Phulchand Prithvi Raj Borundia (September 13, 1931 to February 27, 2016), fondly known as “Raj,” was a pioneer and world leader in regional anesthesia and interventional pain management (Fig. 1). Regional anesthesia and interventional pain management will forever be linked with the name of Dr. Raj. His death creates a major void in interventional pain management across the globe (1,2). He is th...

OBJECTIVE To compare the postoperative complications between Laryngeal Mask Airway (LMA) and endotracheal tube (ETT) during low-flow anesthesia with controlled ventilation. METHODOLOGY Eighty adult Patients with ASA class I or II were randomly allocated into two forty-patient groups (ETT or LMA). Cuff pressure was monitored during anesthesia. After high uptake period, fresh gas flow (FGF) was...

Background: Laparoscopy is one of the most common surgical procedures. General anesthesia as the only suitable technique for laparoscopic procedures is a concept of the past. A problem with modern general anesthetics is that even though patients can be awake and oriented shortly after cessation of the anesthetic. There is growing evidence suggesting that regional anesthesia has an important rol...

Anesthesiologists can offer much more then stable blood pressure and heart rate in the intraoperative period. By choosing appropriate anesthetic techniques they can tremendously influence perioperative stress. This may positively impact on the overall surgical outcome. One of the most intriguing aspects of neuraxial anesthesia is its ability to attenuate the stress response to surgery. At pres...

AANA Journal  August 2016  Vol. 84, No. 4 255 Variables measured in modern pulse oximetry apparatuses include a graphic pulse curve and a specified perfusion value (PV) that could be a sensitive marker for detecting differences in sympathetic activity. We hypothesized that there is a correlation between a reduction of PV and the time to eye opening after anesthesia with propofol-remifentanil....

BACKGROUND The aim of this study was to evaluate whether a single preoperative limited oral intake of a carbohydrate drink could improve perioperative patient comfort and satisfaction with anesthesia care in elective day-stay ophthalmologic surgery. METHODS A single-center, prospective, randomized clinical trial was conducted in a university hospital. The study included ASA I-III patients und...

Many modern diagnostic and surgical procedures rely heavily on the use of ionizing radiation. These procedures include computed tomography, nuclear medicine procedures, interventional radiology, and cardiac catheterization and electrophysiology procedures. Recent trends toward increased patient visits and patients with multiple challenging comorbidities have meant that anesthesia providers are ...

Introduction Though postoperative excitement has been a feature of general anesthesia since before the development of most of our modern inhalational anesthetics, the number of studies examining the incidence of postoperative agitation has increased exponentially since the introduction of the poorly soluble inhalation agents sevoflurane and desflurane into routine anesthesia practice. Eckenhoff...

Patients with malignant hyperthermia experience an exaggerated metabolic response when exposed to volatile anesthetic gases and succinylcholine. The minimum concentration of anesthetic gas needed to trigger a malignant hyperthermia crisis in humans is unknown and may remain so because of the inherent risks associated with studying the complex nature of this rare and lethal genetic disorder. The...

n engl j med 369;11 nejm.org september 12, 2013 1080 anticoagulants may prevent warfarin-induced skin necrosis but cannot be recommended yet. Finally, in reply to Grzybowski and Ascaso: the use of antithrombotic agents in ocular surgery remains highly controversial. The stated bleeding rate of 3% is excessive in modern cataract surgery. This avascular procedure, which is frequently performed wi...