Academic literature on the topic 'Anesthesia complications'
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Journal articles on the topic "Anesthesia complications"
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S., V. "Complications of lumbar anesthesia." Kazan medical journal 22, no. 2 (2020): 242. http://dx.doi.org/10.17816/kazmj52914.
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According to the conclusion of LN Poznyanov (Vesti. Sovr. Med., 1925, No. 11), the main danger of lumbar anesthesia is from a drop in blood pressure. To avoid this danger, some authors propose to inject caffeine 5 hours before the operation, others advise adding the latter, in an amount of 0.25-0.5, to the anesthetic solution, and still others, 2-3 hours before anesthesia, repeatedly inject Digalen to the patient. fourth - 0.003-0.004 strychnine. Reschke recommends 3 min. before anesthesia, infect intramuscularly 1 K. Art. adrenaline and, in addition, the same amount should be administered intravenously immediately after anesthesia.
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Borkar Patil, Vijaya P., and Jayshree J. Upadhye. "Anesthetic complications in cesarean section." International Journal of Research in Medical Sciences 6, no. 10 (2018): 3215. http://dx.doi.org/10.18203/2320-6012.ijrms20183849.
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Background: Obstetric anesthetists need to face with the unique situation of providing anesthesia for caesarean sections, where they have to provide care for both the mother and the unborn baby. This study was performed in 100 women who underwent cesarean section, either elective or emergency to evaluate type of anesthesia, anesthetic complications and neonatal outcome.Methods: A retrospective study was conducted in 100 women with singleton pregnancy undergoing cesarean section in the department of Anesthesiology in collaboration with department of Obstetrics and gynecology at Dr PDMMC and Hospital, Amravati from January 2017 to March 2018. Detailed information regarding medical and obstetric history, intrapartum course, postpartum complications diagnosed before hospital discharge, and infant outcome were collected directly from maternal and infant charts. Other details like age of the patient, parity, type of cesarean section and type of anesthesia was noted. American Society of Anesthesiologists (ASA) scores and type of anesthesia was noted.Results: In our study, spinal anesthesia was given in 62 (62%) patients, epidural anesthesia was given in 20 (20%) patients, combined spinal-epidural anesthesia was given in 10 (10%) patients while general anesthesia was given in 8 (8%) patients. Anesthetic complications were less. About 10 (10%) patients had spinal headache, 4 (4%) patients had failed regional anesthesia, 2 (2%) patients had failed intubation while 2 (2%) patients had high spinal anesthesia. Babies of 96 (96%) patients had Apgar score at 5 minutes of more than 7 and babies of 4 (4%) patients had Apgar score at 5 minutes of less than 7. Only babies of 2 (2%) patients required intubation for resuscitation.Conclusions: This study provides strong evidence that the guidelines recommending regional block over GA for most cesarean section. It is beneficial for neonates as well as for mothers.
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Singh, Sukhdip, Shagufta Y. Chaudry, Amy L. Phelps, and Manuel C. Vallejo. "A 5-Year Audit of Accidental Dural Punctures, Postdural Puncture Headaches, and Failed Regional Anesthetics at a Tertiary-Care Medical Center." Scientific World JOURNAL 9 (2009): 715–22. http://dx.doi.org/10.1100/tsw.2009.94.
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Obstetric anesthesia-related complications occur as a result of labor epidural or spinal placement. The purpose of this continuous quality-improvement audit was to review the occurrence of accidental dural punctures (ADPs), postdural puncture headaches (PDPHs), and failed regional anesthetics at an academic tertiary-care medical center over a 5-year period. Obstetric anesthesia complications contained in three databases consisting of ADPs, PDPHs, and failed regional anesthetics were matched to a perinatal database, with no complications serving as controls. Of the 40,894 consecutive parturients, there were 765 documented complications. Complication rates were 0.73% (95% CI: 0.65–0.82) for ADP, 0.49% (95% CI: 0.43–0.56) for PDPH, and 0.65% (95% CI: 0.57–0.73) for failed regional anesthetic. When compared to the no complication group, factors associated with obstetric anesthesia complications included increased weight and BMI (p< 0.01), epidural block (p< 0.01), and vaginal delivery (p< 0.01).
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Suri, Nikita, Geeta Kalra, Mandeep Kumar, Abhishek Avasthi, Tarun Kalra, and Ramandeep Singh. "A literature review on various complications associated with administration of local anesthesia in dentistry." IP International Journal of Maxillofacial Imaging 8, no. 2 (2022): 63–66. http://dx.doi.org/10.18231/j.ijmi.2022.015.
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To perform any surgical procedure, we require administration of safe as well as effective local anesthesia. The prime and the most important step in any clinical oral surgical procedure is the administration of local anesthesia. Almost in most of the clinical steps in dentistry, local anesthesia is used, therefore there are chances of complications that might occur with the administration of the local anesthetic drug. It is advised to take the proper history of the patient, i.e., is there any systemic complication that might get enhanced with the administration of the local anesthetic agent. Ask and verify, whether the patient is allergic to any specific medicine or allergic to the local anesthetic agent, to avoid any sort of complication.
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Maria I. Dalamagka. "Anesthesiology complications in children." International Journal of Science and Research Archive 12, no. 1 (2024): 2924–27. http://dx.doi.org/10.30574/ijsra.2024.12.1.1179.
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General anesthesia is defined by the American Society of Anesthesiologists as a “drug induced loss of consciousness during which patients are not arousable, even by painful stimulation”. The perioperative period, immediately before, during, and after surgery, is a particularly critical time for pediatric patients. Even though anesthesia today is much safer than it has ever been, all anesthesia has an element of risk. General anesthesia has been safely given to children for many years. Improvements in inhalational and intravenous agents have increased the safety profile of general anesthesia and complication rates are low. General anesthesia has also allowed children to undergo painful or anxiety inducing procedures. General anesthesia is a complete loss of consciousness with amnesia, analgesia and neuromuscular blockade. It can be divided into three phases: induction, maintenance and emergence. Induction usually occurs with inhalational anesthetic in children until intravenous access occurs. Propofol, etomidate and ketamine are often used for induction. Maintenance of anesthesia occurs with inhalational or intravenous medications. Common inhalational anesthetics include nitrous oxide, sevoflurane or desflurane. Common intravenous medications used for maintenance are propofol and remifentanil. Typical complications in pediatric anesthesia are respiratory problems, medication errors, difficulties with the intravenous puncture and pulmonal aspiration. In the postoperative setting, nausea and vomiting, pain, and emergence delirium can be mentioned as typical complications. Side effects of anesthesia may include nausea, vomiting, drowsiness, muscle soreness and sore throat. Rare but more serious complications include adverse reactions that affect breathing, allergic reactions and irregular heart rhythms. Airway and respiratory events are the most common perioperative complications in pediatric patients. Several studies have reported on the incidence of pediatric airway-related complications. Consistently reported risk factors for serious airway complications include very young age and multiple intubation attempts. Laryngospasm was the most common cause of respiratory related arrests. Other etiologies included airway obstruction, difficult intubation, esophageal intubation, and aspiration.
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Quan, Theodore, Alisa Malyavko, Anna Maria M. Ifarraguerri, et al. "Evaluating the Association of Anesthesia Type with Postoperative Complications in Patients Undergoing Ankle Fracture Repair." Foot & Ankle Orthopaedics 7, no. 4 (2022): 2473011421S0088. http://dx.doi.org/10.1177/2473011421s00887.
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Category: Ankle Introduction/Purpose: General and neuraxial anesthesia are both successful anesthesia techniques used in many orthopaedic procedures. Neuraxial anesthesia involves local anesthetics placed around the central nervous system (CNS) and spinal anesthesia is a subtype where the anesthetic is injected into intrathecal space. General anesthesia is usually recommended in ambulatory surgeries for its rapid onset of action. However, current literature shows contradicting complication profiles between these two anesthesia types. The purpose of this study was to compare the complications and length of hospital stay between patients who underwent general anesthesia versus neuraxial anesthesia during the repair of ankle fractures. Methods: Patients undergoing open reduction and internal fixation (ORIF) for ankle fracture from 2014 to 2018 were identified in the National Surgical Quality Improvement Program database. Patients were stratified into 2 cohorts: general anesthesia and neuraxial anesthesia. In this analysis, demographics data, comorbidities, and postoperative complications were collected and compared between the two cohorts. Bivariate analyses and multivariable logistical regression were performed. Results: Of 3,585 patients who underwent operative treatment for ankle fracture, 3,315 patients (92.5%) had general anesthesia and 270 (7.5%) had neuraxial anesthesia. Compared to patients who had general anesthesia, those who had neuraxial anesthesia were more likely to be older (58.0 vs 49.6 years old; p<0.001), Caucasian (80.0% vs 71.9%; p=0.001), and have an ASA classification of III (38.1% vs 25.0%; p<0.001). On bivariate analyses, patients who had neuraxial anesthesia were more likely to develop pulmonary complications (p=0.173) or extended length of stay more than 5 days (p=0.342) compared to the general anesthesia group. Following adjustment on multivariate analyses, the neuraxial anesthesia cohort no longer had increased likelihood of pulmonary complications or extended length of stay compared to the general anesthesia group. Conclusion: Prior studies have shown that neuraxial anesthesia methods are as effective as general anesthesia with fewer short- term outcomes. When compared to patients who underwent general anesthesia during ORIF for ankle fracture, neuraxial anesthesia patients experienced no significant increases in postoperative complications or extended length of hospital stay. In terms of the variables we explored in the NSQIP database, healthy ankle fracture patients could also benefit from neuraxial anesthetic methods, and they should be considered for this anesthetic type regardless of their lack of comorbidities that would make them high risk for general anesthesia.
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Afroz, Dr Asma, Dr Rehan Uddin Khan, and Dr Chandra Shekhor Kormokar. "Complication of Anesthesia in Children: A Prospective Observational Study." EAS Journal of Anaesthesiology and Critical Care 5, no. 1 (2023): 1–6. http://dx.doi.org/10.36349/easjacc.2023.v05i01.001.
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Background: Any anaesthetic procedure, either regional or general, has some potential for complications. For this reason, careful preoperative assessment and adequate planning of appropriate anesthetic are the cornerstones in safe pediatric anesthetic practice. But in Bangladesh, we have very limited research-based information regarding the complication of anaesthesia in children. Aim of the Study: The aim of this study was to assess the complications of anesthesia in children. Methods: This was a prospective observational study. The study was conducted in Department of Aneaesthesia, ICU & Pain Medicine, Shaheed Suharawardy Medical College and Hospital, Dhaka, Bangladesh during the period from January 2018 to December 2018. In total 62 children, aged between 1 day and 15 years prepared for anesthesia associated surgery were selected as the study subjects. The incidence of intra-operative as well as post- anesthesia recovery room complications was recorded and analyzed. Data were analyzed and by using MS Excel and SPSS version 23.0 program as per necessity. Results: In this study, in analyzing the complications among the participants we observed that, bronchospam and bradycardia and hypotension were the most common intraoperative complications which were found in 11%, 10% and 8% cases respectively. On the other hand, tachycardia, prolonged unconsciousness and hypoventilation were found as the most common postoperative complications among the participants which were found in 19%, 10% and 8% cases respectively. Besides those complications some cases with restlessness, respiratory arrest, pain, shivering, hypertension, hemorrhage and laryngospasm were found in both the periods. Conclusion: Anesthesia-related morbidity and mortality can be minimized with early identification and prompt management of any complication. In this current study we observed that, preterm infants are major prone to develop respiratory complications because of using anesthesia.
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Nouvellon, Emmanuel, Joel L’Hermite, Arnaud Chaumeron, et al. "Ophthalmic Regional Anesthesia." Anesthesiology 100, no. 2 (2004): 370–74. http://dx.doi.org/10.1097/00000542-200402000-00028.
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Background The purpose of this study was to evaluate the efficacy and safety of episcleral single-injection anesthesia in a large number of patients. Methods Over a period of 5 yr, in four institutions, anesthesiologists involved in this prospective study completed a standardized form to evaluate single-injection medial canthus high-volume episcleral anesthesia. The success rate of the block was rated according to an akinesia score. The study parameters included demographic data, surgical procedure, and anesthetic management. All patients were followed up at least until postoperative day 1, and all complications, pain, and discomfort were noted. Statistical analysis was done to assess the risk factors for complications. Results A total of 2,031 patients were included in the study. The most frequent surgical procedures performed were phacoemulsification and posterior chamber artificial lens implantation (91.0%). A total of 66 complications (3.3%) occurred in 60 patients. One patient had a retrobulbar hemorrhage, and 59 had one or two more minor incidents or pain/discomfort with the procedure. The complications consisted of subconjunctival hematoma (1.3%), ocular hypertonia (0.4%), and chemosis (0.30%). Statistical analysis revealed that inexperience in the technique represented a risk factor for complications. Conclusions This is the first survey of a large experience in episcleral single-injection anesthesia, a form of anesthesia that does not preclude sharp-needle complications and does require training. Only one complication occurred among 2,031 patients; however, a larger number of patients is needed to definitively evaluate the safety of episcleral single-injection anesthesia.
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Vishnevskiy, S. A., N. K. Korshunova, and T. Y. Kuznetsov. "Peculiarities of anesthetic support during operations with elevated intraocular pressure." Reflection, no. 1 (June 7, 2022): 31–34. http://dx.doi.org/10.25276/2686-6986-2022-1-31-34.
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Purpose. To develop an algorithm for selection of anesthetic drugs and their dosages for adequate and safe anesthesia during surgical interventions that are performed on patients to reduce elevated intraocular pressure and to minimize the complications that may arise during anesthesia. Methods. The study included 86 cases that underwent surgery to reduce elevated intraocular pressure; 34 surgeries were performed under sub-Tenon anesthesia (39.6 %), 2 under parabulbar (2.3 %) and 50 (58.1 %) under peribulbar regional anesthesia. All the patients underwent dynamic monitoring of homeostasis. Anesthesia support consisted of preoperative preparation, regional anesthesia and drugs administered as a bolus in the operating room. Results and discussion. A list of drugs used during operations performed with increased intraocular pressure has been compiled. The most rational and safe dosages of drugs have been determined. After the introduction of this algorithm, not a single complication was obtained as a result of anesthesia. Conclusions. Implementation of the algorithm for intraoperative anesthesia in patients with elevated intraocular pressure made it possible to achieve: 1) adequate nociceptive and psychoemotional protection; 2) comfort conditions both for patients and for medical personnel; 3) minimizing anesthetic risks and complications. Key words: anesthesiology; ophthalmology; glaucoma; increased intraocular pressure; regional anesthesia.
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ÖZSAYGILI, Cemal, and Nurettin BAYRAM. "Ophthalmic Anesthesia and Related Complications in Vitreoretinal Surgery." Güncel Retina Dergisi (Current Retina Journal) 8, no. 3 (2023): 185–91. http://dx.doi.org/10.37783/crj-0403.
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The most critical anesthetic evaluation before vitreoretinal surgery is whether the patient and surgeon need local or general anesthesia. Local anesthesia techniques include topical, retrobulbar, peribulbar, and subtenon blocks. Performing analgesia and akinesia with appropriate anesthesia provides appropriate surgical conditions for the patient and physician, reducing surgical risks. In addition, since complications related to ophthalmic anesthesia may cause permanent visual impairment, managing perioperative complications is of great importance and requires experience.
Dissertations / Theses on the topic "Anesthesia complications"
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Van, Schoor Albert-Neels. "Paediatric regional anaesthetic procedures clinical anatomy competence, pitfalls and complications /." Pretoria : [s.n.], 2004. http://upetd.up.ac.za/thesis/available/etd07062005-151955.
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Newman, Lisa K. "The Association between BMI-for-age and Intra- and Post-General Anesthesia Airway Complications." The Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1337213041.
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Zeitz, Kathryn. "Post-operative observations, ritualised or vital in the detection of post-operative complications." Title page, contents and abstract only, 2003. http://web4.library.adelaide.edu.au/theses/09PH/09phz483.pdf.
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Copy of author's previously published work inserted. Includes bibliographical references (leaves 273-283). Aims to identify if the current practice of post-operative vital sign collection detects complications in the first 24 hours after the patient has returned to the general ward setting using a combination of methods within a triangulated approach to data collection.
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O'Connor, David C. "The Relationship Between Central Venous Catheter and Post-Operative Complications in Patients Undergoing Hepatic Resection." VCU Scholars Compass, 2018. https://scholarscompass.vcu.edu/etd/5286.
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The Relationship Between Central Venous Catheter and Post-operative Complications in Patients Undergoing Hepatic Resection
David C. O’Connor, Ph.D., DNAP, CRNA
A dissertation submitted in partial fulfillment of the requirements for the degree of
Doctor of Philosophy at Virginia Commonwealth University
Virginia Commonwealth University, 2018
Dissertation Chair: Clarence J. Biddle, Ph.D., CRNA
Hepatic resection is indicated for primary and secondary malignancies. Use of a low central venous pressure technique is associated with decreased blood loss in these cases. This technique has evolved; central venous catheters and high dose morphine are no longer used, and patients are extubated earlier. The purpose of this study is to assess a relationship between these changes and outcomes.
Central venous pressure has fallen out of favor as an accurate fluid measurement. Central venous catheters are associated with many complications. Outcomes in patients undergoing hepatic resection have improved over 20 years at one high volume institution.
Guided by Donabedian’s theory of measuring outcomes, a non-randomized, non-experimental, retrospective, cohort design was conducted.
The independent variables were intraoperative insertion of a central venous catheter, use of morphine, and time of extubation. The dependent variables were superficial and deep wound infections, number and severity of complications. The population sample is patients who submitted to partial hepatectomy at Memorial Sloan Kettering Cancer Center from 2007-2016.
Data was obtained from hepatobiliary and anesthesia databases at Memorial Sloan Kettering Cancer Center.
Data of 2518 from a possible 3903 patients were analyzed with chi square, univariate, Poisson and multivariate regressions. Univariate analysis for presence of CVC was significant for 90-day mortality (p 0.013). Use of morphine was significant for superficial wound infection (p 0.035), and a decrease in complications (p <.001). Amount of morphine was associated with fewer severe complications (p <.001). Incidental findings included a relationship between gender, total amount of fluids and number of segments resected.
The significance of CVC with 90-day mortality was eliminated with stepwise multivariate regression. The findings support the change in anesthetic practice with clinical significance. Incidental findings regarding fluids and segments are supported in the literature. Future research should include goal directed fluid therapy and investigation of the relationship between gender and outcomes.
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Ulrici, Johanna. "Atemwegsassozierte Komplikationen bei übergewichtigen und adipösen Kindern in der Anästhesie." Doctoral thesis, Universitätsbibliothek Leipzig, 2012. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-86764.
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Übergewicht und Adipositas im Kindes- und Jugendalter sind Gesundheitsprobleme, die auch auf dem Gebiet der Anästhesie zunehmend relevant werden. In der vorliegenden Dissertationsschrift wurde untersucht, inwiefern übergewichtige Kinder und Jugendliche, im Vergleich zu nicht-übergewichtigen, Komplikationen des Atemwegsmanagementes und der Oxygenierung während einer Allgemeinanästhesie aufweisen und welche Bedeutung die Thematik in der deutschen Population für die Kinderanästhesie hat.
Mit Hilfe spezieller Erfassungsbögen wurden folgende Parameter ermittelt und die übergewichtigen mit den nicht-übergewichtigen Studienteilnehmern verglichen: der Mallampati Score, schwierige Maskenventilation und Intubation, die Verwendung eines Atemwegshilfsmittels, der Cormack-Lehane Score und die Anzahl der Intubationsversuche. Daneben wurde die Inzidenz von Atemwegsobstruktionen (Broncho- und Laryngospasmen), Husten als Zeichen der Atemwegsirritation und Sauerstoffsättigungsabfälle um mehr als 10 % des Ausgangswertes erfasst.
Es zeigte sich ein signifikant höherer Mallampati Score und ein signifikant häufigeres Auftreten von Husten (p < 0,05). Alle weiteren Parameter blieben ohne statistisch relevanten Unterschied, obwohl Atemwegshilfsmittel prozentual häufiger bei Übergewichtigen eingesetzt wurden.
Bei einer gesonderten Analyse der in die Studie eingeschlossenen Untergewichtigen zeigte sich eine überraschend gehäufte Inzidenz hinsichtlich der schwierigen Laryngoskopie und einer Reintubation.
Die verschiedenen Ursachen für die vorliegenden Ergebnisse werden in der Promotionsschrift detailliert diskutiert. Es wird insgesamt deutlich, dass nicht alleine Übergewicht und Adipositas ausschlaggebend für Atemwegskomplikationen sind, aber durchaus einen Risikofaktor darstellen. Darüber hinaus scheinen auch untergewichtige Kinder ein erhöhtes Risiko für Atemwegskomplikationen zu habe.
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Pereira, Ivan Dias Fernandes [UNESP]. "Complicações intra-operatórias das anestesias do neuroeixo realizadas de maio de 1990 a maio de 2008 na FMB-UNESP: análise retrospectiva." Universidade Estadual Paulista (UNESP), 2010. http://hdl.handle.net/11449/97726.
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pereira_idf_me_botfm.pdf: 342153 bytes, checksum: d9563004493660e5ddc47166bc75326a (MD5)<br>A anestesia regional (AR) apresenta vantagens quando comparada à anestesia geral, como determinação de menor morbidade e mortalidade, analgesia pós-operatória de melhor qualidade e menor tempo de internação hospitalar. Diversas complicações podem ser decorrentes dos bloqueios do neuroeixo, algumas de maior gravidade, como as infecções do sistema nervoso central, lesões neurológicas devidas a hematomas espinhais, toxicidade pelos anestésicos locais ou trauma direto, e outras menos graves, como hipotensão e bradicardia, até mesmo consideradas fisiológicas. O objetivo desta pesquisa foi avaliar as complicações intra-operatórias desencadeadas pelos bloqueios do neuroeixo, em pacientes com idades iguais ou superiores a 18 anos submetidos a procedimentos não obstétricos, em um período de 18 anos, em hospital de atendimento terciário – Hospital das Clínicas da Faculdade de Medicina de Botucatu- UNESP. A partir do banco de dados do departamento de anestesiologia (Microsoft Access), foi realizada análise retrospectiva, de maio de 1990 a maio de 2008, de todas as complicações relacionadas às anestesias do neuroeixo (anestesias subaracnóidea simples e contínua, peridural simples e contínua e duplo bloqueio – raqui-peridural). As complicações encontradas foram: hipoxemia, hipoventilação, hipertensão arterial, hipotensão arterial, bradicardia sinusal, taquicardia sinusal, agitação, cefaléia, convulsão, oligúria, reação vaso-vagal, falha de bloqueio, perfuração acidental da dura-máter, disritmias ventriculares, parada cardíaca e óbito. Estas foram correlacionadas com a técnica anestésica, estado físico descrito pela Sociedade Americana de Anestesiologia (ASA), idade, sexo e comorbidades pré-operatórias, como hipertensão arterial, disritmias atriais e ventriculares, obesidade...<br>The regional anesthesia (RA) presents advantages when compared to the general anesthesia, as determination of smaller morbidity and mortality, postoperative analgesia of better quality and smaller time of hospitalar internment. Several complications can be resulting from the neuraxial blockades, some of larger gravity, as the infections of the central nervous system, neurological lesions owed to spinal or epidural hematomas, toxicity due to the local anesthetics or direct trauma, and other less serious, as hypotension and bradycardia, even considered physiological. The goal of this research was to assess the intraoperative complications caused by the neuraxial blockades in patients 18 years of age or older not submitted to obstetrician procedures, during a period of 18 years, in a hospital with tertiary treatment – Hospital das Clínicas da Faculdade de Medicina de Botucatu – UNESP. Starting from the database (Microsoft Access) of the Anesthesiology Department, retrospective analysis was accomplished, from May 1990 to May 2008, of some of the complications related to the neuraxial anesthesias (spinal, continuous spinal, epidural, continuous epidural and combined spinal-epidural anesthesias). The found complications were: hypoxemia, hypoventilation, arterial hypertension, arterial hypotension, sinusal bradycardia and tachycardia, agitation, headache, convulsion, oliguria, vasovagal reaction, blockade failure, accidental perforation of the duramater, ventricular dysrhythmias, cardiac arrest and death. These were correlated with the anesthetic technique, physical state described by the American Society of Anesthesiology (ASA), age, sex and preoperative comorbidities, as arterial hypertension, atrial and ventricular dysrhythmias, obesity, diabetes mellitus, coronary artery disease, congestive heart failure,... (Complete abstract click electronic access below)
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Snell, Jennifer Miranda. "Pediatric Emergence Delirium in the Postoperative Setting." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3921.
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Emergence delirium (ED), also known as emergence agitation, is a postoperative condition characterized by aberrant cognitive and psychomotor behaviors following general anesthesia. The incidence of ED is 3 to 8 times higher in children 5 years of age or less. There is no standard of nursing practice for managing ED symptoms in the pediatric surgical population. The purpose of this quality improvement project was to address a gap in knowledge needed to inform clinical decision-making when managing ED in the postoperative setting. Using an educational presentation for post anesthesia care unit (PACU) nurses, this project introduced the use of non-pharmacological interventions to mitigate symptoms of ED in the pediatric population as inspired by The Green Star Initiative, an Army program at Fort Carson. The project aim was to describe the effectiveness of ED-specific interventions from the nursing perspective. Using tenets of the Iowa model, this quality improvement project included a needs assessment survey, PowerPoint presentation, parent education leaflet, ED cheat sheet, and a post-intervention survey. Applying the context, input, process, product model for evaluation, this project increased knowledge of ED-specific interventions used by nurses that demonstrates a change in clinical decision-making. PACU nurses rated the interventions 43% effective on pediatric patients. This project addressed the gap in practice by providing structured education on ED, inspiring the use of ED-specific interventions, and promoting readiness to care for the pediatric surgical population. Outcomes add to the nursing literature by introducing ED-specific interventions to manage pediatric ED in facilities nationwide. A social implication of this project is to improve the care of pediatric surgical patients.
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Rodikov, Dragana. "Laryngospasm hos barn : riskfaktorer i samband med generell anestesi." Thesis, Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-16492.
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Laryngospasm är ett livshotande tillstånd hos barn som kan uppkomma i samband med generell anestesi. Hantering av luftvägen är den mest riskfyllda momentet inom barnanestesi. Syftet med studien var att undersöka vilka riskfaktorer för laryngospasm som finns hos barn vid generell anestesi. Undersökningen genomfördes som en litteraturstudie. Vid analys av fjorton artiklar framkom det i resultatet tre kategorier: anestesirelaterade riskfaktorer, patientrelaterade riskfaktorer och kirurgi-och procedur- relaterade riskfaktorer. Vid anestesirelateraderiskfaktorer framkom det fyra subkategorier; Stadier under anestesi där laryngospasm uppkommer och där är induktion en riskfaktor i denna subkategori. Den andra subkategorin handlar om utrustning för säkerställande av luftvägar där användandet av larynxmask är den största riskfaktorn. Tredje subkategorin behandlar anestesiläkemedel som risk för laryngospasm. Den mest betydande riskfaktorn är inhalationsanestesi. Den fjärde och sista subkategorin är anestesiologens erfarenhet och skicklighet. Det är viktigt att anestesipersonal har rutiner och riktlinjer för hur de skall identifiera, förebygga och behandla laryngospasm. Vidare är det av betydelse att erfaren anestesipersonal finns tillgänglig under hela anestesiförloppet när det föreligger risk för laryngospasm.<br>Laryngospasm is a life-threatening condition in children that may arise in connection with the anesthesia. Management of the airway is the most critical moment during anesthesia in children. The aim of the study was to investigate the risk factors for laryngospasm during general anesthesia. The survey was carried out as a literature review. The analyses of the fourteen articles resulted in three categories: anesthesia- related risk factors, patient-related risk factors and surgery-and procedure related risk factors. From the anesthesia-related risk factors revealed four subcategories; Stages during anesthesia where laryngospasm occurs and where induction is a risk factor in this subcategory. The second subcategory is about device for securing the airway which the use of larynx masks is the greatest risk factor. The third subcategory considering the risk of anesthesia drugs risk in laryngospasm. The most significant risk factor here is inhalation anaesthesia. The fourth subcategory is the anesthesiologist experience and skill. It is important that anesthesia professionals have routines and guidelines to identify, prevent and treat laryngospasm. Furthermore, it is important that experienced anaesthesia staff is available throughout the anesthetic process when there is a risk of laryngospasm.
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Pereira, Ivan Dias Fernandes. "Complicações intra-operatórias das anestesias do neuroeixo realizadas de maio de 1990 a maio de 2008 na FMB-UNESP : análise retrospectiva /." Botucatu : [s.n.], 2010. http://hdl.handle.net/11449/97726.
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Orientador: Eliana Marisa Ganem<br>Banca: Yara Marcondes Machado Castiglia<br>Banca: Flora Margarida Barra Bisinotto<br>Resumo: A anestesia regional (AR) apresenta vantagens quando comparada à anestesia geral, como determinação de menor morbidade e mortalidade, analgesia pós-operatória de melhor qualidade e menor tempo de internação hospitalar. Diversas complicações podem ser decorrentes dos bloqueios do neuroeixo, algumas de maior gravidade, como as infecções do sistema nervoso central, lesões neurológicas devidas a hematomas espinhais, toxicidade pelos anestésicos locais ou trauma direto, e outras menos graves, como hipotensão e bradicardia, até mesmo consideradas fisiológicas. O objetivo desta pesquisa foi avaliar as complicações intra-operatórias desencadeadas pelos bloqueios do neuroeixo, em pacientes com idades iguais ou superiores a 18 anos submetidos a procedimentos não obstétricos, em um período de 18 anos, em hospital de atendimento terciário - Hospital das Clínicas da Faculdade de Medicina de Botucatu- UNESP. A partir do banco de dados do departamento de anestesiologia (Microsoft Access), foi realizada análise retrospectiva, de maio de 1990 a maio de 2008, de todas as complicações relacionadas às anestesias do neuroeixo (anestesias subaracnóidea simples e contínua, peridural simples e contínua e duplo bloqueio - raqui-peridural). As complicações encontradas foram: hipoxemia, hipoventilação, hipertensão arterial, hipotensão arterial, bradicardia sinusal, taquicardia sinusal, agitação, cefaléia, convulsão, oligúria, reação vaso-vagal, falha de bloqueio, perfuração acidental da dura-máter, disritmias ventriculares, parada cardíaca e óbito. Estas foram correlacionadas com a técnica anestésica, estado físico descrito pela Sociedade Americana de Anestesiologia (ASA), idade, sexo e comorbidades pré-operatórias, como hipertensão arterial, disritmias atriais e ventriculares, obesidade... (Resumo completo, clicar acesso eletrônico abaixo)<br>Abstract: The regional anesthesia (RA) presents advantages when compared to the general anesthesia, as determination of smaller morbidity and mortality, postoperative analgesia of better quality and smaller time of hospitalar internment. Several complications can be resulting from the neuraxial blockades, some of larger gravity, as the infections of the central nervous system, neurological lesions owed to spinal or epidural hematomas, toxicity due to the local anesthetics or direct trauma, and other less serious, as hypotension and bradycardia, even considered physiological. The goal of this research was to assess the intraoperative complications caused by the neuraxial blockades in patients 18 years of age or older not submitted to obstetrician procedures, during a period of 18 years, in a hospital with tertiary treatment - Hospital das Clínicas da Faculdade de Medicina de Botucatu - UNESP. Starting from the database (Microsoft Access) of the Anesthesiology Department, retrospective analysis was accomplished, from May 1990 to May 2008, of some of the complications related to the neuraxial anesthesias (spinal, continuous spinal, epidural, continuous epidural and combined spinal-epidural anesthesias). The found complications were: hypoxemia, hypoventilation, arterial hypertension, arterial hypotension, sinusal bradycardia and tachycardia, agitation, headache, convulsion, oliguria, vasovagal reaction, blockade failure, accidental perforation of the duramater, ventricular dysrhythmias, cardiac arrest and death. These were correlated with the anesthetic technique, physical state described by the American Society of Anesthesiology (ASA), age, sex and preoperative comorbidities, as arterial hypertension, atrial and ventricular dysrhythmias, obesity, diabetes mellitus, coronary artery disease, congestive heart failure,... (Complete abstract click electronic access below)<br>Mestre
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Schwerdtfeger, Cristiane Milanezi Marques de Almeida. "Faringoplastias: influências das medicações utilizadas em anestesia e complicações no período pós-operatório precoce." Universidade de São Paulo, 2006. http://www.teses.usp.br/teses/disponiveis/61/61131/tde-22092006-153459/.
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objetivos: considerando a importância e a eficácia das faringoplastias como cirurgias reabilitadoras da fala e a importância dos aspectos anestésicos para um resultado cirúrgico adequado, este estudo objetiva documentar as intercorrências relativas às cirurgias de retalho faríngeo e seu possível envolvimento com os fatores anestésicos. Método: estudo retrospectivo e descritivo. Foram analisados 2679 prontuários de pacientes submetidos a faringoplastias, no Hospital de Reabilitação de Anomalias Craniofaciais- Universidade se São Paulo (HRAC-USP), entre 1980 e 2003. Foram selecionados os 2299 casos em que a técnica utilizada foi a do retalho faríngeo posterior e foram coletados parâmetros clínicos e sintomas sugestivos de complicações: permeabilidade de via aérea, sangramento, dor, náusea e vômito, agitação psicomotora, temperatura, pressão arterial e saturação de oxigênio. Resultados: dos 2299 procedimentos, 1042 apresentaram complicações. Vômito (16,31%) e dor (14,31%) foram as mais freqüentes. Complicações consideradas mais críticas, como obstrução de via aérea e hemorragia foram menos freqüentes, ocorrendo em 4,78% e 3,87% dos 2299 pacientes operados. As complicações mais críticas foram as determinantes da necessidade de reoperação no período pós-operatório precoce, ocorrendo em 39 pacientes. As menores chances de ocorrência de complicações foram verificadas com o anestésico inalatório sevoflurano, com o agente indutor propofol, com opióides na indução anestésica, com os analgésicos tramadol e nalbufina e com o antiemético ondansetron. Conclusão: houve associação entre medicações administradas na anestesia e ocorrência ou ausência de complicações no período pós-operatório precoce. O esquema medicamentoso, utilizado desde 1995, incluindo sevoflurano, propofol, opióides na indução, tramadol, nalbufina e ondansetron, é o que melhor atende às necessidades dos pacientes e anestesiologistas para cirurgia do retalho faríngeo, no HRAC-USP.<br>Objectives: considering the valuable and effectiveness of pharyngoplasty like surgical procedure designed to correct velopharyngeal dysfunction and the importance of anesthetic aspects in any surgery outcome, this study aimed to assess complications rates and a possible association with drugs used by anesthetist. Study design: we conducted a 23-year retrospective study at a tertiary craniofacial center: Hospital de Reabilitação de Anomalias Cranifaciais Universidade de São Paulo (HRACUSP). Two thousand six hundred seventy nine patients charts between 1980 and 2003 were reviewed. Charts were selected when the posterior pharyngeal flap surgery was performed (2299 charts). Clinical parameters and symptoms linked to perioperative complications were collected: airway permeability, bleeding, pain, vomiting, agitation, temperature, arterial pressure and oxygen saturation. Results: from 2299 pharyngeal flaps, 1042 showed early postoperative complications. The most common complications were vomiting (16,31%) and pain (14,31%). Most critical complications were less frequent: airway obstruction occurred in 4,78% of all patients and bleeding occurred at a rate of 3,87%. Just 39 patients needed reoperation to control these critical complications. The best results with a low complications rate were achieved when anesthetist used sevoflurane, propofol, opioids in anesthesia induction, tramadol, nalbufine and ondansetron Conclusions: there was association between anesthetic drugs and early post operative complications. The drugs scheme (sevoflurane, propofol, opioids, tramadol, nalbufine, ondansetron) used by HRAC-USP anesthetists team since 1995 has been proved effective and appropriate.
Books on the topic "Anesthesia complications"
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Bouloux, Gary F., ed. Office Based Anesthesia Complications. Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-61427-0.
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Finucane, Brendan T., ed. Complications of Regional Anesthesia. Springer New York, 2007. http://dx.doi.org/10.1007/978-0-387-68904-3.
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Finucane, Brendan T., and Ban C. H. Tsui, eds. Complications of Regional Anesthesia. Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-49386-2.
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T, Finucane Brendan, ed. Complications of regional anesthesia. Churchill Livingstone, 1999.
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1942-, Benumof Jonathan, and Saidman Lawrence J. 1936-, eds. Anesthesia and perioperative complications. Mosby-Year Book, 1992.
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Hübler, Matthias, Thea Koch, and Karen B. Domino, eds. Complications and Mishaps in Anesthesia. Springer Berlin Heidelberg, 2014. http://dx.doi.org/10.1007/978-3-642-45407-3.
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Nikolaus, Gravenstein, ed. Manual of complications during anesthesia. Lippincott, 1991.
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Bosack DDS, Robert C., and Stuart Lieblich DMD, eds. Anesthesia complications in the dental office. John Wiley & Sons, Inc, 2015. http://dx.doi.org/10.1002/9781119053231.
Full textBook chapters on the topic "Anesthesia complications"
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Russell, W. John, Alan A. Aitkenhead, and Brendon J. Coventry. "Anesthesia Complications." In General Surgery Risk Reduction. Springer London, 2013. http://dx.doi.org/10.1007/978-1-4471-5391-7_5.
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Winton, George B. "Local Anesthesia and Regional Anesthesia." In Complications of Dermatologic Surgery. Springer Berlin Heidelberg, 1993. http://dx.doi.org/10.1007/978-3-642-77415-7_1.
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Li, Fenghua, and Parikshith Sumathi. "Complications in Anesthesia." In Basic Sciences in Anesthesia. Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-62067-1_28.
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Buratto, Lucio, Stephen F. Brint, and Mario R. Romano. "Anesthesia by Injection." In Cataract Surgery Complications. CRC Press, 2024. http://dx.doi.org/10.1201/9781003522881-2.
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Capogna, Giorgio. "Complications." In Epidural Technique In Obstetric Anesthesia. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-45332-9_9.
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Taylor, Polly, and Sheilah Robertson. "Anesthetic Complications." In Feline Anesthesia and Pain Management. John Wiley & Sons, Inc., 2017. http://dx.doi.org/10.1002/9781119167891.ch10.
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McIntyre, John W. R., and Brendan T. Finucane. "Regional Anesthesia Safety." In Complications of Regional Anesthesia. Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-49386-2_2.
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Mari, Giancarlo. "Anesthesia Complications." In Safety Training for Obstetric Emergencies. Elsevier, 2019. http://dx.doi.org/10.1016/b978-0-323-69672-2.00006-0.
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Wardhan, Richa, and Adejuyigbe Olusegun Adaralegbe. "Perioperative Complications of Neuraxial Anesthesia." In Emergency Anesthesia Procedures, edited by Lauren C. Berkow. Oxford University PressNew York, 2023. http://dx.doi.org/10.1093/med/9780190902247.003.0022.
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Abstract Spinal and epidural anesthesia is commonly referred to as neuraxial anesthesia. Neuraxial anesthesia is a routinely performed anesthetic procedure for a variety of surgical procedures. There are numerous advantages of neuraxial anesthesia including decreased bleeding, lower risk of deep vein thrombosis, decreased risk of nausea and vomiting, and minimal risk of postoperative cognitive dysfunction. However, neuraxial anesthesia can be associated with some major and minor complications. The major complications are high/total spinal, systemic toxicity, and epidural hematoma. High/total spinal can lead to cardiac arrest and death, while epidural hematoma can result in debilitating paraplegia. The goal of this chapter is to review the life-threatening complications of neuraxial anesthesia and discuss ways to treat and avoid them.
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Satya-Krishna, Ramachandran. "Anesthesia Circuit." In Complications in Anesthesia. Elsevier, 2007. http://dx.doi.org/10.1016/b978-1-4160-2215-2.50132-0.
Full textConference papers on the topic "Anesthesia complications"
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Drummond Júnior, Délio Guerra, Ana Carolina Campos Moraes Guimarães, Pedro Dias Bezerra Neto, Lucas Scaccia Biffi, and Igor Costa Santos. "Complications and risks associated with regional anesthesia." In III SEVEN INTERNATIONAL MULTIDISCIPLINARY CONGRESS. Seven Congress, 2023. http://dx.doi.org/10.56238/seveniiimulti2023-066.
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Introduction: Regional anesthesia is a technique widely used in medical practice to provide analgesia and anesthesia in a specific region of the body. Although it is considered safe and effective, it is not without complications and risks. Understanding and properly assessing these complications is critical for health care professionals involved in anesthesia practice to ensure patient safety and provide the best possible care. Objectives: The aim of this narrative review article is to analyze the complications and risks associated with regional anesthesia, highlighting their clinical manifestations, risk factors, prevention and management. Theoretical Background: Complications related to regional anesthesia can be categorized into 3 topics: technique-related complications, systemic complications, and complications specific to each nerve block technique. Technique-related complications include block failure, paresthesia, nerve injury, hematoma, infection, and vascular complications. Systemic complications may occur due to local anesthetic toxicity, such as cardiac arrhythmias, seizures, and respiratory depression. Methodology: This narrative review was based on the electronic databases of PubMed, Scopus and Web of Science, with 4 descriptors: "complications", "risks", "regional anesthesia". The selected articles addressed the complications and risks associated with regional anesthesia in clinical studies, systematic reviews, meta-analyses and case reports. Final Results: Regional anesthesia is a widely used technique. Block failure, nerve injury, vascular complications, allergic reactions, local anesthetic toxicity and systemic complications are some of the complications identified. Several risk factors have been associated with these complications, highlighting the importance of careful preoperative assessment and proper selection of anesthetic technique. Prevention and proper management of complications are essential. This includes the use of proper techniques, continuous monitoring during the procedure, knowledge of the signs of local anesthetic toxicity, and readiness for immediate interventions.
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Drummond Júnior, Délio Guerra, Ana Carolina Campos Moraes Guimarães, Pedro Dias Bezerra Neto, Camila Taveira de Castro, and Igor Costa Santos. "Advantages of using general anesthesia." In III SEVEN INTERNATIONAL MULTIDISCIPLINARY CONGRESS. Seven Congress, 2023. http://dx.doi.org/10.56238/seveniiimulti2023-202.
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Introduction: General anesthesia is a technique widely used in surgical procedures, providing a state of unconsciousness, analgesia, muscle relaxation and physiological stability. Over the years, general anesthesia has evolved, and new drugs and technologies have been developed to improve the safety and efficacy of this procedure. Objective: To examine the advantages of using general anesthesia, exploring its indications, mechanisms of action and clinical benefits. Theoretical Framework: The theoretical framework of this narrative review encompasses published scientific studies on the advantages of using general anesthesia. The topics covered include 4 axes: the different drugs used in the induction and maintenance of general anesthesia, patient monitoring techniques during the procedure, post-anesthetic recovery and the clinical outcomes associated with the use of this technique. Methodology: The bibliographic research was conducted using the electronic databases PubMed, Scopus and Web of Science. The following English descriptors were used: "general anesthesia", "advantages", "anesthetic agents". The inclusion criteria adopted included studies published between 2010 and 2023, articles available in full text and written in English. Final Results: General anesthesia offers several advantages in the surgical context. One of the main advantages is adequate control of pain and surgical stress, providing a state of unconsciousness that allows the procedure to be carried out safely and comfortably for the patient. In addition, general anesthesia enables muscle relaxation, facilitating surgical intervention and reducing the risk of intraoperative complications. General anesthesia also provides a quicker post-operative awakening and faster recovery for the patient, allowing an earlier return to normal daily activities. In addition, the use of new anesthetic agents and advanced monitoring techniques contribute to patient safety throughout the procedure.
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Drummond Júnior, Délio Guerra, Ana Carolina Campos Moraes Guimarães, Rainally Sabrina freire de Morais, Camila Taveira de Castro, and Igor Costa Santos. "Use of anesthesia in laparoscopic surgery." In III SEVEN INTERNATIONAL MULTIDISCIPLINARY CONGRESS. Seven Congress, 2023. http://dx.doi.org/10.56238/seveniiimulti2023-200.
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Introduction: Laparoscopic surgery has become a widely used surgical approach due to its benefits, such as less surgical trauma, reduced recovery time and less postoperative pain. Anesthesia plays a key role in supporting these procedures, providing adequate conditions of safety and comfort for patients. Understanding the specific anesthetic considerations of laparoscopic surgery is essential to ensure a successful surgical experience. Objective: This narrative review article aims to analyze the use of anesthesia in laparoscopic surgery, examining the specific anesthetic considerations, the most commonly used anesthetic techniques and the challenges encountered during the procedure. Theoretical background: The topics covered in the theoretical background include preoperative considerations in 3 axes: patient assessment, pre-anesthetic preparation and adequate fasting. In addition, the importance of adequate monitoring during the procedure, pneumoperitoneum management, postoperative analgesia techniques and intra-abdominal pressure control are discussed. Methodology: The bibliographic research was conducted using the electronic databases PubMed, Scopus and Web of Science. The following descriptors were used: "laparoscopic surgery", "anesthesia", "anesthetic management". The inclusion criteria were original articles, available in full text and written in English. Final Results: The proper use of anesthesia in laparoscopic surgery requires a careful and personalized approach. The choice of anesthetic technique, including the type of neuromuscular blockade, must be adapted to the characteristics of the patient and the surgical procedure. Adequate monitoring, including capnography and invasive blood pressure, is essential for the early detection of complications. The use of multimodal analgesia techniques, such as the infiltration of local anesthetics at the incision site and the administration of systemic analgesics, can contribute to better postoperative pain control and promote faster recovery.
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Winckler, Britanny, Ann MacQuarrie, and Julia Beauchamp. "A Zebra Revealed: The “Other” Complications of Anesthesia." In AAP National Conference & Exhibition Meeting Abstracts. American Academy of Pediatrics, 2021. http://dx.doi.org/10.1542/peds.147.3_meetingabstract.417.
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Maués, Gabriel Aranha Sousa, Rafaela Seixas Pinho, and Aline Cristine Passos de Souza. "Post - Spinal Anesthesia Headache Treatment: a literature review." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.606.
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Background: Post-spinal anesthesia headache is a common complication of this procedure due to the loss of cerebrospinal fluid through the puncture orifice. Resolution may be spontaneous or require interventions such as presented in this study. Objective: To address the most relevant and current aspects of post-spinal anesthesia headache treatment. Methods: Literature review based on Pubmed, Scielo and Google Scholar databases, having as inclusion criteria articles of great published in English, Portuguese and Spanish in the period 2016 to 2021 and exclusion criteria articles published outside that period. Results: Post-spinal anesthesia headache or post-dural puncture headache (DPC) is divided into disabling headache and non-disabling headache in order to guide its management. In non-disabling headache, analgesics, caffeine and hydration are used. In disabling headache, blood-patching can be performed from the injection of autologous blood in the epidural space in order to buffer the puncture hole. In addition to this technique, there is the blockade of the sphenuous- palatine ganglion, which is performed by applying 5% lidocaine with the aid of a swab, introduced perpendicularly to the nasopharynx, where the sphenuous ganglion is located – palatine ,inhibiting vasodilation from the blockage of parasympathetic transmission and thus decreasing the intensity of headache, considering the approachless invasive and with fewer complications, but that needs to be better studied for its application. Conclusion: The treatment of mistraining cppd from conservative to more invasive procedures and with a higher risk of complications. Due to the above, studies should be encouraged to expand the therapeutic arsenal of this disabling headache.
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Hosny, M., M. Lamei, E. El Taher, and SA Al-Touny. "128 Spinal anesthesia versus general anesthesia in neonates undergoing infraumbilical surgeries regarding hemodynamics and complications." In ESRA 2021 Virtual Congress, 8–9–10 September 2021. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/rapm-2021-esra.128.
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Siagian, Alexander, Khansa Dea Shafira, Wendra, and Pradiba Amadita. "The Prevalence of Complications After Spinal Anesthesia in Post-Surgical Patients." In 12th Annual Scientific Meeting, Medical Faculty, Universitas Jenderal Achmad Yani, International Symposium on "Emergency Preparedness and Disaster Response during COVID 19 Pandemic" (ASMC 2021)). Atlantis Press, 2021. http://dx.doi.org/10.2991/ahsr.k.210723.027.
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Saricaoglu, F. "ESRA19-0256 Ketamine for pain: complications and best practice." In Abstracts of the European Society of Regional Anesthesia, September 11–14, 2019. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/rapm-2019-esraabs2019.48.
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Tulgar, S., O. Selvi, DT Thomas, and Z. Ozer. "ESRA19-0503 Erector spinae block in 308 patients: complications and unexpected events." In Abstracts of the European Society of Regional Anesthesia, September 11–14, 2019. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/rapm-2019-esraabs2019.128.
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Yoshimura, M., H. Shiramoto, M. Koga, A. Yoshimatsu, and Y. Morimoto. "5 Comparison of peripheral nerve block with general anesthesia and general anesthesia alone in terms of postoperative delirium and complications using a nationwide database." In ESRA 2021 Virtual Congress, 8–9–10 September 2021. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/rapm-2021-esra.5.
Full textReports on the topic "Anesthesia complications"
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Wang, Lini, Ziyu Zheng, Chong Lei, Gang Luo, Qianqian Fan, and Baobao Gao. Effects of pre-operative fluid infusion on post-operative complications in patients under general anesthesia. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2022. http://dx.doi.org/10.37766/inplasy2022.12.0100.
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Dong, Wei, Wei Zhang, Jianxu Er, Jiapeng Liu, and Jiange Han. Lesser complications of laryngeal mask airway than endotracheal tubes in pediatric airway management: A review of literature and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2022. http://dx.doi.org/10.37766/inplasy2022.5.0066.
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Review question / Objective: The relevant expert consensus has not pointed out which ventilation device is better during general anesthesia in the pediatric airway management for elective surgery. Condition being studied: We carried out a keyword search using the terms “layngeal mask, LMA, endotracheal tube, tracheal tube, children, pediatric, anesthesia, RCT, randomized controlled trials, randomized, elective surgery.” In general, searches are developed in MEDLINE in Ovid; Embase.com; the Cochrane Central Register of Controlled Trials (CENTRAL) via the Wiley Interface; Web of Science Core Collection; PubMed restricting to records in the subset “as supplied by publisher” to find references that not yet indexed in MEDLINE; and Google Scholar. When available, these databases were searched using a combination of subject headings (such as MeSH) and filters (such as RCT). We reviewed references of included studies to identify relevant studies. We imposed no language or time restriction. The exact date of the database search is September 1, 2021.We carried out a keyword search using terms “layngeal mask, LMA, endotracheal tube, tracheal tube, children, pediatric, anesthesia, RCT, randomized controlled trials, randomized, elective surgery.”
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Franco De Rose, Aldo, Fabrizio Gallo, and Donatella Giua. Three-Component Penile Prosthesis Implantation Under Completely Local Anesthesia: A Case Report. International Journal of Surgery, 2024. http://dx.doi.org/10.60122/j.ijs.2024.10.03.
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Background: To our knowledge, no authors have published the implant of a three-component device under local anesthesia, until now. The aim of this paper is to report this particular case focusing on its technical and anatomical details. Materials and Methods: A 60-years-old man presented to our attention due to erectile dysfunction unresponsive to PDE-I oral and alprostadil intracavernosal therapies, following a motorbike trauma accident with multiple lumbosacral vertebral fracture and incomplete S2-S4 spinal cord injury. After the trauma accident, the patient immediately underwent spinal surgery with lumbosacral vertebral plate positioning. During knee surgery for postural disorders following the previous trauma accident, the patient had an intraoperative heart arrest which required cardiopulmonary resuscitation and post-cardiac arrest care. Considering the high surgical risk due to the previous heart arrest and the inability to perform a spinal anesthesia due to the previous lumbosacral vertebral plate positioning, we proposed to implant the three-component device under completely local anesthesia. Results: Preoperative antibiotic prophylaxis was performed. Local anesthesia was administered using an 80-20 mixture of 7.5% ropivacaine and 2% mepivacaine with adrenaline for both the penoscrotal and abdominal surgical sites. A three-component (AMS 700™ CX with MS pump™) prosthesis was implanted with no complications. The patient didn’t experience any pain during the procedure. The follow-up was uneventful. One month after surgery, the patient reported a satisfactory sexual intercourse. Conclusion: Our experience demonstrates that a three-component penile prosthesis implantation under completely local anesthesia can be successfully performed with satisfactory outcomes. However, particular attention should be paid to some anatomical details, the anesthetic procedure and patient’s counselling. This technique could be addressed to those patients with comorbidities which contraindicated spinal or general anesthesia or in patients unwilling to undergo these types of anesthesia.
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Burkina Faso: Upgrading postabortion care benefits patients and providers. Frontiers in Reproductive Health, 2000. http://dx.doi.org/10.31899/rh2000.1002.
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At the request of the Family Health Directorate of the Ministry of Health in Burkina Faso, the Reproductive Health Research Network (CRESAR) conducted a study during 1996–98 to introduce emergency care for women with complications from miscarriage or unsafe abortion. With technical assistance from the Population Council and JHPIEGO, CRESAR trained staff at two large hospitals in Ouagadougou and Bobo-Dioulasso to provide postabortion care (PAC). Training for physicians, nurses, and midwives covered manual vacuum aspiration, family planning methods, infection prevention, and communication with patients. Staff also participated in the development of policies and standards for PAC services. To measure changes in knowledge and behavior, CRESAR interviewed 330 patients with abortion complications and 78 providers before the intervention, and 456 patients and 41 providers after the intervention. This brief states that training hospital staff to improve emergency medical care for women with miscarriage and unsafe abortion leads to better patient care, shorter hospital stays, lower costs, and increased contraceptive use, and that local anesthesia is essential for pain control.
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Senegal: Train more providers in postabortion care. Population Council, 2000. http://dx.doi.org/10.31899/rh2000.1004.
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Recognizing unsafe abortion as a serious health problem, the government of Senegal adopted a national health strategy in 1997 that aims to halve the number of unsafe abortions by 2001. In 1997, the Center for Training and Research in Reproductive Health (CEFOREP) and the Obstetrics and Gynecology clinic (CGO) at Le Dantec University Teaching Hospital in Dakar introduced new clinical techniques to improve emergency treatment for women with complications from miscarriage or abortion. CGO and two other teaching hospitals served as pilot sites. Physicians, nurses, and midwives at the three sites received training in manual vacuum aspiration, family planning, and counseling. To measure the impact of the training, CEFOREP interviewed 320 women receiving emergency treatment and 204 providers before the intervention, and 543 patients and 175 providers after. This brief states that improving postabortion care services can result in shorter hospital stays, decreased patient costs, better communication between providers and patients, increased acceptance of contraceptive use by women treated for abortion or miscarriage, and that local anesthesia is needed for pain control.