The risk for complications while providing any level of sedation or general anesthesia is greatest when caring for patients having significant medical compromise. It is reassuring that significant untoward events can generally be prevented by careful preoperative assessment, along with attentive intraoperative monitoring and support. Nevertheless, we must be prepared to manage untoward events s...

This is a report on the use of transperineal intraoperative ultrasound imaging in a case of Currarino's triad for the first time in the literature.

The transition from state socialism to capitalism or market socialism has been a profound, indeed revolutionary, change in the socio-economic system of countries with about a quarter of the world’s population. The IFIs (International Financial Institutions) have been closely involved in it for more than 20 years. It has also given rise to an extensive academic literature. The purpose of this pa...

OBJECT Indications for intraoperative angiography during aneurysm surgery remain unclear. To define its use, the authors report the results of a prospective study in which this modality was used in all patients undergoing surgery for intracranial aneurysms. METHODS Intraoperative angiography was performed prospectively in the surgical treatment of 517 consecutive aneurysms regardless of the l...

BACKGROUND A new device was developed to perform intraoperative static pedography. The purpose of this study was to validate the introduced method by a comparison with the standard method for dynamic and static pedography. METHODS A device known as Kraftsimulator Intraoperative Pedographie (KIOP) was developed for intraoperative placement of standardized forces to the sole of the foot. Pedogr...

BACKGROUND Patients undergo cardiac preoperative evaluation to identify those at risk of adverse perioperative cardiac events. The Revised Cardiac Risk index is commonly used for this task, although it is unable to accurately risk stratify in all patients. This may be partly a result of intraoperative events which significantly modify preoperative risk. METHODS We conducted a systematic revie...

BACKGROUND AND PURPOSE MR is being used increasingly as an intraoperative imaging technique. The purpose of this study was to test the hypothesis that intraoperative MR imaging increases the extent of tumor resection, thus improving surgical results in patients with high-grade gliomas. METHODS Thirty-eight patients with intracranial high-grade gliomas underwent 41 operations. Using a neuronav...