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1

Abbadi, Abdel Karim Al Oweidi Al, Iulian Constantin, Aurelia Romila, et al. "The Morphological Substrate of the Sensory Pathways - Anatomy, Neurotransmission, Neurochemistry in Intraosseous Anaesthesia." Revista de Chimie 70, no. 6 (2019): 2218–21. http://dx.doi.org/10.37358/rc.19.6.7308.

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In order to apply the most accurate and efficient locoregional techniques, the knowledge of the anatomical characteristics of the oro-maxilo-facial territory becomes imperatively necessary, without which the installation and the effect of the locoregional anaesthetics may be poor. Due to the many advantages it presents, locoregional anaesthesia is considered as a current use method during routine dental care. A good local or locoregional anaesthetic must be harmless to the tissues, must have no local or general toxicity, must lead to a high quality and durable anaesthetic, must not cause lesio
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Sushma, Anju Bala, Anshu Singh, and Zara Suharwardy. "Eliminating Pain: A Review on Management of Hot Tooth." Journal of Advances in Medicine and Medical Research 37, no. 3 (2025): 310–17. https://doi.org/10.9734/jammr/2025/v37i35767.

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Successful and efficient pain management techniques are necessary for management of orofacial pain. A routine technique used for intraoral pain management is local anaesthetic administration, but in some cases, it is difficult to achieve anaesthesia such as in hot teeth cases with symptomatic irreversible pulpitis(SIP). To achieve pulpal anaesthesia inferior alveolar nerve block (IANB) is considered the standard technique but it is not successful in 41-81% cases of irreversible pulpitis. Various techniques can be used to overcome this anaesthetic failure such as use of premedication, supplemen
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Patey, R., and RP Alston. "Anaesthesia and cardiopulmonary bypass: a UK and Ireland survey." Perfusion 8, no. 4 (1993): 313–19. http://dx.doi.org/10.1177/026765919300800406.

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A postal survey of consultant anaesthetists in the UK and Ireland was undertaken in the summer of 1989 to determine anaesthetic practice during cardiopulmonary bypass (CPB). A questionnaire requiring details of anaesthetic agents used for induction of anaesthesia, maintenance of anaesthesia before CPB and during CPB was sent to 198 consultants. There was a 52% response rate. Intravenous anaesthetics were used during induction of anaesthesia, maintenance of anaes thesia and during CPB by 100%, 64% and 81 % of respondents respectively. Opioids were used by 96%, 96% and 80%, volatile anaesthetics
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Imarengiaye CA, Ceejay OO, Osazuwa IH, and Osalumese IC. "Clinical correlates and outcomes of anaesthesia for the elderly surgical patient in a tertiary hospital." Ibom Medical Journal 13, no. 2 (2020): 120–25. http://dx.doi.org/10.61386/imj.v13i2.188.

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Background: The anaesthestic management of the elderly surgical patients deserves attention because of the increased risk of intercurrent medical diseases. This retrospective study evaluated the reasons for surgical care and the pattern of anaesthesia provided.
 Methodology: This retrospective study of all elderly patients billed for surgery irrespective of the surgical specialties over a 13year period (1997-2010). Indication for surgery, anaesthetic technique, level of anaesthetist / surgeon and procedures performed were studied.
 Results: A total 1168 elderly patients were operated
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Bashir, Aamir, Muhammad Naveed Azhar, and Muhammad Azam. "Anaesthetic Management of Patients for Brachytherapy in Radiation Suite." Pakistan Journal of Medical and Health Sciences 16, no. 9 (2022): 205–6. http://dx.doi.org/10.53350/pjmhs22169205.

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Background: Cervical cancer is one of the leading sites for cancer in female patients and brachytherapy remains one of the treatment modality for it. Anaesthetic services are required in certain cases. Anaesthesia services outside operating room pose challenges for anaesthesiologists due to remote access need for slave monitors etc. Aim: To evaluate the outcome of different anaesthetic techniques in female patients undergoing cervical brachytherapy procedures in radiotherapy department. Methods: This retrospective cross-sectional analysis conducted at a tertiary care cancer centre of Shaukat K
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Sellbrandt, Irene, Metha Brattwall, Margareta Warrén Stomberg, Pether Jildenstål, and Jan G. Jakobsson. "Anaesthesia for open wrist fracture surgery in adults/elderly." F1000Research 6 (November 13, 2017): 1996. http://dx.doi.org/10.12688/f1000research.13004.1.

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Anaesthetic technique for open surgery of acute distal for arm fracture in adults/elderly is not well defined. Regional anaesthesia, general anaesthesia or a combined general and regional block may be considered. General anaesthetic technique, the timing and drug/drug combination for the regional block must also be considered. This is a study around published studies assessing anaesthtic technique for wrist surgery. A systematic database search was performed and papers describing the effect of anaesthetic techniques were included. We found sparse evidence for what anaesthetic technique is opti
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O, Fagbohun,, Towobola, O, and Akintimeyin, O. "Anaesthetic Considerations for Laminectomy and Spinal Decompression in a Patient with Cervical Myelopathy: A Case Report." Scholars International Journal of Traditional and Complementary Medicine . 5, no. 6 (2022): 109–13. http://dx.doi.org/10.36348/sijtcm.2022.v05i06.001.

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The principal focus of the anaesthetist during surgical intervention in a patient with cervical myelopathy is to prevent further deterioration of the neurological system while delivering anaesthetic care. Successful surgical outcome of these patients requires a detailed preoperative review, careful and knowledge based peri-operative anaesthesia care plan and a robust collaboration between the anaesthetic and neuro-surgical teams. We report the case of a 76year old male medical doctor who presented with progressively worsening symptoms of cervical myelopathy and subsequently had laminectomy and
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Aljannare, Bashir Garba, Yahuza Abdullahi, and Abdullahi Khalid. "Anaesthetic Consideration for Percutaneous Nephrolithotomy (PCNL): A Review and Exposition on Modalities." Karnataka Journal of Surgery 2 (July 9, 2025): 51–54. https://doi.org/10.25259/kjs_6_2025.

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Objectives: The objective of this review article is to describe the Anaesthetic Consideration for Percutaneous Nephrolithotomy. It also describes the difference anaesthetic techniques, their advantages and disadvantages, as well as their complications. Material and Methods: A Google and PubMed search yielded several articles on anaesthesia management for Percutaneous nephrolithotomy (PCNL). From these articles, the most relevant ones were selected for writing this review. The objective of this review article is to describe the anaesthetic management of PCNL using different modalities. This rev
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Imarengiaye CA, Nosakhare EP, Johnson OE, and Ceejay OO. "Caesarean section for placenta praevia: A retrospective study of anaesthetic technique and foeto-maternal." Ibom Medical Journal 12, no. 2 (2019): 131–37. http://dx.doi.org/10.61386/imj.v12i2.219.

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Introduction: Placenta praevia complicates approximately 0.3-0.8% of pregnancies in multiparous parturient and there is an increased risk in those with previous Caesarean section. The choice of anaesthetic technique usually poses dilemma to the attending anaesthetist. The aim of this study was to review the choice of anaesthetic technique for caesarean section complicated by placenta praevia and determine foeto-maternal outcome.Patients and Methods: This was a retrospective survey covering a period of four years (January 2013 - December 2016). After Ethics Committee approval, information was o
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Potocnik, Iztok, Milena Kerin-Povsic, and Jasmina Markovic-Bozic. "The influence of anaesthesia on cancer growth." Radiology and Oncology 58, no. 1 (2024): 9–14. http://dx.doi.org/10.2478/raon-2024-0012.

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Abstract Background Oncological patients make up a large proportion of all surgical patients. Through its influence on the patient’s inflammatory and immune system, the choice of anaesthetic technique has an indirect impact on the health of the individual patient and on public health. Both the specific and the non-specific immune system have a major influence on the recurrence of carcinomas. The pathophysiological basis for growth and metastasis after surgery is the physiological response to stress. Inflammation is the organism’s universal response to stress. Anaesthetics and adjuvants influen
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Fatungase, O. M., S. O. Olateju, E. A. Emmanuel, et al. "Pattern and outcome of Anaesthesia techniques in patients presenting with pre-eclampsia/eclampsia for caesarean section in a Teaching Hospital." Research Journal of Health Sciences 11, no. 2 (2023): 148–58. http://dx.doi.org/10.4314/rejhs.v11i2.8.

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Objectives: To review the pattern of anaesthesia techniques among pregnant women with pre-eclampsia or eclampsia who had caesarean section in our health facility and their management outcomeMethods: A retrospective analysis was undertaken for all the obstetric patients with pre-eclampsia or eclampsia who had caesarean sections under different types of anaesthesia in a tertiary hospital between January 1st 2014 and December 31st 2018.Results: A total of one hundred and eighty-two patients who presented with pre-eclampsia and eclampsia had emergency caesarean sections. Of these, 134 (74%) were d
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12

Gopal, Dr Abhitasha V., Dr Shailja Sharma, Dr Vivek Loomba, Dr Vibhav Gupta, Dr Patel Akashkumar Mukeshbhai, and Dr Shubham Nagpal. "Assessment of Ultrasound-Guided Thoracic Paravertebral Block as a Pain Management Strategy in Tracheo-Esophageal Fistula Repair." International Journal of Medical and All Body Health Research 6, no. 3 (2025): 17–20. https://doi.org/10.54660/ijmbhr.2025.6.3.17-20.

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Ultrasound has become an indispensable tool in modern anaesthetic practice, significantly enhancing the safety and precision of various regional anaesthesia techniques. Its widespread adoption in the perioperative setting has minimized procedural complications associated with traditional blind approaches. Among these techniques, the ultrasound-guided thoracic paravertebral block (TPVB) has demonstrated excellent efficacy in providing perioperative analgesia, particularly following thoracic procedures. TPVB can be delivered as a single-dose injection or through continuous infusion using a cathe
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13

Banerjee, Alaka, Dhrubajyoti Sarkar, and Banasree Bhadra. "Evaluation of anaesthetic techniques for caesarean." International Journal of Research in Medical Sciences 6, no. 5 (2018): 1742. http://dx.doi.org/10.18203/2320-6012.ijrms20181771.

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Background: The anaesthetic technique to be used in Caesarean section is determined according to factors such as urgency, presence of coexisting health problems, preference of patient and preference and experience of the anaesthetist and surgeon.Methods: This is a retrospective study of all the caesarean deliveries that occurred in the period between 1st Jan 2010 to 31st Dec 2017 in the department of obstetrics and Gynaecology in Silchar Medical College. The anaesthesia techniques used for caesarean sections were evaluated in this study. Anaesthesia methods were recorded as general anaesthesia
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14

Harahap, RZ, and Rose Mafiana. "Anesthesia Management in Intramural Uterine Myoma and Obesity Morbid Patients Who Underwent Myomectomy Perlaparatomy." Journal of Anesthesiology and Clinical Research 1, no. 1 (2020): 1–7. http://dx.doi.org/10.37275/jacr.v1i1.196.

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ABSTRACT
 Introduction. Obesity is a condition that increases the challenges in the surgical process. Obesity increases the risk of sleep apnea and affects anaesthetics. This case report aims to discuss the management of anaesthesia in a patient with morbid obesity.
 Case. Female, 26 years old, with intramural uterine myoma and morbid obesity, will undergo myomectomy per laparotomy with ASA II physical status, performed anaesthesia with general anaesthesia intubation technique using the anaesthetic agent Propofol 1-2.5 mg/kg titration until the patient falls asleep, fentanyl 1-2 mcg/
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Harahap, RZ, and Rose Mafiana. "Anesthesia Management in Intramural Uterine Myoma and Obesity Morbid Patients Who Underwent Myomectomy Perlaparatomy." Journal of Anesthesiology and Clinical Research 1, no. 1 (2021): 1–7. http://dx.doi.org/10.37275/jacr.v1i1.132.

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Introduction. Obesity is a condition that increases the challenges in the surgical process. Obesity increases the risk of sleep apnea and affects anaesthetics. This case report aims to discuss the management of anaesthesia in a patient with morbid obesity.
 Case. Female, 26 years old, with intramural uterine myoma and morbid obesity, will undergo myomectomy per laparotomy with ASA II physical status, performed anaesthesia with general anaesthesia intubation technique using the anaesthetic agent Propofol 1-2.5 mg/kg titration until the patient falls asleep, fentanyl 1-2 mcg/kg, then the pa
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16

Van Den Berg, A. A., D. Savva, N. M. Honjol, and N. V. Rama Prabhu. "Comparison of Total Intravenous, Balanced Inhalational and Combined Intravenous-Inhalational Anaesthesia for Tympanoplasty, Septorhinoplasty and Adenotonsillectomy." Anaesthesia and Intensive Care 23, no. 5 (1995): 574–82. http://dx.doi.org/10.1177/0310057x9502300508.

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Two hundred and thirty-five consecutive Saudi patients aged between two and fifty-three years undergoing elective tympanoplasty (n = 32), septorhinoplasty (n = 68) or adenotonsillectomy (n=135) were studied. They were randomized to receive either a total intravenous anaesthetic (10 ears, 23 noses, 44 throats) consisting of propofol for induction of anaesthesia followed by a propofol infusion, a combined intravenous-inhalational anaesthetic (11 ears, 22 noses, 46 throats) consisting of the above with isoflurane in oxygen-enriched air, or a balanced inhalational anaesthetic (11 ears, 23 noses, 4
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Chua, A. W. Y., M. J. Chua, and P. C. A. Kam. "Recent Advances and Anaesthetic Considerations in Corneal Transplantation." Anaesthesia and Intensive Care 46, no. 2 (2018): 162–70. http://dx.doi.org/10.1177/0310057x1804600204.

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Significant surgical advances have been made recently in corneal transplantation. Penetrating keratoplasty was the dominant method from 1905, until selective lamellar keratoplasty emerged as the preferred technique over the last 20 years. Advanced techniques such as corneal limbal stem cell transplant and keratoprosthesis are also available. The major surgical complications of corneal transplantation are extrusion of ocular content and expulsive choroidal haemorrhage. It is essential for an ophthalmic anaesthetist to have a good understanding of these new surgical procedures so as to provide o
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PATIL, S., M. RAMAKRISHNAN, and J. STOTHARD. "Local Anaesthesia for Carpal Tunnel Decompression: A Comparison of Two Techniques." Journal of Hand Surgery 31, no. 6 (2006): 683–86. http://dx.doi.org/10.1016/j.jhsb.2006.08.008.

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Carpal tunnel decompression is mostly performed as a day case procedure using local anaesthesia. The local anaesthetic is commonly administered by subcutaneous infiltration alone (the Gale technique) or by infiltration of the local anaesthetic into the carpal tunnel in addition to the subcutaneous infiltration (the Altissimi and Mancini technique). The intention of this study was to compare the efficacy of anaesthesia using these two techniques. Twenty patients with bilateral carpal tunnel syndrome were recruited. One side underwent surgery at a time. Patients were randomised to receive anaest
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lone, Javaid Ahmad, and Mohammad Talat-ul Tuba Dar. "Recent Advancements in Total Intravenous Anaesthesia (TIVA) and Anaesthetic Pharmacology." International Journal of Health Sciences and Research 13, no. 11 (2023): 365–76. http://dx.doi.org/10.52403/ijhsr.20231145.

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Total intravenous anaesthesia (TIVA) is an anaesthesia technique that exclusively employs intravenous agents for induction, maintenance, and emergence from anaesthesia, eliminating the need for inhalational agents. TIVA's principles, mechanisms, benefits, and emerging trends in anaesthetic pharmacology are discussed. Additionally, the challenges associated with TIVA implementation are explored. The article highlights the latest techniques, equipment, and novel intravenous agents used in TIVA, such as target-controlled infusion (TCI) systems, depth of anaesthesia monitoring, and new drugs like
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Cicirelli, Vincenzo, Matteo Burgio, Giovanni M. Lacalandra, and Giulio G. Aiudi. "Local and Regional Anaesthetic Techniques in Canine Ovariectomy: A Review of the Literature and Technique Description." Animals 12, no. 15 (2022): 1920. http://dx.doi.org/10.3390/ani12151920.

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Canine ovariectomy is an elective surgery with a moderate level of pain. Despite its relative simplicity, it requires surgical pain management. This study aimed to collect all recent information about local and regional anaesthetic/analgesic techniques in a review of the literature describing the technique utilised. The various procedures described in this review use local anaesthetics to improve analgesia in the routine systemic anaesthetic protocol. The approach described in this paper is called multimodal analgesia and is used in addition to the normal standard anaesthetic protocol. These t
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Gremillet, Caroline, and Jan G. Jakobsson. "Acute hip fracture surgery anaesthetic technique and 30-day mortality in Sweden 2016 and 2017: A retrospective register study." F1000Research 7 (August 15, 2018): 1009. http://dx.doi.org/10.12688/f1000research.15363.2.

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Background: Hip fractures affect 1.6 million patients yearly worldwide, often elderly with complex comorbidity. Mortality following surgery for acute hip fracture is high and multifactorial; high age, comorbidities and complication/deterioration in health following surgery. Whether the anaesthesia technique affects the 30-day mortality rate has been studied widely without reaching a consensus. The primary aim of this study was to determine anaesthetic techniques used in Sweden and their impact on the 30-day mortality rate in elderly undergoing acute hip fracture surgery. Other aims were to stu
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Hamid, Moaz, and Faraz Hamid. "A survey of anaesthetic preferences in cataract surgery." International Journal of Ophthalmology 15, no. 2 (2022): 342–45. http://dx.doi.org/10.18240/ijo.2022.02.22.

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AIM: To identify current trends in anaesthesia technique for cataract surgery and make this information available to ophthalmologists. METHODS: An electronic survey was created and distributed to members of online ophthalmology forums; results were subsequently analysed in spreadsheet software. RESULTS: In total there were 71 completed surveys. The most preferred anaesthesia technique in cataract cases was topical anaesthesia with intracameral injection (n=34, 47.9%), and the least preferred techniques were retrobulbar (n=1, 1.4%) and peribulbar blocks (n=1, 1.4%). The most commonly preferred
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Surya, kr. Sahu, Rathore Monika, Singh Subash, and Patel Vinod. "Clinical Evaluation of Efficiency, Acceptance & Preference Between Needless Jet Injecter Anesthesia (MADAJET XL) & Classical Needle Infiltration For Dental Procedures in Pediatric Patients." A Journal of Advanced Dentistry Updent 11, no. 02 (2022): 28–33. https://doi.org/10.4880/zenodo.7838373.

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Objectives: To evaluate and compare pain perception during administration of anaesthetic solution, effectiveness and preference between needle-less jet injector and conventional infiltration technique in children.     Materials & Methods: Sixty-five patients with mean age of 8.33 years (SD 1.58, range 6-12) were anaesthetized by needle-less jet injector and conventional needle infiltration technique in two separate appointments for invasive/noninvasive dental procedures. Pain during administration and during treatment was evaluated by Likert and Wong Baker Faces Pain Rating
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Hedenqvist, P., J. V. Roughan, and P. A. Flecknell. "Sufentanil and medetomidine anaesthesia in the rat and its reversal with atipamezole and butorphanol." Laboratory Animals 34, no. 3 (2000): 244–51. http://dx.doi.org/10.1258/002367700780384762.

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Injectable anaesthetics are widely used to anaesthetize rats, but recovery times are often prolonged. Reversible anaesthetic regimens have the advantage that animals may be recovered quickly, thus reducing the incidence of postoperative complications such as hypothermia, and also providing a means of treating inadvertent anaesthetic overdose. This study assessed and compared the characteristics of anaesthesia induced with combinations of sufentanil and medetomidine administered as a single subcutaneous or intraperitoneal dose, and reversal with butorphanol and atipamezole. Combinations of sufe
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Bithal, Parmod. "Anaesthetic considerations for evoked potentials monitoring." Journal of Neuroanaesthesiology and Critical Care 01, no. 01 (2014): 002–12. http://dx.doi.org/10.4103/2348-0548.124832.

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AbstractIntra-operative neurophysiologic monitoring (IONM) under anaesthesia has achieved popularity because it helps prevent/ minimize neurologic morbidity from surgical manipulations of various neurologic structures. Neurologic functions in an anaesthetised patient can be monitored either by electroencephalography (EEG) or by evoked potentials. Whereas, EEG is difficult to analyse, evoked potentials, in contrast, are easy to interpret, they are either present or absent, delayed or not delayed, with normal or abnormal wave. The goal of IONM is to identify changes in nervous system function pr
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Gremillet, Caroline, and Jan G. Jakobsson. "Acute hip fracture surgery anaesthetic technique and 30-day mortality in Sweden 2016 and 2017: A retrospective register study." F1000Research 7 (July 5, 2018): 1009. http://dx.doi.org/10.12688/f1000research.15363.1.

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Background: Hip fractures yearly affect 1.6 million patients worldwide, often the elderly with complex comorbidity. Mortality following surgery for acute hip fracture is high. The high mortality rate is multifactorial; high age, comorbidities and complication/deterioration in health following surgery. Whether the anaesthesia technique affects the 30-day mortality rate has been studied widely without reaching a consensus. The primary aim of this study was to determine anaesthetic techniques used in Sweden and their impact on the 30-day mortality rate in the elderly, who underwent acute hip frac
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Bindu, Barkha, and Parmod Bithal. "Anaesthesia and deep brain stimulation." Journal of Neuroanaesthesiology and Critical Care 03, no. 03 (2016): 197–204. http://dx.doi.org/10.4103/2348-0548.190064.

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AbstractDeep brain stimulation (DBS) is becoming an increasingly popular minimally invasive surgical procedure for various movement disorders, especially Parkinson’s disease. Different nuclei have been identified depending on patients’ symptoms, but the success or failure of the procedure depends on various other factors such as proper patient selection and risk-benefit analysis. While various techniques of anaesthesia including monitored anaesthesia care, conscious sedation and general anaesthesia are being used routinely, no clear-cut evidence exists as to the best technique for this procedu
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Murphy, Liam, John Shaker, and Donal J. Buggy. "Anaesthetic Techniques and Strategies: Do They Influence Oncological Outcomes?" Current Oncology 30, no. 6 (2023): 5309–21. http://dx.doi.org/10.3390/curroncol30060403.

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Background: With the global disease burden of cancer increasing, and with at least 60% of cancer patients requiring surgery and, hence, anaesthesia over their disease course, the question of whether anaesthetic and analgesia techniques during primary cancer resection surgery might influence long term oncological outcomes assumes high priority. Methods: We searched the available literature linking anaesthetic-analgesic techniques and strategies during tumour resection surgery to oncological outcomes and synthesised this narrative review, predominantly using studies published since 2019. Current
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Khudr, Jamal, Luke Hughes, and Fizan Younis. "The what, why and when of wide awake local anaesthesia no tourniquet surgery." British Journal of Hospital Medicine 83, no. 1 (2022): 1–10. http://dx.doi.org/10.12968/hmed.2021.0383.

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Wide awake local anaesthesia no tourniquet, also known as WALANT, is the practice of performing surgery under local anaesthetic in the absence of a tourniquet. This technique uses the vasoconstrictive effects of adrenaline and the local anaesthetic effects of lignocaine to establish a Bier block with haemostatic control. Permitting active patient participation intraoperatively, wide awake local anaesthesia no tourniquet surgery improves patient compliance with rehabilitation and yields higher patient satisfaction. With reduced cost and equipment requirements, this method improves accessibility
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Tyagi, Asha, Chanchal Nigam, Richa Pangtey, and Vinayak Agrawal. "Severe unprovoked hypertrophic obstructive cardiomyopathy: anaesthetic concerns in patient undergoing parathyroidectomy." BMJ Case Reports 16, no. 9 (2023): e254641. http://dx.doi.org/10.1136/bcr-2023-254641.

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This case highlights the role of an anaesthetist as a perioperative physician involved in diagnosing and optimising asymptomatic but severe hypertrophic obstructive cardiomyopathy. The modifications in anaesthetic technique for safe conduct of general anaesthesia during parathyroidectomy in a patient are also presented. These include those due to an extremely high left ventricular outflow tract obstruction with echocardiographic Doppler-derived maximum pressure gradient of 105 mm Hg at rest.
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Milton, Sherran. "Circulation and Invasive Monitoring: Back to Basics." Journal of Perioperative Practice 19, no. 7 (2009): 213–20. http://dx.doi.org/10.1177/175045890901900702.

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Introduction The monitoring of patients within the perioperative environment has become increasingly sophisticated as technological advances are made within anaesthesia and anaesthetic technique. The contemporary anaesthetic practitioner (AP) is required to prepare an ever mounting array of complex monitoring equipment within their daily routine. For clarification, in this article the abbreviation AP will refer to a nurse or operating department practitioner who is performing the anaesthetic assistant role, not to a physicians' assistant (anaesthesia) (AAGBI 2008).
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Horan, B. F., and J. C. Warden. "Urgent Non-Emergency Surgery and Death Attributable to Anaesthetic Factors." Anaesthesia and Intensive Care 24, no. 6 (1996): 694–98. http://dx.doi.org/10.1177/0310057x9602400611.

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The Special Committee Investigating Deaths Under Anaesthesia in New South Wales classified 1503 deaths which occurred in the years 1984 to 1990 during, within 24 hours of, or as a result of anaesthesia. One hundred and seventy-two (11.4%) of these were attributed definitely, probably or jointly to factors under the anaesthetists’ control. One hundred and forty-four (9.6%) of the 1503 deaths classified occurred in patients undergoing urgent non-emergency operations of which 45 (31.3%) were attributed to anaesthetic factors. A specialist anaesthetist either gave the anaesthetic or was present fo
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Gilfillan, N., C. M. Ball, P. S. Myles, J. Serpell, W. R. Johnson, and E. Paul. "A Cohort and Database Study of Airway Management in Patients Undergoing Thyroidectomy for Retrosternal Goitre." Anaesthesia and Intensive Care 42, no. 6 (2014): 700–708. http://dx.doi.org/10.1177/0310057x1404200604.

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Patients undergoing thyroid surgery with retrosternal goitre may raise concerns for the anaesthetist, especially airway management. We reviewed a multicentre prospective thyroid surgery database and extracted data for those patients with retrosternal goitre. Additionally, we reviewed the anaesthetic charts of patients with retrosternal goitre at our institution to identify the anaesthetic induction technique and airway management. Of 4572 patients in the database, 919 (20%) had a retrosternal goitre. Two cases of early postoperative tracheomalacia were reported, one in the retrosternal group.
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FAROOQI, A., F. ZAHEER, S. SALMAN, SADIA, SN SHAIKH, and S. RIMSHA. "A COMPARATIVE STUDY OF ANESTHETIC BLOCK TECHNIQUES (V-BLOCK VS. H-BLOCK) FOR REMOVAL OF INGROWN TOENAIL." Biological and Clinical Sciences Research Journal 2024, no. 1 (2024): 959. http://dx.doi.org/10.54112/bcsrj.v2024i1.959.

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Ingrown toenail (onychocryptosis) is a common and painful condition often requiring surgical intervention. Adequate local anaesthesia is crucial for patient comfort and surgical success. However, the optimal anaesthetic technique for this procedure remains debated. Objectives: This study aimed to evaluate and compare the anaesthetic efficacy, patient comfort, onset and duration of anaesthesia, and occurrence of complications between the V-block and H-block techniques during surgical procedures for ingrown toenail removal. Methods: After ethical approval, an open-label randomised control trial
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Kim, Ha-Jung, Priodarshi Roychoudhury, Stuti Lohia, et al. "Comparison of General and Spinal Anaesthesia on Systemic Inflammatory Response in Patients Undergoing Total Knee Arthroplasty: A Propensity Score Matching Analysis." Medicina 57, no. 11 (2021): 1250. http://dx.doi.org/10.3390/medicina57111250.

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Background and Objectives: Some of the postoperative complications following orthopaedic surgeries are associated with a systemic inflammatory response (SIR), which varies depending on the anaesthetic technique. We aimed to compare the effects of general and spinal anaesthesia on the SIR after total knee arthroplasty (TKA), based on C-reactive protein (CRP) levels, the platelet-lymphocyte ratio (PLR), and the neutrophil-lymphocyte ratio (NLR). Materials and Methods: Patients who underwent TKA between January 2014 and December 2018 were included. Electronic medical records of the patients were
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Paliwal, Naresh W., and Sunil S. Lawhale. "Segmental Spinal: Is It Possible?" Indian Journal of Anesthesia and Analgesia 7, no. 6 (2020): 1445–50. http://dx.doi.org/10.21088/ijaa.2349.8471.7620.84.

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The name Segmental spinal anaesthesia is often widely used synonymously with Thoracic spinal anaesthesia. But in real sense segmental spinal anaesthesia means “blocking of the required dermatomes essential for the proposed surgical procedure with very low effective local anaesthetic drug dose “. This often necessitates dural puncture at high lumber or thoracic levels apart from the conventional spinal. Segmental spinal anaesthesia has been found to be feasible, safe, and effective alternative to conventional general anaesthesia in abdominal and some thoracic surgeries. The objective of this sp
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Malik, Saman, Faiqa Hassan, Muhammad Farooq, Usman ul Haq, and Saqib Ghafoor Kayani. "Efficacy of Anaesthesia Techniques in Periapical Diseased Tooth." Pakistan Journal of Medical and Health Sciences 15, no. 8 (2021): 2020–22. http://dx.doi.org/10.53350/pjmhs211582020.

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Almost all minor oral surgical procedures can be performed effectively if patient is relaxed and comfortable. One of the contributing factor for patient comfort is effective pain control. This can be achieved pre and per-operatively by various local anaesthetic techniques. Infiltration techniques are commonly employed in all maxillary and mandibular teeth whereas mandibular posterior teeth requires a nerve block. In certain cases, these techniques fails or provide inadequate anaesthesia, for example, teeth associated with periapical pathology. Therefore, we conducted a study to determine effec
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Dr., Shaik Shakeer Hussain, and J. Rani Manjusha Dr. "Cervical Epidural for Total Thyroidectomy in a Patient with Large Thyroid Nodule with Retrosternal Extension with Superior Vena Caval Compression Syndrome." International Journal of Innovative Science and Research Technology 7, no. 12 (2022): 669–70. https://doi.org/10.5281/zenodo.7493564.

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Thyroid surgeries are conventionally performed under general anaesthesia . With raising concerns on GA related cardiorespiratory status of patient , preference for regional anaesthetic technique is increasing . We, hereby, present a successful anaesthetic management of a patient posted for total thyroidectomy done under cervical epidural .
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Kadam, Vasanth Rao. "Inhalation Insufflation Technique with Local Anaesthetic Spray without Intubation and Opioids for Paediatric Upper Airway Surgery - Observational Case Series Study." Open Anesthesia Journal 13, no. 1 (2019): 44–46. http://dx.doi.org/10.2174/2589645801913010044.

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Background: Anaesthetic management of upper airway surgery in paediatric is challenging. Total intravenous anaesthesia with opioid or inhalation technique with spontaneous respiration has been used but studies are limited on inhalation technique. This study aimed to use tubeless inhalation insufflation technique without opioids at a tertiary centre. Methods: All paediatric patients coming for elective upper airway surgery to the centre, were included. Mask induction was with 5-8% sevoflurane in O2 and maintenance with 2-3%, via a nasopharyngeally placed Endotracheal Tube (ETT) or catheter on s
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Cunneen, Alexandra, Shaun Pratt, Nigel Perkins, et al. "Total Intravenous Anaesthesia with Ketamine, Medetomidine and Midazolam as Part of a Balanced Anaesthesia Technique in Horses Undergoing Castration." Veterinary Sciences 8, no. 8 (2021): 142. http://dx.doi.org/10.3390/vetsci8080142.

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To evaluate the use of ketamine-medetomidine-midazolam total intravenous infusion as part of a balanced anaesthetic technique for surgical castration in horses. Five healthy Standardbred cross colts were premedicated with IV acepromazine (0.01–0.02 mg/kg), medetomidine (7 µg/kg) and methadone (0.1 mg/kg) and anaesthesia induced with IV ketamine (2.2 mg/kg) and midazolam (0.06 mg/kg). Horses were anaesthetised for 40 min with an IV infusion of ketamine (3 mg/kg/h), medetomidine (5 µg/kg/h) and midazolam (0.1 mg/kg/h) while routine surgical castration was performed. Cardiorespiratory variables,
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Khakurel, Sharad, and Rupesh Kumar Yadav. "Continuous Spinal Anaesthesia for Intertrochanteric Femur Fracture in a Patient with Skeletal Dysplasia." Case Reports in Anesthesiology 2021 (April 9, 2021): 1–5. http://dx.doi.org/10.1155/2021/6644894.

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The practice of continuous spinal anaesthesia is not common. Though underutilised, it offers significant advantage when compared to the single-shot technique nonetheless. Time and again, it has proven its worth in patients with advanced cardiac illness, spinal deformities, and obesity. We here successfully employed this neuraxial anaesthetic technique in a sixty-two-year-old male patient with skeletal dysplasia, who presented for surgical fixation of intertrochanteric fracture of the femur. With short stature, anticipated difficult airway, and poor pulmonary status complicating the anaesthetic
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Williams, N., A. Strunin, and W. Heriot. "Pain and Vomiting after Vitreoretinal Surgery: A Potential Role for Local Anaesthesia." Anaesthesia and Intensive Care 23, no. 4 (1995): 444–48. http://dx.doi.org/10.1177/0310057x9502300405.

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Periconal local anaesthesia with subtenon supplementation was used to provide anaesthesia for 94 patients having vitreoretinal surgery. Of these, 44 patients also received general anaesthesia with neuromuscular block. None of these patients received opioid or antiemetic before or during surgery. In comparison with a retrospective control group, patients who had received local anaesthesia as part of their anaesthetic technique were less likely to be given a parenteral opioid (P< 0.001) or to vomit (P<0.001) within six hours of the completion of surgery. They also experienced significantly
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43

Collins, A. "LOCAL ANAESTHETIC TECHNIQUE." Australian Dental Journal 32, no. 5 (1987): 382. http://dx.doi.org/10.1111/j.1834-7819.1987.tb00608.x.

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Kessel, Steven T., and Nigel E. Hussey. "Tonic immobility as an anaesthetic for elasmobranchs during surgical implantation procedures." Canadian Journal of Fisheries and Aquatic Sciences 72, no. 9 (2015): 1287–91. http://dx.doi.org/10.1139/cjfas-2015-0136.

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Tonic immobility is a widely used technique for the surgical implantation of acoustic tags in elasmobranchs (sharks, skates, and rays), yet it is still not broadly recognised as an acceptable procedure by many regulatory bodies, animal care committees, and even journal ethics standards. To highlight its regular use and applicability as a field procedure, a literature search was conducted on the anaesthetic technique adopted for all existing elasmobranch-focused acoustic telemetry papers, up to 31 December 2013. A total of 57 studies were identified that contained relevant details on surgical m
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LOW, C. K., H. P. WONG, and Y. P. LOW. "Comparison between Single Injection Transthecal and Subcutaneous Digital Blocks." Journal of Hand Surgery 22, no. 5 (1997): 582–84. http://dx.doi.org/10.1016/s0266-7681(97)80350-6.

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A randomized double blinded study was performed on 142 patients to evaluate two different techniques of single injection digital anaesthesia. In group A, 86 digits in 71 patients were anaesthetized by a single injection transthecal technique using 3 cc of lignocaine and bupivacaine mixture. Anaesthesia of the whole digit was achieved in 83 (97%) digits. In group B, 80 digits in 71 patients were anaesthetized with a single injection subcutaneous technique using the same amount of anaesthetic mixture. Total anaesthesia of the digit was achieved in 75 (94%) digits. These two techniques were found
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Yunus Cobis, Albinus, Dewi Yulian Bisri, and Iwan Abdul Rachman. "Opioid-Free Anesthesia Technique for Anterior Cervical Discectomy and Fusion (ACDF): Anesthesia Management." Jurnal Neuroanestesi Indonesia 14, no. 2 (2025): 74–79. https://doi.org/10.24244/jni.v14i2.660.

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Anterior cervical discectomy and fusion (ACDF) is a safe and effective surgical procedure to treat cervical spine pathology. ACDF treats Cervical Spondylotic Myelopathy (CSM), where degeneration of the cervical vertebrae compresses the spinal cord, causing sensory, motor, reflex, and bowel function impairment. The use of opioids can have unpleasant effects, hence opioid-free anaesthesia techniques were developed as a strategy to reduce this risk. A man, 62 years old, complained of weakness in the upper limbs until it was difficult to move the hands. Supportive examination revealed cervical mye
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SONOHATA, M., A. ASAMI, K. OGAWA, S. NAGAMINE, and T. HOTOKEBUCHI. "Single Injection Digital Block: Is a Transthecal Injection Necessary?" Journal of Hand Surgery (European Volume) 34, no. 1 (2009): 94–98. http://dx.doi.org/10.1177/1753193408097323.

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Three different methods of injection to obtain digital block anaesthesia were performed on 15 healthy volunteers to evaluate the success and extent of anaesthesia. We found that the traditional transthecal injection technique was inaccurate and the injected agent mainly flowed into the subcutaneous space, and did not remain within the sheath. The deep transthecal single injection kept the anaesthetic agent within the flexor tendon sheath, as intended. The duration of anaesthesia and the area anaesthetised by the subcutaneous injection and the traditional transthecal injection was similar and s
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Patankar, Pushkar, and Yasser Mandour. "Rapid sequence spinal anaesthesia: a technique reborn during the COVID-19 pandemic." British Journal of Hospital Medicine 82, no. 10 (2021): 1–2. http://dx.doi.org/10.12968/hmed.2021.0166.

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With the wish to reduce aerosol generation and the shorter time to anaesthetic readiness, this article discusses why rapid sequence spinal anaesthesia could be used in preference to general anaesthesia, for the benefit of both patients and staff during the COVID-19 pandemic.
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Bharadwaj, Suparna, Rebecca Moga, Pirjo Manninen, and Lakshmikumar Venkatraghavan. "Anaesthetic considerations for patients undergoing pre-surgical embolization of intracranial and spinal tumours: An overview." Journal of Neuroanaesthesiology and Critical Care 02, no. 02 (2015): 104–9. http://dx.doi.org/10.4103/2348-0548.154226.

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AbstractPre-surgical embolization of vascular brain and spinal tumours is an effective method of reducing intraoperative bleeding. Many technological developments of the microcatheters and embolic materials that are used have led to better outcomes in tumour embolization. Pre-operative embolization has become a standard of practice in the management of many vascular brain and spinal tumours. Anaesthesiologists are generally involved with these procedures which may be performed with general anaesthesia, conscious sedation or monitored anaesthesia care. The choice of the anaesthetic technique us
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Ballo, Solveig, Tonje Hjelseng, Lena Flatlandsmo Tangen, Janne Svindal Lundbom, Trine Skarsvåg, and Vilhjalmur Finsen. "The Influence of Injected Volume on Discomfort During Administration of Digital Block." Journal of Hand Surgery (Asian-Pacific Volume) 21, no. 03 (2016): 369–73. http://dx.doi.org/10.1142/s2424835516500363.

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Background: Digital nerve block is associated with pain. In a search for methods to reduce the discomfort, we investigated how the volume of anaesthetic fluid influences pain during subcutaneous digital nerve block, and how it affects the success of the anaesthesia. Methods: A randomized blinded prospective study was performed on 36 healthy volunteers. The single injection subcutaneous digital block technique was used to anaesthetize the participants´ 4th digit on both hands. The same amount of lidocaine was used, but in two different volumes; 1 ml 2% lidocaine and 2ml 1% lidocaine. After each
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