Waste anesthetic gases (WAGs) can be defined as all halogenated organic compounds (including methoxyflurane, halothane, isoflurane, sevoflurane, desflurane, and enflurane) and nitrous oxide that escape from the anesthetic circuit, or are exhaled by the patient. Management of WAGs intuitively seems prudent, but because excessive exposure is often difficult to detect without special monitoring de...

The American Society of Anesthesiologists (ASA) produces the Standards for Basic Anesthetic Monitoring for appropriate patient monitoring during basic anesthesia (1). The standards document is periodically revised and updated, and includes recommendations for the use of moderate and deep sedation. As a number of nonanesthesiology specialists, including gastroenterologists, orthopedic surgeons, ...

Takayasu's arteritis (TA) is a chronic inflammatory disease involving the aorta. Because TA sometimes involves cerebral arteries, anesthetic debates focus on cerebral monitoring. There is limited evidence as to which cerebral monitoring method is most adequate. Furthermore, there is insufficient evidence to determine which anesthetic technique is better for TA parturients. We experienced the ca...

Patients with giant retroperitoneal liposarcomas are considered at great risks of perioperative complications and require meticulous anaesthetic management. There have been few reports about anaesthetic management of giant retroperitoneal liposarcoma. We present the case of a 66-year-old patient who suffered from a giant retroperitoneal liposarcoma (diameter 45 cm and weigh 4.5 kg), needing a r...

A large percentage of pediatric anesthesia practice takes place outside the traditional operating room (OR) environment. This practice presents unique challenges because of unfamiliar surroundings, lack of sufficient space, and ancillary personnel who are not familiar with anesthetic procedures and techniques. Furthermore, we are often scheduled in multiple locations throughout the institution ...

conclusions anesthetic management for ire of soft tissue deviates from standard anesthetic medical therapy in regards to depth of neuromuscular blockade and analgesic management during ire energy delivery. however, minor modifications in anesthesia management allow for a safe and efficient patient procedure. results during ire delivery, a deeper neuromuscular blockade is required to ensure that...