When Patient Expectations Are Not Met: A Case Report.

Successful anesthetics occur when safe, effective perioperative care is coupled with patient satisfaction. We present the case of a 63-year-old woman with advanced Parkinson's disease who presented for a deep brain stimulation (DBS) device battery change under monitored anesthesia care (MAC). While MAC is commonly utilized for a DBS battery change, our patient reported previously experiencing intraoperative pain, anxiety, and the inability to communicate discomfort under MAC, leading to posttraumatic stress disorder.

A Novel Technique of Robotic-Assisted Simple Cystectomy During Urinary Diversion for Benign Indications.

Background: When urinary diversion is necessary for benign indications, the defunctionalized bladder is at risk of a number of severe complications such as bleeding, pain, pyocystis and secondary urothelial carcinoma. These complications occur in 54%-80% of patients left with native bladder after diversion, and these patients go on to require completion cystectomy 20%-25% of the time. Rowley et al.

Expanded Perineal Coverage With Combined Pudendal and Inferior Cluneal Nerve Blocks: A Case Report.

The pudendal nerve (PN) block is an effective regional technique for providing analgesia to the perineum. However, when the surgical site involves dermatomal areas lateral to the PN dermatome, additional blocks are necessitated. We present a case report of a 6-year-old female who presented for surgical resection of widespread condylomata accuminata involving the perineum and buttocks.

Indicators of Post-Operative Intraocular Pressure Elevation after Naïve Fluocinolone Acetonide Surgical Implantation.

Purpose: To determine factors conferring an increased risk of developing ocular hypertension secondary to the fluocinolone acetonide (FA) sustained-release surgical implant (Retisert).

Design: Retrospective, observational case series.

Methods: Patients with a history of chronic noninfectious posterior uveitis undergoing naïve surgical FA implantation from 2007 to 2018 at the University of Colorado were studied.

Index of host habitat preference explored by movement-based simulations and trap captures.

Animal species likely have different strengths of host habitat preference (HHP) that might be characterized by a standardized index ranging from 0 (no preference) to 1 (maximum preference). We hypothesized that in some species, HHP may result from individuals dispersing out of the host habitat having a probability of turning back at the boundary, or after entering host habitat by reducing speed or increasing size of turning angles. Computer simulations of individuals moving between various sized patches of host and nonhost habitat were conducted based on these three behaviours hypothesized to affect HHP.