The period of emergence from general anesthesia, where different elements of consciousness return at different rates.
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.
Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery.
A blocking of nerve conduction to a specific area by an injection of an anesthetic agent.
Procedure in which an anesthetic is injected into the epidural space.
Procedure in which an anesthetic is injected directly into the spinal cord.
Anesthesia caused by the breathing of anesthetic gases or vapors or by insufflating anesthetic gases or vapors into the respiratory tract.
Injection of an anesthetic into the nerves to inhibit nerve transmission in a specific part of the body.
Process of administering an anesthetic through injection directly into the bloodstream.
A partial or complete return to the normal or proper physiologic activity of an organ or part following disease or trauma.
A variety of anesthetic methods such as EPIDURAL ANESTHESIA used to control the pain of childbirth.
A range of methods used to reduce pain and anxiety during dental procedures.
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)
Elements of limited time intervals, contributing to particular results or situations.
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)
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.
Agents that are administered in association with anesthetics to increase effectiveness, improve delivery, or decrease required dosage.
A stable, non-explosive inhalation anesthetic, relatively free from significant side effects.
A group of compounds that contain the general formula R-OCH3.
Drugs that block nerve conduction when applied locally to nerve tissue in appropriate concentrations. They act on any part of the nervous system and on every type of nerve fiber. In contact with a nerve trunk, these anesthetics can cause both sensory and motor paralysis in the innervated area. Their action is completely reversible. (From Gilman AG, et. al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed) Nearly all local anesthetics act by reducing the tendency of voltage-dependent sodium channels to activate.
A specialty concerned with the study of anesthetics and anesthesia.
The use of two or more chemicals simultaneously or sequentially to induce anesthesia. The drugs need not be in the same dosage form.
The number of times the HEART VENTRICLES contract per unit of time, usually per minute.
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.
The constant checking on the state or condition of a patient during the course of a surgical operation (e.g., checking of vital signs).
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.
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)
A phenothiazine with pharmacological activity similar to that of both CHLORPROMAZINE and PROMETHAZINE. It has the histamine-antagonist properties of the antihistamines together with CENTRAL NERVOUS SYSTEM effects resembling those of chlorpromazine. (From Martindale, The Extra Pharmacopoeia, 30th ed, p604)
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.
PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS.
The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.
Physical activity which is usually regular and done with the intention of improving or maintaining PHYSICAL FITNESS or HEALTH. Contrast with PHYSICAL EXERTION which is concerned largely with the physiologic and metabolic response to energy expenditure.
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)
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.
Agents that induce various degrees of analgesia; depression of consciousness, circulation, and respiration; relaxation of skeletal muscle; reduction of reflex activity; and amnesia. There are two types of general anesthetics, inhalation and intravenous. With either type, the arterial concentration of drug required to induce anesthesia varies with the condition of the patient, the desired depth of anesthesia, and the concomitant use of other drugs. (From AMA Drug Evaluations Annual, 1994, p.173)
A convulsant primarily used in experimental animals. It was formerly used to induce convulsions as a alternative to electroshock therapy.
A widely used local anesthetic agent.
Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.
Expenditure of energy during PHYSICAL ACTIVITY. Intensity of exertion may be measured by rate of OXYGEN CONSUMPTION; HEAT produced, or HEART RATE. Perceived exertion, a psychological measure of exertion, is included.
Drugs administered before an anesthetic to decrease a patient's anxiety and control the effects of that anesthetic.
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.
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.
A barbiturate that is administered intravenously for the induction of general anesthesia or for the production of complete anesthesia of short duration.
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.
The rate at which oxygen is used by a tissue; microliters of oxygen STPD used per milligram of tissue per hour; the rate at which oxygen enters the blood from alveolar gas, equal in the steady state to the consumption of oxygen by tissue metabolism throughout the body. (Stedman, 25th ed, p346)
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)
A colorless, odorless gas that can be formed by the body and is necessary for the respiration cycle of plants and animals.
A subtype of striated muscle, attached by TENDONS to the SKELETON. Skeletal muscles are innervated and their movement can be consciously controlled. They are also called voluntary muscles.
Epidural anesthesia administered via the sacral canal.
The measure of the level of heat of a human or animal.
The relationship between the dose of an administered drug and the response of the organism to the drug.
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.
A normal intermediate in the fermentation (oxidation, metabolism) of sugar. The concentrated form is used internally to prevent gastrointestinal fermentation. (From Stedman, 26th ed)
The TEMPERATURE at the outer surface of the body.
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)
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)
An endogenous substance found mainly in skeletal muscle of vertebrates. It has been tried in the treatment of cardiac disorders and has been added to cardioplegic solutions. (Reynolds JEF(Ed): Martindale: The Extra Pharmacopoeia (electronic version). Micromedex, Inc, Englewood, CO, 1996)
An extremely stable inhalation anesthetic that allows rapid adjustments of anesthesia depth with little change in pulse or respiratory rate.
An adrenergic alpha-2 agonist used as a sedative, analgesic and centrally acting muscle relaxant in VETERINARY MEDICINE.
A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable.
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.
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)
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Hospital department responsible for the administration of functions and activities pertaining to the delivery of anesthetics.
Pain during the period after surgery.
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.
Freedom from activity.
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.
The measurement of an organ in volume, mass, or heaviness.
The domestic cat, Felis catus, of the carnivore family FELIDAE, comprising over 30 different breeds. The domestic cat is descended primarily from the wild cat of Africa and extreme southwestern Asia. Though probably present in towns in Palestine as long ago as 7000 years, actual domestication occurred in Egypt about 4000 years ago. (From Walker's Mammals of the World, 6th ed, p801)
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.
Relatively complete absence of oxygen in one or more tissues.
An absence of warmth or heat or a temperature notably below an accustomed norm.
The processes of heating and cooling that an organism uses to control its temperature.
Salts or esters of LACTIC ACID containing the general formula CH3CHOHCOOR.
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).
Naturally occurring or experimentally induced animal diseases with pathological processes sufficiently similar to those of human diseases. They are used as study models for human diseases.
The chemical reactions involved in the production and utilization of various forms of energy in cells.
Bleeding into the joints. It may arise from trauma or spontaneously in patients with hemophilia.
The use of a bicycle for transportation or recreation. It does not include the use of a bicycle in studying the body's response to physical exertion (BICYCLE ERGOMETRY TEST see EXERCISE TEST).
Controlled physical activity which is performed in order to allow assessment of physiological functions, particularly cardiovascular and pulmonary, but also aerobic capacity. Maximal (most intense) exercise is usually required but submaximal exercise is also used.
The highest dosage administered that does not produce toxic effects.
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.
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.
The period during a surgical operation.
A strain of albino rat developed at the Wistar Institute that has spread widely at other institutions. This has markedly diluted the original strain.
A state arrived at through prolonged and strong contraction of a muscle. Studies in athletes during prolonged submaximal exercise have shown that muscle fatigue increases in almost direct proportion to the rate of muscle glycogen depletion. Muscle fatigue in short-term maximal exercise is associated with oxygen lack and an increased level of blood and muscle lactic acid, and an accompanying increase in hydrogen-ion concentration in the exercised muscle.
The flow of BLOOD through or around an organ or region of the body.

Incidence of bradycardia during recovery from spinal anaesthesia: influence of patient position. (1/481)

We administered 0.5% plain bupivacaine 4 ml intrathecally (L2-3 or L3-4) in three groups of 20 patients, according to the position in which they were nursed in the post-anaesthesia care unit (PACU): supine horizontal, 30 degrees Trendelenburg or hammock position (trunk and legs 30 degrees elevated). Patients were observed until anaesthesia descended to less than S1. The incidence of severe bradycardia (heart rate < 50 beat min-1) in the PACU was significantly higher in patients in the Trendelenburg position (60%) than in the horizontal (20%, P < 0.01) or hammock (10%, P < 0.005) position. After 90 min, following admission to the PACU, only patients in the hammock position did not have severe bradycardia. In this late phase, the incidence of severe bradycardia in the Trendelenburg group was 35% (P < 0.005) and 10% in patients in the supine horizontal position. In four patients, severe bradycardia first occurred later than 90 min after admission to the PACU. The latest occurrence of severe bradycardia was recorded 320 min after admission to the PACU. We conclude that for recovery from spinal anaesthesia, the Trendelenburg position should not be used and the hammock position is preferred.  (+info)

Tramadol or morphine administered during operation: a study of immediate postoperative effects after abdominal hysterectomy. (2/481)

Tramadol may cause awareness and EEG activation during anaesthesia. We compared tramadol with morphine, administered during wound-closure, surmising that tramadol may cause earlier awakening, more rapid recovery, less respiratory depression and equivalent pain relief. Forty patients received nitrous oxide-enflurane for abdominal surgery. At wound closure, patients received tramadol 3 mg kg-1 or morphine 0.2 mg kg-1 and end-tidal enflurane concentrations were maintained at 0.5 kPa until skin closure, whereupon anaesthesia was discontinued. Times to spontaneous respiration, awakening and orientation were similar in the two groups, as were blood-gas tensions, ventilatory frequency, pain scores and incidence of nausea. Half of each group required supplementary analgesia during their 90-min stay in the recovery room. P-deletion counts improved more rapidly in the tramadol group. This study confirms previous reports that tramadol did not antagonize the hypnotic effects of volatile anaesthetics. Tramadol, administered during operation, was as effective as morphine in providing postoperative analgesia while permitting more rapid psychomotor recovery.  (+info)

Propofol infusion for induction and maintenance of anaesthesia in patients with end-stage renal disease. (3/481)

We have investigated the pharmacokinetics and pharmacodynamics of propofol in 11 patients with end-stage renal disease (ESRD) compared with nine healthy patients during and after a manually controlled three-stage infusion of propofol 21, 12 and 6 mg kg-1 h-1 lasting a minimum of 2 h. Mean total body clearance was not reduced significantly in the ESRD group (30.66 (SD 8.47) ml kg-1 min-1) compared with the control group (33.75 (7.8) ml kg-1 min-1). ESRD patients exhibited a greater, but not statistically significant, volume of distribution at steady state compared with patients in the control group (11.25 (8.86) vs 5.79 (2.14) litre kg-1, respectively). Elimination half-life values were unchanged by renal failure. Mean times to induction of anaesthesia were similar in both groups: 177 (SD 57) and 167 (58) s for the ESRD and control groups, respectively. Waking time after cessation of propofol infusion was significantly shorter in the ESRD group (474 (156) s) compared with the control group (714 (240) s) (P < 0.05). Mean plasma concentrations on waking were similar. We conclude that the pharmacokinetic and pharmacodynamic profiles of propofol after infusion were not markedly affected by renal failure.  (+info)

Recovery after halothane anaesthesia induced with thiopental, propofol-alfentanil or halothane for day-case adenoidectomy in small children. (4/481)

We studied recovery from halothane anaesthesia in 93 children, aged 1-3 yr, undergoing day-case adenoidectomy. Children were allocated randomly to receive thiopental 5 mg kg-1 (group TH), alfentanil 10 micrograms kg-1 and propofol 3 mg kg-1 (group PAH) or 5% halothane (group HH) for induction of anaesthesia. In group TH, tracheal intubation was facilitated with succinylcholine (suxamethonium) 1.5 mg kg-1. In groups PAH and HH, tracheal intubation was performed without neuromuscular block, and succinylcholine was used only if required. Anaesthesia was maintained with 1-3% halothane during spontaneous respiration. Times to achieving predetermined recovery end-points were recorded. Quality of recovery was assessed using a score of 1-9 (best to worst) for sedation, crying, restlessness and agitation. A postoperative questionnaire was used to determine the well-being of the child at home, 24 h after operation. Emergence from anaesthesia (response to non-painful stimuli) occurred earlier in group HH (mean 9 (SD 6) min) than in groups PAH (13 (6) min, P < 0.01) and TH (18 (14) min, P < 0.01). Sitting up, walking and home readiness were achieved earlier in groups PAH and HH than in group TH (P < 0.05 for each variable). Children in group TH were more sedated during the first 30 min after anaesthesia than those in the two other groups (P < 0.05) while emergence-related delirium was more common in group HH than in group TH (P < 0.01). Well-being at home was similar in all groups. We conclude that induction of halothane anaesthesia with propofol-alfentanil or halothane provided more rapid recovery and earlier discharge than that with thiopental.  (+info)

Comparison of recovery of propofol and methohexital sedation using an infusion pump. (5/481)

Two sedative anesthetic agents administered by an infusion pump were compared during third molar surgery. Forty American Society of Anesthesiologists (ASA) class I or II volunteers were randomly allocated to two groups. All subjects received supplemental oxygen via a nasal hood, fentanyl (0.0007 mg/kg intravenous [i.v.] bolus), and midazolam (1 mg/2 min) titrated to effect. Patients then received either 0.3 mg/kg of methohexital or 0.5 mg/kg of propofol via an infusion pump. Upon completion of the bolus, a continuous infusion of 0.05 mg/kg/min methohexital or 0.066 mg/kg/min propofol was administered throughout the procedure. Hemo-dynamic and respiratory parameters and psychomotor performance were compared for the two groups and no significant differences were found. The continuous infusion method maintained a steady level of sedation. Patients receiving propofol had a smoother sedation as judged by the surgeon and anesthetist.  (+info)

Recovery after anaesthesia for pulmonary surgery: desflurane, sevoflurane and isoflurane. (6/481)

We have studied maintenance and recovery profiles after general anaesthesia with sevoflurane, desflurane and isoflurane in 100 patients undergoing pulmonary surgery. End-tidal concentrations of anaesthetic required to maintain mean arterial pressure and heart rate within 20% of baseline values were 1.4 +/- 0.6% for sevoflurane, 3.4 +/- 0.9% for desflurane and 0.7 +/- 0.3% for isoflurane. The three anaesthetics had comparable haemodynamic effects and arterial oxygenation during one-lung ventilation. Emergence was twice as fast with desflurane than with sevoflurane or isoflurane (mean times to extubation: 8.9 (SD 5.0) min, 18.0 (17.0) min and 16.2 (11.0) min for desflurane, sevoflurane and isoflurane, respectively). Early recovery (Aldrete score, cognitive and psychomotor functions) was also more rapid after desflurane. In pulmonary surgery, desflurane, but not sevoflurane, allowed more rapid emergence and earlier recovery than isoflurane.  (+info)

General anesthesia for disabled patients in dental practice. (7/481)

We reviewed the cases of 91 consecutive patients with disabilities who required general anesthesia at a tertiary referral center for dental treatment with a view to determining the factors that create difficulties in the anesthetic management. The more important of these are the special difficulties involved in making preoperative assessments of these patients and the difficulty in establishing monitoring. Other difficulties in anesthesia for these patients involve problems with gaining intravenous access, problems in determining when there has been adequate recovery from anesthesia, and problems in determining the degree of discomfort or pain the patients experience after dental treatment. Another potential hazard in this group of patients is the risk of drug interactions. We emphasize the need to train anesthetists in the care of disabled patients.  (+info)

Tactile evaluation of fade of the train-of-four and double-burst stimulation using the anaesthetist's non-dominant hand. (8/481)

We have studied detection of fade in response to train-of-four (TOF), double-burst stimulation3,3 (DBS3,3) or DBS3,2, assessed tactilely by the anaesthetist using the index finger of the non-dominant hand and the thumb of the patient, compared with that assessed when the index finger of the dominant hand was used. The probability of detection of any fade in response to TOF or DBS3,3 using the non-dominant hand was significantly less than when the dominant hand was used (P < 0.05). The probability of identification of fade in response to DBS3,2 assessed using the non-dominant hand was comparable with that evaluated using the dominant hand when TOF ratios were 0-0.9, but when TOF ratios reached 0.91-1.00, detection using the non-dominant hand was significantly less common than with the dominant hand (12% vs 33%; P < 0.05). Using the non-dominant hand, the probability of detection of fade in response to ulnar nerve stimulation was less than that with the dominant hand and only the absence of DBS3,2 fade ensured sufficient recovery of neuromuscular block.  (+info)

Postoperative pain is typically managed with pain medication, which may include opioids, nonsteroidal anti-inflammatory drugs (NSAIDs), or other types of medications. The goal of managing postoperative pain is to provide effective pain relief while minimizing the risk of complications such as addiction, constipation, or nausea and vomiting.

In addition to medication, other techniques for managing postoperative pain may include breathing exercises, relaxation techniques, and alternative therapies such as acupuncture or massage. It is important for patients to communicate with their healthcare provider about the severity of their pain and any side effects they experience from medication, in order to provide effective pain management and minimize complications.

Postoperative pain can be categorized into several different types, including:

* Acute pain: This type of pain is intense but short-lived, typically lasting for a few days or weeks after surgery.
* Chronic pain: This type of pain persists for longer than 3 months after surgery and can be more challenging to manage.
* Neuropathic pain: This type of pain is caused by damage to nerves and can be characterized by burning, shooting, or stabbing sensations.
* Visceral pain: This type of pain originates in the internal organs and can be referred to other areas of the body, such as the back or abdomen.

Some common examples of intraoperative complications include:

1. Bleeding: Excessive bleeding during surgery can lead to hypovolemia (low blood volume), anemia (low red blood cell count), and even death.
2. Infection: Surgical wounds can become infected, leading to sepsis or bacteremia (bacterial infection of the bloodstream).
3. Nerve damage: Surgery can sometimes result in nerve damage, leading to numbness, weakness, or paralysis.
4. Organ injury: Injury to organs such as the liver, lung, or bowel can occur during surgery, leading to complications such as bleeding, infection, or organ failure.
5. Anesthesia-related complications: Problems with anesthesia can include respiratory or cardiac depression, allergic reactions, or awareness during anesthesia (a rare but potentially devastating complication).
6. Hypotension: Low blood pressure during surgery can lead to inadequate perfusion of vital organs and tissues, resulting in organ damage or death.
7. Thromboembolism: Blood clots can form during surgery and travel to other parts of the body, causing complications such as stroke, pulmonary embolism, or deep vein thrombosis.
8. Postoperative respiratory failure: Respiratory complications can occur after surgery, leading to respiratory failure, pneumonia, or acute respiratory distress syndrome (ARDS).
9. Wound dehiscence: The incision site can separate or come open after surgery, leading to infection, fluid accumulation, or hernia.
10. Seroma: A collection of serous fluid that can develop at the surgical site, which can become infected and cause complications.
11. Nerve damage: Injury to nerves during surgery can result in numbness, weakness, or paralysis, sometimes permanently.
12. Urinary retention or incontinence: Surgery can damage the bladder or urinary sphincter, leading to urinary retention or incontinence.
13. Hematoma: A collection of blood that can develop at the surgical site, which can become infected and cause complications.
14. Pneumonia: Inflammation of the lungs after surgery can be caused by bacteria, viruses, or fungi and can lead to serious complications.
15. Sepsis: A systemic inflammatory response to infection that can occur after surgery, leading to organ dysfunction and death if not treated promptly.

It is important to note that these are potential complications, and not all patients will experience them. Additionally, many of these complications are rare, and the vast majority of surgeries are successful with minimal or no complications. However, it is important for patients to be aware of the potential risks before undergoing surgery so they can make an informed decision about their care.

1. Infection: Bacterial or viral infections can develop after surgery, potentially leading to sepsis or organ failure.
2. Adhesions: Scar tissue can form during the healing process, which can cause bowel obstruction, chronic pain, or other complications.
3. Wound complications: Incisional hernias, wound dehiscence (separation of the wound edges), and wound infections can occur.
4. Respiratory problems: Pneumonia, respiratory failure, and atelectasis (collapsed lung) can develop after surgery, particularly in older adults or those with pre-existing respiratory conditions.
5. Cardiovascular complications: Myocardial infarction (heart attack), cardiac arrhythmias, and cardiac failure can occur after surgery, especially in high-risk patients.
6. Renal (kidney) problems: Acute kidney injury or chronic kidney disease can develop postoperatively, particularly in patients with pre-existing renal impairment.
7. Neurological complications: Stroke, seizures, and neuropraxia (nerve damage) can occur after surgery, especially in patients with pre-existing neurological conditions.
8. Pulmonary embolism: Blood clots can form in the legs or lungs after surgery, potentially causing pulmonary embolism.
9. Anesthesia-related complications: Respiratory and cardiac complications can occur during anesthesia, including respiratory and cardiac arrest.
10. delayed healing: Wound healing may be delayed or impaired after surgery, particularly in patients with pre-existing medical conditions.

It is important for patients to be aware of these potential complications and to discuss any concerns with their surgeon and healthcare team before undergoing surgery.

There are different types of anoxia, including:

1. Cerebral anoxia: This occurs when the brain does not receive enough oxygen, leading to cognitive impairment, confusion, and loss of consciousness.
2. Pulmonary anoxia: This occurs when the lungs do not receive enough oxygen, leading to shortness of breath, coughing, and chest pain.
3. Cardiac anoxia: This occurs when the heart does not receive enough oxygen, leading to cardiac arrest and potentially death.
4. Global anoxia: This is a complete lack of oxygen to the entire body, leading to widespread tissue damage and death.

Treatment for anoxia depends on the underlying cause and the severity of the condition. In some cases, hospitalization may be necessary to provide oxygen therapy, pain management, and other supportive care. In severe cases, anoxia can lead to long-term disability or death.

Prevention of anoxia is important, and this includes managing underlying medical conditions such as heart disease, diabetes, and respiratory problems. It also involves avoiding activities that can lead to oxygen deprivation, such as scuba diving or high-altitude climbing, without proper training and equipment.

In summary, anoxia is a serious medical condition that occurs when there is a lack of oxygen in the body or specific tissues or organs. It can cause cell death and tissue damage, leading to serious health complications and even death if left untreated. Early diagnosis and treatment are crucial to prevent long-term disability or death.

1) They share similarities with humans: Many animal species share similar biological and physiological characteristics with humans, making them useful for studying human diseases. For example, mice and rats are often used to study diseases such as diabetes, heart disease, and cancer because they have similar metabolic and cardiovascular systems to humans.

2) They can be genetically manipulated: Animal disease models can be genetically engineered to develop specific diseases or to model human genetic disorders. This allows researchers to study the progression of the disease and test potential treatments in a controlled environment.

3) They can be used to test drugs and therapies: Before new drugs or therapies are tested in humans, they are often first tested in animal models of disease. This allows researchers to assess the safety and efficacy of the treatment before moving on to human clinical trials.

4) They can provide insights into disease mechanisms: Studying disease models in animals can provide valuable insights into the underlying mechanisms of a particular disease. This information can then be used to develop new treatments or improve existing ones.

5) Reduces the need for human testing: Using animal disease models reduces the need for human testing, which can be time-consuming, expensive, and ethically challenging. However, it is important to note that animal models are not perfect substitutes for human subjects, and results obtained from animal studies may not always translate to humans.

6) They can be used to study infectious diseases: Animal disease models can be used to study infectious diseases such as HIV, TB, and malaria. These models allow researchers to understand how the disease is transmitted, how it progresses, and how it responds to treatment.

7) They can be used to study complex diseases: Animal disease models can be used to study complex diseases such as cancer, diabetes, and heart disease. These models allow researchers to understand the underlying mechanisms of the disease and test potential treatments.

8) They are cost-effective: Animal disease models are often less expensive than human clinical trials, making them a cost-effective way to conduct research.

9) They can be used to study drug delivery: Animal disease models can be used to study drug delivery and pharmacokinetics, which is important for developing new drugs and drug delivery systems.

10) They can be used to study aging: Animal disease models can be used to study the aging process and age-related diseases such as Alzheimer's and Parkinson's. This allows researchers to understand how aging contributes to disease and develop potential treatments.

Word in the news:

A recent study published in The Journal of Bone & Joint Surgery found that hemarthrosis is a common complication of knee replacement surgery, occurring in up to 20% of patients. Researchers recommend that patients be carefully monitored for signs of hemarthrosis after surgery and receive prompt treatment to minimize the risk of long-term joint damage.

The perioperative period is the time period of a patient's surgical procedure. It commonly includes ward admission, anesthesia ... surgery, and recovery. Perioperative may refer to the three phases of surgery: preoperative, intraoperative, and postoperative ... The postoperative period begins after the transfer to the Post Anesthesia Care Unit (PACU) and terminates with the resolution ... The intraoperative period begins when the patient is transferred to the operating room table and ends with the transfer of a ...
... a method of shortening the recovery period following pentothal anesthesia a clinical and experimental study". Ann Surg. 121 (4 ... Excessive sleep (9 hours or more over a full 24-hour period), without feeling refreshed after waking. Daytime naps can be up to ... This condition differs from narcolepsy in that daytime sleep periods are longer, there is no association with cataplexy, and ... Individuals with IH share common symptoms like excessive daytime sleepiness, sleep inertia, brain fog, long sleep periods, and ...
The recovery period is around 2 weeks and will require the stitches/staples to be removed by medical personnel or sub cuticular ... Transplant operations are performed on an outpatient basis, with mild sedation (optional) and injected local anesthesia. The ... As no suture removal is required, recovery from Micro Grafting FUE is less than 7 days. Disadvantages include increased ... individual follicular units containing 1 to 4 hairs are removed under local anesthesia; this micro removal typically uses tiny ...
The functional neurological status of animals given RhEpo was better after recovery from anesthesia, and kept improving over a ... two-day period. The animals given saline demonstrated a poor functional neurological status and showed no significant ... Epo has also been reported to enhance nerve recovery after spinal trauma. Celik and associates investigated motor neuron ... a significantly improved recovery rate compared to animals not treated with RhEpo was demonstrated. This RhEpo therapy ...
... offers a limited recovery period after procedures, and is usually associated with less nausea and vomiting ... Twilight anesthesia is also known as twilight sleep and allows an easy awakening and a speedy recovery time for the patient. ... Just like regular anesthesia, twilight anesthesia is designed to help a patient feel more comfortable and to minimize pain ... Breathing tubes are not required for this type of anesthesia. This is twilight anesthesia. This level, called deep sedation/ ...
This procedure usually takes less than 30 minutes in the hands of an experienced ophthalmologist, and the recovery period is ... The procedure can be done under local or topical anesthesia with the patient awake throughout the operation. The use of a ... local anesthesia, last approximately 30 minutes, and require making a small incision in the eye for lens insertion. People ...
... the depth of anesthesia can be changed and recovery in time if some unexpected situation happened suddenly. Although inhalation ... In case the loading dose was administered after the CRI, the time period of which will keep the concentration at a stable state ... Compare with the general anesthesia, balanced anesthesia has various advantages. In some extent, applying balanced anesthesia ... The doses of anesthetics will have a change, which depends on the required time of anesthesia, the requirements for anesthesia ...
During the post-operative recovery period for a tonsillectomy or adenoidectomy, it is common for adult patients to experience a ... drugs may be used to intentionally cause anorexia in order to help a patient preoperative fasting prior to general anesthesia. ... This can develop over a prolonged period of time, and the risk is further heightened when feeding resumes after a period of ...
... administer adjunctive treatment and provide continuity of anesthetic care into and during the post-operative recovery period. ... Anesthesia Anesthesia provision in the US, a brief description of the different anesthesia providers in the US. Physicians' ... The result of this anesthesia workforce analysis was to introduce the concept of team care and to define a new type of ... Make post-anesthesia patient rounds by recording patient progress notes, compiling and recording case summaries, and by ...
... anesthesia recovery period MeSH E04.641.619 - preanesthetic medication MeSH E04.650.110 - arthroplasty, replacement MeSH ...
The onset or induction phase of anesthesia is a critical period involving the loss of consciousness and reactivity in the ... PMID 15318476 [1] Baykara N, Sahin T, Toker K. The effect of midazolam-thiopental coinduction on recovery in minor surgery. J ... and the indication for anesthesia. As with all forms of anesthesia the resources available in the environment are a key factor ... Coinduction in anesthesia is a pharmacological tool whereby a combination of sedative drugs may be used to greater effect than ...
... and soaks the affected area for a period of time. Another method of recovery involves the use of surgical packing. The initial ... Treatment is possible in an emergency department under local anesthesia, but it is highly preferred to be formally admitted to ... The incision is not closed (stitched), as the damaged tissues must heal from the inside toward the skin over a period of time. ... the pain associated with the opening and draining incision during the post-operative period is often mild in comparison. ...
Full recovery from appendectomies takes about four to six weeks but can be prolonged to up to eight weeks if the appendix had ... During this period, surgery is risky unless there is pus formation evident by fever and toxicity or by USG. Medical management ... During an open appendectomy, the person with suspected appendicitis is placed under general anesthesia to keep the muscles ... The recovery process may vary depending on the severity of the condition: if the appendix had ruptured or not before surgery. ...
Normal recovery time can range from a few weeks for minor surgery, to up to a year for more complicated surgery. For some ... Lastly, if screws were inserted in the jaw, bone will typically grow over them during the two to three month healing period. ... Advances have been made in the procedures, and in the anesthesia used. In 1985, mandible and maxilla osteotomies were ... Patients are able to return to work 2-6 weeks after the surgery, but must follow the specific rules for recovery for ~8 weeks. ...
There was also a period of time during which she was in danger of losing a leg. "They took skin from the inside of my mouth to ... On the day of the crash, her teeth were removed from the back of the roof of her mouth and moved forward without anesthesia due ... Six years of difficult recovery followed. Christine was out of work for two months and it took six years and 11 surgeries to ...
42: 483-5. Marx GF (1994). "The first spinal anesthesia. Who deserves the laurels?". Regional Anesthesia. 19 (6): 429-30. PMID ... the time to recovery of normal gastrointestinal function is not significantly different from recovery time after intravenous ... Once placed, medication may be administered in one or more single doses, or may be continually infused over a period of time. ... "Anesthesia". Harvard University Press. Retrieved April 18, 2014. Sng BL, Leong WL, Zeng Y, Siddiqui FJ, Assam PN, Lim Y, Chan ...
The recovery period is about 6-12 weeks, depending on the amount of vulvar tissues removed. Post-surgery, the patient might ... The procedure involves minimal bleeding and is usually done under spinal or general anesthesia. The amount of tissue removed ...
... although short NPO periods in diabetics are possible with IV fluids, insulin, and dextrose.[citation needed] Extended periods ( ... Pre-surgery NPO orders are typically between 6 and 12 hours prior to surgery, through recovery suite discharge, but may be ... in those who will undergo general anesthesia, or those with weak swallowing musculature, or in case of gastrointestinal ... It is not uncommon for the food NPO period to be longer than that for liquid, as the American Board of Anesthesiology advises ...
When the anesthesia wore off after the surgery, she thrashed about wildly on the floor of a padded recovery stall as if still ... much less the long period of stall rest required after surgery), euthanized her shortly afterward at 2:25 a.m. on July 7. "It ... As it is natural for horses to thrash and kick when coming out of anesthesia, a "recovery pool" was developed so that they ... "Post Surgery Horse Recovery Pool Systems - HydroHorse". www.horsetreadmills.com. Retrieved 31 August 2016. Schmid, Neal (2004- ...
Neurology Internal medicine General surgery Histopathology Dermatology Anesthesia and recovery Obstetrics and gynaecology ... Studying period is 4 years or above: Civil Engineering founded in 1946 as a faculty affiliated with the Syrian University in ... Studying period is for two years: Medicine Dentistry Informatics Engineering Agriculture Technical College of Banking and ...
During this time period, the young Usher first met Chilli of TLC, his label-mate whom he would later date. Preparing for his ... She was induced into a coma to aid her recovery and was transferred to a larger facility, the Hospital Sírio-Libanês. Usher ... when she was given general anesthesia prior to scheduled cosmetic surgery (reportedly liposuction), which was ultimately not ... For a short period of time shortly after the death of his father, Usher adopted a vegan diet. After several years, Usher ...
The drugs used in combination offered a better risk profile to the animal under anesthesia and a quicker recovery. A ... in the period up to three postoperative days. It reduces the duration of postoperative tracheal intubation by roughly half. The ... Andrew Hudson, an assistant professor in anesthesiology states, "Recovery from anesthesia is not simply the result of the ... Spinal anesthesia is a "one-shot" injection that provides rapid onset and profound sensory anesthesia with lower doses of ...
Gas anesthesia offers a number of advantages in many circumstances. In CH cats the rapid recovery is its primary advantage. CH ... Postnatal development periods vary by species including: dogs up to 75 days, cats to 84 days, calves up to six months. A ... Temporarily, during growth periods or when ill, stressed, or tired, a cat may seem slightly "worse" than usual.[citation needed ... Development of the cerebellum starts in a fetus in utero and, depending on the species, may continue for some period after ...
Although it has a high success rate, it is infrequently used because of the recovery period. A relatively new and less-invasive ... Other complications include those normally associated with surgery and anesthesia, including bleeding.[citation needed] ...
... often have lower percentage of recurrences and the fastest recovery period compared to tension suture methods. However, among ... Open surgery has the benefit of possibly being done under local anesthesia rather than general anesthesia. Laparoscopic surgery ... Time needed for recovery after treatment is reduced if hernias are operated on laparoscopically. However, open surgery can be ... though intense activities are prohibited for a longer period. People who have their hernias repaired with mesh often recover ...
Their surgeries were often performed without anesthesia. His work has been described in the late 20th century as an example of ... During the 90 day evaluation period, author J.C. Hallman's essay about the Sims monument, "Monumental Error," appeared on the ... Lucy spent three months in recovery from a surgery of his. Browder said to the San Francisco Chronicle: "If you've ever had a ...
After a period of prolonged stability, individuals who had been infected and recovered from polio begin to experience new signs ... Prognosis can be abruptly changed for the worse by the use of anesthesia, such as during surgery. Old data show PPS occurs in ... The result is some recovery of movement and the development of enlarged motor units. The neural fatigue theory proposes that ... PPS is a very slowly progressing condition marked by periods of stability followed by new declines in the ability to carry out ...
... leading to a long period before consciousness is regained. Instead, anesthesia is usually maintained with an inhaled anesthetic ... Since it is redistributed to fat, certain lean breeds of dogs such as sighthounds will have prolonged recoveries from sodium ... "This Month in Anesthesia History: March". Anesthesia History Association. Archived from the original on 2011-05-01. Steinhaus ... In addition to anesthesia induction, sodium thiopental was historically used to induce medical comas. It has now been ...
"Barbaro surgery successful, Derby winner begins road to recovery". AP, May 22, 2006. Vets lose confidence in Barbaro's recovery ... After about an hour in the pool, at around 9:00 p.m. EDT, Barbaro began to calmly awaken from the anesthesia. He stood and then ... hind hoof-a potentially life-threatening affliction that is common in horses who shift weight to one hoof for extended periods ... He was walking well on his limb around the stall and was quite active for his condition; his first week of recovery went well. ...
Under the general anesthesia, a nasal drain was done by a 4mm endotracheal tube. The article explained how this procedure done ... As long as the septal hematoma is treated promptly, a full recovery is common. If the condition is left untreated and develops ... This all occurred within a 10-year period, 53 patients were successfully treated by incision and drainage. Ginsburg CM (April ... endotracheal tube is another alternative for the nasal pack and allowed the child to be at comfort in the postoperative period ...
... subacute postpartum period, which lasts two to six weeks, and the delayed postpartum period, which can last up to six months. ... The most severe symptoms last from two to 12 weeks, and recovery takes six months to a year. Five causes make up about 80 per ... During a C section, the patient is usually numbed with an epidural or a spinal block, but general anesthesia can be used as ... or postpartum period. The postpartum period can be divided into three distinct stages; the initial or acute phase, six to 12 ...
GABAA PAMs increase the effect of GABA by making the channel open more frequently or for longer periods. However, they have no ... It is efficient, safe and the recovery time is short. In 2013 the barbiturates phenobarbital and butabarbital are still used as ... Hans Selye demonstrated in the 1940 that certain pregnane steroids could cause both anesthesia and sedation but 40 years later ...
While an eruption can occur at any time, two of the most common triggers are anesthesia and direct tumor manipulation, making ... Griffin TP, Casey R, Wall D, Bell M, O'Shea PM (August 2016). "Evaluating the optimum rest period prior to blood collection for ... the chance of recovery or a recurrence. This is an extremely difficult question when it comes to pheochromcytoma, and the ... Hypotension: There are several reasons a patient may have low blood pressure in the post-operative period. First and foremost, ...
The limiting factor of the single shot approach has always been the half-life period of the local anesthetics which would not ... Anesthesia and Analgesia. 105 (6): 1787-1792, table of contents. doi:10.1213/01.ane.0000290339.76513.e3. ISSN 1526-7598. PMID ... continuous infiltration of a local anesthetic into a surgical wound to aid in pain management during post-operative recovery. ... an effective alternative to other regional anesthetic techniques such as peripheral nerve blocks and spinal-epidural anesthesia ...
... often cause patients to suffer prelonged recovery periods and highly increased chances of death. Its discovery and application ... The history of anesthesia: proceedings of the Fifth International Symposium. - International Congress Series 1242. Elsevier ... This period of time is also known as the Islamic Golden Age where there was a period of development for development and ... "Roman period surgery set on show". BBC. Greenhill WA (1875). "Chirurgia". In Smith W (ed.). A Dictionary of Greek and Roman ...
The most common symptoms of primidone overdose are coma with loss of deep tendon reflexes and, during the recovery period, if ... Canadian Journal of Anesthesia. 37 (3): 327-32. doi:10.1007/BF03005584. PMID 2108815. "Mysoline: Clinical Pharmacology". RxList ... Complete recovery comes within five to seven days of ingestion. The symptoms of primidone poisoning have generally been ... but the typical patient only made a full recovery-cessation of CNS and PNS symptoms as well as anemia-on B12 therapy. Five ...
It is unclear whether full recovery occurs after longer periods of abstinence. Benzodiazepines can cause or worsen depression. ... Archived 17 June 2022 at the Wayback Machine Kaplan JM, Reich DL, Lake CL, Konstadt SN (15 May 2006). Cardiac Anesthesia (5th ... Midazolam is superior to diazepam in impairing memory of endoscopy procedures, but propofol has a quicker recovery time and a ... Long-term use of benzodiazepines has been associated with long-lasting deficits in memory, and show only partial recovery six ...
... concentrations and time to recovery. Tonic immobility can also be used as a form of mild anesthesia during experimental ... The prolonged period of tonic immobility does not seem to be consistent with the fear hypothesis, but could be the result of a ... To induce tonic immobility, the animal is gently restrained on its side or back for a period of time, e.g. 15 seconds. This is ... This state persists for an average of 15 minutes before recovery and the resumption of active behaviour. Scientists have ...
Holmes also popularized several terms, including Boston Brahmin and anesthesia. He was the father of Justice Oliver Wendell ... and cease obstetric practice for a period of at least six months. Though it largely escaped notice when first published, Holmes ... doctrine that states the physician's role is to do everything possible to aid nature in the process of disease recovery, and to ...
During the transition period the new zoo was only open on weekends, as most animals were still at the old site awaiting ... In 2012 the Oregon Zoo became the first zoo to draw blood samples from polar bears without the use of anesthesia, leading to ... In 2003, the zoo began participation in a California condor recovery program started by San Diego Wild Animal Park and Los ... In 2001 the zoo joined the U.S. Fish and Wildlife Service's California Condor Recovery Program. California Condors are slow to ...
... and recovery is not significantly different from normal postpartum recovery. The first modern female sterilization procedure ... Anesthesia for the tubal ligation will be the same as that being used for the Cesarean section itself, usually regional or ... This waiting period is not required for private insurance beneficiaries, which has the effect of selectively restricting low- ... If the patient chooses an interval tubal ligation, the procedure will typically be performed under general anesthesia in a ...
After the episode of apnea, breathing may be faster and/or more intense (hyperpnea) for a period of time, a compensatory ... Such precautions are routinely taken for premature infants after general anesthesia; administration of caffeine has been found ... Should these individuals have general anaesthesia, for example, they require prolonged monitoring after initial recovery, as ... There, the patient will be monitored while at rest, and the periods when breathing ceases will be measured with respect to ...
However, contraindications to neuraxial anesthesia include hypovolemia, shock, increase in ICP, coagulopathy or ... as well as interfering with the recovery of respiratory function. Paraplegia complicating thoracotomy is rare but catastrophic ... tube clogging as these tubes have a tendency to become occluded with fibrinous material or clot in the post operative period, ...
An owner can also report a missing pet to the recovery service, as vets look for chips in new animals and check with the ... The first report was issued for the period of April 2014 through December 2015. Mandatory microchip implant of dogs went into ... or general anesthesia. Studies on horses show swelling and increased sensitivity take approximately three days to resolve. ... The form is sent to a registry, who may be the chip manufacturer, distributor or an independent entity such as a pet recovery ...
Symptoms are treated with high doses of vitamin B12, but recovery can be slow and incomplete. People with normal vitamin B12 ... On a per-molecule basis, considered over a 100-year period, nitrous oxide has 265 times the atmospheric heat-trapping ability ... Emmanouil DE, Quock RM (2007). "Advances in Understanding the Actions of Nitrous Oxide". Anesthesia Progress. 54 (1): 9-18. doi ... ISBN 978-0-13-175553-6. Keys, T.E. (1941). "The Development of Anesthesia". Anesthesiology. 2 (5): 552-574. Bibcode:1982AmSci.. ...
He also pioneered the use of spinal anesthesia and sterile techniques in treating gunshot wounds and is regarded as the first ... In 1879, he became for a brief period the contract surgeon at Fort Lowell near Tucson. On November 4, 1876, Goodfellow married ... and ordered the patient to take to a hard bed for recovery. He wrote about the operation: "I was entirely alone having no ... Goodfellow completed 78 operations and only two patients died, a remarkable level of success for the time period. He was among ...
Owing to their successful return from space and safe recovery by the USS Kiowa (ATF-72) and their crew, Able and Baker appeared ... Able died four days after the flight from a highly unusual cardiac fibrillation in reaction to anesthesia to remove electrodes ... Fourteen of the candidates tolerated confinement for periods up to 24 hours, electrodes all over their bodies, and monitoring ...
The waves eventually meet and cancel each other out, but, if an area of transient block occurred with a refractory period that ... Barash, Paul G. (2009). Clinical Anesthesia. Lippincott Williams & Wilkins. p. 168. ISBN 9780781787635. Archived from the ... and who make a good recovery are often considered for an implantable cardioverter-defibrillator, which can quickly deliver this ... This was called the "vulnerable period" by Wiggers and Wegria in 1940, who brought to attention the concept of the danger of ...
Also, recovery of worm from patient is also a diagnostic technique. Microscopic identification of worm removed from patient's ... A small female Gongylonema worm was surgically removed from her cheek mucosa under local anesthesia, and follow up treatment ... there can be an up to six week incubation period for worm development and symptoms may not appear until the second molting of ...
These types of manual resuscitators are used extensively during anesthesia induction and recovery, and are often attached to ... A bag not designed to store collapsed may lose elasticity when stored compressed for long periods, reducing its effectiveness. ... especially flow-inflation versions that are used during anesthesia induction/recovery during routine surgery. Accordingly, most ... Flow-inflating bags: Also termed "anesthesia bags", these are a specialized form of manual resuscitator with a bag-portion that ...
... faster recovery from anesthesia). Keytruda,the product from Organon R&D, and acquired by Schering Plough, is expected to become ... Professor Ram Charan: Reinvent: XVII SGP proxy statement peers over the period 4/25/03 to 11/3/09 (Abbot, Bristol-Meyers Squibb ...
Also during this period, under the Indian Reorganization Act (IRA) of 1934, the federal government was encouraging tribes to ... In 1935 they feared that the proposed government would hinder development and recovery of their livestock industries; in 1953 ... Other symptoms include corneal anesthesia and scarring, acral mutilation, cerebral leukoencephalopathy, failure to thrive, and ... The uranium market, which was active during and after the Second World War, slowed near the end of that period. The Navajo ...
... by the surgery are usually associated with considerable post-operative pain which necessitates a prolonged recovery period. ... Many cases have been successfully performed under local or regional anesthesia and the procedure is suited to day case ... Any external component which remains will usually regress over a period of 3-6 months. Prominent skin tags may, on occasion, be ...
Phillips, B. (2009). Social Psychological Recovery, Disaster Recovery. (p. 302). Boca Raton, FL: CRC Press - Taylor & Francis ... Current Reviews in Clinical Anesthesia: Lesson 9, Volume 39. Sorenson, Claire; Bolick, Beth; Wright, Karen; Hamilton, Rebekah ( ... mental exhaustion and emotional withdrawal experienced by those who care for sick or traumatized people over an extended period ...
... a short refractory period, and a small wavelength. Meanwhile, the wavelength is the product of velocity and refractory period. ... 2015). Essential clinical anesthesia review : keywords, questions and answers for the boards. p. 480. ISBN 9781107681309. ... Prolonged episodes of atrial fibrillation have been shown to correlate with prolongation of the sinus node recovery time; this ... It often begins as short periods of abnormal beating, which become longer or continuous over time. It may also start as other ...
Anticholinergic syndrome was once a common phenomenon after general anesthesia … ... Anesthesia Recovery Period * Anesthesia, General / adverse effects* * Anesthetics, Intravenous / adverse effects* * Central ... Anticholinergic syndrome after anesthesia: a case report and review Am J Ther. 2004 Mar-Apr;11(2):144-53. doi: 10.1097/00045391 ... We report a case of prolonged somnolence following general anesthesia for an MRI. A rapid improvement of mental status with ...
Delayed recovery (DR) is very commonly seen in the patients undergoing laparoscopic radical biliary surgery, we aimed to ... Anesthesia Recovery Period* Actions. * Search in PubMed * Search in MeSH * Add to Search ... Risk factors of delayed recovery from general anesthesia in patients undergoing radical biliary surgery: What can we prevent ... Risk factors of delayed recovery from general anesthesia in patients undergoing radical biliary surgery: What can we prevent ...
... during the recovery period he experienced two panic attacks and was administered benzodiazepines. The next day he was admitted ... extubation and monitoring during an overnight recovery. Median duration of anesthesia was 8.3 hours (range: 3.1-15.0 hours); ... Anesthesia-assisted rapid opiate detoxification (AAROD) does not reduce subjective opioid withdrawal symptom scores more than ... Anesthesia-assisted vs buprenorphine- or clonidine-assisted heroin detoxification and naltrexone induction: a randomized trial ...
Anesthesia Recovery Period Actions. * Search in PubMed * Search in MeSH * Add to Search ... Ketone supplementation abolished isoflurane anesthesia-induced elevation in blood glucose level and increased recovery time ... Escape From Oblivion: Neural Mechanisms of Emergence From General Anesthesia Max B Kelz 1 , Paul S García 2 , George A Mashour ... Escape From Oblivion: Neural Mechanisms of Emergence From General Anesthesia Max B Kelz et al. Anesth Analg. 2019 Apr. ...
With our program, our patients entered the postoperative and postdischarge periods optimized for recovery. For example, pain ... Development and Psychometric Testing of a Quality of Recovery Score After General Anesthesia and Surgery in Adults ... This PSH Team consisted of a senior (CA-3) anesthesia resident and a dedicated PSH anesthesia faculty available 24/7 through a ... The Open Mind articles,9,10 as well as the editorial, in this issue of Anesthesia & Analgesia present a conceptual discussion ...
Traditionally, this series of treatments involves several surgeries, a long recovery period, and a number of risks. However, it ... The surgery is done under general anesthesia. This means the person is asleep and pain-free during surgery. ... Bone shortening may be more exact than bone restriction, but it requires a much longer recovery period. ... Bone growth restriction (epiphysiodesis) is most often successful when it is done at the correct time in the growth period. ...
No anesthesia. No painful recovery period. "They used to come for an appointment before surgery, return again for the surgery ... effects of repeated anesthesia and painful recovery periods for a child who was barely out of diapers when the daunting process ...
Postoperative recovery period of six weeks; general anesthesia required; transfusion rate of 3 to 20 percent3,4; adhesions may ... Recovery is weeks shorter than recovery from hysterectomy or open myomectomy (seven to 10 days versus six weeks),2,5,19 and ... Much shorter recovery period than with abdominal myomectomy; best suited for pedunculated and subserosal fibroids or smaller ... Outpatient procedure for bleeding patients; short recovery period. Mortality from fluid overload and infection reported but ...
... it may occur at any time during surgery or the immediate recovery period. ... FOR SPINAL ANESTHESIA Rx only DESCRIPTION:. Bupivacaine hydrochloride is 2-Piperidinecarboxamide, 1-butyl- N-(2,6- ... the depth of anesthesia and degree of muscle relaxation required, the duration of anesthesia desired, individual tolerance, and ... secondary to upward extension of spinal anesthesia. Hypotension is commonly encountered during the conduct of spinal anesthesia ...
Categories: Anesthesia Recovery Period Image Types: Photo, Illustrations, Video, Color, Black&White, PublicDomain, ...
... anesthesia and recovery, see Table 6.. The distribution of adverse events occurring during the premedication period, before ... anesthesia and recovery), occurred in 2/397 (0.5%) patients during the premedication period. ... for the premedication period (eg, sedation period prior to induction of anesthesia) alone, see Table 5; for over the entire ... For the entire monitoring period (premedication, anesthesia and recovery), adverse events were reported by 82/397 (21%) ...
Problems of anesthesia and recovery in neonatal surgery. Personal experience during ther period 1970-1975].. Marino C; ...
Recovery time. Theres usually little to no recovery period.. Recovery takes about 3 to 5 days with lingering effects for weeks ... The surgical team may use local anesthesia such as lidocaine, or they may sedate you with general anesthesia. ... Liposuction recovery usually only takes a few days. Always follow your surgeons recommendations for recovery, which may ... No recovery time is necessary for CoolSculpting. One session takes anywhere from 30 minutes to 1 hour. Some people only receive ...
You will need general anesthesia. The surgeon will make the incision either under the border of the right rib cage or in the ... Blood clots or pneumonia related to the longer recovery period after open surgery. ... Risks of general anesthesia.. After gallbladder surgery, some people keep having belly symptoms, such as pain, bloating, gas, ... Open surgery involves more pain afterward and a longer recovery period than laparoscopic surgery. ...
During the recovery period, the animal patient must be closely observed for anesthetic and/or surgical complications. Close ... Animals recovering from anesthesia must be monitored until it is determined that they are stable. Criteria for assessing when ... Anesthetic Recovery S.O.P. for USDA Regulated Animals. In order to assure adequate documentation of the anesthetic recovery of ... URMC / Animal Resource / Services / Division of Comparative Medicine (DCM) / Anesthetic Recovery S.O.P. for USDA Regulated ...
Recovery period. Question: How long is the recovery period? Can it be done in a doctors office ? Can both arms be done at the ... The risks of General anesthesia are very rare, and not much different than having anesthesia for any operation. One can take ... Recovery period. Arm Lift Member Response: Brachioplasty is an excellent operation for removing excess loose skin of the arms. ... The risks of General anesthesia are very rare, and not much different than having anesthesia for any operation. One can take ...
The recovery period for open prostatectomy is different for each man who undergoes the procedure. ... Some urodynamic tests do not require anesthesia; others may require local anesthesia. Most urodynamic tests focus on the ... Anesthesia during surgery may cause urinary retention and also increase the risk of a UTI. In addition, the incision site of an ... Many men find it helpful to talk with a counselor during the adjustment period after surgery. Even though it can take a while ...
Prophylactic antibiotics at the time of surgery are a good means of limiting the risk of infection in the perioperative period ... The nursing team may want to teach the patient tracheotomy tube care early in the recovery, familiarizing the patient and other ... Unless the tumor is very small, general anesthesia is necessary. In patients with more complex medical problems, a preoperative ... For peroral resections, once the patient is under general anesthesia, all the edges of the tumor are carefully visualized. ...
Recovery times vary depending upon the procedure, but generally the healing period is between 1 and 2 weeks for facial cosmetic ... What is the total price of the surgery? (This includes the surgeons fee, operating room, anesthesia, and other charges.) ... These minimally invasive alternatives usually result in less pain, less scarring, and a quicker recovery for the patient, as ... to perform procedures that once required extensive surgery and recovery time. Todays plastic and cosmetic surgeons have ...
The procedure is performed under local anesthesia. The recovery period is on average 3 weeks. The effect of treatment lasts for ... The procedure is performed under local anesthesia. The next day, the affected area is treated with drugs that accelerate ... since the self-regeneration of the mucous membrane takes a long period of time, attempts to stop using decongestants usually do ...
Anesthesia Recovery Period Preferred Concept UI. M0001148. Scope Note. The period of emergence from general anesthesia, where ... Perioperative Period [E04.614] * Postoperative Period [E04.614.750] * Anesthesia Recovery Period [E04.614.750.055] ... Perioperative Period [N02.421.585.753] * Postoperative Period [N02.421.585.753.750] * Anesthesia Recovery Period [N02.421. ... Recovery Period, Anesthesia NLM Classification #. WO 183. Previous Indexing. Anesthesia or specific (1966-1985). Postoperative ...
If your cat is going to require veterinay anesthesia, this is what you should know. ... Cat anesthesia is required during veterainry surgical procedures. ... Knowing the basics about how anesthesia will be is used in cat surgery and the recovery basics will help to ease your mind ... Your cat may feel sedated for a period of time after it goes home. Our staff will talk to you about your cats pain management ...
during the induction of anesthesia and during recovery;. *during periods of coma or semi-consciousness and during resuscitation ... sufficient periods of time for play, seven days a week;. *creative activities by all children, including those who are in ... whether or not the child is being treated or examined, with or without local anesthesia or sedation;. ... advising parents on how to care for their child to help recovery. ... grant sufficient periods of rest between treatments;. *offer ...
Minimal recovery period. Can be performed at the same time as a facelift ... The procedure takes about 30 minutes when performed on its own and is usually with local anesthesia We can also combine it with ... Recovery time for buccal fat removal allows you to resume most of your normal activities within a few days. The complete ... If you combine your buccal fat removal with another cosmetic procedure, like a facelift, you can expect a longer recovery time. ...
During the recovery period, rats were provided with ad libitum access to chow and water. To monitor the health of the animals, ... Anesthesia was maintained throughout surgery via intraperitoneal injections of a ketamine/xylazine mixture (1 ml ketamine, 0.05 ... Light gray lines, Period of significant taste responsiveness; medium gray lines, period of significant taste specificity; dark ... we weighed the rats daily during the recovery period and the ensuing taste experiment. Rats did not fall below 85% of their ...
  • Anticholinergic syndrome was once a common phenomenon after general anesthesia because of the frequent administration of the anticholinergic agents atropine and scopolamine. (nih.gov)
  • Still, many prescription and over the counter medications as well as many anesthetic agents possess anticholinergic activity, and this diagnosis should be considered in patients with altered mental status following general anesthesia. (nih.gov)
  • We report a case of prolonged somnolence following general anesthesia for an MRI. (nih.gov)
  • The surgery is done under general anesthesia. (medlineplus.gov)
  • You will need general anesthesia. (kaiserpermanente.org)
  • Risks of general anesthesia. (kaiserpermanente.org)
  • 2. Influence of dexmedetomidine to cognitive function during recovery period for children with general anesthesia. (nih.gov)
  • 8. [Effects of using different dose of dexmedetomidine during tracheal extubation for patients with parotidectomy after general anesthesia]. (nih.gov)
  • 13. Application of Different Doses of Dexmedetomidine Combined with General Anesthesia in Anesthesia of Patients with Traumatic Tibiofibular Fractures and Its Effect on the Incidence of Adverse Reactions. (nih.gov)
  • Appendectomies are done under general anesthesia, which will put you to sleep for the duration of the operation. (epnet.com)
  • The period of emergence from general anesthesia, where different elements of consciousness return at different rates. (nih.gov)
  • Mommy Makeover surgery in LA is performed under general anesthesia. (doctortaylor.com)
  • It is considered a more invasive procedure and in some cases patients will need general anesthesia. (csaok.com)
  • The patient receives an injection of Vivitrol in addition to a sedative or general anesthesia. (projectknow.com)
  • Rapid detox with Vivitrol can also be dangerous, since the patient experiences withdrawal while under general anesthesia. (projectknow.com)
  • Every day about 60,000 people nationwide have surgery under general anesthesia. (nih.gov)
  • General anesthesia dampens pain, knocks you unconscious and keeps you from moving during the operation. (nih.gov)
  • Prior to general anesthesia, the best ideas for killing pain during surgery were biting on a stick or taking a swig of whiskey," says Dr. Emery Brown, an anesthesiologist at Massachusetts General Hospital in Boston. (nih.gov)
  • General anesthesia changed medicine practically overnight," says Brown. (nih.gov)
  • Life-saving procedures like open-heart surgery, brain surgery or organ transplantation would be impossible without general anesthesia. (nih.gov)
  • General anesthesia affects your entire body. (nih.gov)
  • But general anesthesia is used for major surgery and when it's important that you be unconscious during a procedure. (nih.gov)
  • General anesthesia has 3 main stages: going under (induction), staying under (maintenance) and recovery (emergence). (nih.gov)
  • But that's not the case with general anesthesia. (nih.gov)
  • General anesthesia looks more like a coma-a reversible coma. (nih.gov)
  • While you are deep asleep and pain-free under general anesthesia, the doctor makes a half-inch (1.25 centimeters) surgical cut in the skin below the belly button. (nih.gov)
  • 6. Effect of Dexmedetomidine-Assisted Intravenous Inhalation Combined Anesthesia on Cerebral Oxygen Metabolism and Serum Th1/Th2 Level in Elderly Colorectal Cancer Patients. (nih.gov)
  • 7. Effect of dexmedetomidine on intraocular pressure in patients undergoing robot-assisted laparoscopic radical prostatectomy under total intravenous anesthesia: A randomized, double blinded placebo controlled clinical trial. (nih.gov)
  • 12. Effects of Dexmedetomidine Combined with Intravenous Anesthesia on Oxidative Stress Index, Postoperative Sleep Quality, and Brain Function in HICH Patients. (nih.gov)
  • Data from published reports of studies in pediatric patients clearly demonstrate that oral midazolam provides safe and effective sedation and anxiolysis prior to surgical procedures that require anesthesia as well as before other procedures that require sedation but may not require anesthesia. (nih.gov)
  • Quickly, pursuing anesthesia, a midline incision was produced, the stomach aorta was visualized, as well as the catheter probe from the telemetry gadget was inserted. (holyexperiment.org)
  • The smaller incision also means that the recovery is faster. (nih.gov)
  • The procedure takes about 30 minutes when performed on its own and is usually with local anesthesia We can also combine it with other cosmetic procedures. (mdface.com)
  • The buccal fat removal procedure is performed under local anesthesia administered to the cheeks to block sensation and ensure comfort. (mdface.com)
  • After your procedure, you'll be given detailed instructions for your aftercare to help with your recovery. (mdface.com)
  • Cat anesthesia may be deemed necessary when a procedure needs to be performed wherein your cat will be immobilized or if the procedure would otherwise cause pain or distress that is beyond what your cat can comfortably tolerate. (msah.com)
  • We want you to feel absolutely comfortable with our hospital, staff, and recommendations and anytime a cat sedative or anesthesia is being recommended we want to reassure you that our veterinary staff is here to answer any questions and provide any assistance that will make the procedure easier for you and your cat. (msah.com)
  • Cat anesthesia is used in association with any type of procedure that demands that your cat is immobilized or during any type of surgery in which the cat would otherwise feel pain. (msah.com)
  • You will receive a specific set of instructions from your veterinarian before your cat receives cat anesthesia or undergoes any surgical procedure. (msah.com)
  • Anesthesia and surgery length - The procedure is done under anesthesia and is generally completed in under 2 hours. (drarielostad.com)
  • Do I fully understand the surgical procedure, how long it will take and what I need to do after the surgery to promote healing and recovery? (cocoona.ae)
  • No anesthesia is generally used for this procedure. (medscape.com)
  • Thought you might appreciate this item(s) I saw in Anesthesia & Analgesia. (lww.com)
  • With proper care and supervision, we are able to minimize the risks of complications due to the use of a cat sedative or anesthesia. (msah.com)
  • If for example a second or multiple doses were applied to an infant to extend the duration of anesthesia, this may raise some concerns. (nih.gov)
  • Traditionally, this series of treatments involves several surgeries, a long recovery period, and a number of risks. (medlineplus.gov)
  • We will discuss with you any risks of veterinary anesthesia. (msah.com)
  • 14. [Effects of remimazolam versus propofol on postoperative recovery quality in elderly patients undergoing thoracoscopic laparoscopic radical esophagectomy]. (nih.gov)
  • Le propofol est un hypnotique intraveineux d'utilisation courante lors des anesthésies pour gestes de courte durée comme les procédures diagnostiques en radiologie et en endoscopie. (bvsalud.org)
  • Our veterinary surgical team will monitor your cat very carefully during and after the cat surgery is performed and throughout the time that they are under the influence of anesthesia. (msah.com)
  • Surgical cheek implants can be performed under general anesthetic or twilight anesthesia. (cocoona.ae)
  • The typical recovery period for surgical cheek implants is a couple of weeks, by which point any bruising and swelling should have diminished. (cocoona.ae)
  • Open surgery involves more pain afterward and a longer recovery period than laparoscopic surgery. (kaiserpermanente.org)
  • Blood clots or pneumonia related to the longer recovery period after open surgery. (kaiserpermanente.org)
  • 16. [Impact of dexmedetomidine-sevoflurane anesthesia on intraoperative wake-up test in children patients undergoing scoliosis surgery]. (nih.gov)
  • At the conclusion of the surgery, your breathing tube and catheter will be removed and you will be taken to the recovery area for monitoring, where you will be given pain medication as needed. (epnet.com)
  • At the time of surgery, your cat will require anesthesia which will be carefully administered and monitored by our veterinary staff. (msah.com)
  • Knowing the basics about how anesthesia will be is used in cat surgery and the recovery basics will help to ease your mind while your cat is under our care. (msah.com)
  • Because cats have specific needs, it is important to make sure that veterinary anesthesia protocols are followed properly to prepare your cat for surgery. (msah.com)
  • Cat anesthesia allows us to keep your cat perfectly still and pain-free during the surgery. (msah.com)
  • 24. What kind of anesthesia will be used on me during surgery? (obesityhelp.com)
  • Recovery period - Each patient heals differently and may need some assistance immediately following the surgery. (drarielostad.com)
  • Although doctors often say that you'll be asleep during surgery, research has shown that going under anesthesia is nothing like sleep. (nih.gov)
  • Recovery from anaesthesia and surgery is an important marker of the quality of perioperative care. (who.int)
  • The QoR-15 score assesses patient's perspectives on Recovery from anaesthesia and surgery is an important marker postoperative pain, physical comfort, emotional state, of the quality of perioperative care. (who.int)
  • The concern with respect to ketamine exposure in children is most likely not due to bouts of acute, single dose exposures, but rather to bouts of repeated doses over a relatively short period of time. (nih.gov)
  • Following premedication with oral midazolam, time to recovery has been assessed in pediatric patients using various measures, such as time to eye opening, time to extubation, time in the recovery room, and time to discharge from the hospital. (nih.gov)
  • It can lead the patient into believing that their addiction is cured, rather than viewing recovery as a continuing process. (projectknow.com)
  • Addiction to alcohol or drugs increases the risk for anesthesia awareness, but doctors can't accurately predict who will be affected. (nih.gov)
  • During anesthesia, your cat will be in an unconscious state and will not feel any discomfort. (msah.com)
  • During August-September 2012, the New York City Department of Health and Mental Hygiene (DOHMH) was notified by the New York City Poison Control Center regarding three patients who experienced serious adverse events after anesthesia-assisted rapid opiate detoxification (AAROD) at a local outpatient clinic. (cdc.gov)
  • 3. Effects of dexmedetomidine on anesthesia recovery period and postoperative cognitive function of patients after robot-assisted laparoscopic radical cystectomy. (nih.gov)
  • The recovery time following a medium peel is about 10 days and patients will need to plan ahead for a short recovery period. (csaok.com)
  • Our veterinary staff performs careful and consistent monitoring throughout the entire time feline patients are under cat anesthesia. (msah.com)
  • La majorité des patients des deux groupes a présenté un temps opératoire de 1 et 2 heures, soit 83,3% (ML) et 60,9% (IT).Presque la moitié des patients ML (41,7%) a eu un réveil rapide en moins de 10 minutes après la fin de la chirurgie, aucun dans le groupe IT mais par contre 26,1% de patients avec un réveil plus retardé. (bvsalud.org)
  • Withdrawal symptoms can be severe, which can interfere with the recovery process . (projectknow.com)
  • This approach minimizes the withdrawal period to as little as two hours. (projectknow.com)
  • Since first getting growing rods when she was 2½ years old, Carmen has had 14 surgeries - each bringing a pile of worries about the possible complications, effects of repeated anesthesia and painful recovery periods for a child who was barely out of diapers when the daunting process began. (seattlechildrens.org)
  • Newer laparoscopic techniques require only tiny, keyhole incisions, or puncture wounds, which generally result in a shorter recovery period. (epnet.com)
  • 1. [Effects of dexmedetomidine on recovery period of anesthesia and postoperative cognitive function after robot-assisted laparoscopicradical prostatectomy in the elderly people]. (nih.gov)
  • DOHMH issued an order requiring that the clinic cease performing AAROD pending an investigation and searched for additional cases of AAROD-related serious adverse events at the clinic and elsewhere in New York City for the period September 2011 to September 2012. (cdc.gov)
  • Local anesthesia is used to anesthetize a core of tissue from the skin to the disc's surface. (spine-health.com)
  • Local anesthesia-such as a shot of novocaine from the dentist-numbs only a small part of your body for a short period of time. (nih.gov)
  • Most people are awake during operations with local or regional anesthesia. (nih.gov)
  • 20. What kind of medical care will I require during recovery? (obesityhelp.com)
  • Does cheek augmentation require anesthesia? (cocoona.ae)
  • The only difference will be the type of acid solution used, the amount applied, and the period of time that it is left on the skin. (csaok.com)
  • It is also extremely important to avoid sun exposure for a period of time after the treatment. (csaok.com)
  • Your cat may feel sedated for a period of time after it goes home. (msah.com)
  • During this time period, daily scientific examination, bodyweight measurements, as well as the telemetry indication had been examined. (holyexperiment.org)
  • The first 10 physiological end-points can be easily measured, it is more questions are scored from 0 (none of the time) to 10 (all of the challenging to quantify a patient's subjective experience of his/ time) based on a patient's positive response, while the last five her recovery. (who.int)
  • You will spend some time in a recovery area as you wake up from the anesthesia. (nih.gov)
  • Always follow all instructions given to you by your veterinary team to ensure your cat's full recovery. (msah.com)
  • Ongoing studies are exploring whether this gene plays a role in anesthesia awareness in people. (nih.gov)
  • Like neurons in cortex and amygdala, LH neurons produced a brief epoch of nonspecific responses followed by a protracted period of taste-specific firing. (jneurosci.org)
  • Other types of anesthesia affect specific regions. (nih.gov)
  • Your recovery period will depend on the combinations of procedures and techniques used during your Mommy Makeover. (doctortaylor.com)
  • Regional anesthesia numbs a larger area-such as everything below the waist-for a few hours. (nih.gov)
  • At least 2 wk had been allowed for degeneration from the targeted neurons as well as for recovery from medical procedures. (holyexperiment.org)
  • 21. What sort of help will I need at home during recovery to care for myself (and my children)? (obesityhelp.com)
  • There is no recovery period as anesthesiology is generally not used. (medscape.com)
  • The recovery period may take up to 14 days and the area treated will be bandaged as the wounds are comparable to second-degree burns. (csaok.com)
  • A panel of six first-language IsiZulu validated.1,2 Developed by consolidating the strongest speaking individuals were involved in translating the QoR-15 performing items from the Quality of Recovery-40 items (QoR- score from English into isiZulu. (who.int)
  • One common worry is about going under anesthesia. (nih.gov)
  • The prostate goes through two main growth periods as a man ages. (nih.gov)
  • 43. Are any special medications or diets required during the recovery period? (obesityhelp.com)
  • Brain monitoring did no better than standard monitoring in preventing anesthesia awareness. (nih.gov)
  • All the items on standard in assessing quality of recovery. (who.int)
  • Additionally, there is a longer period of development of the primate brain compared to the rat, and it is difficult to match the exact age at which a particular neurodevelopmental stage commences across species. (nih.gov)
  • If you have had a hysterectomy, you need to wait a longer period before having sexual intercourse again. (nih.gov)