OBJECTIVES To evaluate whether remifentanil based general anesthesia combined with epidural analgesia for postoperative pain, has any advantages with respect to consumption of drugs, blood loss, quality of pain control, hemodynamic profile, in major abdominal surgery, as compared to other combined techniques. METHODS A retrospective study based on chart reviews of patients who have undergone ...

UNLABELLED We report the case of a pregnant woman presenting with Guillain-Barré syndrome in which her neurologic status worsened immediately after delivery under epidural analgesia. We believe that the anesthetic technique may have played a role in the disease progression. Because of this potential association, the risks of worsening neurologic status after regional anesthesia and alternative ...

We are reporting the anesthetic management of a breast cancer patient with high risk to undergo general anesthesia using single shot ultrasound guided Erector Spinae Plane Block (ESPB) monitored sedation. Targeted at T4, 20 mL 0.375% Bupivacaine provided complete surgical in 15 minutes. Concurrent sedation was administered Target Controlled Infusion Propofol Entropy monitoring throughout proced...

Optimizing postoperative pain control is the key to further advancement in the field of ambulatory anesthesia. The current situation in postoperative pain management indicates room for improvement, especially in the area of patient education and the development of individualized discharge analgesic packages. Multimodal analgesia provides superior analgesia with a lower side-effect profile. Preo...

aim and background:   stress of surgery transfers some neurological and hormonal signals which triggers some physiological responses like adrenergic stimulation, increase in noradrenalin, cortisol, growth factor, decrease in insulin and increase in insulin resistance resulting in hyperglycemia during surgery. in this study a comparison is done between general anesthesia which by blocking brain&...

Surgery is the primary and most effective treatment of breast cancer, but minimal residual disease is probably unavoidable. Whether residual disease results in clinical metastases depends on numerous factors, including anti-tumor cell mediated immunity and angiogenic and growth signals in sites of residual disease. At least three perioperative factors adversely affect these: 1) the neuroendocri...

BACKGROUND The transversus abdominis plane (TAP) block has been shown to provide effective postoperative analgesia in lower abdominal surgery. Subcostal TAP block has also been proposed as a new technique to provide analgesia for the supraumbilical abdomen. We compared the analgesic and opioid-sparing effects of a single-injection subcostal TAP block with continuous thoracic epidural analgesia ...

General anesthesia is the main strategy for almost all thoracic surgeries. However, a growing body of literature has reported successful cases of non-intubated thoracic surgery with regional anesthesia. This alternative strategy not only prevents complications related to general anesthesia, such as lung injury, incomplete re-expansion and intubation related problems, but also accords with trend...

Objective: Although epidural anesthesia and paravertebral blocks are routinely administered to achieve postoperative analgesia after trunk surgery, the use of anticoagulant therapy has increased number cases in which these procedures contraindicated. The efficacy erector spinae plane block (ESPB), an alternative method analgesia, been reported following surgery. This study aimed determine analg...