Nurse anesthesia
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Thrombelastography (TEG) has been used widely during hepatic transplantation procedures to detect intraoperative changes in blood coagulation and as a guide to determine appropriate treatment of these changes. The current literature identifies the use of TEG for intraoperative management of coagulation as a proven reliable and rapid monitoring system. The clinical applicability of TEG monitoring for the anesthesia provider will give better intraoperative management of hemostasis, optimizing patient care and minimizing blood component use.
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Pediatric regional anesthesia has been viewed less favorably in the past because it was often considered an extra and unnecessary procedure. Current anesthesia practice demonstrates that local anesthetic techniques are of great value either as the sole anesthetic or for postoperative analgesia in the pediatric population. ⋯ The advantages and special considerations of the pediatric population also are reviewed. Regional anesthesia in the pediatric patient population does have its benefits and should be considered as an option in the provision of anesthesia in the pediatric age group.
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Aspiration of gastric contents continues to be one of the most serious complications of general anesthesia. Laryngeal competence may be reduced immediately following endotracheal extubation, which may increase the risk of aspiration. ⋯ Evaluation of radiographs from both groups revealed that no aspirate of barium was detected in the tracheobronchial trees of any of the dogs. This study establishes that there is no difference in the risk of aspiration following endotracheal extubation using the canine model regardless of the clinical technique employed.