DR. FERGUSON'S RECENT provocative editorial on the subject of monitoring and shunting during carotid endarterectomy was both puzzling and troubling.' It appears that his "inescapable conclusion that neither intraoperative monitoring nor the use of internal shunts are necessary to avoid intraoperative stroke in the carotid endarterectomy, as a usual cause for such a stroke is an embolus" was bas...

We conducted a meta-analysis to examine the effect of intraoperative monitoring of neuromuscular function on the incidence of postoperative residual curarization (PORC). PORC has been considered present when a patient has a train-of-four (TOF) ratio of ,0.7 or ,0.9. We analysed data from 24 trials (3375 patients) that were published between 1979 and 2005. We excluded data on mivacurium from thi...

Resection and reconstruction of the SVC is a challenging Intraoperative situation owing to the potential complications after clamping a patent vessel. Hemodynamic imbalance and neurological effects of SVC clamping can be life threatening. These complications can be prevented by careful intraoperative monitoring and management. Anaesthesiologist must be aware of different options to manage such ...

PURPOSE To investigate clinical, laboratory and ultrasonographic parameters in patients with and without preoperative criteria for intraoperative cholangiography (IOC) during laparoscopic cholecystectomy in order to define predictive factors of choledocolithiasis. METHODS As a criterion for inclusion in the study the patients should present chronic calculous cholecystitis in the presence or a...

DR. FERGUSON'S RECENT provocative editorial on the subject of monitoring and shunting during carotid endarterectomy was both puzzling and troubling.' It appears that his "inescapable conclusion that neither intraoperative monitoring nor the use of internal shunts are necessary to avoid intraoperative stroke in the carotid endarterectomy, as a usual cause for such a stroke is an embolus" was bas...

St. Mark’s electrode used in the study has the distance between the stimuli and recording sites known in a region of difficult access for measuring. This would become the method more standardized and appropriate for pelvic floor, besides probably causing less discomfort than the transmuscular perineal route. These alternative methods for PNTML assessment might be useful in routine practice, mai...

There is much more to study and learn about prevention of anesthesia complications and how technology may improve the safety and outcome of anesthesia. Large trials have never shown that a specific hemodynamic monitoring technique improves outcome. In controlled situations, oximetry and capnography have demonstrated efficacy in early detection of events that could be harmful during anesthesia. ...

OBJECTIVE The Department of Health's Enhanced Recovery Partnership Programme (ERPP) started a spread and adoption scheme of Enhanced Recovery After Surgery (ERAS) throughout England. In preparation for widespread adoption the ERPP wished to obtain expert consensus on appropriate outcome measures for ERAS, emerging techniques being widely adopted and proposed methods for the continued developmen...

Intraoperative computer-assisted navigation has gained acceptance in maxillofacial surgery with applications in an increasing number of indications. We adapted a commercially available wireless passive marker system which allows calibration and tracking of virtually every instrument in maxillofacial surgery. Virtual computer-generated anatomical structures are displayed intraoperatively in a se...

THE ANAESTHETIC MANAGEMENT Of patients with pheochromocytoma has become increasingly sophisticated in recent years, thanks to the introduction of a variety of drugs which allow selective inhibition of responses to abnormally high levels of circulating catecholamines. Preoperative and intraoperative alpha and beta adrenergic block, improved intraoperative monitoring, fluid and blood infusion the...