Current opinion in anaesthesiology
-
Poor pain management has continued to be a problem after pediatric surgery. This review examines the current situation and recent advances in the area. ⋯ The concept of multimodal analgesia including the use of regional analgesic techniques is governing the current developments and discussions in the area of pediatric postoperative analgesia.
-
Curr Opin Anaesthesiol · Aug 2013
ReviewPeripheral nerve blocks for outpatient surgery: evidence-based indications.
There has been an increasing use of peripheral nerve blocks (PNBs) in ambulatory surgery. Several recent reports have contributed to our understanding of the optimal PNB technique for specific surgical procedures in this setting. In this review, we have summarized the available literature on indications of PNBs for outpatient surgery of the upper extremity. ⋯ ISBPB is currently the most beneficial PNB for outpatient shoulder surgery. Supraclavicular block functionally can be considered an alternative to the traditional ISBPB; however, additional studies are required before routine use can be recommended. Although the review identified several reports with benefits of one PNB technique over the others, the existing literature suggests that many of these techniques may be interchangeable with regards to procedures of the distal upper extremity. Future studies are indicated to help standardize the techniques, selection, and postoperative management of PNBs for specific surgical indications.
-
Curr Opin Anaesthesiol · Aug 2013
ReviewAnesthesia for transcatheter aortic valve implantation: an update.
To summarize and highlight recent advances in the periprocedural management of patients undergoing transcatheter aortic valve implantation (TAVI). ⋯ Anesthesiologists involved in TAVI must have detailed knowledge of valvular heart disease, hemodynamics, echocardiography, the procedure, and associated complications.
-
Curr Opin Anaesthesiol · Aug 2013
ReviewConsciousness and responsiveness: lessons from anaesthesia and the vegetative state.
The aim of this article is to review recent behavioural and neuroimaging studies in anaesthesia and the vegetative state. ⋯ We discuss future avenues of research in the field, in order to improve the detection of awareness during anaesthesia and the vegetative state using neuroimaging and neurophysiologic techniques.
-
To review the neurophysiology and neuroanatomy of normal aging and the recent recommendations for the clinical management of general anesthesia and sedation in the elderly. ⋯ Our analysis suggests that understanding the neurophysiology and neuroanatomy should be part of the standard working knowledge of anesthesiologists and that this knowledge can guide their use of the electroencephalogram to track more accurately the brain states of elderly patients receiving anesthesia care.