The bisphosphonate related osteonecrosis of the jaws (BRONJ) is defined as a drug-adverse reaction that involves the maxillary bones.
Volume 3 Issue 1 - 2016
Safe Labor Analgesia with Vaginal Wall Injection and Pudendal Nerve Block
Aims: As old paracervical block using Kobak needle was abondoned developing fetal bradycardia, new safe vaginal submucosal anesthesia was tried to safely remove labor pain.
Advanced Techniques to Study Anesthetic Effects on the Nervous System
Recently, there has been increased interest and concern regarding the safety of anesthetics on the long-term impairment of the central nervous system (CNS).
The use of brain stimulation either without drugs at all or with ones that are currently obsolete for the promotion of general anesthesia [1]. Furthermore, different intensities and time durations of stimulation were reported, making it difficult to compare between studies.
Emergent Cervical Decompression in a Child with MURCS Association
This case report describes an unusual presentation and anesthesia management of a rare genetic association. The MURCS association, a variant of Mayer-Rokitansky-Kuster-Hauser syndrome is a rare (1/4500-1/50,000) congenital syndrome, of unknown etiology, consisting of mullerian duct (MU) aplasia, renal (R) aplasia, and cervicothoracic somite (CS) dysplasia.
Paediatric Analgesia during Inguino-Scrotal Surgery- A Pilot Study
Introduction: There are many different analgesic methods used for children undergoing inguino-scrotal surgery. Research suggests that caudal analgesia reduces the need for postoperative pain relief in these children compared with regional techniques but may increase the risk of motor block and urinary retention. This can be problematic given that these procedures are commonly performed as day cases.
Volume 2 Issue 2 - 2015
Placenta Previa Combined with Placenta Accreta and Fetal Congenital High Airway Obstruction- Failed Ex Utero Intrapartum Treatment
A parturient with placenta previa and accreta combined with fetal congenital high airway obstruction was scheduled for cesarean section. Ex utero intrapartum (EXIT) treatment on fetus after classical cesarean section was planned. General anesthesia was induced after routine and invasive haemodynamic monitoring started.
Intravenous General Anesthesia for Patients with Neurological Disorders
In dental practice, intravenous general anesthesia is useful for patients who are difficult to treat when not sedated such as those with neurological disorders [1].
Open surgery and fetoscopic surgery are of the safest procedures, whilst the ex-utero intrapartum treatment (EXIT) procedure has lost its significance as a result of the severe complications experienced both by the mother and the fetus.
Structural Differences in Respiratory System and Airway of Parturients
Oxygen consumption increases with increased alveolar ventilation and respiratory alkalosis occurs. Thus, PaCO2 becomes 28-32 mmHg in pregnant women, and this amount is compensated with renal bicarbonate absorption. Preoxygenation can be made slower by inhalation of 100% oxygen for 2-5 minutes.
Objective: Opioid-induced constipation (OIC) is the most prevalent patient complaint associated with longer-term opioid use and interferes with analgesic efficacy, functionality, quality-of-life, and patient compliance. To compare effects of prolonged release (PR) oxycodone and PR naloxone (OXN), vs. PR oxycodone (OXY) vs. PR morphine (MOR) on bowel function under real-life conditions in chronic low back pain (LBP) patients with vs. those without pre-existent constipation.
One aspect of oral pathology and maxillofacial not to be overlooked in the anesthesiological approach to the patient are complications due to local anesthesia in maxillary bone.
Therapeutic hypothermia has been advocated for neuroprotection in cardiac arrest-induced encephalopathy, neonatal hypoxic-ischemic encephalopathy, traumatic brain injury, stroke, hepatic encephalopathy, and spinal cord injury, and as an adjunct to certain surgical procedures. In this review, we address physiological mechanism of hypothermia to mitigate neurological injury, the trials that have been performed for each of these indications, the strength of the evidence to support treatment with mild/moderate hypothermia.
Takotsubo Cardiomyopathy (TC) is a reversible, stress-induced, non-ischemic cardiomyopathy associated with temporary weakness of the myocardium and midventricular or apical ballooning.1, 2 Angina, ST abnormalities, elevated troponins, ventricular asynergy, CHF, and decreased EF are all components of TC.