Reducing Anxiety in Parents Before and During Pediatric Anesthesia InductionFear and anxiety in a child undergoing surgery are correlated positively with the parent's level of anxiety, and interventions to decrease the parents' anxiety are appropriate. The findings of this study suggest that viewing a preoperative videotape of an inhalation induction seems to be beneficial and that decreasing the parents; level of anxiety preoperatively may have a positive effect on the child's level of anxiety expressed postoperatively.
Military and Civilian Penetrating Eye Trauma: Anesthetic ImplicationsPenetrating open eye injuries merit extensive clinical assessment that can be life saving. This article reviews the vital assessment for the patient with a penetrating eye injury and provides a comparative analysis of the literature. The conclusion favors pretreatment with a nondepolarizing agent and the use of succinylcholine during rapid-sequence induction.
Prevention of Vomiting After General Anesthesia for Pediatric Ophthalmic SurgeryVomiting is the most common reason for prolonged recovery and unanticipated admission of children to the hospital from the ambulatory surgical unit. The findings of this study indicate that postoperative vomiting can be substantially decreased by adopting a protocol of limited use of nitrous oxide for mask induction only, gastric emptying and administration of metoclopramide and ondansetron intravenously in combination.
The Prevalence of Visible and/or Occult Blood on Anesthesia and Monitoring EquipmentIn the anesthesia care environment, the anesthetist is responsible for ensuring that the equipment is clean and disinfected before use. The authors of this study, which found evidence of occult blood on 32.7% of anesthesia equipment surfaces tested, explain how to decrease the risks from this contamination by redesigning equipment, increasing the use of disposable equipment, and compliance with effective infection control practices.
Anesthetic Implications of a Partial Molar Pregnancy and Associated ComplicationsThis case report details the anesthetic management of a 34-year-old woman with a partial molar pregnancy who required a dilatation and curettage procedure following therapeutic termination of a coexisting fetus at 18 weeks' gestation. the medical and anesthetic interventions required for treatment of molar pregnancy are reviewed.