CONTEXT AND OBJECTIVE Inadvertent perioperative hypothermia is common during spinal anesthesia and after midazolam administration. The aim of this study was to evaluate the effects of intraoperative skin-surface warming with and without 45 minutes of preoperative warming in preventing intraoperative and postoperative hypothermia caused by spinal anesthesia in patients with midazolam premedicati...

BACKGROUND The purpose of this study was to provide prospective independently analyzed evidence on how patients feel about a carpal tunnel release (CTR) performed under local anesthesia only (no sedation or tourniquet) versus with local anesthesia, intravenous (IV) sedation, and a tourniquet. METHODS This prospective cohort study compared 100 consecutive CTRs done with only lidocaine and epin...

OBJECTIVE To determine if specially trained professional clowns allayed preoperative anxiety and resulted in a smooth anesthetic induction compared to the use of midazolam or no intervention. METHODS This was a randomized, controlled, and blinded study conducted with children 3-8 years of age undergoing general anesthesia and elective outpatient surgery. Patients were assigned to one of three...

PURPOSE To determine whether measurable preoperative characteristics predispose patients to chronic dry eye after laser in situ keratomileusis (LASIK). METHODS The study consisted of 24 eyes of 24 patients who underwent LASIK. Tear breakup time, Schirmer testing with and without anesthesia, rose bengal staining, central corneal sensitivity, nucleus-to-cytoplasmic ratio, and goblet cell densit...

Similar reports in the past pay less attention to anesthetic management of these patients. We reported a 46-year-old man who suffered from hypertensive cerebral apoplexy 5 months ago and accepted C7 nerve transfer improve central spastic paralysis right upper limb. After careful evaluation anesthesia before anesthesia, operation was successfully completed under general anesthesia. The patient c...

OBJECTIVES To assess the utilisation rate of a preoperative assessment clinic and its impact on length of stay and discharge destinations. DESIGN Retrospective case series with internal comparisons. SETTING A tertiary hospital in Hong Kong. PATIENTS All medical records of elective surgical admissions to a hospital in Hong Kong from April to June 2008 were retrieved. Medical records of pat...