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.Anesthetics, Local: Drugs that block nerve conduction when applied locally to nerve tissue in appropriate concentrations. They act on any part of the nervous system and on every type of nerve fiber. In contact with a nerve trunk, these anesthetics can cause both sensory and motor paralysis in the innervated area. Their action is completely reversible. (From Gilman AG, et. al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed) Nearly all local anesthetics act by reducing the tendency of voltage-dependent sodium channels to activate.Anesthetics, 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.Preanesthetic Medication: Drugs administered before an anesthetic to decrease a patient's anxiety and control the effects of that anesthetic.Ketamine: A cyclohexanone derivative used for induction of anesthesia. Its mechanism of action is not well understood, but ketamine can block NMDA receptors (RECEPTORS, N-METHYL-D-ASPARTATE) and may interact with sigma receptors.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)Consciousness: Sense of awareness of self and of the environment.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.Hypnotics and Sedatives: Drugs used to induce drowsiness or sleep or to reduce psychological excitement or anxiety.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.Analgesics, Opioid: Compounds with activity like OPIATE ALKALOIDS, acting at OPIOID RECEPTORS. Properties include induction of ANALGESIA or NARCOSIS.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.Hypothermia: Lower than normal body temperature, especially in warm-blooded animals.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)Premedication: Preliminary administration of a drug preceding a diagnostic, therapeutic, or surgical procedure. The commonest types of premedication are antibiotics (ANTIBIOTIC PROPHYLAXIS) and anti-anxiety agents. It does not include PREANESTHETIC MEDICATION.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.Tourniquets: Devices for the compression of a blood vessel by application around an extremity to control the circulation and prevent the flow of blood to or from the distal area. (From Dorland, 28th ed)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.Airway Management: Evaluation, planning, and use of a range of procedures and airway devices for the maintenance or restoration of a patient's ventilation.Infusions, Intravenous: The long-term (minutes to hours) administration of a fluid into the vein through venipuncture, either by letting the fluid flow by gravity or by pumping it.Propoxycaine: A local anesthetic of the ester type that has a rapid onset of action and a longer duration of action than procaine hydrochloride. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1017)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.Surgery, Oral: A dental specialty concerned with the diagnosis and surgical treatment of disease, injuries, and defects of the human oral and maxillofacial region.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.Cerebrovascular Circulation: The circulation of blood through the BLOOD VESSELS of the BRAIN.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.

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)

The provision of anesthesia during childbirth still generates considerable debate; opinions vary widely within the obstetric anesthesia community over issues such as the effect of anesthetic drugs on the fetal brain and the choice between different epidural techniques. Controversies in Obstetric Anesthesia and Analgesia debates these and other clinical management controversies encountered in daily practice, providing practical advice on how to manage each clinical problem. This concise, practical text is designed to provide rapid access to key information on both diagnosis and treatment, presenting each side of the debate in a clear discussion. Key references and suggestions for further reading are also provided. Written by a team of international practitioners working with and caring for high risk obstetric patients, Controversies in Obstetric Anesthesia and Analgesia is an invaluable resource for trainees and practitioners in anesthesia, obstetrics and critical care medicine.. ...
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 ...
Clinical Experience The clinical experience of the fellowship will occur at 2 hospitals-Parkland Hospital and William P. Clements, Jr. University Hospital. The first seven months of the fellowship will be spent doing clinical patient care. The fellow will work mostly days, but will take a nominal amount of overnight calls with obstetric anesthesia faculty members. The fellow will do their own cases, but will also assist the obstetric anesthesia faculty members at a "junior faculty" level in order to learn the teaching process to teach junior anesthesia residents on their rotation. While at University Hospital, the fellow will work one-on-one with the obstetric anesthesia faculty member doing high-risk obstetric anesthesia cases in a private practice setting. Research The Fellow is involved in providing analgesia and anesthesia to parturients during labor, assisted vaginal deliveries, cesarean deliveries, and other obstetric procedures. The Fellow is given vast opportunities to master several ...
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...
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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 ...
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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 ...
Background: Electronic health record (EHR) systems have been shown to enhance patient safety. The obstetrical anesthesia group at Brigham and Womens Hospital has adopted Epic electronic anesthesia record system on May 30, 2015. The purpose of this study is to evaluate the implementation and transition of the electronic anesthesia record system. Methods: We randomly selected 80 obstetric anesthesia records for review, including 40 labor deliveries and 40 cesarean delivery cases, among which half of the cases were from the 1st month of Epic implementation and the other half were from the 7th month of implementation, respectively. All the records were reviewed based on four different data entry categories: Patient Demographic Data, Pre-Anesthetic Evaluation, Anesthesia Management Data, and Patient Follow-Up Data. Missing data points and errors were recorded. Fishers exact test was used for data analysis. Results: There was a trend of reduction for patients demographic. (Table 1) Significant ...
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 ...
Starting work on the labour ward is very challenging for all junior anaesthetists. This handbook is an easily navigated practical reference guide for anaesthetists new to this environment, as well as other members of the labour ward multi-disciplinary team; midwives, obstetricians, and Consultant Anaesthetists who visit labour ward less frequently or only when on-call. It covers all aspects of obstetric anaesthesia that the trainee anaesthetist will encounter during their obstetric training module, and is essential reading for FRCA exam preparation. Since the first edition, there is no doubt that the pregnant population has become more complex, with increasing maternal age and BMI, and challenging co-morbidities presenting more frequently. As well as providing updates from recent MBRRACE reports and national guidelines, new techniques, drugs, and technology, such as point of care testing have been included. New chapters covering the application of ultrasound in obstetric anaesthesia, recognition ...
Immerse yourself in the unique charm of Colonial Williamsburg by staying at Williamsburg Lodge, an Autograph Collection Hotel. Colonial Williamsburgs Historic Area is the restored 18th-century capital of colonial Virginia. Comprised of the Art Museums of Colonial Williamsburg, 22 historic sites, 30 18th-century trade shops and sites, youll have the opportunity to engage with locals and experience life in the 18th century firsthand in this 300-acre living history community. Situated in the heart of the city, the Williamsburg Lodge seamlessly blends historic elegance with modern comfort. Guests will also receive exclusive benefits such as admission ticket discounts and special daily events.. During your stay, why not enjoy the two outdoor pools as well as an indoor pool located at The Spa of Colonial Williamsburg or stay fit at the state-of-the-art fitness facility with daily group exercise classes. To elevate your visit, pamper yourself with a rejuvenating spa treatment, or tee-off at Golden ...
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 ...
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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.
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
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.. ...
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Introduction The UK National Institute of Clinical Excellence (NICE) recommends continuous 30 minutes CTG (cardiotocograph) monitoring in women receiving regional anaesthesia/analgesia1. An awareness of the principles & a systematic approach to CTG analysis is essential for the anaesthetists for communication & timely delivery of high risk fetus2. A 2014 Obstetric Anaesthetic Association(OAA) survey highlighted the knowledge deficiency &lack of standardized CTG module training for anaesthetsists, urging curriculum changes3. Anecdotal evidence suggested that this hadnt occurred locally. We devised a survey to assess if any improvement in knowledge had occurred in our institution. Methods A questionnaire survey was conducted among 12 obstetric anaesthetic trainees & 8 consultant obstetric anaesthetists in a large obstetric unit. Questions examined their training, confidence in interpreting CTGs & assessed their interpretation of 5 CTGs within a limited timeframe. They were also questioned about ...
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Archer, T. L., Knape, K., Liles, D., Wheeler, A. S. & Carter, B., Jul 1 2008, In : International Journal of Obstetric Anesthesia. 17, 3, p. 247-254 8 p.. Research output: Contribution to journal › Article ...
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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?
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Context: Combined spinal epidural (CSE) analgesia technique is effective for labor analgesia and various concentrations of bupivacaine and lipophilic opioids like fentanyl have been studied. Dexmedetomidine is a highly selective alpha 2 adrenoreceptor agonist with analgesic properties and has been used intrathecally with bupivacaine for prolonged postoperative analgesia. Recent reviews have shown that it is highly lipophilic and does not cross placenta significantly. Aim: The aim of this study is to compare the duration and quality of analgesia, maternal and neonatal outcomes after CSE labor analgesia with intrathecal dexmedetomidine and intrathecal fentanyl followed by epidural bupivacaine. Settings and Design: A randomized observational study with 112 parturients in a tertiary care hospital. Materials and Methods: 112 parturients were randomly divided to two groups. Group D (n = 58) received dexmedetomidine 10 μg and group F (n = 54) received fentanyl 20 μg intrathecally for labor analgesia. ...
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 ...
Define spinal anesthetic. spinal anesthetic synonyms, spinal anesthetic pronunciation, spinal anesthetic translation, English dictionary definition of spinal anesthetic. Noun 1. spinal anesthetic - an anesthetic that is injected into the spine spinal anaesthetic anaesthetic, anaesthetic agent, anesthetic, anesthetic agent -...
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 aim of the study was to review maternal hypotension during caesarean delivery with spinal anesthesia. Obstetric complications, such as obstetric hemorrhage and problems related to concomitant maternal diseases are not considered. Reports of hypotension during spinal anesthesia for elective caesarean delivery are frequent (70-80%) when pharmacological prophylaxis is not used. Although some physical methods (leg wrapping, thromboembolic stockings) and the prevention of aorto-caval compression (left lateral tilt of the uterus) are useful, main prevention relies on two pharmacological methods, vasopressor therapy and intravascular fluid loading generally in combination. Ephedrine has been the vasopressor of choice in obstetrics for decades but phenylephrine is now the preferred first line approach during elective procedures at least. Crystalloid preloading is clinically ineffective and should be abandoned. Crystalloid coloading at the onset of sympathetic blockade is better but its efficacy may ...
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, ...
Of the estimated 1.06 million abortions performed in the United States in 2011, approximately 91% occurred before 13 weeks gestation. Most first trimester abortions are performed in an outpatient center with a paracervical block as the only analgesic. Paracervical block is associated with improved pain control during dilation and aspiration however, women still experience moderate to severe pain. Moderate sedation and general anesthesia, minimize pain more than a paracervical block; however increased cost, regulatory constraints, side effects, health risks, and recovery time may limit abortion access.. Pain experienced during abortion results from a complex interaction of physical innervation pathways, psychological and social factors. Pain during abortion is also influenced by additional factors such as age, pregnancy history, and self-reported pre-procedure anxiety about abortion. Adequate pain management during suction aspiration might require interventions that influence mental and emotional ...
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 ...
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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 ...
Gynecological, obstetrical, and urological operations (spinal/epidural anesthesia). *Bone and joint surgery of the pelvis, hip ... epidural anesthesia combined with general anesthesia). *Abdominal surgery (epidural anesthesia/spinal anesthesia, often ... Dentistry (surface anesthesia, infiltration anesthesia or intraligamentary anesthesia during restorative operations such as ... Local anesthesia of body cavities includes intrapleural anesthesia and intra-articular anesthesia. ...
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 ...
482-. ISBN 1-4377-1117-0. T.H. Stanley; P.G. Schafer (6 December 2012). Pediatric and Obstetrical Anesthesia: Papers presented ...
... 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 ...
It can also be used as a supplement to balanced anesthesia, for preoperative and postoperative analgesia, and for obstetrical ...
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 ...
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 ...
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 ...
... 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 --- ...
... 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 ...
... 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), ...
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 ...
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 ...
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 ...
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 ...
Marx GF (1994). "The first spinal anesthesia. Who deserves the laurels?". Regional Anesthesia. 19 (6): 429-30. PMID 7848956.. ... There is less chances of hypotension after epidural anesthesia as compared to spinal anesthesia ... "Anesthesia". Harvard University Press. Retrieved April 18, 2014.. *^ Thorp JA, Breedlove G (1996). "Epidural analgesia in labor ... Anesthesia & Analgesia. 12 (2): 59-65. doi:10.1213/00000539-193301000-00014.. *^ Edwards, WB; Hingson, RA (1942). "Continuous ...
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 ...
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.). ...
Obstetric Anesthesia Digest (página oficial). *Obstetrical and Gynecological Survey (página oficial). *Obstetrics and ...
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). " ...
... 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" ...
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, ...
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 ...
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- ...
These include: risks associated with regional or general anesthesia premature labor premature rupture of membranes infection of ... This procedure was developed by the Canadian Gynecologist and Obstetrical Pathologist and Surgeon, Ellice McDonald (1876-1955)[ ...
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 ...
Advanced Practitioner, Anesthesia Services, Anesthetist, BSN, Certified Registered Nurse Anesthetist, CRNA, CRNA I, CRNA II, ... therapeutic and obstetrical procedures. To become a CRNA, a licensed, registered nurse must have at least one year of work ... Certified Registered Nurse Anesthetist Graduate of a Nurse Anesthesia Educational Program Accredited by the National Board of ... Graduate of a Nurse Anesthesia Educational Program Accredited by the National Board of Certification for 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 ...
WHEREAS, CRNAs practice in every setting in which anesthesia is delivered: traditional hospital surgical suites and obstetrical ... WHEREAS, CRNAs first provided anesthesia to wounded soldiers during the Civil War, and have been the main provider of ... WHEREAS, CRNAs are the primary providers of anesthesia care in rural America, enabling healthcare facilities in these medically ... WHEREAS, The Virginia Association of Nurse Anesthetists (VANA) was established in 1934 to promote safe anesthesia care and to ...
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, ...
... 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 ...
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 ...
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. ...
... Page Content. The Division of Obstetrical Anesthesia at the American University of Beirut, ... The Department of Anesthesia and Pain Medicine at AUBMC is a leader in anesthesia research. Many of our faculty members have ... Spinal anesthesia is the most commonly used anesthetic technique for cesarean section. It may be used in planned or emergency ... AUBMC is home to one of the top anesthesia training programs in the Region. We are proud to be a leader in preparing the next ...
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. ...
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 ...
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- ...
OBSTETRICAL ANESTHESIA You will receive an email whenever this article is corrected, updated, or cited in the literature. You ...
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. ...
ANESTHESIA FOR OBSTETRICS. HARTRIDGE, VIRGINIA B. HARTRIDGE, VIRGINIA B. Less Obstetrical & Gynecological Survey. 21(1):37-44, ... Thought you might appreciate this item(s) I saw at Obstetrical & Gynecological Survey.. ...
ENFLURANE ANESTHESIA FOR CESAREAN SECTION. COLEMAN, A. J.; DOWNING, J. W. COLEMAN, A. J.; DOWNING, J. W. Less ... Thought you might appreciate this item(s) I saw at Obstetrical & Gynecological Survey.. ...
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 ...
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 ...
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 ...
Demerol Injection is indicated for preoperative medication, support of anesthesia, and obstetrical analgesia. ... For Support of Anesthesia. ​Repeated slow intravenous Injections of fractional doses (e.g., 10 mg/mL) or continuous intravenous ... 2. 5 For Obstetrical Analgesia. ​The usual dosage is 50 mg to 100 mg intramuscularly or subcutaneously when pain becomes ... The dose should be titrated to the needs of the patient and will depend on the premedication and type of anesthesia being ...
Case Reports in Anesthesia Blog with interesting cases and/or problems related to anesthesia with discussion based on best ...
Nurse Anesthesia Program Director. Baltimore, Maryland. Lawrence C. Tsen, MD. Associate Professor in Anesthesia, Harvard ... Review of Obstetric Anesthesia Closed Malpractice Claims. B.Clayton. 1145. Understanding Maternal Health Disparities. B.Clayton ... and monitoring of anesthesia and related services inherent in the anesthesia professions. ... What Are Common Clinical Conundrums in Obstetric Anesthesia?. L.Tsen. 1145. CSE, DPE, and Epidural Techniques: Is There an ...
... , Labor Analgesia, Labor Anesthesia, Obstetrical Anesthesia. ... Anesthesia, Obstetric, Anesthesia, Obstetrical, Obstetric Anesthesia, Obstetrical Anesthesia, anesthesia for obstetrics, ... obstetrics anesthesia, anesthesia in obstetrics, anesthesia obstetric, obstetric anesthesia, obstetrical anesthesia, Anesthesia ... Active Labor Anesthesia. Active Labor Anesthesia Aka: Active Labor Anesthesia, Labor Analgesia, Labor Anesthesia, Obstetrical ...
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 ...
  • 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)
  • Graduate of an accredited School of Nurse Anesthesia required. (nursingjobs.org)
  • 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)
  • 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)
  • Interventions of the health care team will be individualized based on the type of procedure the patient has undergone and the type of anesthesia administered. (thefreedictionary.com)
  • At Overlake Medical Center, the type of anesthesia used for a surgical procedure is determined by several factors including type and length of the surgery. (overlakehospital.org)
  • For each discharge, the New York State Inpatient Database indicates the type of anesthesia provided, one hospital identifier, patients characteristics, and procedures performed using the International Classification of Diseases, Ninth Revision-Clinical Modification (ICD-9-CM). Hospital characteristics were calculated from the State Inpatient Database or obtained from the American Hospital Association Annual Survey Database. (medscape.com)
  • [ 12 ] Discharges were excluded if information on the type of anesthesia provided was missing, the hospital identifier was missing, or a clinical indication for general anesthesia was recorded. (medscape.com)
  • Based upon the type of surgery you are having, among other factors, there are different types of anesthesia. (overlakehospital.org)
  • Establishing with the medical staff the types of anesthesia cases which can safely be handled at the facility. (ihs.gov)
  • It is hoped that recent surveillance and prospective registry projects using standardized surveillance definitions and the integration of such in national quality assurance projects (American Society of Regional Anesthesia [ASRA] Acute-POP/AQI) will generate more comprehensive data for risk assessment and evaluation of infection control recommendations in the future. (nysora.com)
  • Because children with a history of heart complaints have special requirements when it comes to administering medication, it's important to have a team of cardiothoracic anesthesia specialists who understand every facet of your child's heart condition. (childrenshospitaloakland.org)
  • We have carefully structured the program based on solicited feedback from practitioners and previous meeting attendees to cover all key aspects in the field of obstetric anesthesia in a clinically focused program. (soap.org)
  • To be global leaders in the field of obstetric anesthesia and to advance patient care through innovative research and education. (stanford.edu)
  • Local anesthesia (pudendal block) is a numbing medicine that your provider injects into your vagina and rectal areas when you are close to delivery. (medlineplus.gov)
  • 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)
  • Establishing a program of continuing education for all individuals with clinical anesthesia privileges, part of which program shall consist of in-service training as indicated by the results of the ongoing evaluation of anesthesia care. (ihs.gov)
  • 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)
  • Participating in the development of policies that relate to the function of anesthetists and the administration of anesthesia in any department of the hospital. (ihs.gov)