• Obstetric Anesthesia
  • Pioneers of obstetric anesthesia extended these findings to cases of parturition or childbirth, notably including James Young Simpson of Scotland (1811-1870), John Snow of London (1813-1858) and Walter Channing of the United States of America (1786-1876). (wikipedia.org)
  • Medical objections were similarly disintegrated with casebook publications that reflected the safety of obstetric anesthesia for both mother and child. (wikipedia.org)
  • Thus the advent of obstetric anesthesia facilitated the use of instruments during delivery as obstetricians were afforded greater scope in terms of these materials. (wikipedia.org)
  • John Snow was responsible for anesthetizing the Queen and is also attributed for influencing public and medical opinions on obstetric anesthesia through his various recorded experiences Though the birth of the Queen's 8th child Prince Leopold on April 7, 1853 was not generally publicized, the London social elite were aware of the use of chloroform in this delivery and found it appealing. (wikipedia.org)
  • Until this time, there had been considerable public and religious opposition to obstetric anesthesia. (wikipedia.org)
  • This societal aspect of childbirth was recognized by Dr. Churchill of Dublin and later published on the statistics of obstetric anesthesia. (wikipedia.org)
  • In the practice of obstetric anesthesia, John Snow greatly differed from Simpson in that Snow emphasized proper quantity measurements and the delay of administration until the second stage of labor commenced. (wikipedia.org)
  • These differences among others are why the title "Father of Obstetric Anesthesia" has become so controversial. (wikipedia.org)
  • systemic
  • In patients with chronic cancer pain, combination spinal chemotherapy is often used in clinical conditions in which the response to systemic analgesia is poor (1) . (lww.com)
  • However, as clinicians and consumers alike look for alternatives to systemic opioid or neuraxial labor analgesia, and as public awareness of N 2 O's potential use in labor and delivery expands, the time has come to look at use of gas and air in the childbirth setting more closely. (lww.com)
  • The wait time is important for avoiding toxic levels of anesthetics in the systemic bloodstream which can lead to hypotension, convulsions and even death in extreme cases so, cardiotoxic LA like bupivacaine and etidocaine are strictly contraindicated. (wikipedia.org)
  • Anesthesiology
  • The flagship journal of the IARS, Anesthesia & Analgesia is published on a monthly basis for the benefit of current and future patients under the care of professionals engaged in the disciplines broadly related to anesthesiology, such as perioperative medicine, critical care, and pain management. (iars.org)
  • clinical
  • 2 from the Vanderbilt University have applied this principle in a research report in the current edition of Anesthesia & Analgesia in an attempt to use rank ordering by initial postanesthesia recovery unit NRS pain scores, as collected by nurses in a clinical setting, to compare supervising anesthesiologists when adjusted for confounding factors. (lww.com)
  • Encourage, stimulate, and fund ongoing anesthesia-related research projects that will enhance and advance the specialty, and to disseminate current, state-of-the-art, basic and clinical research data in all areas of clinical anesthesia, including perioperative medicine, critical care, and pain management. (iars.org)
  • Essential Clinical Anesthesia Review: Keywords, Questions and Answers for the Boards. (wikipedia.org)
  • spinal
  • Switching from bupivacaine to lidocaine may improve intrathecal morphine analgesia in advanced cancer patients, possibly because of different spinal mechanisms limiting the hyperalgesic processes. (lww.com)
  • The epidural space is more difficult and risky to access as one ascends the spine (because the spinal cord gains more nerves as it ascends and fills the epidural space leaving less room for error), so epidural techniques are most suitable for analgesia anywhere in the lower body and as high as the chest. (wikipedia.org)
  • These agents are generally used within regional and epidural or spinal techniques, due to their longer duration of action, which provides adequate analgesia for surgery, labor, and symptomatic relief. (wikipedia.org)
  • opioid
  • We read with interest the report of Frolich and colleagues (1) of opioid toxicity in a patient with a 3-day-old transdermal fentanyl patch in situ , undergoing surgery under lumbar epidural anesthesia and IV propofol. (lww.com)
  • Surgery
  • These data suggest that NRS pain scores might be a useful metric to evaluate the quality of anesthesia care provided after the transition from surgery to recovery. (lww.com)
  • sevoflurane
  • In fact, newer volatile agents (e.g., sevoflurane, desflurane) have been popular not due to their potency (minimum alveolar concentration), but due to their versatility for a faster emergence from anesthesia, thanks to their lower blood-gas partition coefficient. (wikipedia.org)
  • anaesthesia
  • In recent years, a number of important developments have been made in equine anaesthesia and analgesia. (wiley.com)
  • General anaesthesia has many purposes, including: Analgesia (loss of response to pain) Amnesia (loss of memory) Immobility (loss of motor reflexes) Hypnosis (unconsciousness) Paralysis (skeletal muscle relaxation) The biochemical mechanism of action of general anaesthetics is not well understood. (wikipedia.org)
  • The dose required for anaesthesia is much higher than that required for analgesia. (wikipedia.org)
  • For post-operative analgesia, after an operation where the epidural technique is employed as the sole anaesthetic, or in conjunction with general anaesthesia. (wikipedia.org)
  • morphine
  • The development of tolerance to morphine is delayed, and the quality of analgesia can be improved because of the morphine-sparing effect of local anesthetics (3) . (lww.com)
  • In one of these patients, plasma fentanyl concentrations were high (2.22 ng · mL − 1 ), and in the other, plasma concentrations were low (0.645 ng · mL − 1 ), but the patient had required relatively large amounts of morphine via a patient-controlled analgesia device (2) . (lww.com)
  • Adequate
  • Insects are poikilothermic, but maintaining an adequate temperature range remains important. (wikipedia.org)
  • Adequate space and nutrition are important to prevent this. (wikipedia.org)
  • Because wear on the hip joint traces to the structures that support it (the posture of the legs, and ultimately, the feet), proper fitting shoes with adequate support are important to preventing GTPS. (wikipedia.org)
  • induction
  • In 1961 Brian Arthur Sellick (1918-1996), an anaesthetist, published the paper Cricoid pressure to control regurgitation of stomach contents during induction of anesthesia-preliminary communication, describing the application of cricoid pressure for the prevention of regurgitation. (wikipedia.org)
  • The technique involves the application of backward pressure on the cricoid cartilage with a force of 20-44 newtons to occlude the esophagus, preventing aspiration of gastric contents during induction of anesthesia and in resuscitation of emergency victims when intubation is delayed or not possible. (wikipedia.org)
  • Anesthesiologists
  • This finding clearly demonstrates that as presently assessed, initial postanesthesia recovery scores are a poor metric for identifying differences among supervising anesthesiologists, and the authors correctly concluded that they should not be included in the assessment of anesthesia care performance. (lww.com)
  • Reports from anesthesiologists and surgeons cite proper selection, inspection, and maintenance of equipment as important safety measures. (wikipedia.org)
  • review
  • We will review our group's work on perioperative epidural anesthesia-analgesia on patient outcomes which includes mortality, major morbidity, and patient centered outcomes but not technical failures or complications. (hindawi.com)
  • tidal
  • The initial article by Sellick was based on a small sample size at a time when high tidal volumes, head-down positioning and barbiturate anesthesia were the rule. (wikipedia.org)
  • Advances
  • During the Middle Ages, scientists and other scholars made significant advances in the Eastern world, while their European counterparts also made important advances. (wikipedia.org)
  • concentration
  • In addition to poor-quality study designs, the studies varied in many aspects, including concentration and frequency of N 2 O use, use of additional methods of analgesia, and type and timing of assessments. (lww.com)
  • patient
  • Your donation will help support innovative and forward-thinking anesthesia research and education initiatives, all of which are designed to benefit patient care. (iars.org)
  • During the encounter, properly informing the patient of all relevant facts is an important part of the relationship and the development of trust. (wikipedia.org)
  • data
  • The article clearly states that a high resolution electronic version of the data collected during anesthesia is created by the AIS in addition to the printed version placed in the patient's medical record. (lww.com)
  • often
  • For someone who has flat feet, wearing proper orthotic inserts and replacing them as often as recommended are also important preventive measures. (wikipedia.org)
  • drugs
  • These may be particularly important in the elderly or those receiving concomitant opioids, respiratory depressant, or vasoactive drugs. (lww.com)
  • A variety of drugs may be administered, with the overall aim of ensuring unconsciousness, amnesia, analgesia, loss of reflexes of the autonomic nervous system, and in some cases paralysis of skeletal muscles. (wikipedia.org)