Anesthesia for Cesarean Section for Achondroplastic Dwarf: A Case ReportIn this case report, the author describes the pre-anesthesia plan, anesthesia administration, and post-anesthesia course involving a gravid patient with achondroplastic dwarfism. Also illustrated is the need for discussion of all anesthesia options when planning the anesthesia care associated with uncommon disorders and pregnancy.
Massive Blood Transfusion TherapySurgical patients requiring massive blood transfusion therapy present many challenges for the anesthetist. This article presents a review of metabolic changes that occur in banked blood, the risk of infection, and physiologic derangements that may develop during massive blood transfusion.
Patient Perceptions of the Importance of Maintaining Preoperative NPO StatusAlthough NPO (nothing by mouth) after midnight policies are being liberalized, noncompliance with NPO policies remains a threat to patient safety and may result in delays of elective surgical procedures. Findings of this study of ambulatory surgery patients suggest that providing patients with the rationale for adhering to preoperative NPO orders can significantly increase the patient's perception of the NPO policy's importance.
Perioperative Monitoring with the Electroencephalogram and the Bispectral Index MonitorRecent clinical studies using the bispectral index monitor have renewed interest in the use of a monitor to assess the effects of anesthetics on the brain. This article provides a historical perspective of the development and use of the processed electroencephalographic monitor, as well as a discussion of the clinical usefulness of the bispectral index monitor in anesthesia practice today.
Keywords: Bispectral index, electroencephalogram power spectrum.
Version: 2000;68(4):333-340.Authors: LTC (ret.) James R. Halliburton, CRNA, MHS, AN, USA
CAPT E. Jane McCarthy, CRNA, PhD, FAAN, USPHS