Anesthetic management of patients with mediastinal masses remains challenging as acute cardiorespiratory decompensation may follow induction of anesthesia. We describe a 57 year old lady with massive retrosternal goiter and severe intrathoracic tracheal compression who had a total thyroidectomy. Comprehensive contingency plans were an essential prerequisite for successful management of difficul...

  Uncontrolled recurrent hemarthrosis can end to contracture, deformity, pain, joint destruction and gait disorders which are disabling. We are going to report a challenge, a unilateral knee flexion contracture in a child with severe hemophilia A and inhibitor who underwent different treatment options with unsatisfactory improvement of knee range of motion. Mismanaging postoperatively, patient ...

Background: Esophagectomy is considered to be the main treatment for esophageal malignancies. Among the different methods, transhiatal approach can cause less damage to patients and is widely used however, manipulation of esophagus result in heart rate and blood pressure variations. The aim of this study was to investigate changes in blood pressure and heart rhythm during transhiatal esophagect...

a book. This they finally did, but it did not have the success it deserved as its publication coincided with the outbreak of war., It is a joy, therefore, to see a new edition with expanded letterpress and far better illustrations in the usual high standard of ' The Practitioner' handbooks. Whatever the merits of the different schools of manipulative surgery may be, this book describes one only...

Pain control after arthroplasty has been a key concern for orthopedic surgeons. After total knee arthroplasty (TKA), a small group of patients developed a painful joint with suboptimal range of motion. Manipulation under anesthesia increases flexion and extension while decreasing pain in most cases. The objective of the present investigation is to asses the effect of a multimodal pain managemen...

Abstract A principal makes a binary decision based on evidence that can be manipulated by privately informed agent. The principal’s objective is to minimize the expected loss associated type I and II errors. When commit an acceptance standard, optimal test features ex-post inefficient standards, internalize agent’s manipulation incentives. We provide conditions for set soft or harsh is, lower h...