There are more than 100 different types of dwarfism. Achondroplasia is the most common of these conditions. The aim of this report is to describe the anesthetic management of these patient, discussing the anesthetic considerations and emphasizing the difficulties encountered. A 32-year-old achondroplastic parturient underwent cesarean section under general anesthesia. We did not encounter probl...

BACKGROUND The current study evaluated whether the level of preoperative anxiety assessed by the state-trait anxiety inventory (STAI) affects cardiovascular response during anesthetic induction. Furthermore, we evaluated the utility of the preoperative anxiety scale as a predictive factor for hemodynamic changes. METHODS One hundred twenty patients who were scheduled to undergo elective surge...

Assessing discharge risks for infants and toddlers who have undergone moderate sedation Key words: patient discharge, pediatric, caregiver, moderate sedation. Assessing a child for sleep apnea Key words: pediatric, obstructive sleep apnea, moderate sedation. Using a frailty index to assess surgical patients Key words: frailty, surgical complications, older adult, Braden Scale, Fried Frailty Cri...

MD, PhD. Anesthetist, Department of Anesthesia, Universidade Federal do Maranhão (UFMA), São Luis, Maranhão, Brazil. PhD. Assistant professor and pharmacologist, Department of Anesthesia, Universidade Federal de São Paulo — Escola Paulista de Medicina (Unifesp-EPM), São Paulo, Brazil. PhD. Titular professor and toxicologist, Department of Toxicology, Universidade de São Paulo (USP), Ribeirão Pr...

A patient with dilated cardiomyopathy with poor ejection fraction posted for laparoscopic surgery for rectal cancer which was successfully performed under general anesthesia with endotracheal intubation and mechanical ventilation was reported. Our observations strongly indicate that detailed preoperative assessment, watchful intraoperative monitoring, and skillful optimization of fluid status a...

BACKGROUND Botulinum toxin type A (BTX-A) injections are an effective treatment for controlling hyperhidrosis at sites of amputation. Hyperesthesia associated with amputated limbs is a major barrier to performing this procedure under local anesthesia. OBJECTIVE To present a novel method for improving local anesthesia with BTX-A injections. Methods & RESULTS A 29-year-old military vetera...

INTRODUCTION Anesthesia induction is a stressful event for children and their parents, and may have potentially harmful consequences on the patient's physiological and mental situation. Stressful anesthesia induction has psychological adverse effects that recur with repeated anesthesia, can lead to increased pediatric discomfort during the recovery period, and may even induce reactionary postop...

BACKGROUND The induction of anesthesia is one of the most stressful moments for a child who must undergo surgery: it is estimated that 60% of children suffer anxiety in the preoperative period. Preoperative anxiety is characterized by subjective feelings of tension, apprehension, nervousness, and worry. These reactions reflect the child's fear of separation from parents and home environment, as...