4,621 results match your criteria: "Anesthesia Local with Sedation"

Background: In dental extractions, particularly when local anesthesia is used, it usually offers analgesic relief for a few hours. However, pain can become a notable concern in the immediate postoperative period due to the trauma experienced by both soft and hard oral tissues.

Objectives: This systematic review aimed to evaluate the most effective strategies for managing postoperative pain in primary tooth extractions.

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[Local versus locoregional anesthesia in transfemoral TAVI procedures].

Ann Cardiol Angeiol (Paris)

November 2024

Service de cardiologie, Centre Hospitalo-Universitaire de Reims, 51 avenue Cognacq Jay, 51100 Reims, France. Electronic address:

Introduction: Transcatheter aortic valve implantation (TAVI) has become the treatment of choice for the most fragile patients with severe aortic stenosis. The transfemoral route is preferred as the simplest and safest. The aim of our study was to compare the efficacy, tolerance and safety of local vs.

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Effective pain management is vital for critically ill patients, particularly post-surgery or trauma, as it can mitigate the stress response and positively influence morbidity and mortality rates. The suboptimal treatment of pain in Intensive Care Unit (ICU) patients is often due to a lack of education, apprehensions about side effects, and improper use of medications. Hence, the engagement of pain management and anesthesiology experts is often necessary.

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Objective: To describe a combined treatment approach for heterochromic iridocyclitis and secondary keratitis (HIK) in horses.

Animal Studied: A total of 15 horses (16 eyes).

Procedures: Sixteen eyes from 15 horses (mean age 14.

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Article Synopsis
  • - The study analyzed the surgical outcomes of infants with ulnar polydactyly receiving either local or general anesthetic, focusing on wait times and surgery duration.
  • - Results showed that infants under local anesthesia had significantly shorter wait times, surgery length (about 18 minutes vs. 37 minutes), and sedation time compared to those under general anesthesia.
  • - No differences in complication rates were found between the two groups, highlighting local anesthesia as an effective option for this procedure in young children.
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Anesthetic recovery outcomes after 2 methods of nasal mucosal preparation for endoscopic sinus surgery.

Am J Otolaryngol

December 2024

Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, United States of America. Electronic address:

Purpose: Our institution uses two approaches for nasal mucosal preparation during endoscopic sinus surgery (ESS) to improve surgical field visualization: topical epinephrine (TE) versus topical cocaine with injection of lidocaine containing epinephrine (TCLE). We aimed to compare anesthetic outcomes after ESS using these techniques.

Methods And Materials: We retrospectively identified adult patients at our institution who underwent ESS from May 2018 through January 2023 under general anesthesia with propofol and remifentanil infusions.

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Background: The classic percutaneous balloon compression (PBC) technique is used to complete an operation under the guidance of C-arm radiography under general anesthesia, making communication with patients during the operation impossible. It is not accurate or objective to predict the classic technique's curative effect solely by determining whether the projection of the x-ray lateral image of the filled balloon is pear-shaped.

Objectives: This study aimed to upgrade classic PBC to awake computed tomography (CT)-guided PBC technology under conscious local anesthesia and analgesia monitoring.

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Article Synopsis
  • There is a lack of consensus on the best videolaryngoscope for awake tracheal intubation in patients expected to have difficult airways, leading to a study comparing the C-MAC D-Blade® and Airtraq®.
  • A randomized clinical trial involved 90 adult patients undergoing surgery with anticipated difficult airways, focusing on the first-attempt tracheal intubation success rate as the primary outcome.
  • Results showed a significantly higher first-attempt success rate for the C-MAC D-Blade (84%) compared to the Airtraq (62%), while overall success rates were similar for both, suggesting the C-MAC D-Blade may be more effective for initial intubation attempts.
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Randomized controlled trial to examine the tolerability of bronchoscopy with and without pharyngeal laryngeal anesthesia (TACOYAKI study).

Respir Investig

September 2024

Department of Respiratory Medicine, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahimachi, Abeno-ku, Osaka city, Osaka, 545-8585, Japan.

Article Synopsis
  • The study evaluated the effectiveness of pharyngeal anesthesia (using lidocaine spray) during bronchoscopy under sedation, focusing on its impact on operator satisfaction and patient comfort.
  • Two groups were created: one receiving pharyngeal anesthesia and one not, with over 200 patients participating in a single-blind trial.
  • The results showed no significant difference in operator satisfaction or other measured outcomes, leading to the conclusion that pharyngeal anesthesia may not be advisable for this procedure.
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Non-intubated tracheal resection and reconstruction for a tracheal tumor in an 8-year-old child.

J Cardiothorac Surg

July 2024

Department of Anesthesiology, the First Affiliated Hospital of Guangzhou Medical University, No. 151, Yanjiang Xi Road, Guangzhou, Guangdong, People's Republic of China.

Article Synopsis
  • Non-intubated anesthesia can be effectively used for tracheal reconstruction in children, as demonstrated in a case involving an 8-year-old with a benign tumor.
  • The procedure involved the use of a laryngeal mask airway (LMA) and a bilateral cervical plexus block to manage anesthesia while allowing the patient to breathe spontaneously.
  • The results showed successful reconstruction with proper oxygenation throughout the surgery, suggesting this approach could be a viable alternative for similar pediatric surgeries.
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Article Synopsis
  • Deep brain stimulation (DBS) is a common treatment for Parkinson's disease (PD) when symptoms are hard to control with medication, with this review comparing outcomes of surgery using general anesthesia (GA) versus local anesthesia plus sedation (LA + S).
  • The review included 3 randomized studies with 203 patients, analyzing various health measures like motor improvement and risk of complications post-surgery.
  • Findings showed no significant differences in clinical outcomes, infection rates, or mood changes between the two anesthesia methods after a 6-month follow-up.
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Meso-scale reorganization of local-global brain networks under mild sedation of propofol anesthesia.

Neuroimage

August 2024

Department of Biomedical Engineering, College of Engineering, Shantou University, Shantou 515063, Guangdong, China. Electronic address:

The fragmentation of the functional brain network has been identified through the functional connectivity (FC) analysis in studies investigating anesthesia-induced loss of consciousness (LOC). However, it remains unclear whether mild sedation of anesthesia can cause similar effects. This paper aims to explore the changes in local-global brain network topology during mild anesthesia, to better understand the macroscopic neural mechanism underlying anesthesia sedation.

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Objective: To assess the perioperative analgesic effects of bilateral ultrasound (US)-guided quadratus lumborum block (QLB) using low-volume (LV) or high-volume (HV) bupivacaine, compared to a control group, in cats undergoing ovariectomy.

Animals: 48 healthy female cats.

Methods: Cats were sedated with IM dexmedetomidine (5 µg/kg), ketamine (1 mg/kg), and methadone (0.

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Objective: To describe the surgical technique for removal of hoof wall masses in horses under standing sedation (SS) and local anesthesia (LA), and to report complications and long-term outcome following surgery.

Study Design: Observational retrospective study.

Animals: Client-owned horses (n = 30).

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Article Synopsis
  • Researchers studied how different types of anesthesia affect patients getting treatment for a type of stroke.
  • They found that using non-general anesthesia can lower the chances of patients dying in the hospital and reduce how long they need to stay.
  • The results suggest that using non-general anesthesia could be better for patients, with fewer problems after the procedure.
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Surgical-site infections (SSIs) at implant sites in horses are sometimes difficult to control with systemic antimicrobials. Because one of the likely reasons is insufficient antimicrobial concentrations, there is a need to increase these concentrations in and around the infected tissue. Marbofloxacin (MAR)-encapsulated microparticles (MAR-MPs) made of biodegradable poly (lactic-co-glycolic) acid are capable of sustained release in vitro.

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Conscious sedation for the management of peritonsillar abscess in pediatric patients: A prospective case series and literature review.

Int J Pediatr Otorhinolaryngol

August 2024

Department of Otolaryngology and Head and Neck Surgery, Shaare-Zedek Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Israel. Electronic address:

Article Synopsis
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Researchers have found that individuals with red hair often require higher doses of anesthetic medications to achieve the same level of pain relief or sedation compared to people with other hair colors. This review investigates the effects of local and systemic anesthetics in individuals with red hair compared to the general population. Focusing on both local and systemic anesthesia, this research aims to elucidate any distinctive responses or complications among the red-haired demographic.

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Pediatric procedure-related pain management is often incompletely understood, inadequately addressed, and critical in influencing a child's lifelong relationship with the larger healthcare community. We present a comprehensive review of infiltrative anesthetics, including a comparison of their mechanisms of action and relative safety and efficacy data to help guide clinical selection. We also describe the multimodal utilization of adjunct therapies-in series and in parallel-to support the optimization of pediatric periprocedural pain management, enhance the patient experience, and provide alternatives to sedation medication and general anesthesia.

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Nomogram for Predicting Emergent Conversion to General Anaesthesia in Stroke Patients During Thrombectomy.

Acad Radiol

December 2024

Department of Interventional Radiology, The Affiliated Taizhou People's Hospital of Nanjing Medical University: Taizhou School of Clinical Medicine, Nanjing Medical University, No. 366, Taihu Road, Taizhou 215300, China. Electronic address:

Rationale And Objectives: The aim of this study was to develop and validate a nomogram for predicting emergent conversion to general anaesthesia (GA) in stroke patients during thrombectomy.

Methods: In this retrospective study, 458 patients (320 and 138 were randomised into the training and validation cohorts) were enroled. Univariable and multivariable logistic regression analyses were employed to identify risk factors for emergent conversion to GA.

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Comparative evaluation of intranasal dexmedetomidine, intranasal midazolam, and nitrous oxide for conscious sedation of anxious children undergoing dental treatment: A randomized cross-over trial.

J Indian Soc Pedod Prev Dent

April 2024

Department of Anaesthesiology, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India.

Background: Pharmacological methods, specifically sedatives, have gained popularity in managing the behavior of children during dental appointments.

Aim: The aim of this study was to compare 1 m/kg intranasal dexmedetomidine, 0.3 mg/kg intranasal midazolam, and nitrous oxide in evaluating the level of sedation, behavior of the child, onset of sedation, physiologic signs, and adverse effects.

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Purpose Of Review: Recent studies have suggested that prolonged or repeated episodes of general anesthesia early in childhood may adversely affect neurodevelopment. This, combined with rising healthcare costs and decreasing access, has sparked interest in performing pediatric procedures in the office setting when possible. It is essential to address the physical and psychological discomfort that often accompany this experience, particularly in children.

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Background: Planning the extent of paediatric dental treatment under deep sedation is highly important, as the duration of the sedation should be limited to approximately 1 h, and the amount of local anesthesia is limited by the children's body weight.

Aim: To compare treatment plans estimated at initial examinations with actual dental treatments under intravenous deep sedation. We examined factors that could affect the differences.

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A novel approach to ear pain in the horse: A case report.

Open Vet J

May 2024

Department of Veterinary Science, University of Turin, Grugliasco, Italy.

Background: During electrochemotherapy (ECT), a chemotherapeutic drug is injected into the tumor and then an electroporation is provided. In horses, ear manipulation may be very painful, and combining a loco-regional technique with sedation might be a good option to avoid anesthesia-related risks. A two-injection-point block of the internal and external pinna and acoustic meatus was described in horse cadavers, and it permitted complete stain of all three branches of the great auricular nerve (GAN), internal auricular nerve branch (IAB), lateral auricular branch (LAB), and caudal auricular nerve (CAN), suggesting a lower risk of intra-parotid injection during the IAB and LAB block.

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Introduction: Percutaneous tenotomy of the Achilles tendon is a procedure that is part of the Ponseti method for clubfoot correction. The need to apply general anesthesia or sedation for this procedure is controversial. The objective of this study is to compare the acute stress generated in infants by percutaneous Achilles tenotomy under local anesthesia vs.

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