Journal of clinical anesthesia
-
We present the case of a 56-year-old man who underwent axillary nerve block for a wrist arthroscopy procedure, with real-time ultrasound and peripheral nerve stimulator guidance. The ulnar nerve and radial nerve were located medial and posterior to the brachial artery, respectively. A large complex structure was noted in the position typically occupied by the median nerve. ⋯ We believe that these components represented the median and musculocutaneous nerves lying together, lateral to the artery. Radial, median, ulnar, and musculocutaneous nerve block ensued, and wrist arthroscopy was carried out uneventfully. Knowledge of this anatomical variation may improve anesthesiologists' ability to provide effective axillary block.
-
To determine the current status and future plans of residency programs to train residents in office-based anesthesiology (OBA), which is rapidly emerging as an important specialty within the field of anesthesiology. ⋯ Residents are receiving minimal, if any, exposure to OBA during their training.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Gender differences between predicted and measured propofol C(P50) for loss of consciousness.
To investigate gender differences in the effective dose of 50% for loss of consciousness (C(P50LOC)) for propofol using Diprifusor, the most commonly used target-controlled infusion system. ⋯ Predicted C(P50LOC) by Diprifusor for men tended to be underestimated; that for women tended to be overestimated. Our data support a review of Diprifusor (Astra Zeneca, Osaka, Japan) pharmacokinetic parameters to avoid awareness during operation, particularly for women.
-
Multicenter Study
Patient perception of the role of anesthesiologists: a perspective from the Caribbean.
To assess patients' perception of the role of an anesthesiologist in a Caribbean country. ⋯ Patients still have inadequate knowledge regarding anesthesiologists and their different roles in hospitals.