• The overall goals of TIVA include: Smooth induction of anesthesia Reliable and measurable maintenance of anesthesia Rapid emergence out of the effects of infused drugs as soon as the infusion is terminated. (wikipedia.org)
  • After use for maintenance of anesthesia, recovery is longer (1-2.5 times) from midazolam than from thiopental. (anesthesiageneral.com)
  • for maintenance of anesthesia in pediatric patients following induction with agents other than Desflurane, USP, Liquid for Inhalation and intubation. (nih.gov)
  • Not approved for maintenance of anesthesia in non-intubated children due to an increased incidence of respiratory adverse reactions. (nih.gov)
  • Sub-umbilical surgery under caudal block in conjunction with sevoflurane sedation may be safe in terms of maintaining spontaneous breathing and avoiding complications associated with general anesthesia. (anesth-pain-med.org)
  • Most caudal blocks are performed as adjuvant procedures to general anesthesia with endotracheal intubation [ 1 ], but caudal block with sedation per se can be used as an alternative to general anesthesia [ 2 - 4 ]. (anesth-pain-med.org)
  • Abstract Introduction Spinal anesthesia combined with sedation and general anesthesia combined with epidural are two techniques often used for patients undergoing abdominal hysterectomy. (scielo.br)
  • After applying the exclusion criteria, 80 patients underwent spinal anesthesia combined with sedation (Group 1) and 62 women underwent epidural anesthesia combined with general anesthesia (Group 2). (scielo.br)
  • It is done under local infiltration along with monitored anesthesia care with sedation. (jicajournal.in)
  • To maintain an effective, consistent, and continuous level of sedation, we compared dexmedetomidine and propofol infusion in patients requiring monitored anesthesia care (MAC) for chemoport insertion. (jicajournal.in)
  • The level of anesthesia achieved ranges on a continuum of depth of consciousness from minimal sedation to general anesthesia. (wikidoc.org)
  • Total intravenous anesthesia (TIVA) refers to the intravenous administration of anesthetic agents to induce a temporary loss of sensation or awareness. (wikipedia.org)
  • Intravenous anesthetic agents are titrated at safe doses to maintain stage III surgical anesthesia (unconsciousness, amnesia, immobility, and absence of response to noxious stimulation). (wikipedia.org)
  • In terms of adjuvant agents, the co-administration of anesthetic drugs from different classes often produce synergistic hypnotic effects. (wikipedia.org)
  • Adding Mg to local anesthetic mixture in peribulbar anesthesia resulted in a fast onset, long duration and better akinesia score while Dexmedetomidine supplementation offered more patient satisfaction. (longdom.org)
  • We monitored EA episodes at 5 and 30 min in the post-anesthetic care unit (PACU) by using the fourpoint agitation scale and the Pediatric Anesthesia Emergence Delirium (PAED) scale. (anesth-pain-med.org)
  • Spinal Anesthesia: In spinal anesthesia, a local anesthetic is injected into the cerebrospinal fluid surrounding the spinal cord, resulting in a temporary loss of sensation and motor function below the level of injection. (mcqsadda.online)
  • Epidural Anesthesia: Epidural anesthesia involves injecting a local anesthetic into the epidural space, which is the area outside the spinal cord covering. (mcqsadda.online)
  • Local anesthesia is administered by injecting or topically applying an anesthetic drug directly to a specific area of the body. (mcqsadda.online)
  • Anesthesia caused by the breathing of anesthetic gases or vapors or by insufflating anesthetic gases or vapors into the respiratory tract. (lookformedical.com)
  • A variety of anesthetic methods such as EPIDURAL ANESTHESIA used to control the pain of childbirth. (lookformedical.com)
  • Alternatively, spinal and epidural anesthesia can be used jointly, taking advantage of the qualities of both techniques: the rapid, dense sensorimotor blockade of a spinal anesthetic and the opportunity to redose the patient with an epidural catheter anesthetic. (medscape.com)
  • Alterations in maternal anatomy and physiology induced by pregnancy have clinical anesthetic implications and present potential hazards for the mother and fetus undergoing anesthesia. (silverchair.com)
  • 13. Is the Airtraq optical laryngoscope effective in tracheal intubation by novice personnel? (yumc.ac.kr)
  • Movement as a response to noxious stimulation [laryngeal mask airway (LMA) insertion, laryngoscopy and tracheal intubation] was registered. (researchgate.net)
  • Airway management by face mask, laryngeal mask, or tracheal intubation can be technically difficult in pregnant women because of increased anteroposterior chest wall diameter, breast enlargement, laryngeal edema, and weight gain that affects the soft tissues of the neck. (silverchair.com)
  • Moreover, compared to general anesthesia, it has a lower likelihood of precipitating postoperative respiratory events [ 5 ]. (anesth-pain-med.org)
  • For elective open splenectomy, the only absolute contraindications are uncorrectable coagulopathy and severe cardiovascular disease that prohibits the administration of general anesthesia. (medscape.com)
  • Desflurane, USP, Liquid for Inhalation should be administered only by persons trained in the administration of general anesthesia. (nih.gov)
  • The administration of general anesthesia must be individualized based on the patient's response, including cardiovascular and pulmonary changes. (nih.gov)
  • The retro bulbar can provide adequate anesthesia, akinesia and control of intraocular pressure as well as postoperative analgesia [ 3 ]. (longdom.org)
  • Anesthesia is a medical practice that involves the administration of drugs or other techniques to induce a temporary state of unconsciousness, loss of sensation, or analgesia (relief from pain) during surgical procedures or other medical interventions. (mcqsadda.online)
  • Thus, an early performance of epidural analgesia turns out to be essential to control labor pain and to avoid a general anesthesia in such high-risk patients. (scielo.br)
  • The level of analgesia was recorded continuously using the proprietary index IOC2 (Index of consciousness 2,namely qNOX) (Angel-6000D Multi-parameter Anesthesia Monitor, Shenzhen Weihaokang Medical Technology Co., Ltd, Guangdong, China). (researchgate.net)
  • Analgesia is one of the main components of anesthesia used during surgical procedures. (umk.pl)
  • In Veterinary Anesthesia and Analgesia (eds K.A. Grimm, L.A. Lamont, W.J. Tranquilli, S.A. Greene and S.A. Robertson). (umk.pl)
  • Therefore, the authors evaluated prostate cancer recurrence in patients who received either general anesthesia with epidural anesthesia/analgesia or general anesthesia with postoperative opioid analgesia. (asahq.org)
  • In a retrospective review of medical records, patients with invasive prostatic carcinoma who underwent open radical prostatectomy between January 1994 and December 2003 and had either general anesthesia-epidural analgesia or general anesthesia-opioid analgesia were evaluated through October 2006. (asahq.org)
  • Open prostatectomy surgery with general anesthesia, substituting epidural analgesia for postoperative opioids, was associated with substantially less risk of biochemical cancer recurrence. (asahq.org)
  • 25. Dural Puncture by Introducer when Performing Spinal Anesthesia. (yumc.ac.kr)
  • It provides pain relief and loss of sensation in a larger region of the body than spinal anesthesia and is frequently used during labor and childbirth or for surgeries involving the lower abdomen and legs. (mcqsadda.online)
  • Subarachnoid (spinal) block is a safe and effective alternative to general anesthesia when the surgical site is located on the lower extremities, perineum (eg, surgery on the genitalia or anus), or lower body wall (eg, inguinal herniorrhaphy ). (medscape.com)
  • Because of the technical challenges of readily identifying the epidural space and the toxicity associated with the large doses of local anesthetics needed for epidural anesthesia, spinal anesthesia was the dominant form of neuraxial anesthesia well into the 20th century. (medscape.com)
  • Spinal anesthesia produces intense sensory and motor blockade as well as sympathetic blockade. (medscape.com)
  • As opposed to epidural anesthesia, in which medications are instilled outside the dura mater, the goal of spinal anesthesia is to instill the desired medications into the cerebrospinal fluid (CSF). (medscape.com)
  • Cesarean deliveries are routinely performed under spinal anesthesia, as are total hip arthroplasty and total knee arthroplasty . (medscape.com)
  • However, that is not to suggest that spinal anesthesia is always the best course in a patient likely to have difficulties with endotracheal intubation. (medscape.com)
  • Spinal anesthesia has also been noted to result in symptomatic deterioration in patients with multiple sclerosis. (medscape.com)
  • [ 5 ] Patients with chronic low back pain may decline spinal anesthesia out of concerns for increased low back pain. (medscape.com)
  • TIVA is currently employed in various procedures as an alternative technique of general anesthesia in order to improve post-operative recovery. (wikipedia.org)
  • Hedonal was later developed in 1909 for general anesthesia, although with limited success due to its long duration of effect. (wikipedia.org)
  • TIVA is used to induce general anesthesia while avoiding the disadvantages of volatile anesthesia (and traditional inhalation agents). (wikipedia.org)
  • During general anesthesia, inserting a relatively stiff endotracheal tube using a metallic laryngoscope through the soft tissues of the pharynx and larynx, along with applying a pressured cuff, can result in varying degrees of tissue trauma and adverse outcomes. (bvsalud.org)
  • Vitreoretinal surgery is a surgery involving the vitreous and retina, they are lengthy procedures and associated with significant pain [ 1 ], it has traditionally been performed under general anesthesia but local anesthesia has increased in popularity in recent years [ 2 ]. (longdom.org)
  • 3. Bilateral vocal cord paralysis during emergence from general anesthesia in a patient with Parkinson's disease. (yumc.ac.kr)
  • 16. Magnesium sulphate has beneficial effects as an adjuvant during general anaesthesia for Caesarean section. (yumc.ac.kr)
  • 18. Transient facial nerve palsy after general anesthesia. (yumc.ac.kr)
  • General anesthesia is used for major surgeries and procedures that require the patient to be completely still and have no recollection of the event. (mcqsadda.online)
  • General anesthesia for cesarean section: are we doing it well? (anesth-pain-med.org)
  • Korea has a higher rate of cesarean sections under general anesthesia than in other countries. (anesth-pain-med.org)
  • Neuraxial anesthesia is the gold standard for a cesarean section, but there are some cases in which general anesthesia is inevitable. (anesth-pain-med.org)
  • Therefore, obstetric anesthesiologists should be familiar in performing general anesthesia for cesarean section. (anesth-pain-med.org)
  • Pursuing the safety of obstetric patients and anesthesiologists at the same time, this review will help update the knowledge or training in performing general anesthesia for cesarean section. (anesth-pain-med.org)
  • There is no consensus on the ideal proportion of general anesthesia for cesarean sections, but approximately 5-6% are conducted under general anesthesia, which can be further reduced by obstetric anesthesiologist teams or obstetric specialized anesthesiologists [ 6 , 7 ]. (anesth-pain-med.org)
  • However, in patients with emergent conditions (e.g., placental abruption, cord prolapse, antenatal placental bleeding, and non-reassuring fetal tracing), the rate of general anesthesia has been reported to be up to 20% [ 8 ]. (anesth-pain-med.org)
  • As the overall safety of general anesthesia has significantly improved over the past two decades with newly developed drugs, devices, and monitors, general anesthesia no longer has an impact on anesthesia-related maternal mortality rates [ 10 , 11 ]. (anesth-pain-med.org)
  • General anesthesia for cesarean sections was not associated with overall neurodevelopmental delay at two years of age [ 13 ]. (anesth-pain-med.org)
  • The choice of general anesthesia varies across countries or hospitals. (anesth-pain-med.org)
  • In Korea, unlike previous data from the United Kingdom or the United States, the rate of general anesthesia use is steadily decreasing with time, but it is still over 20% [ 14 ]. (anesth-pain-med.org)
  • In some hospitals with a high volume of emergency cases or high-risk parturients, the rate of general anesthesia is close to 90% [ 15 ]. (anesth-pain-med.org)
  • Racial, ethnic, and socioeconomic disparities also contribute to the choice of general anesthesia [ 11 ]. (anesth-pain-med.org)
  • A retrospective audit conducted by a single British institution reported that the use of general anesthesia for cesarean section decreased from 76% in 1982 to 7.7% in 1998 and 4.9% in 2006 [ 16 , 17 ]. (anesth-pain-med.org)
  • Could i be addicted to general anesthesia? (healthtap.com)
  • Midazolam use is helpful with hypnotic amnesic during maintenance of general anesthesia. (anesthesiageneral.com)
  • A similar association between epidural use and recurrence was obtained by comparing patients matched on the propensity to receive epidural versus general anesthesia. (asahq.org)
  • The period of emergence from general anesthesia , where different elements of consciousness return at different rates. (lookformedical.com)
  • Advantages include avoidance of general anesthesia and the airway management concerns that accompany general anesthesia. (medscape.com)
  • General anesthesia: "Drug-induced loss of consciousness during which patients are not arousable, even by painful stimulation. (wikidoc.org)
  • Patients undergoing general anesthesia often cannot maintain their own airway and breathe on their own. (wikidoc.org)
  • While usually administered with inhalational agents, general anesthesia can be achieved with intravenous agents, such as propofol . (wikidoc.org)
  • Background: Postoperative sore throat is a frequent adverse event after double-lumen endobronchial tube (DLT) intubation. (bvsalud.org)
  • The aim of this study was to investigate whether esketamine gargle has a preventive effect on the incidence of postoperative sore throat in patients undergoing DLT intubation. (bvsalud.org)
  • May cause postoperative agitation during emergence from anesthesia in children. (nih.gov)
  • The use of TIVA is advantageous in cases where volatile anesthesia is of high risk or is impossible, such as cases involving morbidly obese patients. (wikipedia.org)
  • I find that the patients tend to have a smooth emergence with TIVA, similar to emergence under volatile anesthesia with a heavy dose of opioids (or alternatively if I've bolused precedex during the case for opioid sparing). (studentdoctor.net)
  • The purpose of using MCQs in anesthesia education is to ensure that individuals have a solid foundation of knowledge necessary for safe and effective anesthesia practice. (mcqsadda.online)
  • The use of appropriate and effective anesthesia for cesarean section is important not only to reduce the incidence of maternal and fetal morbidities but also to reduce the incidence of intraoperative maternal awareness. (anesth-pain-med.org)
  • The current study was undertaken with a large observational dataset to evaluate the incidence of difficult intubation and complication rates and to determine predictors of complications in this setting. (resus.me)
  • The fiberoptic bronchoscope is recommended for use in patients with an anticipated difficult intubation (3,4). (annalsofafricansurgery.com)
  • During or after TIVA, patients may be subjected to an elevated risk of anesthesia awareness, hyperalgesia and neurotoxicity. (wikipedia.org)
  • Anesthesia ensures that patients remain comfortable, immobile, and free from pain or awareness while undergoing potentially painful or invasive procedures. (mcqsadda.online)
  • Thus, the authors retrospectively examined the link between propofol-based total intravenous anesthesia (TIVA) and recurrence or overall survival in patients undergoing modified radical mastectomy (MRM). (ekja.org)
  • Patients received either propofol-based TIVA (propofol group) or sevoflurane-based anesthesia (sevoflurane group). (ekja.org)
  • Patients with 'difficult endotracheal intubation' may present for elective or emergency surgery. (annalsofafricansurgery.com)
  • Patients with a history of moderate to severe hepatic dysfunction following anesthesia with halogenated agents and not otherwise explained. (nih.gov)
  • I'll also do it for severe PONV with other anti-emetic adjuvants (and multimodal pain control limiting opioids). (studentdoctor.net)
  • Respiratory depression may occur with high doses and can be managed with antidotes (eg, naloxone) or endotracheal intubation and mechanical ventilation. (msdmanuals.com)
  • The latest, much larger, study on the subject from Michigan shows a 10% rate of difficult intubations and a 4.2% rate of airway complications. (resus.me)
  • 3,423 emergency tracheal intubations at a university hospital: airway outcomes and complications. (resus.me)
  • However, many complications are associated with this technique such as globe perforation, brain stem anesthesia and retro bulbar hemorrhage, which is the most frequent complication [ 4 ]. (longdom.org)
  • What are reasons why there are more complications with anesthesia in the obese? (healthtap.com)
  • ESTIMATES suggest that 1% or 2% of pregnant women undergo anesthesia for surgical procedures unrelated to delivery in the United States, but pregnancy may be unrecognized at the time of surgery, and there are no formal reporting mechanisms for data collection. (silverchair.com)
  • Should intubation be needed more urgently, insert the smallest endotracheal tube to allow adequate ventilation. (mhmedical.com)
  • Full-term newborns that require intubation should be intubated with a 3.5 endotracheal tube as the first attempt. (mhmedical.com)
  • Recently, with the introduction of new drugs (propofol, rocuronium, and sugammadex) and equipments (videolaryngoscopy and supraglottic airways), anesthesia methods have also gradually changed. (anesth-pain-med.org)
  • Endotracheal intubation in rabbits is challenging and supraglottic airway devices, such as laryngeal masks (LMA), represent an alternative as they are easy to insert, and do not stimulate the larynx requiring therefore a lighter plane. (awionline.org)
  • Anesthesia or anaesthesia (from Greek αν- an- "without" + αἲσθησις aisthesis "sensation") has traditionally meant the condition of having the feeling of pain and other sensations blocked. (wikidoc.org)