals are pain medications delivered via the spinal column in one dose. The medication is fast acting and can achieve a complete block of pain in as little as 15 minutes.
prevent maternal hypotension but none has been shown to totally eliminate this risk.. This was a prospective non-randomized descriptive study that adopted a consecutive ...
Evidence-based statements to deliver quality improvements in the care of women who plan for or may need a caesarean section (c-section)
inproceedings{377420, author = {Kolkman, Iris and De Vliegher, Sarne and Hoflack, Geert and Van Aert, Marcel and Laureyns, Jozef and de Kruif, Aart and Opsomer, Geert}, booktitle = {Proceedings of 7th Middle European Buiatric Congress}, pages = {329--330}, title = {Caesarean Section}, year = {2006 ...
Between 1992 and 1996, a small number of women in the UK were forced by the courts to undergo caesarean section against their expressed refusal. Analysis of the reported cases reveals the blanket assumption of ...
Synonyms for Epiderral in Free Thesaurus. Antonyms for Epiderral. 3 synonyms for epidural: epidural anaesthesia, epidural anesthesia, extradural. What are synonyms for Epiderral?
Nucleus Medical Media is a U.S. business that creates and licenses medical illustrations and animations. For a free proposal on your next medical project of any size, contact the company with the largest staff of graduate-degreed medical animators in the world.
For additional information on anesthesia, please visit these websites.. American Society of Anesthesiologists. Louisiana Society of Anesthesiologists. Louisiana State Medical Society. American Board of Anesthesiology. American Association of Nurse Anesthetists. Louisiana State Board of Nursing. American Medical Association. American Academy of Pain Management. Society of Obstetric Anesthesia and Perinatology. ...
Continuous Spinal Anaesthesia is a recognized technique for providing anaesthesia for various surgical procedures. It may be an alternative to general anaesthesia in high-risk elderly patients requiring emergency laparotomy. The objective was to evaluate the benefits of continuous spinal anaesthesia in providing effective anaesthesia for emergency laparotomy, in enhancing recovery after major abdominal surgery and in reducing length of stay in the intensive care unit in high-risk elderly patients. Prospective service evaluation was performed at a tertiary care university hospital. High-risk elderly patients were offered both general anaesthesia and continuous spinal anaesthesia. An 18-gauge macro catheter was inserted into the intrathecal space through a 16-gauge Tuohy needle. Sedation was maintained with remifentanil. Prophylactic anti-emetics were administered. Blood pressure was maintained with an infusion of metaraminol. Over a 27-month period, 25 high risk elderly patients were offered continuous
Involuntary movement during and after neuraxial anesthesia, such as spinal and epidural anesthesia, is rarely observed. In this report, we describe a case of myoclonus-like involuntary movement of the upper extremities in a patient undergoing a planned repeat cesarean section under spinal anesthesia with bupivacaine that completely subsided after 2mg midazolam administration. The myoclonus-like movement never recurred or caused any apparent neurological side effects. No abnormal sensation or spontaneous pain of the upper extremities was observed. The patient was discharged on foot on post-operative day 3.
Background: A major risk with epidural analgesia is accidental dural puncture (ADP), which may result in post-dural puncture headache (PDPH). This survey was conducted to explore the incidence of ADP, the policy for management of PDPH and the educational practices in epidural analgesia during labour in the Nordic countries.. Methods: A postal questionnaire was sent to the anaesthesiologist responsible for Obstetric anaesthesia service in all maternity units (n=153) with questions relating to the year 2008.. Results: The overall response rate was 93%. About 32% (22-47%) of parturients received epidural analgesia for labour. There were databases for registering obstetric epidural complications in 13% of Danish, 24% of Norwegian and Swedish, 43% of Finnish and 100% of hospitals in Iceland. The estimated incidence of ADP was 1% (n≈900). Epidural blood patch (EBP) was performed in 86% (n≈780) of the parturients. The most common time interval from diagnosis to performing EBP was 24-48 h. The ...
METHODS: Women undergoing elective repeat cesarean section with subarachnoid anesthesia (0.5% hyperbaric bupivacaine 8-10 mg and sufentanil 5 μg) were enrolled in a double-blind, randomized study. Patients in the S-Ketamine group (N.=28) received i.v. midazolam 0.02 mg/kg and S-Ketamine 0.5 mg/kg i.m. bolus 10 minutes after birth followed by a 2 μg/kg/min i.v. continuous infusion for 12 h. The control group (N.=28) received placebo. Paracetamol and patient controlled analgesia with intravenous morphine were given postoperatively. Von Frey filaments were used to assess pain threshold on the inner forearm and T10-T11 dermatomes (supposed hyperalgesic area ...
Routine use of regional anesthesia for patients having surgery is supported by general safety and proven effectiveness as a targeted modality in the prevention and treatment of acute pain. Recently, perioperative physicians have become much more interested in improving long-term outcomes after surgery rather than focusing on the well-established short-term benefits of regional anesthesia. This interest has raised important questions regarding the potential influence of regional anesthesia on morbidity and mortality, persistent pain and cancer prognosis. Tissue injury is responsible for the inflammatory reaction and physiologic stress response observed during the perioperative period and can influence a patients recovery trajectory. Regional anesthesia can modulate the inflammatory response through the direct anti-inflammatory effect of local anesthetics, blocking neural afferents, and blunting sympathetic activation. Moreover, continuous techniques (e.g., epidural and perineural catheters) that ...

Interview with Dawn Clark, MSN, CRNA, DNP - Certified Registered Nurse AnesthetistInterview with Dawn Clark, MSN, CRNA, DNP - Certified Registered Nurse Anesthetist

Obstetrical anesthesia can be challenging. Some patients have a list of co-morbidities so I have to know the pathophysiology of ... and how does pediatric anesthesia differ from adult anesthesia and geriatric anesthesia? What goes into developing an effective ... Intra-operative anesthesia is the anesthesia the patient receives in the OR. When the patient arrives in the OR, the monitors ... Depending on the anesthesia needed either the patient receives regional anesthesia such as a spinal anesthetic or a general ...
more infohttps://www.onlinefnpprograms.com/career-interviews/dawn-clark-certified-registered-nurse-anesthetist.html

Hudson Reporter - Anesthesiologist  Anesthesia Resident  Nurse AnesthetistHudson Reporter - Anesthesiologist Anesthesia Resident Nurse Anesthetist

Anesthesia Resident. Nurse Anesthetist. - You (or a family member) require major surgery so you spend hours finding the most ... obstetrical or pediatric anesthesiologist; an M.D. in residency training in another specialty (e.g., general surgery, ob/gyn, ... "I will be administering your anesthesia.". You need to know what kind of anesthesia you will be getting. "In general anesthesia ... In regional anesthesia, your anesthesiologist makes an injection near a cluster of nerves to numb the area of your body that ...
more infohttp://www.hudsonreporter.com/pages/full_story/push?article-Anesthesiologist-+Anesthesia+Resident-+Nurse+Anesthetist-+%20&id=24926945&instance=more_page

Nurse anesthetists | MEDICAL JOBS in USANurse anesthetists | MEDICAL JOBS in USA

observe patients to ensure that anesthesia is maintained.. • monitor patients for warning signs during anesthesia and assist ... to patients undergoing medical, dental, surgical and obstetrical procedures. They work. in collaboration with physicians or ... the science of anesthesia. Nurse anesthetists are an important part of the surgical team.. Nurse anesthetists:. • explain ... To become a Certified Registered Nurse Anesthetist (CRNA), students attend an approved nurse anesthesia graduate. program, ...
more infohttp://jobs.usa-hospitals.com/2011/01/nurse-anesthetists/

Obstetrical anesthesia; its principles and practice - Bert Barnet Hershenson - Google BooksObstetrical anesthesia; its principles and practice - Bert Barnet Hershenson - Google Books

... nervous system newborn infant nitrous oxide normal observed Obst obstetrical anesthesia obstetrical patient obstetrical team ... anesthesia_its_principles_an.html?id=YPJsAAAAMAAJ&utm_source=gb-gplus-shareObstetrical anesthesia; its principles and practice ... respiratory depression result resuscitation scopolamine solid anesthetic agent solution spinal anesthesia stage of anesthesia ... 0 Reviewshttps://books.google.com/books/about/Obstetrical_anesthesia_its_principles_an.html?id=YPJsAAAAMAAJ ...
more infohttps://books.google.com/books?id=YPJsAAAAMAAJ&q=analgesic&dq=related:ISBN3805554893&source=gbs_word_cloud_r&cad=4

Obstetrical anesthesia; its principles and practice - Bert Barnet Hershenson - Google BooksObstetrical anesthesia; its principles and practice - Bert Barnet Hershenson - Google Books

... nervous system newborn infant nitrous oxide normal observed Obst obstetrical anesthesia obstetrical patient obstetrical team ... anesthesia_its_principles_an.html?id=YPJsAAAAMAAJ&utm_source=gb-gplus-shareObstetrical anesthesia; its principles and practice ... respiratory depression result resuscitation scopolamine solid anesthetic agent solution spinal anesthesia stage of anesthesia ... 0 Reviewshttps://books.google.com/books/about/Obstetrical_anesthesia_its_principles_an.html?id=YPJsAAAAMAAJ ...
more infohttps://books.google.com/books?id=YPJsAAAAMAAJ&q=poliomyelitis&dq=related:ISBN3805554893&source=gbs_word_cloud_r&cad=4

Obstetrical Anesthesia Research Unit - Members - Sunnybrook Research InstituteObstetrical Anesthesia Research Unit - Members - Sunnybrook Research Institute

Sunnybrook Foundation has committed to the establishment of a permanent chair in obstetrical anesthesia, which will be an ... Please contact Sunnybrook Foundation to make donations to the chair in obstetrical anesthesia. ...
more infohttps://sunnybrook.ca/research/content/?page=sri-groups-oaru-team

Obstetrical Anesthesia | Department of Anesthesiology, Perioperative and Pain Medicine | Stanford MedicineObstetrical Anesthesia | Department of Anesthesiology, Perioperative and Pain Medicine | Stanford Medicine

Head and Neck Anesthesia/Advanced Airway Management*Neurosurgical Anesthesia*Obstetrical Anesthesia*Pain Management*Pediatric ... Adult Cardiothoracic Anesthesia *Advanced Clinical Anesthesia*Anesthesia Acupuncture*Critical Care Medicine* ... ACGME-accredited fellowships in Obstetrical Anesthesia. The Obstetric Anesthesia Fellowship combines advanced clinical training ... Stanford Anesthesia Summer Institute. Stanford Anesthesia Summer Institute. *SASI 2018 Program Book*STM Summer Program Payment ...
more infohttp://med.stanford.edu/anesthesia/education/fellowships/clinical-fellows/obstetrical_anesthesia.html

Obstetrical anesthesia | definition of obstetrical anesthesia by Medical dictionaryObstetrical anesthesia | definition of obstetrical anesthesia by Medical dictionary

What is obstetrical anesthesia? Meaning of obstetrical anesthesia medical term. What does obstetrical anesthesia mean? ... Looking for online definition of obstetrical anesthesia in the Medical Dictionary? obstetrical anesthesia explanation free. ... stocking anesthesia, Infiltration anesthesia, Local anesthesia, One lung anesthesia, Tumescent anesthesia, Vocal anesthesia. ... neural anesthesia. Block anesthesia.. neuraxial anesthesia. Caudal, epidural, or spinal anesthesia. open anesthesia. ...
more infohttps://medical-dictionary.thefreedictionary.com/obstetrical+anesthesia

Obstetrical Anesthesia - Challenges And Complications: Part 2 - 2Nd Edition | Audio DigestObstetrical Anesthesia - Challenges And Complications: Part 2 - 2Nd Edition | Audio Digest

In support of improving patient care, Audio Digest Foundation is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. The Audio Digest Foundation designates this enduring material for a maximum of {{CurrentLecture.Lecture.Credits , number:2}} AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to {{CurrentLecture.Lecture.Credits}} MOC points [and patient safety MOC credit] in the American Board of Internal Medicines (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the ...
more infohttps://www.audio-digest.org/Courses/Obstetrical-Anesthesia--Challenges-and-Complications-Part-2---2nd-Edition/4826

OBSTETRICAL ANESTHESIA | Anesthesiology | ASA PublicationsOBSTETRICAL ANESTHESIA | Anesthesiology | ASA Publications

OBSTETRICAL ANESTHESIA You will receive an email whenever this article is corrected, updated, or cited in the literature. You ...
more infohttp://anesthesiology.pubs.asahq.org/article.aspx?articleid=1971004

Cosponsors - H.R.3966 - 114th Congress (2015-2016): To provide transportation of dependent patients relating to obstetrical...Cosponsors - H.R.3966 - 114th Congress (2015-2016): To provide transportation of dependent patients relating to obstetrical...

To provide transportation of dependent patients relating to obstetrical anesthesia services. ... H.R.3966 - To provide transportation of dependent patients relating to obstetrical anesthesia services.114th Congress (2015- ...
more infohttps://www.congress.gov/bill/114th-congress/house-bill/3966/cosponsors?overview=closed

A CLINICAL APPRAISAL OF 2-CHLOROPROCAINE IN CONTINUOUS CAUDAL OBSTETRICAL ANESTHESIA | Anesthesiology | ASA PublicationsA CLINICAL APPRAISAL OF 2-CHLOROPROCAINE IN CONTINUOUS CAUDAL OBSTETRICAL ANESTHESIA | Anesthesiology | ASA Publications

A CLINICAL APPRAISAL OF 2-CHLOROPROCAINE IN CONTINUOUS CAUDAL OBSTETRICAL ANESTHESIA Carrol W. Nellebmoe, M.D.; Daniel C. Moore ... A CLINICAL APPRAISAL OF 2-CHLOROPROCAINE IN CONTINUOUS CAUDAL OBSTETRICAL ANESTHESIA You will receive an email whenever this ... A CLINICAL APPRAISAL OF 2-CHLOROPROCAINE IN CONTINUOUS CAUDAL OBSTETRICAL ANESTHESIA. Anesthesiology 5 1960, Vol.21, 269-272. ... A CLINICAL APPRAISAL OF 2-CHLOROPROCAINE IN CONTINUOUS CAUDAL OBSTETRICAL ANESTHESIA. Anesthesiology 1960;21(3):269-272. ...
more infohttp://anesthesiology.pubs.asahq.org/article.aspx?articleid=1969273

Obstetrical Anesthesia - EBAMGObstetrical Anesthesia - EBAMG

Obstetrical Anesthesia section. The anesthesiologists role during labor and delivery is to offer pain relief as well as ... Anesthesia for C-sections, both scheduled and unplanned, is most commonly done under either epidural or spinal anesthesia. ... Choice of anesthesia will be discussed with the anesthesiologist before surgery.. Women and Infants services at Alta Bates ... General anesthesia is usually reserved for emergency procedures or the rare patient that has a contraindication to spinal or ...
more infohttp://www.ebamg.com/obstetrical-anesthesia.html

Search Results - Anesthesia, Obstetrical.Search Results - 'Anesthesia, Obstetrical.'

Search: Anesthesia, Obstetrical.. Suggested Topics... within your search. Anesthesia, Obstetrical (34) Chloroform (7) ... Pregnancy (2) therapeutic use (2) Analgesia, Obstetrical (1) Anesthâesie en obstâetrique (1) Anesthesia (1) Anesthesia ... Anesthesia. , Obstetrical. history...". Series: History of Anesthesiology reprint series Call Number: Loading... Located: ... Anesthesia. , Obstetrical. ...". Series: American lecture series, publication no. 744. A monograph in the Bannerstone division ...
more infohttp://voyagercatalog.kumc.edu/Search/Results?lookfor=%22Anesthesia%2C+Obstetrical.%22&type=Subject

Case Reports in Anesthesia: Obstetrical Hemorrhage-A near MissCase Reports in Anesthesia: Obstetrical Hemorrhage-A near Miss

Case Reports in Anesthesia Blog with interesting cases and/or problems related to anesthesia with discussion based on best ...
more infohttp://russellmd.blogspot.com/2010/03/obstetrical-hemorrhage-near-miss.html

An Update on the Committee on Obstetrical Anesthesia | ASA Monitor | ASA PublicationsAn Update on the Committee on Obstetrical Anesthesia | ASA Monitor | ASA Publications

Obstetric Anesthesia / Committees Committees , October 2009 An Update on the Committee on Obstetrical Anesthesia. ASA Monitor ... An Update on the Committee on Obstetrical Anesthesia You will receive an email whenever this article is corrected, updated, or ... Craig M. Palmer; An Update on the Committee on Obstetrical Anesthesia. ASA Monitor 2009;73(10):34-35. ... Society for Obstetric Anesthesia and Perinatology (SOAP): Beyond Labor Epidurals. Improving Patient Safety in Obstetric ...
more infohttp://monitor.pubs.asahq.org/article.aspx?articleid=2435551

Committee on Obstetrical Anesthesia Greets Future With Guarded Optimism | ASA Monitor | ASA PublicationsCommittee on Obstetrical Anesthesia Greets Future With Guarded Optimism | ASA Monitor | ASA Publications

Obstetric Anesthesia / Features Features , April 2005 Committee on Obstetrical Anesthesia Greets Future With Guarded Optimism. ... Committee on Obstetrical Anesthesia Greets Future With Guarded Optimism You will receive an email whenever this article is ... David J. Birnbach; Committee on Obstetrical Anesthesia Greets Future With Guarded Optimism. ASA Monitor 2005;69(4):5-37. ... Society for Obstetric Anesthesia and Perinatology (SOAP): Beyond Labor Epidurals. Improving Patient Safety in Obstetric ...
more infohttp://monitor.pubs.asahq.org/article.aspx?articleid=2489383

Obstetrical Analgesia and Anesthesia | Williams Obstetrics, 25e | AccessObGyn | McGraw-Hill MedicalObstetrical Analgesia and Anesthesia | Williams Obstetrics, 25e | AccessObGyn | McGraw-Hill Medical

That said, obstetrical anesthesia presents unique challenges. Labor begins without warning, and anesthesia may be required ... "Obstetrical Analgesia and Anesthesia." Williams Obstetrics, 25e Cunningham F, Leveno KJ, Bloom SL, Dashe JS, Hoffman BL, Casey ... Obstetrical Analgesia and Anesthesia. In: Cunningham F, Leveno KJ, Bloom SL, Dashe JS, Hoffman BL, Casey BM, Spong CY. ... TABLE 25-1 Case-Fatality Rates and Rate Ratios of Anesthesia-Related Deaths During Cesarean Delivery by Type of Anesthesia in ...
more infohttps://obgyn.mhmedical.com/content.aspx?sectionid=155911527&bookid=1918

Pain Control During Childbirth | BIDMC of BostonPain Control During Childbirth | BIDMC of Boston

Obstetrical Anesthesia. Obstetrical anesthesiologists at Beth Israel Deaconess Medical Center are key members of the labor and ... Epidural anesthesia does not affect your baby or the progress of your labor. It is safe for most laboring women and is often ... For others, analgesics or anesthesia may be helpful, and will not hurt the baby.. You do not have to make a final decision ... Spinal Anesthesia. A spinal anesthetic may be administered during delivery if forceps are necessary. During this procedure, a ...
more infohttps://www.bidmc.org/centers-and-departments/obstetrics-and-gynecology/pregnancy/labor-and-delivery/pain-control-during-childbirth

Anesthesiology Services | GW HospitalAnesthesiology Services | GW Hospital

Obstetrical Anesthesia. The anesthesiology team provides clinical anesthesia for obstetrical cases, including high-risk ... obstetrical, ambulatory and neurosurgical anesthesia. It is also well known for its acute pain management service, which helps ... New Advances in Anesthesia Available at GW Hospital ON-Q® Pain Relief System - Continuously delivers pain medication, for up to ... Ambulatory Anesthesia. Today, the majority of the surgical procedures are performed on an ambulatory, or outpatient, basis. The ...
more infohttps://www.gwhospital.com/conditions-services/anesthesiology

Anaesthesia UK : Oral case 56Anaesthesia UK : Oral case 56

Obstetrical anesthesia. A patient had a vaginal delivery under spinal anesthesia.. 1. She has the acute onset of severe chest ... Anesthesia plans could be altered in twenty percent of all patients, including ASA I and ASA II patients, due to factors ... The Ultimate Board Prep is a program of preparation the Anesthesia Oral Board examinations. Click the banner to access the ... What are the most common conditions found at preoperative evaluation, that change the anesthesia plans? ...
more infohttp://www.anaesthesiauk.com/article.aspx?articleid=100248

Anaesthesia UK : Oral case 114Anaesthesia UK : Oral case 114

Obstetrical anesthesia. After three hours of labor with a functioning epidural in place, beat-to-beat variability in the fetal ... The Ultimate Board Prep is a program of preparation the Anesthesia Oral Board examinations. Click the banner to access the ... 3. Will you use the epidural, or will you induce general anesthesia? Give your rationale for your choice. ...
more infohttp://www.anaesthesiauk.com/article.aspx?articleid=100306

Search of: Recruiting, Not yet recruiting, Available Studies | Body Mass Index - List Results - ClinicalTrials.govSearch of: Recruiting, Not yet recruiting, Available Studies | 'Body Mass Index' - List Results - ClinicalTrials.gov

The Effect of Some Parturients' Characteristics on Sensory Block Level After Spinal Anesthesia. *Anesthesia, Obstetrical ...
more infohttps://clinicaltrials.gov/search/open/condition=%22Body+Mass+Index%22

Francis A. Countway Library : Free Texts : Free Download, Borrow and Streaming : Internet ArchiveFrancis A. Countway Library : Free Texts : Free Download, Borrow and Streaming : Internet Archive

Topics: Anesthesia, Anesthesia, Obstetrical. The Medical Heritage Library. 4,225 4.2K The secrets of the reverend Maister ...
more infohttps://archive.org/details/francisacountwaylibrary
  • As Assistant Chief CRNA, Dr. Clark provides general, regional, and peripheral anesthesia to pediatric, adult, and obstetrical patients, while also completing administrative duties such as coordinating improvements to policies and procedures, overseeing the tasks of anesthesia staff, and managing continuing education sessions for CRNAs at the Medical Center. (onlinefnpprograms.com)
  • I knew I needed the experience in critical care as well as emergency room in order to apply to the Program of Nurse Anesthesia (PNA) at Samuel Merritt University (SMU) in Oakland, CA. Additional requirements for the SMU PNA were: BSN, grade point average (GPA) of 3.5 or higher, proof of leadership ability, the graduate record exam, reference letters, and basic life support (BLS) and advanced cardiac life support (ACLS) certification. (onlinefnpprograms.com)
  • In addition to her clinical and staff leadership, Dr. Clark has an extensive background in nurse anesthesia education, having served as a Clinical Coordinator during her time at UC Davis Medical Center, as a Clinical Preceptor for Samuel Merritt University CRNA students, and as Assistant Professor and Co-Chairperson for the Admission Committee at Samuel Merritt University's Program of Nurse Anesthesia. (onlinefnpprograms.com)
  • My first job as a CRNA was at the University of California- Davis Medical Center (UCDMC) in Sacramento, CA. I was the clinical coordinator for the SMU PNA students at UCDMC and became a preceptor to nurse anesthesia students in the operating room (OR). (onlinefnpprograms.com)
  • Dr. Clark earned her BSN from the University of Wisconsin-Milwaukee in 1986, her MSN with a concentration in Nurse Anesthesia in 1997 from Samuel Merritt University, and her DNP in Leadership and Education in 2012 from Rush University. (onlinefnpprograms.com)
  • Our philosophy of care focuses on the needs of the individual patient, offering a complete range of anesthesia options - from the minimum to the very latest that modern medicine has to offer. (bidmc.org)
  • She is the director of the Regional Anesthesia and Acute Pain Service at the University Hospital and Huntsman Cancer Hospital.In addition to her clinical responsibilities, Dr. Loose is involved in teaching of medical students and residents. (utah.edu)
  • It is also contraindicated in obstetrical paracervical blocks and intravenous regional anaesthesia (Bier block) because of potential risk of tourniquet failure and systemic absorption of the drug and subsequent cardiac arrest. (wikipedia.org)
  • Obstetrical anesthesiologists at Beth Israel Deaconess Medical Center are key members of the labor and delivery team. (bidmc.org)
  • All Fellows will participate in at least one primary research project, which will incorporate research interests of the applicant with mentorship and guidance from the experienced obstetric anesthesia researchers within our group. (stanford.edu)
  • We also offer obstetric anesthesia research opportunities for more experienced researchers (e.g. sabbaticals) wishing to refine and expand their research repertoire and skillsets. (stanford.edu)
  • Fellows interested in a career in academic medicine are also able to attend numerous workshops, seminars, and conferences at Stanford University, and receive mentoring from internationally recognized senior educators and researchers within and outside the Department of Anesthesia at Stanford University. (stanford.edu)
  • It was founded by clinicians and researchers from the department of anesthesia at Women's College Hospital and Sunnybrook Health Sciences Centre. (sunnybrook.ca)
  • balanced anesthesia anesthesia that uses a combination of drugs, each in an amount sufficient to produce its major or desired effect to the optimum degree and to keep undesirable effects to a minimum. (thefreedictionary.com)
  • Blog with interesting cases and/or problems related to anesthesia with discussion based on best evidence in the literature. (blogspot.com)