Current opinion in anaesthesiology
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Curr Opin Anaesthesiol · Aug 2021
ReviewAn update on pediatric sedation techniques in nonoperating room locations.
To review advancements in care for pediatric patients in nonoperating room settings. ⋯ Pediatric NORA requires thorough preparation, flexibility, and vigilance to provide safe anesthesia care to children in remote locations. Emerging techniques to reduce anesthetic exposure, improve monitoring, and alternative staffing models are expanding the boundaries of pediatric NORA to provide a safer, more satisfying experience for diagnostic and interventional procedures.
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Curr Opin Anaesthesiol · Aug 2021
ReviewModerate and deep procedural sedation-the role of proper monitoring and safe techniques in clinical practice.
Interventional pain management procedures provide significant improvement to patient quality of life and functionality. In-office procedures are becoming an increasingly more common site of pain management intervention for patients with minimal risk of harm. ⋯ Serious complication errors can be avoided with proper supervision and monitoring. The adherence to published societal recommendations and guidelines for indications of when to use moderate to deep sedation techniques, and appropriate supervision and monitoring methods, can avoid errors in interventional pain management procedures.
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Curr Opin Anaesthesiol · Aug 2021
ReviewAnesthetic Management of Acute Ischemic Stroke in the Interventional Neuro-Radiology Suite: State of the Art.
This review discusses the general anesthetic approach of endovascular stroke therapy and highlights recent advances and considerations for optimal intraoperative management of acute ischemic stroke. ⋯ Optimal time to intervention, hemodynamic stability, novel imaging techniques, and careful consideration of anesthetic plan can impact patient outcomes in reperfusion stroke therapy.
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Curr Opin Anaesthesiol · Aug 2021
ReviewAdvanced endoscopic gastrointestinal techniques for the bariatric patient: implications for the anesthesia provider.
The incidence of obesity and the use of endoscopy have risen concurrently throughout the 21st century. Bariatric patients may present to the endoscopy suite for primary treatments as well as preoperatively and postoperatively from bariatric surgery. However, over the past 10 years, endoscopic bariatric and metabolic therapies (EBMTs) have emerged as viable alternatives to more invasive surgical approaches for weight loss. ⋯ Obesity causes anatomic and physiologic changes to every aspect of the human body. All EBMTs have specific nuances with important implications for the anesthesiologist. By considering both patient and procedural factors, the anesthesiologist will be able to perform a safe and effective anesthetic.