BACKGROUND Wide-awake hand surgery is useful for tendon reconstruction because surgeons can observe the actual movement of the reconstructed tendons during the surgery. We hypothesized that accurate ultrasound-guided injection of local anesthetics into the sensory nerves contributes to reliable analgesia with a relatively small amount of anesthetic. METHODS We enrolled 8 patients who underwen...

OPICAL ANESTHESIA REPRESENTS A T c o m m o d y used anesthetic technique for a variety of endoscopic procedures.'4 In general, local anesthesia for endoscopy is a safe and effective procedure.g However, it has been shown that certain local anesthetics, such as tetracaine, are rapidly absorbed from the mucous membranes of the respiratory tract and can lead to severe toxic effects in man.' Thus, ...

Background and objectives: To evaluate success rate, acceptance and complications of sciatic nerve (SN) block at the popliteal fossa (popliteal block, PB) for ambulatory or inpatient orthopedic and vascular surgical procedures. Methods: A retrospective study was carried out in 312 patients who received a PB for vascular and orthopedic lower leg surgery. A single injection, posterior approach te...

Correct identification of the causes of dental anesthetic failure is essential in order to adopt the required measures for successful anesthesia. A review is made of the factors implicated in locoregional anesthesia failure, such as a bifid inferior alveolar nerve, retromolar foramen associated to accessory innervation, double or accessory mental foramen, the relation between the infiltration t...

Takayasu's arteritis is a rare, progressive panendarteritis involving all layers of the arterial wall. This disease includes variable involvement of the aorta and its major branches. The most common complication with this condition is severe, uncontrolled hypertension, often leading to end organ dysfunction. We describe the management of a 27-year-old woman diagnosed with Takayasu's arteritis t...

The anterior medial mass patient continues to offer great challenges for the anesthesiologist. As such, newer and safer methods of providing anesthetic care are continually being sought. To this end, there is a growing body of evidence that may suggest that higher than Food and Drug Administration approved dosages of dexmedetomidine may offer another option in the arsenal of the anesthesiologis...

Wilson's disease (WD) is characterized by progressive copper accumulation with hepatic and neurological impairment. Anesthesia and surgical practices may exacerbate WD and liver damage, and even cause life-threatening liver failure. Due to this existing liver damage, anesthetic management is important in WD cases in terms of drug choice, dose, and technique used. This study reports an emergency...

The goal of anesthesia for the expremature infant having hernia repair is to provide a safe anesthetic that will minimize intraand postoperative cardiorespiratory complications and have minimal long lasting effects on the developing infant. General (GA) and regional anesthesia, spinal anesthesia (SA) and caudal anesthesia (CA) are options well described in the anesthesia literature. The choice ...