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Anesthesia

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Understanding and Mitigating Postoperative Pulmonary Complications

Defining Postoperative Pulmonary Complications Postoperative pulmonary complications represent a significant concern within the realm of surgical medicine. These complications can have profound implications for patients’ overall well-being, contributing substantially to perioperative morbidity and mortality. In this article, we will delve into the definition of postoperative pulmonary complications, delve into pertinent anesthetic physiology, identify patient and … Read more

Advancing Anesthetic Precision with the Aisys CS2 System and Aladin2 Magnet-Coded Cassettes

Introduction The realm of anesthesia has seen remarkable innovations, and a standout among them is the Aisys CS2 System in conjunction with Aladin2 Magnet-Coded Cassettes. These two components synergize to offer unparalleled control over anesthetic agents, elevating patient care and surgical safety. In this article, we explore the intricacies of the Aisys CS2 System and … Read more

Intraoperative Nerve Monitoring in Thyroid Surgery: A Comprehensive Guide

Thyroid surgery is a common procedure for addressing thyroid disorders, and it involves intricate anatomy where the recurrent laryngeal nerve (RLN) is at risk of injury. Intraoperative Nerve Monitoring (IONM) is an optional technique that has gained attention for its potential to reduce the risk of RLN injury during these surgeries. In this comprehensive article, … Read more

Effects of Anesthetic Agents on Cancer Recurrence: Mechanisms and Clinical Insights

IntroductionCancer, a global health challenge, affects millions of individuals worldwide. Surgery is a cornerstone of cancer treatment, and understanding how anesthesia impacts cancer recurrence is of utmost importance. In this article, we delve into the intricate relationship between anesthetic agents and cancer metastasis, exploring mechanisms and the potential influence of specific anesthetics on cancer outcomes. … Read more

Anesthesia Management for Patients with Spinal Cord Injury (SCI)

Patients with spinal cord injury (SCI) undergoing anesthesia require specialized care to address their unique needs and potential complications. The choice of anesthetic technique, monitoring, premedication, induction, maintenance, and other considerations should be tailored to the individual patient’s SCI level and specific surgical requirements. Introduction A comprehensive medical history and anesthesia-directed physical examination are essential … Read more

Navigating Endotracheal Extubation in Anesthesia: Strategies, Complications, and Risk Assessment

Introduction Endotracheal extubation is a critical phase in the continuum of patient care during anesthesia, marking the transition from a controlled and mechanically supported airway to the resumption of spontaneous breathing. This procedure involves the removal of the endotracheal tube, which can be associated with potential complications, such as the loss of the airway and … Read more

Anesthetic Management for a Patient with Bleomycin-Induced Pulmonary Toxicity Undergoing Laparoscopic Hysterectomy

Introduction Patients with a history of bleomycin treatment, an antitumor antibiotic, may present unique challenges when they require anesthesia for elective surgeries. Bleomycin-induced pulmonary toxicity is a well-recognized adverse effect of this drug and can lead to significant respiratory complications. In this article, we will outline an anesthetic plan for a patient with a history … Read more

Can’t Intubate, Can’t Ventilate (CICV) Situation Following Airway Hemorrhage

A “can’t intubate, can’t ventilate” (CICV) situation is a critical and life-threatening scenario that can occur in anesthesia and emergency medicine, especially when complicated by airway hemorrhage. In such situations, immediate and organized actions are essential to secure the patient’s airway and provide adequate ventilation and oxygenation. Common Causes of CICV Following Airway Hemorrhage: Plan … Read more

Transporting Ventilated ICU Patients to the OR: Considerations and Ventilation Parameters

Transporting a critically ill patient from the Intensive Care Unit (ICU) to the Operating Room (OR) while on mechanical ventilation is a complex process that requires careful planning and consideration of the patient’s respiratory needs. The decision to use a transport ventilator or the ICU ventilator during transport depends on the patient’s ventilation requirements. Here … Read more

KETAMINE

Index Information Overview – Ketamine is a phencyclidine derivative that induces dissociative anesthesia. – It affects EEG by dissociating thalamocortical and limbic systems. – Hypertonus and muscle movements may occur independently of surgical stimulation. – Ketamine induces amnesia and intense analgesia. – Emergence delirium limits its clinical use. Structure Activity Relationship – Ketamine has two … Read more

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