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  • 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)
  • 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)
  • 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)
  • 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)
  • thus
  • 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)
  • Thus, sanitation is very important, and only farm staff should have access to the insects. (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)
  • patient
  • 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)
  • pain
  • Address correspondence and reprint requests to Dr. Sebastiano Mercadante, Anesthesia and Intensive Care Unit and Pain Relief and Palliative Care Unit, La Maddalena, Cancer Center, Via S. Lorenzo 312, 90146, Palermo, Italy. (lww.com)
  • 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)
  • high
  • 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)
  • 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)
  • 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)
  • generally
  • 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)
  • lower
  • 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)
  • Performance
  • 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)
  • quality
  • 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)
  • overall
  • 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)
  • safety
  • Medical objections were similarly disintegrated with casebook publications that reflected the safety of obstetric anesthesia for both mother and child. (wikipedia.org)
  • Reports from anesthesiologists and surgeons cite proper selection, inspection, and maintenance of equipment as important safety measures. (wikipedia.org)
  • medical
  • 1 The proposed trial of medical prescription of heroin to heroin-dependent people in the Australian Capital Territory (ACT) would provide important data for more informed decision-making about heroin policy. (mja.com.au)
  • allow
  • Anatomical structures such as mylohyoid sulcus, lingula of the mandible and mandibular foramen are important in dental practice and allow the professional to execute surgical and anesthetic procedures with more safety and less damages (Reitzik et al. (scielo.cl)