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regional anesth

Raza H Zaidi, Nina F Casanova, Bishr Haydar, Terri Voepel-Lewis, Julian H Wan
BACKGROUND: Urethrocutaneous fistula is a well-known complication of hypospadias surgery. A recent prospective study by Kundra et al. (Pediatr Anesth 2012) has suggested that caudal anesthesia may increase the risk of fistula formation. We sought to evaluate this possible association and determine if any other novel factors may be associated with fistula formation. METHODS: Children who underwent primary hypospadias repair between January 1, 1994 and March 31, 2013 at our tertiary care center were included in this study...
November 2015: Paediatric Anaesthesia
Christopher C Chang, Derek M Steinbacher
Occlusal splints are used in craniomaxillofacial surgery to control the dental-bearing bony structures of the midface and mandible. They are created to guide the mobile bone segments into position based on the ideal or planned dental and facial relationships. For conventional orthognathic cases and maxillofacial trauma scenarios involving the dentition, a nasal endotracheal tube is required, allowing the teeth to be closed into intermaxillary fixation. However, in situations where access to the nasal cavity is required, such as concurrent rhinoplasty, or when higher osteotomies involving the midface are performed requiring advancement or manipulation of the nasal region, the nasal tube needs to be converted into an oral tube (J Clin Anesth 2011;23:342)...
March 2012: Journal of Craniofacial Surgery
H Rosenberg, J K Axelrod
Because of the significant mortality associated with general anesthesia in the early decades of the 20th century, two US surgeons--George Pitkin and Wayne Babcock--suggested suitable alternatives. Believing in the greater manageability and safety of regional and spinal anesthesia, each investigated these techniques, employing them for surgery and went on to popularize the rational use of regional anesthesia. Reg Anesth Pain Med 2001;26:278-282.
May 2001: Regional Anesthesia and Pain Medicine
K Doi, Y Saito, T Nikai, N Morimoto, T Nakatani, S Sakura
BACKGROUND AND OBJECTIVES: Interstitial cystitis (IC) is characterized clinically by lower abdominal pain, pain during urination, and increased frequency of urination. Treatment of the symptoms in IC remains challenging. We report effective treatment using lumbar sympathetic block for 2 patients with IC. CASE REPORT: A 63-year-old and 78-year-old woman were diagnosed with IC. Medical therapy with nonsteroidal anti-inflammatory drugs (NSAID), anticholinergics, and hydrodistention of the bladder failed to improve their symptoms...
May 2001: Regional Anesthesia and Pain Medicine
M Van de Velde, M Vercauteren, E Vandermeersch
BACKGROUND AND OBJECTIVES: Intrathecal opioids used to relieve labor pain have been associated with uterine hyperactivity and nonreassuring fetal heart rate abnormalities. We retrospectively evaluated all charts of singleton, term, vertex-presenting parturients in active labor requesting neuraxial pain relief during a 1-year period for the occurrence of nonreassuring fetal heart rate tracings. METHODS: Three different strategies to relieve labor pain were routinely used in our department: conventional epidural using 10 mL bupivacaine 0...
May 2001: Regional Anesthesia and Pain Medicine
A Fassoulaki, C Sarantopoulos, A Melemeni, Q Hogan
BACKGROUND AND OBJECTIVES: Breast surgery for cancer is associated with chronic pain and sensory abnormalities. The present study investigates the effect of regional block, oral mexiletine, and the combination of both, on acute and chronic pain associated with cancer breast surgery. METHODS: One hundred patients scheduled for cancer breast surgery received either regional block with 18 mL of 1% ropivacaine intraoperatively and oral mexiletine for the first 6 postoperative days (R + M group), or regional block and placebo (R + PL), or normal saline instead of ropivacaine and mexiletine (PL + M), or normal saline and placebo (PL + PL)...
May 2001: Regional Anesthesia and Pain Medicine
A Zura, M P Smith
The Internet may be the most powerful information tool currently available to medical professionals. The first article in this Internet series (Reg Anesth Pain Med 1999;24:369-374) served as an introduction to the World Wide Web, while this article describes specific resources available to anesthesiologists searching for medical information. EDITOR'S NOTE: This series of articles on information technology describes a number of resources. Inclusion in this article does not imply endorsement or support by the American Society of Regional Anesthesia and Pain Medicine (ASRA-PM)...
January 2000: Regional Anesthesia and Pain Medicine
B Zillig, G Schuler, B Truniger
On the basis of microsphere distribution, inert gas washout, and standard clearance data, the effects of acute hypoxia and hypercapnia on the kidney were studied in anesthetized, mechanically ventilated rats. Moderate hypoxia (mean PO2, 48 mm Hg) did not significantly change diuresis, GFR, and tubular sodium rejection. Due to a decrease in renal vascular resistance (R) from 40.1 to 31.8 mm Hg ml-1 min, mean renal blood flow stayed constant in spite of a significant drop in mean arterial blood pressure. Hypoxic changes in R were not accompanied by significant changes in intrarenal distribution of blood flow (IDBF)...
July 1978: Kidney International
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