Anesthesia and analgesia
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Anesthesia and analgesia · Dec 2008
ReviewCongenital supravalvular aortic stenosis and sudden death associated with anesthesia: what's the mystery?
Patients with congenital supravalvular aortic stenosis and associated peripheral pulmonary artery stenoses, the majority of whom have Williams-Beuren syndrome, are inherently at risk for development of myocardial ischemia. This is particularly true in the setting of procedural sedation and anesthesia. ⋯ In this article, we review both the pathophysiology of congenital supravalvular aortic stenosis and the literature regarding sudden death in association with sedation and anesthesia. Recommendations as to preoperative assessment and management of these patients are made based on the best available evidence.
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Anesthesia and analgesia · Dec 2008
ReviewAcupuncture for the management of chronic headache: a systematic review.
The objective of this review was to evaluate the efficacy of acupuncture for treatment of chronic headache. ⋯ Needling acupuncture is superior to sham acupuncture and medication therapy in improving headache intensity, frequency, and response rate.