Academic literature on the topic 'Anesthesia method'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles

Select a source type:

Consult the lists of relevant articles, books, theses, conference reports, and other scholarly sources on the topic 'Anesthesia method.'

Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.

You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.

Journal articles on the topic "Anesthesia method"

1

Park, Ji In, Sang Hi Park, Min Seok Kang, Gil Won Kang, and Sang Tae Kim. "Evaluation of changes in anesthetic methods for cesarean delivery: an analysis for 5 years using the big data of the Korean Health Insurance Review and Assessment Service." Anesthesia and Pain Medicine 15, no. 3 (2020): 305–13. http://dx.doi.org/10.17085/apm.20021.

Full text
Abstract:
Background: As an anesthesia induced during cesarean section, spinal anesthesia is preferred over general and epidural anesthesia. This study aimed to review the trend of anesthetic methods for cesarean section based on data obtained from the Korean Health Insurance Review and Assessment Service from 2013 to 2018.Methods: The anesthetic methods were analyzed in 753,285 parturients who underwent a cesarean section in Korea from 2013 to 2018. We determined the association between each anesthetic method and hospital type and maternal and fetal factors. We also evaluated whether the anesthetic method was associated with the parturients’ length of hospital stay.Results: General anesthesia, spinal anesthesia, and epidural anesthesia were induced in 28.8%, 47.7%, and 23.6% of parturients from 2013 to 2018, respectively. Trend analyses showed that spinal anesthesia increased from 40.0% in 2013 to 53.7% in 2018. The opposite trend applied to general anesthesia, decreasing from 37.1% in 2013 to 22.2% in 2018. The factors that were significantly associated with the anesthetic method were parturient’s parity, emergency condition, gestational age, and fetal weight. The type of hospital, parturient’s age, and multiple birth were also associated with the anesthetic methods. There was a strong association between general anesthesia and hospital stay longer than 7 days.Conclusions: Spinal anesthesia is currently the main anesthetic method used for cesarean delivery, and the rate of spinal anesthesia is gradually increasing in Korea.
APA, Harvard, Vancouver, ISO, and other styles
2

Korobova, L. S., N. V. Matinyan, L. A. Martynov, D. A. Kuznetsov, A. A. Tsintsadze, and E. A. Kovaleva. "Anesthetic management for enucleation of the eyeball in pediatric oncosurgery." Reflection, no. 1 (June 7, 2022): 55–59. http://dx.doi.org/10.25276/2686-6986-2022-1-55-59.

Full text
Abstract:
Aiml. Optimization of anesthesia during enucleation of the eyeball in pediatric oncosurgery with an emphasis on regional methods. Material and Methods. Eight anesthesias were performed in children, whose average age was 3 years, operated on for retinoblastoma from July 2021 to January 2022. All patients underwent combined endotracheal anesthesia. A triple block was used as a regional component: palatal anesthesia, infraorbital anesthesia and van Lint block. Results. The effectiveness and adequacy of the proposed method of anesthesia using regional anesthesia was assessed in terms of hemodynamics – heart rate, systolic and diastolic blood pressure, the level of oppression of consciousness (BIS-index). The assessment was made at five stages: the beginning of anesthesia, tracheal intubation, 10 minutes after the triple block, at the traumatic stage of surgery, and at the end of anesthesia before tracheal extubation. As a result, it was noted that the studied variant of anesthetic management is characterized by a stable hemodynamic profile, and also does not provoke the development of an oculocardial reflex. There was a decrease in the level of the BIS-index below 40 c.u. at the stage of maintenance of anesthesia, which indicated the possibility of using lower concentrations of sevoflurane. Conclusions. This option of anesthetic management has sufficient efficiency and safety, and also allows to ensure the comfort of the surgeon. Key words: retinoblastoma; combined anesthesia; regional anesthesia.
APA, Harvard, Vancouver, ISO, and other styles
3

Filimonov, R. V., S. A. Potalov, S. D. Shapoval, et al. "UNILATERAL SPINAL BLOCK FORMATION BY TACHYPHYLAXIS METHOD." Modern medical technologies 46, no. 3 (2020): 28. http://dx.doi.org/10.34287/mmt.3(46).2020.5.

Full text
Abstract:
Abstract The article presents the theoretical justification and comparative experience in the formation of a unilateral spinal block by tachyphylaxis in urgent surgery during operations on the lower extremities. The possibility of influencing the duration and severity of motor blockade on the operated side was established using the tachyphylaxis method for administering the anesthetic without decreasing the quality of anesthesia as a whole and without increasing the amount of anesthetic administered. The possibility of reducing the development time of full anesthesia to a minimum fixation time of anesthetic on nerve tissue (10 minutes) due to preliminary «sensitization» to nerve fiber anesthetics was established. The possibility of reducing the need for postoperative analgesia by increasing the duration of the postoperative painless period has been established. Keywords: unilateral spinal anesthesia, frequency-dependent blockade, motor block.
APA, Harvard, Vancouver, ISO, and other styles
4

Lukyantseva, D. V., J. A. Agafonova, V. V. Omelyanovskiy, et al. "Development of a classification of anesthetic management methods and protocols for calculating financial costs." FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology 17, no. 4 (2025): 464–76. https://doi.org/10.17749/2070-4909/farmakoekonomika.2024.288.

Full text
Abstract:
Background. The costs of anesthetic support represent a significant and essential component in the expense structure of medical services, diagnosis-related groups (DRGs), and high-tech medical care (HMC) that involve anesthesia. Consequently, there is a need to develop a unified methodology for calculating such costs, which ensures transparency and objectivity in the expense structure data. Developing appropriate protocols for each anesthesia method will enable their use in future calculations when updating and forming new medical services, DRG methods, and HMC that incorporate anesthesia.Objective: to standardize approaches to calculating costs of anesthetic support.Material and methods. The study was conducted in two stages. In the first stage, a classification (list) of anesthesia methods was developed for use in calculating the financial costs of anesthetic management. In the second stage, the structural and financial detailing of protocols for anesthesia methods was carried out in accordance with the classification. At each stage, the work of specialists from the Center for Healthcare Quality Assessment and Control was validated by external experts, including anesthesiologists and intensivists.Results. The developed classification of anesthesia methods for calculating financial costs of anesthetic management, validated by external experts, included nine main methods. For each method, protocols were created for the first hour, the second, and each subsequent hour. These protocols facilitated the calculation of direct costs associated with providing anesthetic management, including labor costs for personnel directly involved in the medical service, costs of consumables, pharmaceuticals, depreciation, and indirect costs excluding the payroll of additional staff. The largest share of costs was attributed to consumables (over 50% for each anesthesia method). Additionally, calculations were made for indirect costs necessary to support the overall activities of medical organization.Conclusion. The developed protocols for each anesthesia method can be applied in future calculations when updating and forming new services and methods for DRGs and HMC that include anesthesia.
APA, Harvard, Vancouver, ISO, and other styles
5

Satsishur, A. A. "The method of automated adjustment and controlled maintenance of surgical stage of anesthesia in modern anesthesia machines." Doklady BGUIR 18, no. 8 (2020): 77–82. http://dx.doi.org/10.35596/1729-7648-2020-18-8-77-82.

Full text
Abstract:
The method of automatical adjustment controlled maintenance of the surgical stage of anesthesia of patient during general anesthesia by means of volatile anesthetic dosage regulation depending on BIS level is described and explained. There was conducted a theoretical analysis of possibilities and perspectives of anesthesia depth’s automatical adjustment during general anesthesia by bispectral index individual monitoring depending on volatile anesthetic dosage and individual patient’s condition along with extent of surgical intervention. The possibilities of currently available medical devices allowing to implement the method into the practice have been analyzed. The technical explanation of interaction between modern volatile anesthetic vaporizer and bispectral index monitoring by feedback from integrated microprocessor, breathing circuit and multiple gas monitor of anesthesia machine and microprocessor of vaporizer has been presented.
APA, Harvard, Vancouver, ISO, and other styles
6

Safin, R. R., O. G. Anisimov, and A. A. Nazipov. "New method of epidural anesthesia in closed blunt chest injury." Kazan medical journal 82, no. 1 (2021): 18–21. http://dx.doi.org/10.17816/kazmj70887.

Full text
Abstract:
The thoracic epidural anesthesia is the most suitable method for the treatment of the closed blunt chest injury but there is probability of the spinal cord injuiry. The original method combining the efficiency of classic thoracic epidural anesthesia with safety and simplicity of lumbar epidural anesthesia is suggested. This method is based on the postulates of the molecular hydrokinetic theory. Two catheters ends are disposed in lumbar epidural space in distance about two inches between them. Through one catheters end the anesthetic solution and through others end the 0,9% saline are injected synchronously in equal volumes. Hydroplunger phenomenon provides the upward anesthetic solution spreading
APA, Harvard, Vancouver, ISO, and other styles
7

Kamaeva, Mariya V. "Methods of anesthesia during operations on lower extremities." Tambov Medical Journal, no. 4 (2022): 12–21. http://dx.doi.org/10.20310/2782-5019-2022-4-4-12-21.

Full text
Abstract:
The considered methods of anesthesia for traumatological and orthopedic operations on the lower extremities are spinal anesthesia, epidural anesthesia, general anesthesia, regional anesthesia. We examine the indications, contraindications of each method, their advantages and disadvantages, common complications. We identified most relevant methods of anesthesia depending on age, height, urgency of the operation, the presence or absence of preoperative preparation, the duration of the operation, the state of hemodynamics, the extent of the injury on the basis of research materials review. Various methods of performing anesthesia are provided. The main research objective is to inform about modern methods of anesthesia and drugs for anesthesia, their place in the complex anesthesiological provision of various traumatological and orthopedic operations. The considered anesthesia methods reduce the intensity of postoperative pain and contribute to the prevention of chronic pain syndrome. The effectiveness and safety of each method are analyzed in comparison. Neuroaxial blockades used in the complex of anesthetic aids provide analgesia, hyporeflexia in the area of surgery; general anesthesia leads to analgesia, muscle relaxation and hypnotic effect. These methods of anesthesia significantly exceed the risk of surgery itself due to the possibility of serious complications, and provide intraoperative protection for patients.
APA, Harvard, Vancouver, ISO, and other styles
8

NAZ, U., SULAIMAN, M. HAROON, IU HAQ, A. SULTAN, and K. FARID. "COMPARISON OF ULTRASOUND-GUIDED ANKLE BLOCK VERSUS ANATOMICAL LANDMARK-GUIDED ANKLE BLOCK IN ANKLE AND FOOT SURGERY UNDER REGIONAL ANESTHESIA." Biological and Clinical Sciences Research Journal 2024, no. 1 (2024): 1063. http://dx.doi.org/10.54112/bcsrj.v2024i1.1063.

Full text
Abstract:
As more patients undergo foot and ankle surgery, regional anesthesia's significance in postoperative treatment has grown. Anesthesiologists and pain specialists have adopted regional anesthesia in large numbers. Numerous techniques, such as nerve stimulation, anatomical markers, and ultrasonography, have blocked the saphenous nerve. Objective: The present study aimed to assess the traditional anatomic landmark-guided approaches in lower limb surgery performed under regional anesthesia with ultrasound-guided ankle blocks in surgical anesthetic methods. Method: This randomized control study is carried out at the hospital. A total of 60 participants with scheduled foot and ankle surgery were randomly divided into two study groups (each n=30): Ultrasound-guided ankle block (USG) and anatomical landmark-guided ankle block (ALG). Results: Recruited participants had a mean age of 50.2± 14.02, with 39 (65%) male and 21 ( 35%) female. A total of 49 patients (82%) were able to undergo anesthesia successfully, with 26 (86.60%) of those patients belonging to the USG block group and 23 (76.60%) of those patients belonging to the ALG block group undergoing anesthesia successfully (p-value = >0.999). Conclusion: The results of this research indicate that the success rates of the two procedures are statistically insignificantly different; however, the USG ankle block for surgical anesthesia performed under regional anesthetic had a greater success rate than the anatomic landmark-guided technique.
APA, Harvard, Vancouver, ISO, and other styles
9

Pavlova, Kseniya A. "Caudal anesthesia in pediatric practice." Tambov Medical Journal, no. 2 (2023): 44–50. http://dx.doi.org/10.20310/2782-5019-2023-5-2-44-50.

Full text
Abstract:
Caudal anesthesia has been used for more than a hundred years. Caudal epidural blockade is the most commonly used regional technique in children and is considered the safest access to the epidural space. This method of anesthesia is used in combination with general anesthesia. With the correct implementation of this anesthetic manual, the risk of complications is small. The technique is used for peri- and postoperative analgesia in children of different ages. The main advantage of the method is high-quality anesthesia during caudal blockade, it is provided in 95–98 % of cases. The level of anesthesia depends on the amount of anesthetic administered; in some cases it may reach the level of the chest. The same advantage is the rapid onset of adequate analgesia and its long-term effect. For successful regional anesthesia in a pediatric patient, it is necessary for the anesthesiologist to know the anatomical and physiological structures of the body, the pharmacology of local anesthetics and the availability of the necessary medical equipment. The research presents a method of using caudal anesthesia as a component of anesthetic support for surgical interventions performed in children. We present the advantages and disadvantages of such anesthesia, indications and contraindications to its use, analyze possible complications, the implementation method.
APA, Harvard, Vancouver, ISO, and other styles
10

Utkin, S. I., M. V. Stolyarov, D. Y. Ignatenko, E. A. Bachinin, and R. N. Khalfin. "Choosing optimal anesthetic and method of general anesthesia for laser surgery retinopathy of prematurity." Modern technologies in ophtalmology, no. 1 (May 29, 2021): 196–201. http://dx.doi.org/10.25276/2312-4911-2021-1-196-201.

Full text
Abstract:
Purpose. Comparative analysis of clinical efficacy and safety of inhalational general anesthesia (GA) with halothane and sevoflurane in premature infants with retinopathy of prematurity (ROP) during laser coagulation (LC) of the avascular retina. Material and methods. The clinical material included 284 children who underwent laser surgery of ROP in the period from 2008 to 2017 (method of continuous sampling). Introduction to anesthesia and maintenance of anesthesia was performed by inhalation of anesthetic (halothane or sevoflurane) with O2 using face mask and Mapleson breathing circuit. Two groups were formed: in the 1st group (167 people) halothane was used at anesthetic at oxygen concentration of 0.3 vol%, in the 2nd group (117 people) – sevoflurane at concentration of 1–1.5 vol%. Results. In case of GA with halothane in children of the 1st group, in 68 children (40.7%) developed negative reactions during anesthesia in the form of of respiratory depression, in several cases – up to pronounced bradypnea, bradycardia, prolonged awakening after surgery. In the 2nd group with GA with sevoflurane, negative reactions in the form of moderate bradycardia and bradypnea were observed only in 14 children (11.9%). All complications and reactions were promptly eliminated in all cases. Conclusion. Based on the obtained results, the optimal inhalation anesthetic for LC of retina in premature infants is sevoflurane in low concentrations (at the sedation level) using the Mapleson breathing circuit and face mask. With this method of anesthesia, the frequency of side effects of sevoflurane, negative reactions during anesthesia and the degree of their severity are extremely low. Key words: premature infants, retinopathy of premature, sevoflurane, general anesthesia, laser coagulation of the retina.
APA, Harvard, Vancouver, ISO, and other styles
More sources

Dissertations / Theses on the topic "Anesthesia method"

1

Townsend, Nichole L. "Validation of the Confusion Assessment Method in the Intensive Care Unit in the Post-Anesthesia Care Unit." Thesis, The University of Arizona, 2012. http://hdl.handle.net/10150/221596.

Full text
Abstract:
A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.<br>Introduction: Patients who develop delirium while hospitalized are increasingly recognized as at risk for the development of long term cognitive impairment. We became interested in the contribution of delirium to the development of post-operative cognitive dysfunction (POCD) when we found that patients at Mayo Clinic in Arizona, compared to patients at the Mayo facilities in Rochester, MN, were 17 times more likely to receive the drug physostigmine (Antilirium®) for the treatment of delirium in the Post Anesthesia Care Unit (PACU). However, before we could examine the relationship between delirium and POCD we needed to validate a tool we could use to quickly assess the presence of delirium in patients emerging from anesthesia in the PACU. Hypothesis: The Confusion Assessment Method in the Intensive Care Unit (CAM-ICU) can be used in the PACU to identify patients with delirium. Methods: Patients 65 years of age or greater who were going to have a standardized general anesthetic for a surgical procedure were identified on the day of surgery and consent to participate in the study was obtained. The CAM-ICU was used preoperatively to determine study eligibility (patients who scored less than 7 [scale of 1-10], indicating delirium, on the test were not followed further) and postoperatively, one hour after the patient was admitted to the PACU, to assess for delirium. The CAM-ICU was administered after we asked the patient’s nurse whether or not he or she had determined that the patient was delirious. Results: 168 patients, mean age 75 ± 7 (SD) with the majority of participants having urologic or orthopedic procedures were assessed pre- and post-operatively with the CAM-ICU, and post-operatively by a nursing assessment for delirium. The CAM-ICU took little time to administer and was easy for patients to understand and use. The nurse at the bedside identified 5 of 168 patients as delirious (prevalence of 2.98%). The CAM-ICU was positive for delirium in 11 of 168 (6.55%). The CAM-ICU had a sensitivity of 60% (3/5) and a specificity of 95% (155/163). Conclusion: In this investigation, the CAM-ICU was easy to use and had a high specificity for identifying post-operative delirium.
APA, Harvard, Vancouver, ISO, and other styles
2

Flack, Larry A. "Nurse exposure to waste anesthetic gases in a post anesthesia care unit." [Tampa, Fla] : University of South Florida, 2006. http://purl.fcla.edu/usf/dc/et/SFE0001579.

Full text
APA, Harvard, Vancouver, ISO, and other styles
3

Karlsson, Magnus, and Per Anders Persson. "Patienters upplevelse av att vårdas i den perioperativa vårdprocessen : en litteraturstudie." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-19791.

Full text
Abstract:
Att behöva opereras kan vara en stor händelse i många människors liv. Det kan både vara positiva och negativ orsaker till operationen. Oavsett operationstyp eller syfte för operationen så skall patienten behandlas och vårdas på ett värdigt och professionellt sätt. Författarna till studien anser att den perioperativa vårdprocessen ger patienten möjlighet att vårdas på ett bra sätt. Syftet med studien är att belysa patienters upplevelse av den perioperativa vårdprocessen. Metoden som användes var en litteraturstudie baserad på kvalitativa, vetenskapliga studier. Litteratursökningen gjordes både manuellt och i databaserna Cinahl, Medline, och Pubmed. Analysen av artiklarna är gjord efter Evans (2002) innehållsanalysmodell och resultatet presenteras i fyra övergripande teman med tillhörande subteman.Resultatet beskriver att de flesta patienter har positiva upplevelser av vårdandet när en och samma sjuksköterska följer dem genom den pre, intra och postoperativavården. Disskussionen belyser för och nackdelar med den perioperativa processen, samt sjuksköterskans roll utifrån organisation och arbetssätt. Konklusionen ger en sammanfattande bild av innehåll och fynd i studien.<br>Program: Specialistsjuksköterskeutbildning med inriktning mot anestesisjukvård
APA, Harvard, Vancouver, ISO, and other styles
4

Капуста, К. В. "Спосіб визначення настання каудально-епідуральної блокади методом імпедансометрії у дітей". Thesis, Сумський державний університет, 2018. http://essuir.sumdu.edu.ua/handle/123456789/66780.

Full text
Abstract:
Каудальная анестезія - вид епідуральної анестезії, відноситься до центральних нейроаксиальної блокадам і здійснюється шляхом введення розчину місцевого анестетика в крижовий канал через крижово-куприкову зв'язку. В зв'язку з тим, що каудальна анестезія не виконується в чистому вигляді, а комбінуються з поверхневою анестезією, визначення часу настання та ефективності каудально- епідурального блока являється важливим для лікарів анестезіологів.
APA, Harvard, Vancouver, ISO, and other styles
5

ROUGEOT, CHRISTOPHE. "Anesthesie peridurale et dispositifs medicaux." Strasbourg 1, 1994. http://www.theses.fr/1994STR15029.

Full text
APA, Harvard, Vancouver, ISO, and other styles
6

SALLABERRY, SCHULLER CHRISTINE. "Anesthesie electro-medicamenteuse en urologie : etude retrospective a propos de 28 cas ; interet et limite de la methode." Toulouse 3, 1989. http://www.theses.fr/1989TOU31024.

Full text
APA, Harvard, Vancouver, ISO, and other styles
7

Bernard, Franck. "Anesthesie generale pour cesarienne : comparaison, par oxymetrie pulsee, de deux methodes de preoxygenation." Rennes 1, 1992. http://www.theses.fr/1992REN1M051.

Full text
APA, Harvard, Vancouver, ISO, and other styles
8

LIGNEREUX, FRANCOIS. "Signe de l'anesthesie : comparaison de trois methodes de deviation des yeux sous anesthesie generale." Nantes, 1994. http://www.theses.fr/1994NANT251M.

Full text
APA, Harvard, Vancouver, ISO, and other styles
9

FLEUREAUX, OLIVIER. "Etude comparative sur l'evolution de la gazometrie arterielle de deux methodes de preoxygenation lors de l'induction anesthesique." Rennes 1, 1993. http://www.theses.fr/1993REN1M121.

Full text
APA, Harvard, Vancouver, ISO, and other styles
10

Buy, Éric. "Elaboration d'une echelle de mesure de l'activite d'anesthesie-reanimation chirurgicale consommee par patient." Lille 2, 1992. http://www.theses.fr/1992LIL2M187.

Full text
APA, Harvard, Vancouver, ISO, and other styles
More sources

Books on the topic "Anesthesia method"

1

D, Egan Talmage, and Stanley Theodore H. 1940-, eds. Anesthesia for the new millennium: Modern anesthetic clinical pharmacology. Kluwer Academic Publishers, 1999.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
2

1957-, Duke James, ed. Anesthesia secrets. 3rd ed. Elsevier-Mosby, 2006.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
3

Atchabahian, Arthur. The anesthesia guide. McGraw-Hill Medical, 2013.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
4

1939-, Miller Ronald D., ed. Miller's anesthesia. 6th ed. Elsevier/Churchill Livingstone, 2005.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
5

Pian-Smith, May C. M., 1959- and Leffert Lisa 1962-, eds. Obstetric anesthesia. Cambridge University Press, 2007.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
6

1957-, Duke James, ed. Anesthesia secrets. 4th ed. Mosby/Elsevier, 2011.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
7

Tetzlaff, John E. Clinical orthopedic anesthesia. Butterworth-Heinemann, 1995.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
8

J, Birnbach David, Gatt Stephen P, and Datta Sanjay, eds. Textbook of obstetric anesthesia. Churchill Livingstone, 2000.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
9

1939-, Miller Ronald D., ed. Miller's anesthesia. 7th ed. Churchill Livingstone/Elsevier, 2009.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
10

1951-, Aken H. van, ed. Neuroanaesthetic practice. BMJ, 1995.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
More sources

Book chapters on the topic "Anesthesia method"

1

Meijler, Annejet P. "The Evaluation Method." In Automation in Anesthesia — A Relief? Springer Berlin Heidelberg, 1987. http://dx.doi.org/10.1007/978-3-642-72913-3_4.

Full text
APA, Harvard, Vancouver, ISO, and other styles
2

Gray, Stephen J. "Personal Method of Anesthesia in the Office." In Advanced Surgical Facial Rejuvenation. Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/978-3-642-17838-2_7.

Full text
APA, Harvard, Vancouver, ISO, and other styles
3

Samir, Amir. "Method of Anesthesia: Gas Selection and Adjunct Medications." In Duodenal Switch and Its Derivatives in Bariatric and Metabolic Surgery. Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-25828-2_19.

Full text
APA, Harvard, Vancouver, ISO, and other styles
4

Mieling, Robin, Carolin Stapper, Stefan Gerlach, et al. "Proximity-Based Haptic Feedback for Collaborative Robotic Needle Insertion." In Haptics: Science, Technology, Applications. Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-06249-0_34.

Full text
Abstract:
AbstractCollaborative robotic needle insertions have the potential to improve placement accuracy and safety, e.g., during epidural anesthesia. Epidural anesthesia provides effective regional pain management but can lead to serious complications, such as nerve injury or cerebrospinal fluid leakage. Robotic assistance might prevent inadvertent puncture by providing haptic feedback to the physician. Haptic feedback can be realized on the basis of force measurements at the needle. However, contact should be avoided for delicate structures. We propose a proximity-based method to provide feedback prior to contact. We measure the distance to boundary layers, visualize the proximity for the operator and further feedback it as a haptic resistance. We compare our approach to haptic feedback based on needle forces and visual feedback without haptics. Participants are asked to realize needle insertions with each of the three feedback modes. We use phantoms that mimic the structures punctured during epidural anesthesia. We show that visual feedback improves needle placement, but only proximity-based haptic feedback reduces accidental puncture. The puncture rate is 62% for force-based haptic feedback, 60% for visual feedback and 6% for proximity-based haptic feedback. Final needle placement inside the epidural space is achieved in 38%, 70% and 96% for force-based haptic, visual and proximity-based haptic feedback, respectively. Our results suggest that proximity-based haptic feedback could improve needle placement safety in the context of epidural anesthesia.
APA, Harvard, Vancouver, ISO, and other styles
5

Yuksek, Mehmet. "Interventional Radiological Treatments for Breast Lesions." In The Radiology of Cancer. Nobel Tip Kitabevleri, 2024. http://dx.doi.org/10.69860/nobel.9786053359364.34.

Full text
Abstract:
Breast tumors mainly include cancer and fibroadenomas. Treatment of these lesions has evolved towards the use of less invasive or minimally invasive techniques. Minimally invasive treatments destroy focal groups of cells using a non-surgical method. It requires less anesthesia, provides better cosmetic results due to minimal scarring, and provides earlier recovery. These techniques include cryoablation, radiofrequency ablation, microwave ablation, high-intensity focused US, laser therapy, vacuum-assisted excision, and irreversible electroporation. Each method involves the use of different mechanisms and applications require special considerations.
APA, Harvard, Vancouver, ISO, and other styles
6

Sakai, Toshinori. "Standard Procedure of the Transforaminal Approach and How to Perform Local Anesthesia (Inside-Out Method)." In Transforaminal Full-Endoscopic Lumbar Surgery Under the Local Anesthesia. Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-7023-0_3.

Full text
APA, Harvard, Vancouver, ISO, and other styles
7

Capogna, Giorgio. "Selection of Anesthesia Methods." In Anesthesia for Cesarean Section. Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-42053-0_3.

Full text
APA, Harvard, Vancouver, ISO, and other styles
8

Disma, Nicola, and Christian Breschan. "Perioperative Monitoring: Methods, Implementation, and Interpretation." In Neonatal Anesthesia. Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-25358-4_7.

Full text
APA, Harvard, Vancouver, ISO, and other styles
9

Brousseau, Pauline, Yves Payette, Helen Tryphonas, et al. "Identification, Anesthesia, and Euthanasia." In Manual of Immunological Methods. CRC Press, 2021. http://dx.doi.org/10.1201/9780429156977-1.

Full text
APA, Harvard, Vancouver, ISO, and other styles
10

Kloesel, Benjamin, and Kumar Belani. "Anesthesia Methods for Airway Endoscopy." In Anesthetic Management for the Pediatric Airway. Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-04600-2_5.

Full text
APA, Harvard, Vancouver, ISO, and other styles

Conference papers on the topic "Anesthesia method"

1

Di Credico, Giulia, Luca Consolini, Mattia Laurini, et al. "A Branch and Bound method for the exact parameter identification of the PK/PD model for anesthetic drugs." In 2024 IEEE 63rd Conference on Decision and Control (CDC). IEEE, 2024. https://doi.org/10.1109/cdc56724.2024.10885926.

Full text
APA, Harvard, Vancouver, ISO, and other styles
2

Bugaev, Dmitry A., Nikolay V. Limarenko, Ivan R. Bliznyuk, and Kaleriya A. Moroz. "The Research of the Accuracy of Local Anesthetic Dosing Methods Taking into Account the Pain Threshold of Patients." In 2024 IEEE 25th International Conference of Young Professionals in Electron Devices and Materials (EDM). IEEE, 2024. http://dx.doi.org/10.1109/edm61683.2024.10615084.

Full text
APA, Harvard, Vancouver, ISO, and other styles
3

Gee, A. P. "Hematopoietic Stem Cell Engineering: The Magic Bullet of the Next Millenium?" In ASME 1997 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 1997. http://dx.doi.org/10.1115/imece1997-1317.

Full text
Abstract:
Abstract Hematopoietic stem cell [HSC] therapy has its origins as hematological rescue following marrow ablative high-dose therapy for refractory cancers and myelodysplastic syndromes. In its simplest form, bone marrow is collected from a tissue-matched related normal donor and intravenously infused into the patient who has usually received high-dose chemo/radiotherapy for his or her disease. The stem cells migrate to the marrow spaces, where they multiply and differentiate to restore blood cell-forming activity and immune defenses in the recipient Restrictions in the availability of tissue-matched marrow donors have prompted investigations into new sources of stem cells. These include use of the autologous marrow, which is collected from the patient and cryopreserved prior to therapy. The risk of tumor contamination in these grafts has resulted in the development of numerous methods to purge cancer cells from marrow ex vivo, or to enrich stem cells from the graft. This provided one of the earliest clinical applications for monoclonal antibodies and immunomagnetic cell separation. Another approach has been to use tissue-matched unrelated volunteer marrow donors, or grafts from mismatched family members. In both cases, ex vivo removal of T lymphocytes from the graft is advisable to prevent these cells initiating a severe or fatal reaction in the recipient - graft-versus-host disease. Recent studies have shown that recombinant human growth factors can be used to stimulate migration of HSC from the marrow into the blood, from which they are collected by automated cell separators, obviating the need for harvesting marrow under general anesthesia. The same growth factors have been used to expand and differentiate HSC ex vivo, with the hope that clinical grafts could ultimately be grown in the laboratory from a few milliliters of blood or marrow. Transplants have also been performed using placental/umbilical cord blood as the HSC source, and there are some indications that these cells may be more suitable for mismatched transplants. Genetic manipulation of stem cells can be used to correct a number of inherited diseases, and ultimately may allow specific beneficial properties to be introduced into blood-derived cells e.g. drug resistance into stem cells - to allow higher doses of chemotherapy to be used without destroying the bone marrow. The rapid expansion in this field of medicine, combined with advances in molecular and cellular biology offer the promise of stem cell engineering as an effective therapy in a variety of diseases.
APA, Harvard, Vancouver, ISO, and other styles
4

Castro, A., F. G. Almeida, P. Amorim, and C. S. Nunes. "A wavelet based method for steady-state detection in anesthesia." In 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 2009. http://dx.doi.org/10.1109/iembs.2009.5334037.

Full text
APA, Harvard, Vancouver, ISO, and other styles
5

Taheri, M., B. Ahmadi, R. Amrifattahi, M. R. Dadkhah, A. R. Sharifian, and M. Mansouri. "A Principal Component Analysis Based Method for Estimating Depth of Anesthesia." In 2008 2nd International Conference on Bioinformatics and Biomedical Engineering (ICBBE '08). IEEE, 2008. http://dx.doi.org/10.1109/icbbe.2008.133.

Full text
APA, Harvard, Vancouver, ISO, and other styles
6

Kahapola, S. S., F. I. Jazeer, M. S. M. Jayasooriya, et al. "Nasogastric tube (NGT) insertion in anesthetized and intubated patients: a digital-assisted method to reduce iatrogenic errors." In Annual Academic Sessions-2024. Faculty of Medicine, University of Moratuwa, 2024. https://doi.org/10.31705/fomaas.2024.39.

Full text
Abstract:
Nasogastric tube (NGT) insertion is a critical procedure in clinical settings, especially for patients under anesthesia and intubation. The conventional method relies on patient cooperation, which is not feasible in unconscious individuals, leading to potential complications. This study aimed to develop a digital-assisted method for NGT insertion to minimize iatrogenic errors and improve success rates.
APA, Harvard, Vancouver, ISO, and other styles
7

Ermes, Miikka, Mika Sarkela, Mark van Gils, Anne Vakkuri, Arvi Yli-Hankala, and Ville Jantti. "Method for the Automatic Detection of Epileptiform Waveforms in Sevoflurane-induced Anesthesia EEG." In Conference Proceedings. Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 2006. http://dx.doi.org/10.1109/iembs.2006.260442.

Full text
APA, Harvard, Vancouver, ISO, and other styles
8

Ermes, Miikka, Mika Sarkela, Mark van Gils, Anne Vakkuri, Arvi Yli-Hankala, and Ville Jantti. "Method for the Automatic Detection of Epileptiform Waveforms in Sevoflurane-induced Anesthesia EEG." In Conference Proceedings. Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 2006. http://dx.doi.org/10.1109/iembs.2006.4398911.

Full text
APA, Harvard, Vancouver, ISO, and other styles
9

Pinho, Rafaela Seixas, Gabriel Aranha Sousa Maués, Paola Bitar de Mesquita Abinader, and Sérgio Beltrão de Andrade Lima. "Post-spinal anesthesia headache: a literature review." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.612.

Full text
Abstract:
Background: Headache is the most common neurological symptom and is an important complication of cerebrospinal fluid access (CSF) techniques, reported by 1/3 of the patients after 48 hours of puncture. Objective: Present the most relevant information about the clinic and influential factors of headache after spinal anesthesia. Method: A literature review was conducted in pubmed, Scielo, Lilacs and Google academic databases, having as inclusion criteria articles of great relevance 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) belongs to the group of secondary headaches resulting from nonvascular disorders. The condition is composed of headache in the occipital and frontal region, which worsens in orthostatic position and may be accompanied by other symptoms such as neck stiffness, hearing disorders, photophobia, and nausea. The incidence of headache after the procedure varies according to the technique used, which can be medial or para - medial; more frequent in females; with the use of calibrated needles and in young patients. Regarding the recovery time, according to the reviewed literature, 72% of the patients had resolved the case within 7 days. Conclusion: Therefore, the correct performance of the procedure, with attention to modifiable factors, and the careful evaluation of clinical aspects for early diagnosis are essential to reduce the incidence and morbidity of this potentially disabling headache.
APA, Harvard, Vancouver, ISO, and other styles
10

Tae-Ho Kim, Young-Gyu Yoon, Jinu Uhm, Dae-Woong Jeong, Seung Zhoo Yoon, and Sang-Hyun Park. "A cepstral analysis based method for quantifying the depth of anesthesia from human EEG." In 2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). IEEE, 2013. http://dx.doi.org/10.1109/embc.2013.6610918.

Full text
APA, Harvard, Vancouver, ISO, and other styles

Reports on the topic "Anesthesia method"

1

Duan, Yuanqiong, Xin Huang, Ailing Liang, Rutie Yin, and Mengpei Zhang. A comparison of the efficacy and feasibility of different regional anesthesia modes in cesarean section:A systematic review and network meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2022. http://dx.doi.org/10.37766/inplasy2022.5.0093.

Full text
Abstract:
Review question / Objective: To investigate the efficacy and feasibility of different regional anesthesia techniques in patients who received cesarean section. Condition being studied: The current study aims to perform a network meta-analysis to comprehensively compare the regional anesthesia methods for postoperative pain in patients scheduled for elective cesarean section and try to find an optimal method that can serve as a reference in clinical practice. Information sources: Two investigators (YY and SS) independently extracted the data. Information was extracted about participant characteristics (age, gestational week, American society of Anesthesiologist grade (ASA), body mass index(BMI), etc.), study design, anesthesia methods, and analgesic efficacy outcomes. The data were extracted from the text, tables, and graphs of each study.
APA, Harvard, Vancouver, ISO, and other styles
2

Gillen, Emily, Nicole M. Coomer, Christopher Beadles, and Amy Mills. Constructing a Measure of Anesthesia Intensity Using Cross-Sectional Claims Data. RTI Press, 2019. http://dx.doi.org/10.3768/rtipress.2019.mr.0040.1910.

Full text
Abstract:
With intensifying emphasis on episodes of care and bundled payments for surgical admissions, anesthesia expenditures are increasingly important in assessing variation in expenditures for surgical episodes. When comparing anesthesia expenditures across surgical settings, adjustment for anesthesia case complexity and duration of anesthesia services, also known as anesthesia service intensity, is desirable. A single anesthesia intensity measure allows researchers to make more direct comparisons between anesthesia outcomes across settings and services. We describe a process for creating a claims-based anesthesia intensity measure using Medicare claims. We create the measure using two fields: base units associated with American Medical Association Current Procedural Terminology codes on the anesthesia claim and time units associated with the service. We rescaled the time component of the anesthesia intensity measure to equally represent base units and time units. For illustration, we applied the measure to Medicare anesthesia expenditures stratified by rural/urban location. We found that adjustments for intensity were greater in urban settings because the level of intensity is greater. Compared with rural settings, unadjusted expenditures in urban settings are roughly 26 percent higher, whereas adjusted expenditures in urban settings are only 20 percent higher. Even absent longitudinal data, researchers can adjust anesthesia outcomes for intensity using our cross-sectional claims-based intensity method.
APA, Harvard, Vancouver, ISO, and other styles
3

Winikoff, Beverly. Acceptability of first trimester medical abortion. Population Council, 1994. http://dx.doi.org/10.31899/rh1994.1010.

Full text
Abstract:
Unwanted pregnancy is a serious and stressful problem for women. As stated in this paper, technologies that afford safe and effective abortion are well accepted and provide relief from a great difficulty. Many women fear surgery and will go far to avoid it. There is substantial apprehension about general anesthesia during surgery and also fear that local anesthesia may not prevent pain. This leads to a high demand for a medical abortion alternative. Some women consider that the quick and definitive surgical alternative is easier; some find that swallowing a pill is easier. Privacy is greatly valued. Medical abortion technology seems to meet this need more than surgical abortion, especially if the surgical alternative mandates hospital admission and absence from home. The high values placed on privacy, autonomy, and the wish to be able to be at home combine, in at least some settings, to create a demand for a self-administered home treatment for early abortion. Given a choice between surgery and any of several medical abortion methods, most eligible women appear to prefer the medical method.
APA, Harvard, Vancouver, ISO, and other styles
4

Acred, Aleksander, Milena Devineni, and Lindsey Blake. Opioid Free Anesthesia to Prevent Post Operative Nausea/Vomiting. University of Tennessee Health Science Center, 2021. http://dx.doi.org/10.21007/con.dnp.2021.0006.

Full text
Abstract:
Purpose The purpose of this study is to compare the incidence of post-operative nausea and vomiting (PONV) in opioid-utilizing and opioid-free general anesthesia. Background PONV is an extremely common, potentially dangerous side effect of general anesthesia. PONV is caused by a collection of anesthetic and surgical interventions. Current practice to prevent PONV is to use 1-2 antiemetics during surgery, identify high risk patients and utilize tracheal intubation over laryngeal airways when indicated. Current research suggests minimizing the use of volatile anesthetics and opioids can reduce the incidence of PONV, but this does not reflect current practice. Methods In this scoping review, the MeSH search terms used to collect data were “anesthesia”, “postoperative nausea and vomiting”, “morbidity”, “retrospective studies”, “anesthesia, general”, “analgesics, opioid”, “pain postoperative”, “pain management” and “anesthesia, intravenous”. The Discovery Search engine, AccessMedicine and UpToDate were the search engines used to research this data. Filters were applied to these searches to ensure all the literature was peer-reviewed, full-text and preferably from academic journals. Results Opioid free anesthesia was found to decrease PONV by 69%. PONV incidence was overwhelming decreased with opioid free anesthesia in every study that was reviewed. Implications The future direction of opioid-free anesthesia and PONV prevention are broad topics to discuss, due to the nature of anesthesia. Administration of TIVA, esmolol and ketamine, as well as the decision to withhold opioids, are solely up to the anesthesia provider’s discretion. Increasing research and education in the importance of opioid-free anesthesia to decrease the incidence of PONV will be necessary to ensure anesthesia providers choose this protocol in their practice.
APA, Harvard, Vancouver, ISO, and other styles
5

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.

Full text
Abstract:
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.
APA, Harvard, Vancouver, ISO, and other styles
6

Sandeep, Bhushan, Huang Xin, and Xiao Zongwei. A comparison of regional anesthesia techniques in patients undergoing of video-assisted thoracic surgery: A network meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2022. http://dx.doi.org/10.37766/inplasy2022.2.0003.

Full text
Abstract:
Review question / Objective: Although video-assisted thoracoscopic surgery is a minimally invasive surgical technique, the pain remains moderate to severe. We comprehensively compared the regional anesthesia methods for postoperative analgesia in patients undergoing video-assisted thoracoscopic surgery. Eligibility criteria: All published full-article RCTs comparing the analgesic efficacy of investigated regional anesthesia technique or comparative blocks in adult patients undergoing any VATS were eligible for inclusion. There were no language restrictions. Moreover, we also excluded case reports, non-RCT studies, incomplete clinical trials, and any trials used multiple nerve blocks. We also excluded any conference abstracts which could not offer enough information about the study design, or by data request to the author.
APA, Harvard, Vancouver, ISO, and other styles
7

Schwieger, Alexandra, Kaelee Shrewsbury, and Paul Shaver. Dexmedetomidine vs Fentanyl in Attenuating the Sympathetic Surge During Endotracheal Intubation: A Scoping Review. University of Tennessee Health Science Center, 2021. http://dx.doi.org/10.21007/con.dnp.2021.0007.

Full text
Abstract:
Purpose/Background Direct laryngoscopy and endotracheal intubation after induction of anesthesia can cause a reflex sympathetic surge of catecholamines caused by airway stimulation. This may cause hypertension, tachycardia, and arrhythmias. This reflex can be detrimental in patients with poor cardiac reserve and can be poorly tolerated and lead to adverse events such as myocardial ischemia. Fentanyl, a potent opioid, with a rapid onset and short duration of action is given during induction to block the sympathetic response. With a rise in the opioid crisis and finding ways to change the practice in medicine to use less opioids, dexmedetomidine, an alpha 2 adrenergic agonist, can decrease the release of norepinephrine, has analgesic properties, and can lower the heart rate. Methods In this scoping review, studies published between 2009 and 2021 that compared fentanyl and dexmedetomidine during general anesthesia induction and endotracheal intubation of surgical patients over the age of 18 were included. Full text, peer-reviewed studies in English were included with no limit on country of study. The outcomes included post-operative reviews of decrease in pain medication usage and hemodynamic stability. Studies that were included focused on hemodynamic variables such as systolic blood pressure, diastolic blood pressure, mean arterial pressure, heart rate, and use of opioids post-surgery. Result Of 2,114 results from our search, 10 articles were selected based on multiple eligibility criteria of age greater than 18, patients undergoing endotracheal intubation after induction of general anesthesia, and required either a dose of dexmedetomidine or fentanyl to be given prior to intubation. Dexmedetomidine was shown to effectively attenuate the sympathetic surge during intubation over fentanyl. Dexmedetomidine showed a greater reduction in heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure than fentanyl, causing better hemodynamic stability in patients undergoing elective surgery.Implications for Nursing Practice Findings during this scoping review indicate that dexmedetomidine is a safe and effective alternative to fentanyl during induction of general anesthesia and endotracheal intubation in attenuating the hemodynamic response. It is also a safe choice for opioid-free anesthesia.
APA, Harvard, Vancouver, ISO, and other styles
8

Lai, Bingyu, Zhichao Gong, and Zhenzhen Han. Efficacy and Safety of Different Anesthesia Methods for Percutaneous Endoscopic Interlaminar Lumbar Discectomy: A Network Meta-Analysis. IN INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2024. https://doi.org/10.37766/inplasy2024.12.0004.

Full text
APA, Harvard, Vancouver, ISO, and other styles
9

Harris, Gregory, Brooke Hatchell, Davelin Woodard, and Dwayne Accardo. Intraoperative Dexmedetomidine for Reduction of Postoperative Delirium in the Elderly: A Scoping Review. University of Tennessee Health Science Center, 2021. http://dx.doi.org/10.21007/con.dnp.2021.0010.

Full text
Abstract:
Background/Purpose: Post-operative delirium leads to significant morbidity in elderly patients, yet there is no regimen to prevent POD. Opioid use in the elderly surgical population is of the most significant risk factors for developing POD. The purpose of this scoping review is to recognize that Dexmedetomidine mitigates cognitive dysfunction secondary to acute pain and the use of narcotic analgesia by decreasing the amount of norepinephrine (an excitatory neurotransmitter) released during times of stress. This mechanism of action also provides analgesia through decreased perception and modulation of pain. Methods: The authors developed eligibility criteria for inclusion of articles and performed a systematic search of several databases. Each of the authors initially selected five articles for inclusion in the scoping review. We created annotated literature tables for easy screening by co-authors. After reviewing the annotated literature table four articles were excluded, leaving 11 articles for inclusion in the scoping review. There were six level I meta-analysis/systematic reviews, four level II randomized clinical trials, and one level IV qualitative research article. Next, we created a data-charting form on Microsoft Word for extraction of data items and synthesis of results. Results: Two of the studies found no significant difference in POD between dexmedetomidine groups and control groups. The nine remaining studies noted decreases in the rate, duration, and risk of POD in the groups receiving dexmedetomidine either intraoperatively or postoperatively. Multiple studies found secondary benefits in addition to decreased POD, such as a reduction of tachycardia, hypertension, stroke, hypoxemia, and narcotic use. One study, however, found that the incidence of hypotension and bradycardia were increased among the elderly population. Implications for Nursing Practice: Surgery is a tremendous stressor in any age group, but especially the elderly population. It has been shown postoperative delirium occurs in 17-61% of major surgery procedures with 30-40% of the cases assumed to be preventable. Opioid administration in the elderly surgical population is one of the most significant risk factors for developing POD. With anesthesia practice already leaning towards opioid-free and opioid-limited anesthetic, the incorporation of dexmedetomidine could prove to be a valuable resource in both reducing opioid use and POD in the elderly surgical population. Although more research is needed, the current evidence is promising.
APA, Harvard, Vancouver, ISO, and other styles
10

Johnson, Corey, Colton James, Sarah Traughber, and Charles Walker. Postoperative Nausea and Vomiting Implications in Neostigmine versus Sugammadex. University of Tennessee Health Science Center, 2021. http://dx.doi.org/10.21007/con.dnp.2021.0005.

Full text
Abstract:
Purpose/Background: Postoperative nausea and vomiting (PONV) is a frequent complaint in the postoperative period, which can delay discharge, result in readmission, and increase cost for patients and facilities. Inducing paralysis is common in anesthesia, as is utilizing the drugs neostigmine and sugammadex as reversal agents for non-depolarizing neuromuscular blockers. Many studies are available that compare these two drugs to determine if neostigmine increases the risk of PONV over sugammadex. Sugammadex has a more favorable pharmacologic profile and may improve patient outcomes by reducing PONV. Methods: This review included screening a total of 39 studies and peer-reviewed articles that looked at patients undergoing general anesthesia who received non-depolarizing neuromuscular blockers requiring either neostigmine or sugammadex for reversal, along with their respective PONV rates. 8 articles were included, while 31 articles were removed based on our exclusion criteria. These were published between 2014 and 2020 exclusively. The key words used were “neostigmine”, “sugammadex”, “PONV”, along with combinations “paralytic reversal agents and PONV”. This search was performed on the scholarly database MEDLINE. The data items were PONV rates in neostigmine group, PONV rates in sugammadex group, incidence of postoperative analgesic consumption in neostigmine group, and incidence of postoperative analgesic consumption in sugammadex group. Results: Despite numerical differences being noted in the incidence of PONV with sugammadex over reversal with neostigmine, there did not appear to be any statistically significant data in the multiple peer-reviewed trials included in our review, for not one of the 8 studies concluded that there was a higher incidence of PONV in one drug or the other of an y clinical relevance. Although the side-effect profile tended to be better in the sugammadex group than neostigmine in areas other than PONV, there was not sufficient evidence to conclude that one drug was superior to the other in causing a direct reduction of PONV. Implications for Nursing Practice: There were variable but slight differences noted between both drug groups in PONV rates, but it remained that none of the studies determined it was statically significant or clinically conclusive. This review did, however, note other advantages to sugammadex over neostigmine, including its pharmacologic profile of more efficiently reversing non-depolarizing neuromuscular blocking drugs and its more favorable pharmacokinetics. This lack of statistically significant evidence found within these studies consequentially does not support pharmacologic decision-making of one drug in favor of the other for reducing PONV; therefore, PONV alone is not a sufficient rationale for a provider to justify using one reversal over another at the current time until further research proves otherwise.
APA, Harvard, Vancouver, ISO, and other styles
We offer discounts on all premium plans for authors whose works are included in thematic literature selections. Contact us to get a unique promo code!