Journal of clinical anesthesia
-
Randomized Controlled Trial Comparative Study
Comfort and satisfaction during axillary brachial plexus block in trauma patients: comparison of techniques.
To investigate the comfort and satisfaction of patients with trauma of the upper limb during two different techniques of axillary brachial plexus block, electrical nerve stimulation and fascial pop. ⋯ In trauma patients, the fascial pop technique is effective, reduces sedation during axillary brachial plexus block, and has a higher patient acceptance rate than the electrical nerve stimulation technique.
-
To evaluate the incidence of perioperative minor adverse events and to analyze patient satisfaction based on potential explanatory variables. ⋯ Minor events occur with a surprisingly high incidence and are significantly associated with patient dissatisfaction. Regional anesthesia is associated with fewer patient complaints and significantly higher postoperative patient satisfaction.
-
Case Reports
Trigeminal nerve and facial nerve palsy after combined spinal-epidural anesthesia for cesarean section.
A case of emergency cesarean section due to a prolonged second stage of labor in a 29 year-old woman is presented. She had trigeminal nerve and facial nerve palsy after combined spinal-epidural anesthesia for cesarean section.
-
Case Reports
Unusual presentation of perioperative ischemic optic neuropathy following major spine surgery.
Perioperative visual loss following spinal surgery has become of increasing concern among anesthesiologists, surgeons, and patients alike. Perioperative ischemic optic neuropathy often occurs in patients greater than 50 years of age, in association with a number of presumed risk factors, including diabetes, hypertension, small cup-to-disc ratio, preoperative anemia, intraoperative hypotension, prolonged operative time in the prone position, and significant blood loss during surgery. The visual loss is notably devastating, and generally leads to permanent disability. A 44-year-old man whose central visual acuity was completely preserved is presented.
-
To examine perioperative management and complications in patients undergoing pneumonectomy. ⋯ Fluid infusion volume, fluid balance volume, intraoperative total balance, blood loss volume, and blood transfusion volume were important intraoperative risk factors in the development of postoperative right-sided heart failure.