Background. Hazards of liver surgery have been attenuated by the evolution in methods of hepatic vascular control and the anesthetic management. In this paper, the anesthetic considerations during hepatic vascular occlusion techniques were reviewed. Methods. A Medline literature search using the terms "anesthetic," "anesthesia," "liver," "hepatectomy," "inflow," "outflow occlusion," "Pringle," ...

the aim of this study is to find causes of cardiac disrhytmias during ophthalmic surgeries in patients under general anesthesia with no history of heart disease in iran’s educational hospitals. this was a univarient study. a sample of 250 patients selected randomly. data were gathered by four resources: interview, patient’s documents, kind of treatment selected by anesthesiologist and monitorin...

PURPOSE To illustrate the anesthetic management of a craniotomy for suprasellar meningioma in a 28-week pregnant woman and to review the considerations for fetal monitoring during surgery. CLINICAL FEATURES A 33-yr-old woman presented at 28 weeks of gestation with rapidly deteriorating vision in her right eye. Neuroradiological investigations revealed a large suprasellar meningioma extending ...

OBJECTIVE To review the experience at a single institution with motor evoked potential (MEP) monitoring during intracranial aneurysm surgery to determine the incidence of unacceptable movement. METHODS Neurophysiology event logs and anesthetic records from 220 craniotomies for aneurysm clipping were reviewed for unacceptable patient movement or reason for cessation of MEPs. Muscle relaxants w...

PURPOSE To review the anesthetic management of patients with cerebral aneurysms during treatment in the interventional neuroradiology (INR) suite compared with in the operating room. METHODS This was a retrospective chart review of 100 consecutive patients treated by endovascular coiling compared with 100 patients treated by surgical clipping of a cerebral aneurysm. Information compared and a...

Regardless of the setting, the goals of anesthesia remain the same: achieving reversible unconsciousness, immobility, muscle relaxation, amnesia, and analgesia while preserving cardiopulmonary function. However, providing optimal anesthetic care in the high-volume sterilization clinic is often challenging due to a variety of factors, including high caseload, limited time for physical examinatio...

PURPOSE OF REVIEW To summarize recent publications emphasizing the changes in the population of patients with congenital heart disease and trends in the anesthetic and perioperative care of these patients presenting for noncardiac procedures. RECENT FINDINGS It has been reported that children with congenital heart disease presenting for noncardiac surgery are at an increased anesthetic risk. ...

now-a-days truncus arteriosus has been known as “common arterial trunk” (cat) and is an uncommon congenital cardiac defect presenting in about 1-3% congenital heart disease. environmental and genetic factors effects on incidence of cat and other conotruncal anomalies. the majority patients with cat and 22q11 deletion have other anomalies such as hypoplasia or aplasia of the thymus or parath...