Fine-needle aspiration (FNA) of inflammatory and neoplastic head and neck masses has become a widely used procedure in otolaryngology-head and neck surgery. Using both subjective (patient perception) and objective (complication rate, accuracy) criteria, this prospective study evaluated patients undergoing FNA with and without anesthesia. Seventy-five patients were enrolled into 1 of 3 study gro...

Topical anesthesia of the airway is a necessary for awake intubation and is usually achieved using lidocaine delivered by various means. Although some experts favor the use of airway blocks, a more common approach is to use pure topical methods in combination with "spray as you go" techniques. Once the topicalization is complete, the patient should be able to easily tolerate the use of an oral ...

CASE REPORT A woman was operated on for strabismus under topical anesthesia. An exudative conjunctivitis was diagnosed immediately after the surgery, and a uveal effusion syndrome diagnosed 15 days later. Surgery exploration, vycril suture removal and therapy with systemic, sub-tenon, and topical corticosteroid and antibiotics was initiated. Intraoperative culture revealed evidence of Staphyloc...

UNLABELLED This case report describes the successful fiberoptic intubation of an uncooperative child with a difficult airway due to gross burn scarring in the facial and neck region by administering 4% end-tidal sevoflurane and simultaneously delivering 4% nebulized lidocaine via a small-volume nebulizer that was connected to the inspiratory limb of the circle system via a T-piece adapter. This...

In this review article, the anesthetic challenges and management of patient posted for glaucoma surgery are discussed. The various physiological and pharmacological factors that influence the level of intraocular pressure in the perioperative period are highlighted. The syndromes of anesthetic implications in childhood glaucoma, the systemic effects of topical antiglaucoma medications, preparat...

Chronic widespread pain and fibromyalgia often coexist with temporomandibular disorders (TMD) and affects mostly women. Studies have shown lower pressure pain thresholds (PPT) in these patients indicating that hyperalgesia is involved. The aim for this study was to investigate the effect of topical anesthesia on PPT for jaw muscles in patients with widespread pain. The hypothesis was that the P...

Deformation of the upper airway (UA) by negative transmural pressure alters the activity of UA mechanoreceptors, causing a reflex increase in UA muscle activity. Topical anesthesia of the UA mucosa, which greatly reduces this reflex response, causes an increase in UA resistance during stage 2 sleep. We hypothesized that topical anesthesia of the UA mucosa would predispose to UA instability at s...

PURPOSE The purpose of this survey is to evaluate current usage of local and topical anesthesia by Pediatric Dentist to evaluate the current practices. METHODS Surveys were sent to 3051 pediatric dentists asking about types of anesthetics, considerations in determining local anesthetic dosage, time used to inject a cartridge and shortcomings of topical preparations. Data were computed for per...

conclusions the case illustrates that transnasal videolaryngoscopy conducted in the preoperative anesthesia clinic is capable of providing key information to guide airway management in patients with significant upper airway pathology. case presentation a 68-year-old man presented to the preoperative anesthesia clinic for work-up before anticipated removal of infected total knee arthroplasty har...

Anesthesia care for the patients undergoing ophthalmologic surgical procedures during local/regional anesthesia balances goals of patient comfort with safety and an optimal outcome in a highly cost-conscious environment. This article discusses current practices and trends in anesthesia care with respect to sedation for eye surgery during local/regional anesthesia. Although there is no evidence ...