Journal of clinical anesthesia
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Case Reports
Elective surgery days after myocardial infarction: clinical and ethical considerations.
We present an unusual case of verified myocardial infarction without surgery. Successful elective lumbar spine surgery was performed 4 days post-myocardial infarction during perioperative beta-blockade, after cardiology evaluation recommended surgery without further evaluation. Clinical and ethical considerations are discussed.
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To evaluate the potential differences in the type of anesthesia provided to patients of different race, gender, and source of payment undergoing inguinal hernia repair (IHR). ⋯ Significant discrepancies in the use of various anesthetics for IHR between patients of different race, gender, and insurance status were found. Despite limitations inherent to secondary data analysis, the findings raise the possibility that nonmedical factors may influence anesthetic management.
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The thoracic paravertebral block is effective in providing anesthesia and postoperative analgesia for thoracic and abdominal surgeries. This case report describes a suspected post-dural puncture headache following bilateral thoracic paravertebral blocks for postoperative analgesia after an umbilical hernia repair.