INTRODUCTION To obtain the optimal anesthesia depth is not easy in cardiovascular surgery patients where the haemodynamic reserve is limited, due to reasons such as not being able to give the desired dose of anesthetic agent, or the change in the pharmacokinetics of the agent in the heart-lung machine. This study was planned to assess the contribution of bispectral index (BIS) monitoring in the...

Equipment condition monitoring plays a crucial role in the overall integrity of the power system. As a result, utilities invest significant time and finances into equipment monitoring and maintenance in order to anticipate failures or accelerated aging in power equipment. Such monitoring includes regular insulation condition tests for switching devices, reactors, power transformers, generator w...

1. Describe the indications for regional anesthesia in the pediatric patient, as well as appropriate patient selection criteria. 2. Enumerate the benefits of regional anesthesia for pain management, specific to the pediatric outpatient population. 3. Review the recent advances that have propelled regional anesthesia into everyday use including novel techniques, improved equipment, and refined a...

Many countries have experimented with deploying remote obstetrics monitoring systems as a means of improving the quality of prenatal care. The next generation of remote obstetrics monitoring systems incorporate off-the-shelf equipment like commercial smartphones into their design, to not only reduce the cost of the monitoring equipment, but also to allow for greater flexibility by letting the p...

Surgical management of vitiligo is considered an excellent terapeutic option for recalcitrant cases, provided the disease is stable and there is absence of Koebner phenomenom. Among surgical modalities, Suction Blister Epidermal Graft is a low cost and effective option (65 to 100% repigmentation can be achieved in up to 80% of patients). We describe how it can be optimized by using an alternati...

Today, thoracic surgeons routinely perform complex operations on even the most complicated patient. However, just 75 years ago the ability to operate within the chest was strictly limited to only the simplest and quickest procedures. The dramatic advances in the specialty of thoracic surgery have closely paralleled the introduction of new anesthetic practices, equipment and drugs. This review w...

www.aana.com/aanajournalonline.aspx Dexmedetomidine and ketamine infusions were the main anesthetic for a 15-year-old girl, who underwent scoliosis repair surgery with intraoperative wake-up test, somatosensory evoked potential (SSEP), and motorevoked potential (MEP) monitoring. To achieve maintenance of anesthesia, dexmedetomidine and ketamine were administered concomitantly. The dexmedetomidi...

Although the utility and benefits of anesthesia and analgesia are irrefutable, their practice is not void of risks. Almost all drugs that produce anesthesia endanger cardiovascular stability by producing dose-dependent impairment of cardiac function, vascular reactivity, and compensatory autoregulatory responses. Whereas anesthesia-related depression of cardiac performance and arterial vasodila...

Dexmedetomidine and ketamine infusions were the main anesthetic for a 15-year-old girl, who underwent scoliosis repair surgery with intraoperative wake-up test, somatosensory evoked potential (SSEP), and motor-evoked potential (MEP) monitoring. To achieve maintenance of anesthesia, dexmedetomidine and ketamine were administered concomitantly. The dexmedetomidine dose ranged from 0.9 to 1.2 micr...

Continuous monitoring of the anesthetic drug dosage administered during a surgery is very important to avoid the patient's interoperative awareness due to inadequate levels of anesthesia. The traditional methods of assessing the anesthetic depth levels which are based on the qualitative physical signs such as heart rate, blood pressure, pupil size, sweating, etc are not very accurate as these a...