Articles: general-anesthesia.
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British dental journal · Apr 2000
ReviewDental treatment for people with challenging behaviour: general anaesthesia or sedation?
The dental care of people with severe learning disability and challenging behaviour presents many problems. The maintenance of oral health by regular examination, prevention and treatment may be difficult because of the limitations in patient cooperation. In many cases the diagnosis of orofacial pain may need to be discounted as a cause of uncharacteristic and sometimes aggressive behaviour. ⋯ The use of novel techniques of sedation combining intravenous with oral or intranasal routes is described with patients treated in a community dental health centre. All patients had previously received treatment using general anaesthesia. The techniques described proved effective and safe for use in the primary care setting.
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Anesthesiol Clin North America · Mar 2000
ReviewChoosing general versus regional anesthesia for the elderly.
Although clinical perceptions and theoretic considerations suggest regional anesthesia should be safer than general anesthesia in elderly patients, current studies indicate no difference in outcomes. Regional anesthesia may still prove superior to general anesthesia if the right patient population or right endpoints are identified for comparison. A study of consequence of outcome, comparing the two approaches has created an expansion of the definition of anesthesia-related complications.
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Anesthesia for endoscopic assessment and treatment of airway problems in infants and children requires a systematic and thoughtful approach. The anesthesiologist and otolaryngologist should have a sound knowledge of the causes of airway obstruction. The anesthesiologist must be aware of the instrumentation likely to be used and the endoscopist must be well informed about the principles of anesthesia. The choice of technique depends upon the needs for each patient, but in most cases, the safest and most controlled method is a gaseous induction with assisted spontaneous respiration and continued maintenance by the inhalational method, supplemented by topically applied local anesthesia.
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Cochrane Db Syst Rev · Jan 2000
ReviewGeneral versus spinal/epidural anaesthesia for surgery for hip fractures in adults.
The majority of hip fracture patients are treated surgically, requiring anaesthesia. ⋯ Regional anaesthesia and general anaesthesia appear to produce comparable results for most of the outcomes studied. Regional anaesthesia may reduce short-term mortality but no conclusions can be drawn for longer term mortality.