OBJECTIVE To demonstrate the characteristics, outcomes, and the circumstances associated with intraoperative recall of awareness. MATERIAL AND METHOD Relevant data of intra-operative recall of awareness were extracted from the Thai Anesthesia Incident Monitoring study (Thai AIMS) database of 1996 incident reports and 2537 incidents which were conducted among 51 hospitals throughout Thailand f...

Modern spirometry, like no other monitoring technique, allows insight into breath-to-breath respiratory mechanics. Spirometers continuously measure volume, airway pressure, and flow while calculating and continuously displaying respiratory system compliance and resistance in the form of loops. The aim of this case series is to show how observation of spirometric loops, similar to electrocardiog...

FUNCTIONAL INTEGRATION IN THE CORTICAL NEURONAL NETWORK OF CONSCIOUS AND ANESTHETIZED ANIMALS Jeannette A. Vizuete Marquette University, 2012 General anesthesia consists of amnesia, analgesia, areflexia and unconsciousness. How anesthetics suppress consciousness has been a mystery for more than one and a half centuries. The overall goal of my research has been to determine the neural correlates...

Fish display robust neuroendocrine and physiologic stress responses to noxious stimuli. Many anesthetic, sedative, or analgesic drugs used in other vertebrates reduce stress in fi sh, decrease handling trauma, minimize movement and physiologic changes in response to nociceptive stimuli, and can be used for euthanasia. But extrapolating from limited published anesthetic and sedative data to all ...

Aortic dissection is a preventable life-threatening condition, but fatality can be extremely high if not treated timely. And it associated with dilated cardiomyopathy, catastrophic for them, and managing this an anesthetic nightmare. Here, we present elderly female patients diagnosed aortic on evaluation known case of cardiomyopathy coming hip fracture fixation. The was managed low-dose spinal ...

Aneurysms that extend from the descending thoracic aorta into the abdomen, which can also involve the visceral segments of the upper abdominal aorta, are traditionally classified as thoracoabdominal. Thoracoabdominal aortic aneurysm reconstruction is very complex vascular surgery associated with high postoperative morbidity and mortality and related postoperative complications. In addition to t...

BACKGROUND Sevoflurane and ketamine are commonly used to obtain sedation and facilitate intravenous anesthetic induction in children undergoing cardiac surgery who are uncooperative. We used a new and direct systemic hemodynamic monitoring technique pressure recording analytical method and compared the hemodynamic effects of sevoflurane and ketamine to facilitate intravenous anesthetic inductio...

Remarkable advances continue to be made in the care of patients with major burn injuries. Early aggressive fluid resuscitation has dramatically improved initial survival. The development of specialized burn centers has allowed the concentration and coordination of resources needed to provide a multidisciplinary approach from the time of admission with the goal of not just maximizing survival bu...

Intraoperative evoked potential (EP) monitoring has become a routine part of operative neurosurgical procedures. The theoretical, technical, and clinical aspects of various EPs have been extensively characterized and significant clinical experience has been accumulated with this modality of neuromonitoring. Successful EP monitoring requires an adequate understanding of how anesthetic drugs and ...