While the majoriy of pediatric elbow dislocations are associated with a medial epicondyle fracture, an intra-articular incarecerated is rare complication closed reduction. Elbow incarceration in joint have typically been considered absolute indication for surgical intervention. There few described reduction techniques incarcerated fractures and manipulation often unsuccessful according to liter...

Background: Spinal anesthesia is an accepted technique in elective cesarean sections. However, hypotension, resulted from sympathectomy is a common problem, especially in pregnant women. Prevention of this complication by sympathomimetic agents is of potential clinical significance. The aim of this study is to compare the effect of prophylactic infusion of Phenylephrine versus Ephedrine in the ...

To the Editor: In the special article on consent issues in the management of cerebrovascular diseases, 1 the authors put the cart before the horse by emphasizing the tradeoff between immediate risk and long-term benefit. They note that for carotid endar-terectomy, accurate local data on morbidity and mortality for the surgical and medical options are essential components of the adequate-informa...

CONTEXT Although open radical cystectomy (ORC) is still the standard approach, laparoscopic radical cystectomy (LRC) and robot-assisted radical cystectomy (RARC) have gained popularity. OBJECTIVE To report a systematic literature review and cumulative analysis of perioperative outcomes and complications of RARC in comparison with ORC and LRC. EVIDENCE ACQUISITION Medline, Scopus, and Web of...

Abstract Postinfarction ventricular septal rupture (VSR) is a rare but dreaded mechanical complication of myocardial infarction. Moreover, patient develops cardiogenic shock or congestive heart failure requiring early surgical intervention. To optimize repair, perioperative confirmation, determining location VSR and adequacy mandatory. Assessment can be obtained by the transesophageal echocardi...

Open wound managment after perforated appendicitis has been a common practice but recently, primary closure has been advocated to reduce costs and morbidity. For comparing delayed closures against primary closure with vacuum drainage, a randomized experimental study was designed. in Kerman. Sixty patients with perforated appendicitis divided randomly in two groups and evaluated on day of discha...

objective: to investigate the decrease in hemoglobin concentration and hematocrit during elective surgery. methods: this was a prospective study being performed in nemazee hospital of shiraz university of medical sciences. we included a total of 50 american society of anesthesiology (asa) i and ii patients undergoing elective minor surgeries. perioperative fluid administration was performed for...

Perioperative acute myocardial infarction (AMI) is the most common cause of postoperative morbidity and mortality. It is a rare but important and fatal complication. Recognizing this situation may be difficult due to the influence of general anesthesia. Early diagnosis and treatment can decrease the morbidity and mortality of this fatal complication. In this case we present a 56-year-old female...

In the study of holistic perspectives in perioperative care the following article focuses on the care required for paediatric patients through the perioperative period. This incorporates an understanding of the anatomical, physiological and pharmacological differences from adult practice, acknowledging the most important principles of patient safety. The planning, implementation, equipment adap...

The optimal timing of the preanesthesia evaluation varies with the patient's comorbidities. As anesthesiologists assume a broader role in perioperative care, there may be opportunities to provide additional patient management beyond historical routine anesthesia services. This study was thus undertaken to survey our institutional perioperative clinicians regarding their perceptions of patient m...