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 state characterized by loss of feeling or sensation. This depression of nerve function is usually the result of pharmacologic action and is induced to allow performance of surgery or other painful procedures.
A blocking of nerve conduction to a specific area by an injection of an anesthetic agent.
Procedure in which an anesthetic is injected into the epidural space.
Procedure in which an anesthetic is injected directly into the spinal cord.
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 variety of anesthetic methods such as EPIDURAL ANESTHESIA used to control the pain of childbirth.
The period of emergence from general anesthesia, where different elements of consciousness return at different rates.
A range of methods used to reduce pain and anxiety during dental procedures.
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)
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)
Agents that are administered in association with anesthetics to increase effectiveness, improve delivery, or decrease required dosage.
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.
A stable, non-explosive inhalation anesthetic, relatively free from significant side effects.
A group of compounds that contain the general formula R-OCH3.
A specialty concerned with the study of anesthetics and anesthesia.
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.
The use of two or more chemicals simultaneously or sequentially to induce anesthesia. The drugs need not be in the same dosage form.
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.
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.
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 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.
Inhalation anesthesia where the gases exhaled by the patient are rebreathed as some carbon dioxide is simultaneously removed and anesthetic gas and oxygen are added so that no anesthetic escapes into the room. Closed-circuit anesthesia is used especially with explosive anesthetics to prevent fires where electrical sparking from instruments is possible.
A 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)
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 widely used local anesthetic agent.
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.
Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.
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.
Epidural anesthesia administered via the sacral canal.
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 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 procedure involving placement of a tube into the trachea through the mouth or nose in order to provide a patient with oxygen and anesthesia.
Hospital department responsible for the administration of functions and activities pertaining to the delivery of anesthetics.
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)
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 during the period after surgery.
The period during a surgical operation.
Medical methods of either relieving pain caused by a particular condition or removing the sensation of pain during a surgery or other medical procedure.
Extraction of the FETUS by means of abdominal HYSTEROTOMY.
A local anesthetic that is similar pharmacologically to LIDOCAINE. Currently, it is used most often for infiltration anesthesia in dentistry.
An intravenous anesthetic with a short duration of action that may be used for induction of anesthesia.
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 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)
Sense of awareness of self and of the environment.
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.
Drugs used to induce drowsiness or sleep or to reduce psychological excitement or anxiety.
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)
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.
Emesis and queasiness occurring after anesthesia.
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.
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.
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.
The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.
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.
Operations carried out for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases. (Taber, 18th ed.)
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.
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.
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.
The number of times the HEART VENTRICLES contract per unit of time, usually per minute.
Compounds with activity like OPIATE ALKALOIDS, acting at OPIOID RECEPTORS. Properties include induction of ANALGESIA or NARCOSIS.
An opioid analgesic that is used as an adjunct in anesthesia, in balanced anesthesia, and as a primary anesthetic agent.
Devices used to assess the level of consciousness especially during anesthesia. They measure brain activity level based on the EEG.
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.
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.
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.
Elements of limited time intervals, contributing to particular results or situations.
A thiophene-containing local anesthetic pharmacologically similar to MEPIVACAINE.
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.)
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.
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.
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.
Books designed to give factual information or instructions.
A family of hexahydropyridines.
Examination, therapy or surgery of the interior of the larynx performed with a specially designed endoscope.
Androstanes and androstane derivatives which are substituted in any position with one or more hydroxyl groups.
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.
Imidazole derivative anesthetic and hypnotic with little effect on blood gases, ventilation, or the cardiovascular system. It has been proposed as an induction anesthetic.
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)
Facilities equipped for performing surgery.
Methods of PAIN relief that may be used with or in place of ANALGESICS.
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.
Surgery performed on the eye or any of its parts.
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.
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.
A colorless, odorless gas that can be formed by the body and is necessary for the respiration cycle of plants and animals.
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.
Involuntary contraction or twitching of the muscles. It is a physiologic method of heat production in man and other mammals.
The period following a surgical operation.
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.
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).
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)
The large network of nerve fibers which distributes the innervation of the upper extremity. The brachial plexus extends from the neck into the axilla. In humans, the nerves of the plexus usually originate from the lower cervical and the first thoracic spinal cord segments (C5-C8 and T1), but variations are not uncommon.
The 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.
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.
Measurement of oxygen and carbon dioxide in the blood.
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.
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 relationship between the dose of an administered drug and the response of the organism to the drug.
Professional nurses who have completed postgraduate training in the administration of anesthetics and who function under the responsibility of the operating surgeon.
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.
A phenothiazine that is used in the treatment of PSYCHOSES.
Lower than normal body temperature, especially in warm-blooded animals.
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.
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.
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)
The measure of the level of heat of a human or animal.
A potent local anesthetic of the ester type used for surface and spinal anesthesia.
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.
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.
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.
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.
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)
The surgical removal of a tooth. (Dorland, 28th ed)
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.
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.
Operative procedures performed on the SKIN.
The technology of transmitting light over long distances through strands of glass or other transparent material.
Proposed anesthetic with possible anticonvulsant and sedative properties.
Sharp instruments used for puncturing or suturing.
Surgery performed on the female genitalia.
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)
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 the emotionally, mentally, or physically disabled patient. It does not include dental care for the chronically ill ( = DENTAL CARE FOR CHRONICALLY ILL).
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.
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.
Interventions to provide care prior to, during, and immediately after surgery.
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.
Introduction of substances into the body using a needle and syringe.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
That portion of the body that lies between the THORAX and the PELVIS.
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.
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)
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
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)
A hypnotic and sedative used in the treatment of INSOMNIA.
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)
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).
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.
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.
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)
Surgical procedures used to treat disease, injuries, and defects of the oral and maxillofacial region.
Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.
An expectorant that also has some muscle relaxing action. It is used in many cough preparations.
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.
The removal of a cataractous CRYSTALLINE LENS from the eye.
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.
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).
Spasmodic contraction of the smooth muscle of the bronchi.
The processes of heating and cooling that an organism uses to control its temperature.
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.
A transient absence of spontaneous respiration.
Injections made into a vein for therapeutic or experimental purposes.
The electric response evoked in the CEREBRAL CORTEX by ACOUSTIC STIMULATION or stimulation of the AUDITORY PATHWAYS.
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)
A type of lung inflammation resulting from the aspiration of food, liquid, or gastric contents into the upper RESPIRATORY TRACT.
An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.
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)
A method in which either the observer(s) or the subject(s) is kept ignorant of the group to which the subjects are assigned.
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.
The action of a drug that may affect the activity, metabolism, or toxicity of another drug.
The TEMPERATURE at the outer surface of the body.
Evaluation, planning, and use of a range of procedures and airway devices for the maintenance or restoration of a patient's ventilation.
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.
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)
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).
Compounds capable of relieving pain without the loss of CONSCIOUSNESS.
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.
Cyclic GLUCANS consisting of eight (8) glucopyranose units linked by 1,4-glycosidic bonds.
Any hindrance to the passage of air into and out of the lungs.
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.
Situations or conditions requiring immediate intervention to avoid serious adverse results.
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.
Hospital unit providing continuous monitoring of the patient following anesthesia.
A dental specialty concerned with the diagnosis and surgical treatment of disease, injuries, and defects of the human oral and maxillofacial region.
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)
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.
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).
Drugs used to prevent NAUSEA or VOMITING.
A strain of albino rat used widely for experimental purposes because of its calmness and ease of handling. It was developed by the Sprague-Dawley Animal Company.
A 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)
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.
The volume of air inspired or expired during each normal, quiet respiratory cycle. Common abbreviations are TV or V with subscript T.
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.
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.
A state in which there is an enhanced potential for sensitivity and an efficient responsiveness to external stimuli.
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.
A local anesthetic with rapid onset and long action, similar to BUPIVACAINE.
The circulation of blood through the BLOOD VESSELS of the BRAIN.
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.
The upper part of the trunk between the NECK and the ABDOMEN. It contains the chief organs of the circulatory and respiratory systems. (From Stedman, 25th ed)

Quantification of mitral regurgitation using proximal isovelocity surface area method in dogs. (1/4)

The present study was performed to determine the accuracy and reproducibility of calculating the mitral regurgitant orifice area with the proximal isovelocity surface area (PISA) method in dogs with experimental mitral regurgitation and in canine patients with chronic mitral insufficiency and to evaluate the effect of general anesthesia on mitral regurgitation. Eight adult, Beagle dogs for experimental mitral regurgitation and 11 small breed dogs with spontaneous mitral regurgitation were used. In 8 Beagle dogs, mild mitral regurgitation was created by disrupting mitral chordae or leaflets. Effective regurgitant orifice (ERO) area was measured by the PISA method and compared with the measurements simultaneously obtained by quantitative Doppler echocardiography 4 weeks after creation of mitral regurgitation. The same procedure was performed in 11 patients with isolated mitral regurgitation and in 8 Beagle dogs under two different protocols of general anesthesia. ERO and regurgitant stroke volume (RSV) by the PISA method correlated well with values by the quantitative Doppler technique with a small error in experimental dogs (r = 0.914 and r = 0.839) and 11 patients (r = 0.990 and r = 0.996). The isoflurane anesthetic echocardiography demonstrated a significant decrease of RSV, and there was no significant change in fractional shortening (FS), ERO area, LV end-diastolic and LV end-systolic volume. ERO area showed increasing tendency after ketamine-xylazine administration, but not statistically significant. RSV, LV end-systolic and LV end-diastolic volume increased significantly (p < 0.01), whereas FS significantly decreased (p < 0.01). The PISA method is accurate and reproducible in experimental mitral regurgitation model and in a clinical setting. ERO area is considered and preferred as a hemodynamic-nondependent factor than other traditional measurements.  (+info)

Does rectus sheath infusion of bupivacaine reduce postoperative opioid requirement? (2/4)

INTRODUCTION: The aim of this work was to assess the effect of intermittent bupivacaine infusion into rectus sheath space on postoperative opioid requirement, postoperative pain score and peak expiratory flow rate. PATIENTS AND METHODS: A prospective, randomised study involving patients undergoing midline laparotomy. Patients were randomised to receive either intermittent infusion of bupivacaine 0.25% or normal saline via catheters placed in the rectus sheath for 48 h after operation. All patients received intravenous morphine infusion on demand with a patient-controlled analgesic device (PCAD). RESULTS: Forty ASA I-III patients were studied. Nineteen were randomised to receive bupivacaine and 21 patients received normal saline. Patient characteristics and surgical variables were comparable in the two groups. The mean wound lengths were similar. There was no statistically significant difference in postoperative opioid requirement, postoperative pain score and peak expiratory flow rate between the two groups. CONCLUSIONS: Intermittent bupivacaine infusion into the rectus sheath space after midline laparotomy does not reduce postoperative opioid requirement nor does it affect postoperative pain score or peak expiratory flow rate.  (+info)

Conscious sedation and analgesia with rectal ketamine in the Macaca fuscata monkey. (3/4)

Conscious sedation is commonly utilized in pediatric dentistry. Although opioid analgesics are often employed, patient safety would be enhanced if nonopioid drugs were used. The purpose of this study was to determine if rectal ketamine could produce plasma concentrations that would achieve both conscious sedation and analgesia to gingival needle puncture. Five 2-year-old male Macaca fuscata monkeys were given rectal ketamine at a dosage of 60 mg/kg and 90 mg/kg one week apart. Blood was drawn at selected times after administration, and vital signs, level of sedation, and consciousness were assessed. Plasma ketamine concentrations ranged from 240 to 820 ng/mL and from 390 to 3120 ng/mL after rectal administration at doses of 60 mg/kg and 90 mg/kg, respectively. Two monkeys after the high dose showed analgesia to a gingival needle puncture at plasma ketamine concentrations that ranged from 1390 to 3120 ng/mL. A good level of sedation was consistently observed in four monkeys (80%) following rectal ketamine at a dosage of 90 mg/kg, whereas one monkey showed a consistently good level at a dosage of 60 mg/kg. Sedation and dose were significantly (P less than 0.001) associated with plasma ketamine concentrations; physiologic parameters were not (P greater than 0.05). The results of this study suggest that rectal ketamine can produce plasma concentrations of the drug sufficient to achieve sedation in the monkey. The attainment of concomitant analgesia to a gingival needle puncture was not as predictable.  (+info)

Double-blind comparison of rectally administered diazepam to placebo for pediatric sedation: the cardiovascular response. (4/4)

The sedative and cardiovascular effects of rectally administered diazepam (0.6 mg/kg) were compared to placebo in uncooperative children who required sedation during dental treatment. Twelve healthy preschool children, who required amalgam restorations, were treated during two standardized restorative appointments in a double-blind, crossover study. Blood pressure and pulse were obtained during four specified intervals during the appointment. The behavior of the children during the treatment visits was videotaped and later statistically analyzed using a kinesics/vocalization instrument. Behavioral ratings of cooperation were significantly improved during the treatment visit following diazepam. All interfering bodily movements, patient vocalizations and operator commands for the diazepam group were reduced significantly (p+info)

TY - JOUR. T1 - Response to Letter Regarding Perioperative Celecoxib and Postoperative Opioid Use in Hand Surgery. T2 - A Prospective Cohort Study. AU - Calfee, Ryan P.. AU - Stepan, Jeffrey G.. AU - London, Daniel A.. AU - Osei, Daniel. AU - Boyer, Martin I.. AU - Dardas, Agnes Z.. PY - 2018/7. Y1 - 2018/7. UR - U2 - 10.1016/j.jhsa.2018.05.011. DO - 10.1016/j.jhsa.2018.05.011. M3 - Letter. C2 - 29976390. AN - SCOPUS:85049032721. VL - 43. SP - e5. JO - Journal of Hand Surgery. JF - Journal of Hand Surgery. SN - 0363-5023. IS - 7. ER - ...
To fight the opioid epidemic, ob/gyns, like all physicians, are looking for ways to help prevent substance use disorders and enhanced recovery programs (ERAS) could play a role. PLUS: Are EDs screening adolescents with PID for HIV, syphilis? ALSO: Results of a new retrospective study show that a womans race may impact how likely she is to have a myomectomy-and alarmingly, whether the procedure is likely to result in morbidity.
Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. If you need assistance understanding the eligibility criteria, please contact the study team.. ...
Proximal Isovelocity Surface Area (PISA) method is based on the continuity equation. When a flow passes through a narrow orifice, as it approaches the narrowest region, there is a flow convergence and flow acceleration. PISA is the surface area of the hemisphere at the aliasing region of the flow convergence. PISA increases as the flow increases and also with lower aliasing velocity. To reduce errors in measurement, smaller aliasing velocity has to be set, to get higher PISA measurement with lower chance for errors.. Regurgitant flow rate can be calculated as:. 2 Pi r2 x Valiasing. Radius is measured from the orifice to point of colour change. If the flow convergence is not a true hemisphere, the angle subtended by the flow convergence at the orifice has to be measured and divided by 180 to get a correction factor. Good correlation between angiographic estimates of regurgitant flow and PISA based estimates have been reported.. ...
This was a prospective, randomized, double-blind, parallel-group trial to evaluate the effects of nasally applied xenon on intraoperative and postoperative opioid requirement and postoperative evaluated pain scores. Because there were only two treatment arms (air, xenon) with an a priori fixed number of patients (20 per each arm), a simple randomization scheme was used with a vector of random numbers to generate an a priori list for randomized treatment assignments. According to this randomization list, patients received either xenon or air. The study supervisor, who did not participate in the assessment, prepared an unlabeled gas reservoir filled with either the colorless and odorless xenon or air as placebo. The anesthetists who provided the anesthesia and the intensive care unit (ICU) staff participating in the pain assessments were blinded for individual treatments. Patients were also blinded for group assignment and both blindings were maintained until the end of the study. The patients ...
PubMed journal article: Postoperative nausea and vomiting are strongly influenced by postoperative opioid use in a dose-related manner. Download Prime PubMed App to iPhone, iPad, or Android
Definition of Rectus sheath in the Legal Dictionary - by Free online English dictionary and encyclopedia. What is Rectus sheath? Meaning of Rectus sheath as a legal term. What does Rectus sheath mean in law?
Introduction: Hydrodynamic theory predicts fluid approaches a point orifice with accelerating velocity in hemispheric shells, forming the basis for the proximal isovelocity surface area (PISA) method to quantify valve regurgitation. Previous CFD and in vitro work has shown that with a finite, non-point orifice, there is a small, systematic underestimation of flow that is approximately the ratio of contour velocity (va) to maximal orifice velocity (vo), e.g., roughly an 8% error if a 40 cm/s contour is used with a 5 m/s jet. The PISA method is further questioned in the setting of noncircular orifices, with concerns of further underestimation. We sought to quantify this impact with CFD.. Hypothesis: Application of standard PISA analysis to an elliptical orifice leads to further flow underestimation, but the magnitude is negligible.. Methods: Mathematical modeling of flow through a finite elliptical orifice was computed using the open-source incompressible flow solver Nalu. Forty-five permutations ...
Patients sometimes resist postoperative opioid medications out of fear of developing an addiction. Some patients are even wary of acetaminophen.
This is the first multicenter study to evaluate the interobserver agreement of the quantitative parameters of VC width and PISA to differentiate severe from nonsevere MR. We found that classification of MR as severe as opposed to nonsevere using the quantitative CFD parameters of VC and PISA yielded only fair interobserver agreement (kappa: 0.28 to 0.37). The interobserver agreement for qualitative assessment for identifying severe from nonsevere MR was similar to the quantitative methods (kappa: 0.32). Our study group was composed of clinically experienced, practicing echocardiologists from 11 different academic institutions. Furthermore, we found that the interobserver agreement among echocardiologists practicing and instructing within the same institution was similar to the multicenter interobserver agreement and inferior to previously reported studies from single institutions validating the use of PISA and VC (3,6-11).. The VC width and EROA calculated by PISA are both affected by valve ...
TY - JOUR. T1 - Prenatal ontogeny of subspecific variation in the craniofacial morphology of the Japanese macaque (Macaca fuscata). AU - Yano, Wataru. AU - Egi, Naoko. AU - Takano, Tomo. AU - Ogihara, Naomichi. N1 - Funding Information: Acknowledgments We wish to sincerely thank Kazumichi Katay-ama, Masato Nakatsukasa, Toshisada Nishida, and Daisuke Shimizu for their continuous guidance and support throughout the course of this study. We are also grateful to Toshisada Nishida, Editor-in-Chief, and two reviewers for their helpful and constructive comments on this paper. This study was supported by Japan Society for the Promotion of Science (JSPS) Grant-in-Aid for Scientific Research (B) 19370101 to N.O. and in part by the Global Center of Excellence Program A06 Formation of a Strategic Base for Biodiversity and Evolutionary Research: from Genome to Ecosystem of the Ministry of Education, Culture, Sports and Technology (MEXT), Japan.. PY - 2010. Y1 - 2010. N2 - We cross-sectionally ...
DDBJ newly released Japanese macaque (Macaca fuscata) GSS 167,159 entries, which had been submitted by RIKEN Genomic Sciences Center. These entries were released as DDBJ daily updates on 12/18, and are available by anonymous FTP ...
The first section of the book addresses the basics of TEE. The topics range from the physics of ultrasound to the basic TEE examination, and to more commonly encountered anatomic variants and artifacts. The chapter that describes the controls on the ultrasound machine has many TEE images representative of how manipulation of a certain control changes the picture and is most helpful in understanding how to optimize the image acquired. The chapter entitled Quantitative Echocardiography, which includes applications of Doppler technology in the assessment of stenotic versus regurgitant lesions (specifically the proximal isovelocity surface area, or PISA, method) and equations necessary for intracardiac pressure measurements, is a detailed yet compact introduction to subsequent sections in which various pathologies are addressed individually.. ...
Garcia C, Rigaill L, MacIntosh AJJ, Higham JP, Winters S, Shimizu K, Mouri K, Furuichi T. 2016. Existe-t-il des variations de la couleur de la face en fonction de lâge, la dominance, la parité, le poids, et linfection parasitaire intestinale chez des femelles macaques japonais (Macaca fuscata) ? Colloque de la Société Francophone de Primatologie, 18-20 Octobre, Paimpont, France ...
Degenerative mitral stenosis (DMS) is characterized by decreased mitral valve (MV) orifice area and increased transmitral pressure gradient due to chronic noninflammatory degeneration and subsequent calcification of the fibrous mitral annulus and the MV leaflets. The true prevalence of DMS in the general population is unknown. DMS predominantly affects elderly individuals, many of whom have multiple other comorbidities. Transcatheter MV replacement techniques, although their long-term outcomes are yet to be tested, have been gaining popularity and may emerge as more effective and relatively safer treatment option for patients with DMS. Echocardiography is the primary imaging modality for evaluation of DMS and related hemodynamic abnormalities such as increased transmitral pressure gradient and pulmonary arterial pressure. Classic echocardiographic techniques used for evaluation of mitral stenosis (pressure half time, proximal isovelocity surface area, continuity equation, and MV area ...
This thesis deals with the estimation of blood flow in the heart and larger vessels where control-volume methods are applied using ultrasound Doppler technique. In particular two control-volume techniques were investigated: The proximal isovelocity surface area method, (PISA) and the Surface Integration of Velocity Vectors method, (SIVV).. For PISA, computational fluid dynamics, (CFD) was used for non-stationary flow and non-planar circular geometries where special emphasis was given to the influence from the angle of the valvular leaflets on the proximal surface area. The CFD results were compared with ultrasound measurements, in an in-vitro model with controlled geometry and flow characteristics. Three different valvular geometries were used: planar, reversed cone and funnel. In these idealised CFD and experimental models it was found that there is support to use the hemispherical PISA approach for the geometries investigated provided that the flow is not to high in the reversed cone and ...
Fujii is a 2013 graduate of the Larner College of Medicine at the University of Vermont and a chief resident in the Department of Surgery.. In July 2017, the Vermont Department of Health issued new rules for prescribing opioids for pain. These regulations require physicians to discuss with patients the risks and benefits of opioid analgesia, to counsel them on non-opioid analgesia as first-line treatment, and to educate them on the safe disposal of unused opioids. Patients sign an informed consent and providers are required to check a patients pain medication history in the state prescribing database (Vermont Prescription Monitoring System) before receiving a new prescription for opioids greater than 10 pills.. The study looked at opioid prescribing patterns at UVMMC for 15 common operations across four surgical specialties for 12 months before the regulations went into effect (n=365) and for 17 months afterward (n=768). This study found that the median morphine milligram equivalents (MME)-a ...
Govaerts, R. et al. 2013. Phalaenopsis fuscata in World Checklist of Selected Plant Families. The Board of Trustees of the Royal Botanic Gardens, Kew. Published on the internet. Accessed: 2013 Sept. 17 ...
China Super Sodium Humate with Competitive Price in Organic Fertilizer, Find details about China Sodium Humate, Super Sodium Humate from Super Sodium Humate with Competitive Price in Organic Fertilizer - Humate (Tianjin) International Limited
Patients scheduled for a tonsillectomy need postoperative pain treatment. Some of the most widely used postoperative analgetics (NSAIDs) sometimes cause rebleeding in the postoperative period, and another often used analgetic, morphine, causes nausea and vomiting. The researchers therefore will investigate new combinations of postoperative analgesics in hopes of improving pain and the need for opioids during the postoperative period ...
Purpose The current epidemic of prescription opioid misuse has increased scrutiny of postoperative opioid prescribing. Some 6% to 8% of opioid-naïve patients undergoing noncancer procedures develop new persistent opioid use; however, it is unknown if a similar risk applies to patients with cancer. W …
BACKGROUND: The American Society of Echocardiography (ASE) guidelines suggest the use of several echocardiographic methods to assess mitral regurgitation severity using an integrated approach, without guidance as to the weighting of each parameter. The purpose of this multicenter prospective study was to evaluate the recommended echocardiographic parameters against a reference modality and develop and validate a weighting for each echocardiographic measure of mitral regurgitation severity. METHODS: This study included 112 patients who underwent evaluation with echocardiography and magnetic resonance imaging (MRI). Echocardiographic parameters recommended by the ASE were included and compared with MRI-derived regurgitant volume (MRI-RV). RESULTS: Echocardiographic parameters that correlated best with MRI-RV were proximal isovelocity surface area (PISA) radius (r = 0.65, P | .0001), PISA-derived effective regurgitant orifice area (r = 0.65, P | .0001), left ventricular end-diastolic volume (r = 0.56, P |
METHODS: A retrospective cohort study was conducted to evaluate patient outcomes following liposomal bupivacaine and elastomeric bupivacaine pump use from January through June 2013. The primary objective of the study was to evaluate 24-hour postoperative opioid use (in morphine equivalents).. RESULTS: Sixty-seven liposomal bupivacaine and 262 elastomeric bupivacaine pump patients were included. Significant between-group differences were seen in American Society of Anesthesiologists physical status, patient-controlled analgesia use, postoperative nonopioid use, and surgical procedure. On univariate analysis, liposomal bupivacaine-in comparison with elastomeric bupivacaine pump -was associated with reduced median (interquartile range, IQR) 24-hour postoperative opioid use (33.0 mg morphine equivalents [IQR, 19.0-80.4 mg morphine equivalents] versus 70.4 mg morphine equivalents [IQR, 37.1-115.4 mg morphine equivalents], p , 0.001) and median 72-hour postoperative opioid use (61.3 mg morphine ...
Converts progesterone to its inactive form, 20-alpha-dihydroxyprogesterone (20-alpha-OHP). In the liver and intestine, may have a role in the transport of bile. May have a role in monitoring the intrahepatic bile acid concentration. May play a role in myelin formation. Can oxidize both 20-alpha- and 3-alpha-hydroxysteroids.
Feare Chris. 2007. An inventory of Sooty Terns (Sterna fuscata) in the western Indian Ocean with special reference to threats and trends. Os...
TY - JOUR. T1 - Automatic quantification of aortic regurgitation using 3D full volume color doppler echocardiography. T2 - a validation study with cardiac magnetic resonance imaging. AU - Choi, Jaehuk. AU - Hong, Geu Ru. AU - Kim, Minji. AU - Cho, In Jeong. AU - Shim, Chi Young. AU - Chang, Hyuk Jae. AU - Mancina, Joel. AU - Ha, Jong Won. AU - Chung, Namsik. PY - 2015/10/24. Y1 - 2015/10/24. N2 - Recent advances in real-time three-dimensional (3D) echocardiography provide the automated measurement of mitral inflow and aortic stroke volume without the need to assume the geometry of the heart. The aim of this study is to explore the ability of 3D full volume color Doppler echocardiography (FVCDE) to quantify aortic regurgitation (AR). Thirty-two patients with more than a moderate degree of AR were enrolled. AR volume was measured by (1) two-dimensional-CDE, using the proximal isovelocity surface area (PISA) and (2) real-time 3D-FVCDE with (3) phase-contrast cardiac magnetic resonance imaging ...
to the editor: Rectus sheath hematoma is an uncommon cause of acute abdominal pain. It may occur as a result of direct trauma, spontaneously, or as a result of twisting or abrupt changes in position.1 Other precipitating factors include anticoagulation, recent surgery, medication injection, or increased intra-abdominal pressure from coughing or pregnancy.1 Rectus sheath hematoma has been previously described in a patient receiving enoxaparin at 30 mg subcutaneously every 12 hours.1 We report the case of a patient who developed rectus sheath hematoma during treatment with enoxaparin, 70 mg subcutaneously every 12 hours, and in whom bleeding was controlled through coil embolization of the inferior epigastric artery.. A 75-year-old woman was admitted to the hospital for pneumonia and new-onset atrial fibrillation. In addition to antibiotics, the patient was placed on enoxaparin, 70 mg subcutaneously every 12 hours. On the second day after admission, the patient complained of a sudden onset of right ...
If you have a question about this talk, please contact Lorena Escudero.. Homo sapiens has a global distribution, a remarkable achievement for a tropical ape. Adaptations enabling this colonisation are intriguing given suggestions that humans exhibits high levels of physiological and behavioural malleability associated with a colonising niche. Differences in body size/shape between members of the same species from different climates are well-known adaptations in mammals; could relatively flexible size/shape have been important to human species adapting to novel habitats? If so, at what point did this flexibility arise? To address these questions, a base-line for adaptation to climate must be established by comparison with suitable outgroups. Japanese macaques (Macaca fuscata) are the most northerly living non-human primates. They have great latitudinal spread and overlap with the historical distribution of prehistoric Jomon foragers, allowing matched latitude comparisons within monkeys and ...
Case Presentation: 62-year-old male presenting to the hospital for left sided abdominal pain. His past medical history is significant for chronic obstructive pulmonary disease (COPD) requiring six liters of oxygen via nasal cannula daily, hypertension [...]. ...
Ël test a lé disponìbil sota la licensa Creative Commons atribussion-partagi ugual; a podrìo aplichesse dàutre condission. Cha vëdda le Condission dusagi për ij detaj ...
Severe rectal tears often result in death or euthanasia. However, the diagnostic benefits of a rectal examination almost always ... At times anesthesia and a rolling procedure, in which the horse is placed in left lateral recumbency and rolled to right ... Temperature should be taken prior to rectal examination, as the introduction of air will falsely lower rectal temperature. ... Rectal biopsy is rarely performed due to its risks of abscess formation, rectal perforation and peritonitis, and because it ...
The RAIR has been shown to occur even under anesthesia and when voluntary control is lost. The hardened stool continues to ... This cycle can result in so deeply conditioning the holding response that the rectal anal inhibitory response (RAIR) or anismus ... 2007). The ASCRS textbook of colon and rectal surgery. New York: Springer. ISBN 978-0387248462. "Encopresis". Mayo Clinic. ...
The main use for this drug is to produce anesthesia to mucous membranes to numb and help control the pain in that area. The ... Cetacaine can and has been used for surgeries that include bronchi, ear, esophagus, larynx, mouth, nose, pharynx, rectal, and ... The dosage should be applied directly to the site where anesthesia is required. The dosage should be modified according to the ... The actual mechanism for the onset of anesthesia is unknown, but it is believed that the active ingredients reversibly block ...
... rectal anesthesia, or intravenous anesthesia. While otherwise effective, these techniques did not protect the airway from ... Wawersik, Juergen (1991). "History of Anesthesia in Germany". Journal of Clinical Anesthesia. 3 (3): 235-44. doi:10.1016/0952- ... After World War I, further advances were made in the field of intratracheal anesthesia. Among these were those made by Sir Ivan ... 2000). Anesthesia, Volume 1 (5th ed.). Philadelphia: Churchill Livingstone. ISBN 978-0-443-07995-5. Retrieved 6 September 2010 ...
... typically entails 40-80 core samples taken from the prostate under general anesthesia. This ... or abnormal rectal examinations. Prostate biopsy Centers for Medicare and Medicaid Services: Summary of Fee Schedule Policies, ...
... rectal, intravenous, and spinal anesthesia.[65] ... History of general anesthesia. *History of neuraxial anesthesia ... The following are the types of regional anesthesia:[2]:926-931 *Infiltrative anesthesia: a small amount of local anesthetic is ... Sedation (also referred to as dissociative anesthesia or twilight anesthesia) creates hypnotic, sedative, anxiolytic, amnesic, ... Spinal anesthesia is a "one-shot" injection that provides rapid onset and profound sensory anesthesia with lower doses of ...
"Regional Anesthesia in Rectal Work" (1908) "Penetrating Wound of Rectum and Bladder" (1909) "Some of the Less Common Rectal ...
... rectal anesthesia, or intravenous anesthesia. While otherwise effective, these techniques did not protect the airway from ... Etymology of "anesthesia"[edit]. The word "anesthesia", coined by Oliver Wendell Holmes (1809-1894) in 1846 from the Greek ἀν- ... Corssen, G; Domino, EF; Sweet, RB (November-December 1964). "Neuroleptanalgesia and Anesthesia". Anesthesia & Analgesia. 43 (6 ... c. 1020, Ibn Sīnā (980-1037) described the use of inhaled anesthesia in The Canon of Medicine.[citation needed] The Canon ...
Anesthesia can also increase the risk of developing blood clots and lead to pulmonary embolism or deep venous thrombosis. (DVT ... The first step is usually a digital rectal examination, to examine the tone of the sphincter and to determine if preparation ... This sedation is called "twilight anesthesia". For some patients it is not fully effective, so they are indeed awake for the ... Signs of complications include severe abdominal pain, fevers and chills, or rectal bleeding (more than half a cup or 100ml). ...
EUA (examination under anesthesia) of anorectum and banding of the mucosa with rubber bands. Solitary rectal ulcer syndrome ( ... External (complete) rectal prolapse (rectal procidentia, full thickness rectal prolapse, external rectal prolapse) is a full ... Internal rectal intussusception (rectal intussusception, internal intussusception, internal rectal prolapse, occult rectal ... Solitary rectal ulcer syndrome (SRUS, solitary rectal ulcer, SRU) occurs with internal rectal intussusception and is part of ...
Its rectal use was particularly favored for pediatrics, head or neck surgery, or in mentally unstable or anxious patients. ... Bromal hydrate (2,2,2-tribromoethanol-1,1-diol), a compound also recognized to produce general anesthesia in animals, is ... Robert E. Meyer and Richard E. Fish (2005) "A review of tribromoethanol anesthesia for production of genetically engineered ... doi:10.1002/pen.24113 "Guidelines for the Use of Tribromoethanol/Avertin Anesthesia" (PDF). National Cancer Institute. Weiss J ...
Anesthesia fetishism is a sexual fetish for anesthesia. This may include the sexual attraction to the equipment, processes, ... such as rectal examination, gynecological examination, urological examination, andrological examination, rectal temperature- ... Edgeplay may involve obtaining and scening with various anesthesia-related paraphernalia-usually anesthesia masks for ... Anesthesia fetishism[edit]. This section does not cite any sources. Please help improve this section by adding citations to ...
Anesthesia often accompanies surgery, and anesthesiologists and nurse anesthetists may oversee this aspect of surgery. ... Cardiac surgery (in the United States considered part of cardiothoracic surgery) Colon and rectal surgery Craniofacial surgery ... pioneer of epidural anesthesia) Wilder Penfield (neurosurgery) Harold Gillies (pioneer of plastic surgery) Maria Siemionow ( ...
... anesthesia, inhalation MeSH E03. - anesthesia, closed-circuit MeSH E03.155.197.364 - anesthesia, rectal MeSH ... anesthesia, caudal MeSH E03.155.086.231 - anesthesia, local MeSH E03.155.086.331 - anesthesia, spinal MeSH E03.155.086.711 - ... E03.155.253 - anesthesia, intratracheal MeSH E03.155.308 - anesthesia, intravenous MeSH E03.155.364 - anesthesia, obstetrical ... anesthesia, conduction MeSH E03.155.086.131 - anesthesia, epidural MeSH E03. - ...
Spinal anesthesia results in a blockade of the micturition reflex. Spinal anesthesia shows a higher risk of postoperative ... A TRUS biopsy of the prostate (trans-rectal ultra-sound guided) can distinguish between these prostate conditions. Serum urea ... Anesthesia: General anesthetics during surgery may cause bladder atony by acting as a smooth muscle relaxant. General ... saddle anesthesia), parasthesias, decreased anal sphincter tone, or altered deep tendon reflexes, an MRI of the lumbar spine ...
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 ...
Due to its proximity to the anterior rectal wall, it can be stimulated from the anterior wall of the rectum or externally via ... Some devices are used under general anesthesia on humans who have certain types of anejaculation. Electroejaculation is a ... Prostate massage is part of the digital rectal examination (DRE) routinely given to men by urologists in order to look for ... It is strongly recommended that plenty of lubricant be used with prostate massagers to prevent rectal lining damage. A smaller ...
... originating from the superior rectal artery) 2-3 cm above the pectinate line. Once the superior rectal arteries are identified ... THD can be performed with conscious sedation, local or general anesthesia. After the operation, a high-fiber diet with plenty ... The arterial blood supply is based on the superior rectal (hemorrhoidal) artery. Just as veins in the leg weaken and become ... Los Angeles Colon and Rectal Surgical Associates. 2012.[unreliable source?] Dal Monte PP, Tagariello C, Sarago M, et al. ( ...
Anesthesia. Postoperative nausea and vomiting (PONV) is the phenomenon of nausea, vomiting or retching experienced by a patient ... Histamine Receptor Antagonists: Can be administered via multiple routes including orally, IM or rectal. Adverse effects include ... Gibbison, B; Spencer, R (December 2009). "Post-operative nausea and vomiting". Anesthesia & Intensive Care Medicine. 10 (12): ... On average the incidence of nausea or vomiting after general anesthesia ranges between 25 and 30% [Cohen 1994]. Nausea and ...
In lambs, tail docking at the distal end of the caudal folds tends to minimize docking effects on incidence of rectal prolapse ... Routine tail-docking without anesthesia is illegal in the EU. The practice continues among large US pig producers. Many breeds ... Length of docked tail and the incidence of rectal prolapse in lambs. J. Anim. Sci. 81: 2725-2762. "Archived copy". Archived ... if it is not carried out correctly it may result in other problems such as ill thrift or rectal prolapse. ...
" 1999-06-22. Retrieved 2010-08-19.. *^ a b "Crystal Meth: The Effects". Fenway Community Health. ... A suppository is a solid dosage form that fits for rectal administration. In hospice care, a specialized rectal catheter, ... The rectal route is an effective route of administration for many medications, especially those used at the end of life.[7][8][ ... Rectal mucosa is highly vascularized tissue that allows for rapid and effective absorption of medications.[15] ...
Nasal, rectal, inhalation and smoking are safer. The oral route is one of the safest and most comfortable, but of little ... anesthesia, and anticonvulsant effects. Depressants exert their effects through a number of different pharmacological ...
There, two male doctors forced a pelvic exam, a rectal exam and an x-ray on her which she did not consent to, in front of other ... The warning was sent by the head of anesthesia who refereed to the disease as the "Wuhan virus". El Paso Children's Hospital, ...
A suppository is a solid dosage form that fits for rectal administration. In hospice care, a specialized rectal catheter, ... Intrathecal (into the spinal canal) is most commonly used for spinal anesthesia and chemotherapy. Intrauterine. Intravaginal ... The rectal route is an effective route of administration for many medications, especially those used at the end of life. The ... "Use of Rectal Meds for Palliative Care Patients. End of Life / Palliative Education Resource Center, Medical College of ...
Such use is common in anesthesia or critical-care practices; it is especially useful in counteracting the hypotensive effect of ... "Phenylephrine rectal". WebMD. Retrieved 4 April 2015. "Phenylephrine Hydrochloride Ophthalmic Solution, USP 2.5% - Sterile" ( ... Hemorrhoids are caused by swollen veins in the rectal area. Phenylephrine can be used topically to prevent symptoms of ...
... is a medication primarily used for starting and maintaining anesthesia. It induces dissociative anesthesia, a trance- ... Sublingual and rectal bioavailabilities are intermediate at about 25-50%. After absorption ketamine is rapidly distributed into ... "dissociative anesthesia". Following FDA approval in 1970, ketamine anesthesia was first given to American soldiers during the ... Ketamine anesthesia commonly causes tonic-clonic movements (greater than 10% of people) and rarely hypertonia. Vomiting can be ...
A suppository is a solid dosage form that fits for rectal administration. In hospice care, a specialized rectal catheter, ... " 1999-06-22. Archived from the original on 2006-01-06. Retrieved 2010-08-19.. ... The rectal route is an effective route of administration for many medications, especially those used at the end of life.[7][8][ ... Rectal mucosa is highly vascularized tissue that allows for rapid and effective absorption of medications.[15] ...
Once the patient is under anesthesia, an incision is made in front of the anus (the anterior perineum). Scar tissue is removed ... This condition may cause a foul-smelling, mucous rectal discharge from the distal, unused colon. Kaiser, Andreas M. "ASCRS core ... The effects of SNS may include increased resting and squeeze anal tone, and improved rectal sensitivity. There is reported ... The procedure is carried out under local anesthesia (with or without conscious sedation) on an outpatient basis. There appear ...
下直腸神經(英语:Inferior rectal nerves). 會陰神經. 陰莖背神經(英语:dorsal nerve of the penis). 陰蒂背神經(英语:dorsal nerve of the clitoris). ... 陰部麻醉(英语:Pudendal anesthesia)也稱為阴部神经阻滞,或鞍神经阻滞(saddle nerve block),是產科使用的局部麻醉,可在分娩時麻醉陰部[16]。此麻醉方式會在陰道內壁注射利多卡因,目的是要影響陰部神經[17]。 ... 编). The
In some cases, general anesthesia was used because sedatives were ineffective. Treatment in the emergency department for severe ... Reported modalities of intake include oral consumption, insufflation, smoking, rectal and intravenous use. It is supposedly ...
Midazolam (Versed) is given at the onset of anesthesia and has been shown in recent trials to be as effective as ondansetron, ... Promethazine (Pentazine, Phenergan, Promacot) can be administered via a rectal suppository, intravenous injection, oral tablet ...
Anesthesia oxygen masks[edit]. Anesthesia masks are face masks that are designed to administer anesthetic gases to a patient ... Anesthesia masks fit over the mouth and nose and have a double hose system. One hose carries inhaled anesthetic gas to the mask ... Anesthesia masks have 4 point head strap harnesses to securely fit on the head to hold the mask in place as the anaesthesia ... Anesthesia masks are either made of anti-static silicone or rubber, as a static electricity spark may ignite some anesthetic ...
PO, IM, IV, rectal.. Bioavailability = 34% (oral), 44% (rectal); half-life = 2-3.5 hours.[105]. Moderate-severe pain.. As per ... Anesthesia and Analgesia. 114 (2): 424-33. doi:10.1213/ANE.0b013e3182334d68. PMID 21965355.. ... PO, rectal, topical.. Not available.. Muscular and rheumatic pain.. As per bufexamac (topical use) and diclofenac (PO/rectal). ... PO, Rectal, topical.. Not available.. As per diclofenac.. As per bufexamac (topical use) and diclofenac (PO/rectal). ...
A new method of drug administration". Current Researches in Anesthesia and Analgesia. 26 (6): 221-230. PMID 18917536.. ... Bulletin of Anesthesia History. 16 (3): 10-12. doi:10.1016/s1522-8649(98)50046-7.. ...
Anesthesia Cardiology Medicine Disease of the cardiovascular system Cardiovascular surgery Surgery The operation of heart and ... Colon and Rectal Surgery. General Surgery. Both. S. All. O Dermatology-Venereology. None. T. I. All. O ...
Barash PG (2009). Clinical anesthesia (6th ed.). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. p. 525. ISBN ... By mouth, intravenous, intramuscular, rectal. Drug class. antimuscarinic (anticholinergic). ATC code. *A03BA01 (WHO) S01FA01 ( ... The use of nightshade preparations for anesthesia, often in combination with opium, persisted throughout the Roman and Islamic ...
Reported modalities of intake include oral consumption, insufflation, smoking, rectal and intravenous use. It is supposedly ... general anesthesia was used because sedatives were ineffective.[41] ...
Anesthesia -- Anesthetics -- Aneta -- Anette Arvidsson -- Aneurin Bevan -- Aneurisms -- Aneurysm -- Aneurysms -- ANF -- Anfield ... Anal/Rectal Diseases -- Analcime -- Analeptic -- Analgesic -- Analog -- Analog Brothers -- Analog circuit -- Analog Computer ...
aho bidez, rectal (en) , intravenous infusion and defusion (en) eta intramuscular injection (en) ... Anesthesia & Analgesia: 1. doi:10.1213/ane.0b013e3181cf9281. ISSN 0003-2999. (Noiz kontsultatua: 2019-01-16). ...
A skin biopsy performed under local anesthesia is often required to assist in making or confirming the diagnosis and in ... rectal melanoma), although these tend to metastasize more easily. Even though regression may increase survival, when a melanoma ...
... (also known as an anal/rectal abscess, or perianal/perirectal abscess) is an abscess adjacent to the anus.[1] ... Treatment is possible in an emergency department under local anesthesia, but it is highly preferred to be formally admitted to ... Historically, many rectal abscesses are caused by bacteria common in the digestive system, such as E. coli. While this still ... Anal abscesses, without treatment, are likely to spread and affect other parts of the body, particularly the groin and rectal ...
"This Month in Anesthesia History: March". Anesthesia History Association. Archived from the original on 2011-05-01.. ... Intravenous (most common), oral or rectal. ATC code. *N01AF03 (WHO) N05CA19 (WHO) ... History of Anesthesia with Emphasis on the Nurse Specialist. J.B. Lippincott. ISBN 0-8240-6525-5.. ... Anesthesia[edit]. Sodium thiopental is an ultra-short-acting barbiturate and has been used commonly in the induction phase of ...
... is primarily used to induce anesthesia, and is generally provided as a sodium salt (i.e. methohexital sodium). It ... a property that make it particularly useful when anesthesia is provided for an electroconvulsive therapy (ECT).[2] And rapid ... It has been commonly used to induce deep sedation or general anesthesia for surgery and dental procedures. Unlike many other ... Rectal ~17%. Metabolism. Hepatic. Elimination half-life. 5.6 ± 2.7 minutes. Excretion. ?. Identifiers. ...
Stephen A. Greene (2002). Veterinary Anesthesia and Pain Management Secrets. 74: Elsevier Health Sciences. ISBN 978-1560534426 ...
In such cases, a digital rectal examination elicits tenderness in the rectovesical pouch. Coughing causes point tenderness in ... During an open appendectomy, the person with suspected appendicitis is placed under general anesthesia to keep the muscles ... Laparoscopic surgery requires general anesthesia, and it can last up to two hours. Laparoscopic appendectomy has several ... will be transferred to a postanesthesia care unit so his or her vital signs can be closely monitored to detect anesthesia- or ...
Stoelting's anesthesia and co-existing disease (6th ed.). Philadelphia: Saunders/Elsevier. 2012. p. 324. ISBN 9781455738120.. ... If seizures occur after despite glucose, rectal diazepam is recommended. Blood sugar levels should be re-checked on two hour ...
... these protective reflexes are compromised in persons under the influences of certain substances such as alcohol or anesthesia. ...
In rare cases, coma associated with anesthesia may occur. Bowel preparation[edit]. Dehydration caused by the laxatives that are ... The first step is usually a digital rectal examination, to examine the tone of the sphincter and to determine if preparation ... Anesthesia can also increase the risk of developing blood clots and lead to pulmonary embolism or deep venous thrombosis. (DVT) ... Signs of complications include severe abdominal pain, fevers and chills, or rectal bleeding (more than half a cup or 100ml).[36 ...
Regional anesthesia and analgesia (either epidural or paravertebral anesthesia).. Procedure: Regional anesthesia and analgesia ... Regional Anesthesia in Colon Rectal Surgery. The safety and scientific validity of this study is the responsibility of the ... Active Comparator: general anesthesia followed by opioid analgesia Subjects randomized to arm 2 will receive general anesthesia ... Procedure: Regional anesthesia and analgesia Drug: general anesthesia followed by opioid analgesia ...
... rectal anesthesia explanation free. What is rectal anesthesia? Meaning of rectal anesthesia medical term. What does rectal ... Looking for online definition of rectal anesthesia in the Medical Dictionary? ... block anesthesia regional anesthesia.. caudal anesthesia a type of regional anesthesia that was used in childbirth between the ... ambulatory anesthesia anesthesia performed on an outpatient basis for ambulatory surgery.. balanced anesthesia anesthesia that ...
... use 45990 for rectal exam with anesthesia information at ... Free use 45990 for rectal exam with anesthesia article - - ... use 45990 for rectal exam with anesthesia. use 45990 for rectal ... Anesthesia Medical Malpractice. By: David Austin , Law. In the United States, medical malpractice is very common. Anesthesia ... Colon/rectal surgeries are one of the most common types of surgeries in the United States. However, Honolulu colon/rectal ...
The effect of general anesthesia combined with epidural analgesia on post-operative recovery was investigated to improve the ... of general anesthesia combined with epidural analgesia to patients who will undergo laparoscopic radical resection of rectal ... Patients accepting general anesthesia comprised the control group, and those accepting general anesthesia combined with ... Effect of general anesthesia combined with epidural analgesia on the postoperative recovery of patients undergoing laparoscopic ...
Rectal prolapse is an uncommon condition that may be encountered by physicians in a number of settings and specialties. ... Background This article describes the manual reduction of rectal prolapse. ... Anesthesia. In the case of a relaxed cooperative patient, anesthesia may not be needed. In other cases, a local perianal ... encoded search term (Reduction of Rectal Prolapse) and Reduction of Rectal Prolapse What to Read Next on Medscape ...
Anesthesia. The stages of Anesthesia Question: Dr. Mike, Can you explain the stages of anesthesia? Answer: J- Anesthesia is ... Anal / Rectal Problems in Dogs. The following are real life cases of Anal and Rectal problems in Dogs that have been treated by ... Anesthesia in Cats. Isoflorine anesthesia Question: I am a subscriber of VETINFO and enjoy it very much. I have a question ... Anesthesia Death. Anesthesia death and reactions Question: Dr. Richards, I sold some people a puppy with a neuter contract and ...
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. ... rectal anesthesia. General anesthesia produced by introduction of an anesthetic agent into the rectum, used esp. in managing ... stocking anesthesia, Infiltration anesthesia, Local anesthesia, One lung anesthesia, Tumescent anesthesia, Vocal anesthesia. ...
Progesterone and surgery/anesthesia?. Jan 06, 20 03:21 AM. Progesterone and surgery/anesthesia I have scoured the Internet high ... Severe rectal pain with endometriosis. by Ella (Bahrain) Hi Wray,. I have read so many stories on your site, and I am still ... Severe rectal pain with endometriosis by: Wray Hi Ella I cant believe the trials youve been through. All drug based ... Severe rectal pain with endometriosis Part 2 by: Wray Hi Ella This is a nociceptive neuropeptide which causes pain and nausea. ...
Pediatric Anesthesia, 2013, 23, 1, 40. Wiley Online Library ... Anesthesia and Medical Imaging, Search for more papers by this ... Conclusion: A dosage of rectal paracetamol 1000 mg four times daily is too low, as all displayed a suboptimal serum paracetamol ... To study the effect of rectal paracetamol after major surgery we have to increase the dose, as higher serum concentrations of ... P. Holmer Pettersson, J. Jakobsson, A. Owall, Plasma concentrations following repeated rectal or intravenous administration of ...
Covino B. Neural blockade in clinical anesthesia and management of pain. Clinical Pharmacology of Local Anesthetic Agents. 2nd ... What is the role of botulinum toxin (BTX) injections for pain management in rectal disorders?. Updated: Jun 19, 2018 ... Computed tomography and fluoroscopy guided anesthesia and steroid injection in facet syndrome. Spine. 1988 Jun. 13(6):686-9. [ ... Selander D, Dhuner KG, Lundborg G. Peripheral nerve injury due to injection needles used for regional anesthesia. An ...
Adjuvants, Anesthesia. Anticonvulsants. Antiemetics. Autonomic Agents. Peripheral Nervous System Agents. Physiological Effects ... Active Comparator: Diastat AcuDial Rectal Gel Gel administered rectally. Drug: Diastat Rectal Gel Gel administered according to ... Diazepam Buccal Film - Diastat Rectal Gel Crossover Study. The safety and scientific validity of this study is the ... Any clinically significant rectal abnormality by history or physical examination, or any condition, for which, in the judgment ...
Southwest Colon & Rectal Clinic. Pinnacle Anesthesia Consultant. 3650 W Wheatland Rd Ste C. Dallas. , TX. 75237. ... Best Physician- Surgery, Colon & Rectal, US World & News Report, 2011. *Best Physician by the Greater Dallas Asian American ... Best Doctors in Dallas- Surgery, Colon, Rectal, and Colonoscopy, 2002-2012. *Non-Specific Stenotic Lesions of the Small Bowel ... Removal or Destruction of Rectal or Intestinal Tumor (incl. Colonoscopy, Proctosigmoidoscopy, Sigmoidoscopy and Control of ...
Treatments and Tools for Rectal prolapse. Find Rectal prolapse information, treatments for Rectal prolapse and Rectal prolapse ... MedHelps Rectal prolapse Center for Information, Symptoms, Resources, ...
3. Anesthesia and intraoperative positioning W. David Sumrall, III and David E. Beck ... Adjunctive treatment of rectal cancer with radiation and the adverse effects of radiation exposure of the rectum ... Management of rectal cancer after complete clinical response to neoadjuvant chemoradiotherapy Rodrigo O. Perez and Laura Melina ... Indications and outcomes for treatment of recurrent rectal cancer and colorectal liver/lung metastases ...
Rectal anesthesia. Anesthesia produced by introduction of the anesthetic agent into the rectum. ... conduction anesthesia, nerve block anaesthesia, nerve block anesthesia. Anesthesia of an area supplied by a nerve; produced by ... Conduction Anesthesia. A local anesthesia induced by injecting the local anesthetic agent close to the nerve trunk, at some ... Glove Anesthesia. An anesthesia with a distribution corresponding to the part of the skin covered by a glove ...
Medicare Coverage of Anesthesia If you receive anesthetics for a covered medical procedure, whether as an inpatient at a ... Medicare Coverage of Digital Rectal Exams If you have health-care coverage through the Original Medicare (Part A and Part B) ...
Modified strategy of anesthesia for laparoscopic radical resection of rectal carcinoma: ultrasound-guided anterior quadratus ... Modified strategy of anesthesia for laparoscopic radical resection of rectal carcinoma: ul ... anterior quadratus lumborum block combined with general anesthesia group ( group QG) and general anesthesia group ( group G) . ... Combined intravenous-inhalational anesthesia was applied, propofol 3-5μg∕ml and remifentanil 3-5 ng∕ml were given by target- ...
Impact of Preoperative Rectal Misoprostol on Blood Loss During and After Elective Cesarean Delivery. Elsedeek, M.S. ... Hyperbaric Versus Plain Bupivacaine for Spinal Anesthesia for Cesarean Delivery. Heng Sia, A.T.; Tan, K.H.; Sng, B.L.; More ... The Effects of Prophylactic Bolus Phenylephrine on Hypotension During Low-dose Spinal Anesthesia for Cesarean Section. Lee, H.- ... The Effect of β2-Andrenoceptor Genotype on Phenylephrine Dose Administered During Spinal Anesthesia for Cesarean Delivery. ...
Vaginal/Rectal (2). Procedure Type *. Regional Anesthesia (1). Product Function *. Accessory (1) ...
Anesthesia For Sale - DOTmed Listing #2839394: 100% Quality Best Pricing Fast Shipping Ultrasound Machine Veterinary Touch ...
... without general anesthesia. Endoscopically evident EV were graded to be at a high or a low risk of bleeding according to the ... Usefulness of per-rectal portal scintigraphy with Tc-99m pertechnetate for galactosemia in infants. Ann Nucl Med. 1998;12:375- ... Per-rectal portal scintigraphy (PPS) with 99mTc-pertechnetate is a technique that explores quite specifically the collateral ... Per-rectal portal scintigraphy with technetium-99m pertechnetate for the early diagnosis of cirrhosis in patients with chronic ...
This allows for more effective anesthesia in certain patients.. General anesthetics are given only by or under the immediate ...
Colon and Rectal Surgeons. You would see these doctors for problems with your small intestine, colon, and bottom. They can ... They monitor your vital signs while youre under anesthesia.. Cardiologists. Theyre experts on the heart and blood vessels. ...
In addition, ipsilateral segmental anesthesia occurs at the level of the lesion. Contralaterally, loss of pain and temperature ... loss of rectal and bladder sphincter tone; and urinary and bowel retention leading to abdominal distention, ileus, and delayed ... anesthesia below the affected level; neurogenic shock (ie, hypothermia and hypotension without compensatory tachycardia); ...
Abdominal pain; rectal irritation; diarrhea; cramping; rectal bleeding (rectal suspension).. Respiratory. Apnea; laryngospasm; ... Anesthesia. Adults IV 50 to 75 mg slowly every 20 to 40 sec until anesthesia is established then 25 to 50 mg as needed or ... Rectal administration Patients undergoing rectal surgery; lesions of bowel.. Dosage and Administration. Test Dose. Adults IV 25 ... Induction of anesthesia; supplementation of other anesthetic agents; IV anesthesia for short surgical procedures with minimal ...
Rectal Administration: The insertion of drugs into the rectum, usually for confused or incompetent patients, like children, ... Rectal; Instillations, Rectal; Rectal Administrations; Rectal Drug Administrations; Rectal Instillation; Rectal Instillations; ... Rectal Drug; Administrations, Anal Drug; Administrations, Rectal; Administrations, Rectal Drug; Anal Drug Administrations; Drug ... Rectal Administration. Subscribe to New Research on Rectal Administration The insertion of drugs into the rectum, usually for ...
General anesthesia is used and the patient is deep asleep and pain-free. The surgeon makes an incision near the base of the ... General anesthesia is used and the patient is deep asleep and pain-free. The surgeon makes an incision near the base of the ...
Includes dosages for Anesthesia; plus renal, liver and dialysis adjustments. ... Rectal: 25 mg/kg using a 1% solution. Uses: Pediatric patients 1 month and older:. -For IM or rectal induction of anesthesia ... For IM or rectal induction of anesthesia and as an adjunct to subpotent inhalational anesthetic agents for short surgical ... As IM or rectal anesthesia for short surgical, diagnostic, or therapeutic procedures associated with minimal painful stimuli. ...
  • Postoperative pain treatment will be based on regional anesthesia techniques. (
  • Regional anesthesia and analgesia (either epidural or paravertebral anesthesia). (
  • caudal anesthesia a type of regional anesthesia that was used in childbirth between the 1940s and the 1960s. (
  • epidural anesthesia regional anesthesia produced by injection of the anesthetic agent into the epidural space. (
  • Selander D, Dhuner KG, Lundborg G. Peripheral nerve injury due to injection needles used for regional anesthesia. (
  • Regional anesthesia numbs a larger part of the body such as a leg or arm, also without affecting consciousness. (
  • Dexmedetomidine can be used for sedation, analgesia and anesthesia in intensive care settings, as well as for local and regional anesthesia applications. (
  • What is the difference between general and regional anesthesia? (
  • Regional anesthesia involves putting only a certain part of the body to sleep. (
  • Peripheral nerve blocks are a type of regional anesthesia that block the path of pain signals from specific nerves. (
  • Regional anesthesia is used to numb only the part of the body that will have the surgery. (
  • Then a regional anesthesia is used. (
  • Rectal prolapse occurs when the rectum becomes stretched out and protrudes from the anus. (
  • Rectal prolapse surgery is a procedure to repair rectal prolapse, which occurs when the last part of the large intestine (the rectum) stretches and protrudes from the anus. (
  • Rectal midazolam has a remarkably short onset and especially in a dose of 0.5 mg/kg prolonged action due to ongoing resorption from the rectum as demonstrated by the clinically relevant plasma concentrations. (
  • We administered the drugs by advancing the cannula 1 cm into the rectum, and the rectal administration volume was 1 mL for all the rats. (
  • In the Group RecDex, the administration of dexmedetomidine induced mild-moderate losses of mucosal architecture in the colon and rectum, 2 h after rectal inoculation. (
  • Although 100 µg kg -1 dexmedetomidine administered rectally to rats achieved a significantly longer duration of anesthesia compared with the rectal administration of saline, our histopathological evaluations showed that the rectal administration of 100 µg kg -1 dexmedetomidine led to mild-moderate damage to the mucosal structure of the rectum. (
  • A rectal biopsy is a procedure used to extract a tissue sample from the rectum for laboratory analysis. (
  • A rectal biopsy is an important tool for determining the causes of abnormalities in the rectum. (
  • To get the most reliable results from your rectal biopsy, it is necessary for your physician to see the rectum clearly. (
  • Some stage I rectal cancers and most stage II or III cancers in the upper part of the rectum (close to where it connects with the colon) can be removed by low anterior resection (LAR). (
  • Some stage I and most stage II and III rectal cancers in the middle and lower third of the rectum require removing the entire rectum (called a proctectomy). (
  • The American Society of Colon and Rectal Surgeons (ASCRS) is dedicated to assuring high-quality patient care by advancing the science, prevention, and management of disorders and diseases of the colon, rectum, and anus. (
  • Hemorrhoids, the most common cause of rectal bleeding, are swollen veins in the rectum (internal hemorrhoids) or the anus (external hemorrhoids). (
  • Rectal foreign bodies are usually objects that have been inserted into the rectum but also may have been swallowed. (
  • Rectal prolapse may be partial, involving only the mucosa or complete, involving the entire wall of the rectum. (
  • Rectal prolapse and internal rectal intussusception has been classified according to the size of the prolapsed section of rectum, a function of rectal mobility from the sacrum and infolding of the rectum. (
  • This study will compare recurrence rates in patients with colorectal cancer who will be randomly assigned to epidural anesthesia/analgesia combined with general anesthesia or to general anesthesia followed by opioid analgesia. (
  • Subjects randomized to arm 2 will receive general anesthesia followed by opioid analgesia. (
  • To determine if the length of post operative hospitalization is shortened in patients randomized to epidural anesthesia & analgesia than to sevoflurane general anesthesia and postoperative opioid analgesia. (
  • Written informed consent, including willingness to be randomized to epidural anesthesia/analgesia or to sevoflurane general anesthesia and postoperative opioid analgesia. (
  • The effect of general anesthesia combined with epidural analgesia on post-operative recovery was investigated to improve the therapeutic effectiveness of laparoscopic radical resection of rectal carcinoma. (
  • Patients accepting general anesthesia comprised the control group, and those accepting general anesthesia combined with epidural analgesia comprised the test group. (
  • The application of general anesthesia combined with epidural analgesia to patients who will undergo laparoscopic radical resection of rectal carcinoma leads to improved therapeutic effect and facilitates their recovery. (
  • Hence, administering general anesthesia combined with epidural analgesia is worthy of promotion and application. (
  • Seventy-eight patients scheduled for elective, benign, and abdominal hysterectomy were included in a prospective, randomized, double-blind, parallel group, placebo-controlled study to evaluate the effect of rectal paracetamol in conjunction with intravenous patient-controlled analgesia (PCA) morphine. (
  • Depresses CNS to produce hypnosis and anesthesia without analgesia. (
  • Deep Sedation(Analgesia)/ General Anesthesia - A drug-induced state of depressed consciousness accompanied by partial loss of protective reflexes, including the inability to continually maintain an airway independently and/or to respond purposefully to physical stimulation or verbal command, and is produced by a pharmacological or non pharmacological method or a combination thereof. (
  • They were operated following a standard anesthesia, antibiotic, analgesia protocol on a day care ambulatory basis. (
  • Objective To evaluate the efficacy of ultrasound-guided anterior quadratus lumborum block combined with general anesthesia for laparoscopic radical resection of rectal carcinoma . (
  • anterior quadratus lumborum block combined with general anesthesia group ( group QG) and general anesthesia group ( group G) . In group QG, anteri-or quadratus lumborum block was performed with 0. (
  • 05). Conclusion Ultrasound-guided anterior quadratus lumborum block combined with general anesthesia can reduce the consumption of opioids in the perioperative period and is helpful in improving outcomes when used for laparoscopic radical resection of rectal carcinoma . (
  • The surgeon inserts special surgical tools and a tiny camera through the abdominal incisions to repair the rectal prolapse. (
  • Colonoscopies are also tools that can help determine the cause of gastrointestinal conditions, such as: chronic diarrhea or constipation and rectal or abdominal bleeding. (
  • General anesthesia is the preferred method for performing colectomies because it paralyzes the abdominal-wall musculature, facilitating exposure and retraction of tissue. (
  • Eighty patients who underwent laparoscopic radical resection of rectal carcinoma in our hospital from February 2016 to February 2017 were selected according to their hospitalization order as study objects. (
  • basal anesthesia a reversible state of central nervous system depression produced by preliminary medication so that the inhalation of anesthetic necessary to produce surgical anesthesia is greatly reduced. (
  • closed circuit anesthesia that produced by continuous rebreathing of a small amount of anesthetic gas in a closed system with an apparatus for removing carbon dioxide. (
  • Multiple injections of a local anesthetic are made into the ischiorectal fat immediately peripheral to the external sphincter, with good anesthesia occurring in just a few minutes. (
  • Stage 1 anesthesia is the period between administration of an anesthetic and loss of consciousness. (
  • The term "conduction anesthesia" encompasses both local and regional anesthetic techniques. (
  • Anesthesia that balances the depressing effects on the motor, sensory, reflex and mental aspects of nervous system function by the anesthetic agents. (
  • b) n a state of narcosis, induced before the administration of a general anesthetic, that permits the production of states of surgical anesthesia with greatly reduced amounts of general anesthetic agents. (
  • A local anesthesia induced by injecting the local anesthetic agent close to the nerve trunk, at some distance from the operative field. (
  • That produced by injection of the anesthetic into the extradural space, either between the vertebral spines or into the sacral hiatus (caudal block - anesthesia by injection of local anesthetic into the caudal or sacral canal. (
  • a) Local anesthesia produced by injection of the anesthetic solution in the area of terminal nerve endings. (
  • In this study, we investigated the anesthetic and mucosal effects of the rectal application of dexmedetomidine to rats. (
  • For IV induction of anesthesia prior to the use of other general anesthetic agents. (
  • For IM or rectal induction of anesthesia and as an adjunct to subpotent inhalational anesthetic agents for short surgical procedures. (
  • If the foreign body can be palpated, inject a local anesthetic, dilate the anus with a rectal retractor, and attempt to grasp and remove the foreign body. (
  • If a large area needs to be numbed, or if a local anesthetic injection will not work well enough, another type of anesthesia may be used. (
  • This type of anesthesia involves continually infusing an anesthetic medicine through a thin catheter (hollow tube). (
  • 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. (
  • The most common problem in anesthesia coding associated with billing and obtaining reimbursement for transesophageal echocardiography or TEE is determining whether the procedure is for diagnostic or monitoring purposes. (
  • Iida Y, Honda K, Saitou H, Munemoto Y, Tanaka H. Modified Gant-Miwa-Thiersch procedure (mucosal plication with anal encircling) for rectal prolapse. (
  • Two hours after rectal administration, 75 mg kg -1 ketamine was administered for intraperitoneal anesthesia in all the groups, followed by the removal of the rats' rectums to a distal distance of 3 cm via an abdominoperineal surgical procedure. (
  • Taking a rectal biopsy can slightly extend the time the procedure will take. (
  • This procedure can be used to remove some early stage I rectal cancers that are relatively small and not too far from the anus. (
  • General anesthesia is a state of unconsciousness during which a patient does not feel pain or any other sensations in the body throughout the procedure. (
  • Other patients are done under anesthesia if they adamantly refuse office biopsy due to their anxiety over pain associated with the procedure. (
  • Your child will go to the Procedure/Operating Room where he will fall asleep with general anesthesia. (
  • Combined spinal-epidural anesthesia allows the patient to remain awake and unintubated throughout the entire procedure while eliminating sensation from the field of surgical operation. (
  • Rarely, continuous spinal anesthesia may be used for a prolonged procedure. (
  • Based upon the findings of this largest-ever series on the role of robotic surgery in rectal cancer resection, the [robot-assisted procedure] is certainly a feasible technique and oncologically safe surgical intervention but failed to demonstrate any superiority over [the conventional laparoscopic approach] for many surgical outcomes," the investigators wrote. (
  • This type of anesthesia is most often used for surgery of the legs or hips. (
  • The amount of time spent in the PACU depends on the patient's progress and the type of anesthesia received. (
  • Rectal prolapse repair through the abdomen. (
  • Rectal prolapse repair is advised for a continued rectal prolapse that does not clear up or is unresponsive to treatment of an underlying condition. (
  • A low anterior resection is done with general anesthesia, the patient is put into a deep sleep and doesn't feel pain. (
  • Rectal prolapse surgery is performed in people troubled by chronic symptoms of rectal prolapse, such as leakage of stool, inability to control bowel movements (fecal incontinence) or obstructed bowel movements. (
  • Sometimes, general anesthesia affects the bowel muscles for a few days after surgery. (
  • Occasionally, a really tough bowel movement causes rectal prolapse, in which a small section of intestinal lining pokes out of the anus and has to be pushed back in. (
  • Patients recovering from general anesthesia must be assessed constantly until they have reacted. (
  • When patients are awakening from general anesthesia they may be restless, attempting to get out of bed or even striking out at those around them because they are afraid and disoriented. (
  • This allows for more effective anesthesia in certain patients. (
  • Serum diatrizoic acid concentration in patients tested after rectal administration was 0.30 microg/ml. (
  • Serum diatrizoic acid concentration in patients after rectal administration was 0.30 (95% CI, 0.13 - 0.60) microg/ml. (
  • Shoulder surgery patients commonly receive general anesthesia. (
  • Minimal Sedation (anxiolysis)/Local Anesthesia - A drug-induced state during which patients respond normally to verbal commands. (
  • We see more than 300 cases of rectal cancer a year, and offer patients the most advanced treatments for rectal cancer, including innovative surgical procedures, personalized gene-based treatments, and clinical trials for different stages of the disease. (
  • We regularly consult with patients at all stages of rectal cancer. (
  • Surgery (removing the cancerous growth in an operation) is often the key component of treatment for patients with rectal cancer. (
  • Patients were randomized into three groups i.e. controlled group (those born between 1 - 10th of a month), study group Biscodyl (born between 11-20th of a month) and study group LRE (born between 21-30th/31st of a month) to be given no rectal preparation or 10 mg oral Biscodyl the night before or preoperative LRE respectively. (
  • In fact, past patient surveys show that 50-90% of patients suffered significant pain during their prostate biopsy when local anesthesia was not used1. (
  • Many patients who are critically ill or undergoing general anesthesia require artificial ventilation. (
  • Patients undergoing general anesthesia require intubation because the diaphragm is paralyzed. (
  • In such patients, the concern of general anesthesia is the possibility of further respiratory failure that might result in prolonged intensive care management and mechanical ventilation. (
  • During the first hour following surgery, patients lie flat on their back to decrease the risk for an anesthesia-induced headache, which can be painful and prolonged. (
  • Even though the anesthesia has worn off, most patients remain groggy for the rest of the day. (
  • Chemotherapy for rectal cancer patients is usually provided as part of a larger treatment plan that involves surgery and radiation treatments. (
  • For some rectal cancer patients, chemotherapy is used along with radiation therapy before surgery to shrink a tumor, so that surgeons do not have to remove too much of the tissue, blood vessels, and nerves that surround the tumor. (
  • She suggests that rectal cancer patients discuss this treatment with their physicians so that they can decide together on the best course of therapy. (
  • Patients with metastatic, or stage IV rectal cancer, are also likely to receive chemotherapy for their primary and metastatic cancers, before and after surgery. (
  • Recent advances at Johns Hopkins in surgical techniques, anesthesia support, and intraoperative ultrasonography have significantly improved outcomes for patients undergoing liver surgery. (
  • Surgery for complete (full-thickness) rectal prolapse in adults. (
  • Picture of infant with full-thickness rectal prolapse. (
  • External (complete) rectal prolapse (rectal procidentia, full thickness rectal prolapse, external rectal prolapse) is a full thickness, circumferential, true intussusception of the rectal wall which protrudes from the anus and is visible externally. (
  • Rectal prolapse surgery can be done through the abdomen (rectopexy) - either with a large incision (open surgery) or laparoscopic methods - or through the region around the anus (perineum). (
  • or a combination of relaxing medication and local anesthesia to numb your anus (perianal block). (
  • Thermometers can record body temperatures in the mouth (oral), armpit (axillary), eardrum (tympanic membrane), or anus (rectal). (
  • In order to minimize the risk of incising the ano-rectal canal and its surrounding musculature, incisions should generally be made radially away from the anus, as opposed to circumferentially. (
  • Digital rectal exam-The doctor inserts a lubricated finger into the anus and feels for lumps or abnormalities. (
  • Rectal prolapse is when the rectal walls have prolapsed to a degree where they protrude out the anus and are visible outside the body. (
  • Rectal prolapse may occur without any symptoms, but depending upon the nature of the prolapse there may be mucous discharge (mucus coming from the anus), rectal bleeding, degrees of fecal incontinence and obstructed defecation symptoms. (
  • Essentially, rectal prolapses may be full thickness (complete), where all the layers of the rectal wall prolapse, or involve the mucosal layer only (partial) external if they protrude from the anus and are visible externally, or internal if they do not circumferential, where the whole circumference of the rectal wall prolapse, or segmental if only parts of the circumference of the rectal wall prolapse present at rest, or occurring during straining. (
  • Surgery is usually the main treatment for rectal cancer . (
  • In this operation, the surgeon cuts through all layers of the rectal wall to take out the cancer as well as some surrounding normal rectal tissue. (
  • Rectal cancer is defined as cancer arising below the peritoneal reflection, up to approximately 12 to15 cm from the anal verge. (
  • Survival also has improved through the use of adjuvant chemotherapy for colon cancer and adjuvant chemoradiation therapy for rectal cancer. (
  • It is difficult to separate epidemiological considerations of rectal cancer from those of colon cancer because epidemiological studies often consider colon and rectal cancer (i.e., colorectal cancer) together. (
  • New cases of rectal cancer: 39,910. (
  • To be considered for the MD Anderson Cancer Anesthesia fellowship, all candidates must have completed an accredited Anesthesiology residency program in either the United States or Canada, and be board certified or board-eligible. (
  • The purpose of this prospective multicentre multilevel study was to investigate the influence of hospital caseload on long-term outcomes following standardization of rectal cancer surgery in the Rectal Cancer Project of the Spanish Society of Surgeons. (
  • Colostomy for rectal cancer. (
  • Less often, a person with rectal cancer may need to have a colostomy. (
  • Most physicians use digital rectal examination (DRE) to help detect prostate cancer and to estimate the prostates' size. (
  • Can Electroacupuncture Prevent Prolonged Ileus After Laparoscopic Surgery for Mid and Low Rectal Cancer? (
  • Dana-Farber/Brigham and Women's Cancer Center's Colon and Rectal Cancer Center brings together experts who specialize in treating rectal cancer. (
  • An integrated team of medical specialists, nurses specializing in rectal cancer, and other support staff collaborate in the management of your care. (
  • It is important to be seen quickly if you've been diagnosed with rectal cancer so you can start treatment and possibly enter a clinical trial. (
  • Rectal surgeons at Brigham and Women's Hospital (BWH) are the surgical team for the DF/BWCC's Gastrointestinal Cancer Treatment Center, a unique center uniting some of the world's foremost GI cancer experts. (
  • Guideline] Vogel JD, Eskicioglu C, Weiser MR, Feingold DL, Steele SR. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Treatment of Colon Cancer. (
  • Global Markets Direct's, 'Rectal Cancer - Pipeline Review, H1 2020', provides an overview of the Rectal Cancer pipeline landscape. (
  • The report provides comprehensive information on the therapeutics under development for Rectal Cancer, complete with analysis by stage of development, drug target, mechanism of action (MoA), route of administration (RoA) and molecule type. (
  • Additionally, the report provides an overview of key players involved in therapeutic development for Rectal Cancer and features dormant and discontinued projects. (
  • Primary adenocarcinoma of the anal canal is rare, and many of these tumors represent rectal cancer with downward spread. (
  • Prognosis of anal adenocarcinomas is worse than it is with either anal squamous cell cancer or distal rectal adenocarcinoma. (
  • The management of adenocarcinomas arising in the anal canal should follow the same principles as those applied to the treatment of rectal cancer. (
  • conventional laparoscopic surgery for rectal cancer were studied for risk of conversion to open surgery. (
  • Some early rectal cancers and most polyps can be removed during a colonoscopy . (
  • Deaths: 50,260 (colon and rectal cancers combined). (
  • For staging purposes, such tumors are classified as rectal cancers if their epicenter is located more than 2 cm proximal to the dentate line or proximal to the anorectal ring on digital examination, and as anal canal cancers if their epicenter is 2 cm or less from the dentate line. (
  • Treatment for rectal cancers depend on the size and location of the tumor as well as other factors. (
  • Although there are many complex terms and designations for abscesses in the various potential spaces of the ano-rectal region, a simple rectal examination can usually determine if an abscess requires surgical referral for drainage. (
  • Severe pain or fluctuance ascending proximally along the ano-rectal canal should alert the clinician to the presence of a deeper (perirectal) abscess. (
  • The abscess can be drained under local anesthesia in the doctor's office. (
  • Retrograde amnesia may be associated with the administration of anesthesia and adjuncts, causing the patient to forget events occurring in the immediate postoperative period. (
  • The postoperative approach should parallel treatment of rectal adenocarcinoma. (
  • Premedication is the preoperative nasal, oral, rectal, intramuscular or intravenous administration of sedative drugs to lower the patient's fear of surgical intervention, achieve sedation and anxiolysis, and decrease the amount of anesthetics needed. (
  • Colonoscopies are done either under twilight sedation or general anesthesia . (
  • Local anesthesia is often suboptimal in these cases and procedural sedation should be seriously considered. (
  • Perianal Fistulas Perianal fistula Treatment Options Anal Sac Tumor Causes of Rectal Bleeding. (
  • rectal bleeding (rectal suspension). (
  • After surgery there can be a risk of complications, including infection, too much bleeding, reaction to anesthesia , or accidental injury. (
  • Although rectal bleeding is common, only about one-third of those affected seek treatment. (
  • However, Honolulu colon/rectal surgeons are in agreement that some of the procedures they perform are avoidable with a little preventative care. (
  • The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Surgical Management of Crohn's Disease. (
  • The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Treatment of Left-Sided Colonic Diverticulitis. (
  • The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Inherited Polyposis Syndromes. (
  • However, a publication by the American Society of Colon and Rectal Surgeons stated that internal rectal intussusception involved the mucosal and submucosal layers separating from the underlying muscularis mucosa layer attachments, resulting in the separated portion of rectal lining "sliding" down. (
  • Group 1 (n = 6) received 0.1 mg/kg midazolam i.v. for induction of anesthesia. (
  • Sucrose as an aid to manual reduction of incarcerated rectal prolapse. (
  • It includes oral and rectal administration. (
  • checking of rectal temperature, and monitoring of respiratory and heart rates. (
  • An endotracheal tube may be inserted into the trachea of a patient who is in acute respiratory failure or is undergoing general anesthesia. (
  • Combined intravenous-inhalational anesthesia was applied, propofol 3-5μg∕ml and remifentanil 3-5 ng∕ml were given by target-controlled infusion, and cisatracurium was intermittently injected in two groups. (
  • For the rectal drug administration, we used 22 G intravenous cannulas with the stylets removed. (
  • Methohexital sodium may be administered by direct intravenous injection or continuous intravenous drip , intramuscular or rectal routes (see PRECAUTIONS - Pediatric Use ). (
  • Photograph of severe rectal prolapse with clinically significant edema and mucosal ulceration. (
  • Many sources differentiate between internal rectal intussusception and mucosal prolapse, implying that the former is a full thickness prolapse of rectal wall. (
  • This may signify that authors use the terms internal rectal prolapse and internal mucosal prolapse to describe the same phenomena. (
  • Mucosal prolapse (partial rectal mucosal prolapse) refers to prolapse of the loosening of the submucosal attachments to the muscularis propria of the distal rectummucosal layer of the rectal wall. (
  • Others do not consider mucosal prolapse a true form of rectal prolapse. (
  • Internal mucosal prolapse (rectal internal mucosal prolapse, RIMP) refers to prolapse of the mucosal layer of the rectal wall which does not protrude externally. (
  • ambulatory anesthesia anesthesia performed on an outpatient basis for ambulatory surgery. (
  • Low rectal anastomosis following pelvic exenteration. (
  • What is the role of botulinum toxin (BTX) injections for pain management in rectal disorders? (
  • Many of us are a little tentative when dealing with emergency presentations of ano-rectal disorders. (
  • Some objects are caught in the rectal wall, and others are trapped just above the anal sphincter. (
  • Morrison ZD, LaPlant M, Hess D, Segura B, Saltzman D. A systematic review of management options in pediatric rectal prolapse. (
  • To better understand the role and reliability of axillary temperature measurements in clinical real life, axillary and rectal measurements in infants presenting in a private pediatric practice because of fever were compared. (
  • What Is a Rectal Biopsy? (
  • A rectal biopsy usually is performed during an anoscopy or sigmoidoscopy. (
  • The cost of an office biopsy at our clinic is close to $1800, while those done under anesthesia in an operating room can be over $7000. (
  • As IV anesthesia for short surgical, diagnostic, or therapeutic procedures associated with minimal painful stimuli. (
  • In the case of a relaxed cooperative patient, anesthesia may not be needed. (
  • General anesthesia is used and the patient is deep asleep and pain-free. (
  • The patient is placed under general, spinal or epidural anesthesia. (
  • It's usually done with local anesthesia (numbing medicine) - the patient is not asleep during the operation. (
  • With this technique, several viewing scopes are passed into the abdomen while a patient is under anesthesia. (
  • Anesthesia Period - that period of time beginning with the placement of a needle, mask, or solution into or onto the body until the patient has regained sufficient reflexes to be transferred to the recovery area. (
  • Large abscesses need to be drained while the patient is under anesthesia. (
  • Surgical reduction of luxation was performed on the patient under general anesthesia using a transarticular pinning technique. (
  • Results revealed a left caudoventral hip luxation ( Figure 1 A). While the patient was still under anesthesia, a closed reduction was attempted but was unsuccessful. (
  • The patient was placed in a supine position, and a total of 100 U botulinum toxin A (BoTox A) was injected into the muscularis propria at 3, 6, and 9 o'clock from the rectal stenosis. (
  • Patient was under Amytal Sodium, chloral hydrate and paraldehyde anesthesia. (
  • General anesthesia must wear off and the patient must be awake and coherent before they leave the PACU. (
  • Obstetric Anesthesia Digest39(1):1-2, March 2019. (
  • A digital rectal exam is performed. (
  • The ER doctor ordered an X-ray, which produced nothing, and then conducted a digital rectal exam over Eckert's objection. (
  • The second doctor did another digital rectal exam but didn't find anything. (
  • This will include a digital rectal exam to check muscle tone. (
  • crossed anesthesia loss of sensation on one side of the face and loss of pain and temperature sense on the opposite side of the body. (
  • 6 months after this, I started getting very heavy periods and severe rectal pain with periods. (
  • All went well for about 3 months, then the rectal pain returned. (
  • Many surgical procedures can be done with conduction anesthesia without significant pain. (
  • You shouldn't feel any pain during the digital rectal examination, but you may feel pressure. (
  • Anesthesia is medicine that blocks the awareness of pain. (
  • Still no symptoms besides rectal pain. (
  • Local anesthesia is given for a short time to stop pain in 1 part of the body. (
  • Various methods of anesthesia have been employed to control pain in the office setting. (
  • You may be given pain medications and instructions for how to care for your rectal area. (
  • MTBC offers comprehensive revenue cycle management & coding services for anesthesia and pain management specialties. (
  • All surgical procedures carry some risk of negative reactions to anesthesia. (
  • Internal rectal intussusception (occult rectal prolapse, internal procidentia) can be defined as a funnel shaped infolding of the upper rectal (or lower sigmoid) wall that can occur during defecation. (
  • Solitary rectal ulcer syndrome (SRUS, solitary rectal ulcer, SRU) occurs with internal rectal intussusception and is part of the spectrum of rectal prolapse conditions. (
  • It describes ulceration of the rectal lining caused by repeated frictional damage as the internal intussusception is forced into the anal canal during straining. (