Delayed Emergence From Anesthesia: A Simulation Case for Anesthesia Learners.

Introduction: Delayed emergence is failure to regain consciousness following general anesthesia. It commonly involves altered mental status and respiratory compromise leading to increased morbidity, operating room delays, and increased cost. Causes include residual anesthetics, pharmacologic actions, surgical complications, neurologic events, endocrine disturbances, and patient-related factors.

Addition of buprenorphine to local anesthetic in adductor canal blocks after total knee arthroplasty improves postoperative pain relief: a randomized controlled trial.

Background And Objectives: For the hundreds of thousands of patients who undergo total knee arthroplasty (TKA) in the United States each year, early mobilization has been demonstrated to improve functional outcomes and reduce complications. Management of postoperative pain is a critical factor in achieving early mobilization. Recent studies have shown that the use of an adductor canal block (ACB) after TKA results in increased preservation of quadriceps muscle strength, without significant difference in postoperative pain when compared to femoral nerve block.

Anesthetic challenges in a patient with lymphangioleiomyomatosis complicated by myasthenia gravis.

Lymphangioleiomyomatosis is a rare restrictive lung disease that is often associated with pneumothorax and prolonged intubation. We report the successful anesthetic management of a patient with lymphangioleiomyomatosis, myasthenia gravis, and idiopathic thrombocytopenic purpura undergoing laparoscopic partial nephrectomy for renal lesions, and discuss anesthetic management strategies for this rare disease process.