Browsing by Subject "anesthesia"
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Item Accidental Central Venous Catheter Placement in the Internal Thoracic Vein: A Case Report(2020-09-12) Goodin, Patrick M.Item Anterior Cricoid Shelf: Subglottic Stenosis or Normal Anatomy?(2021-09-18) Brown, Kayla; Cochran, Sean; Backfish-White, Kevin; Yu, Corinna J.Item Artificial CO₂ Pneumothorax for Diaphragmatic Plication(2020-09-12) McGrath, Mackenzie; Neuman, Nicholas; Soi, Tejinder; Yu, CorinnaItem Cardiac Tamponade: An Adult Simulation for CA1 Residents(2020-09-12) Tenbarge, Madison; Boles, Brady; Geiser, Matthew; Mercho, Raphael; Boyer, TannaItem Checklist Improves Patient Safety and Reduces Margin of Error in Anesthesia Administration(2020-09-12) Umukoro, Nelly N.; Obisesan, Aderonke O.Item Chronic Pain Management: The Importance of Sex and Gender-Based Approach(2020-09-12) Sedaghat, A; Rohr-Kirchgraber, T.Item A Comparison of Favored Learning Modalities(2020-09-12) Priddy, Connor; Dahl, John P.; Mitchell, Sally A.; Boyer, Tanna J.Item Comparison of Intraoperative and Early Postoperative Outcomes of Caudal Versus Dorsal Penile Nerve Blocks for Outpatient Penile Surgeries(Elsevier, 2017) Chan, Katherine H.; Shah, Aali; Moser, Elizabeth A.; Szymanski, Konrad; Whittam, Benjamin M.; Misseri, Rosalia; Kaefer, Martin; Rink, Richard; Cain, Mark P.; Urology, School of MedicineObjective To compare intraoperative and 1-hour postoperative outcomes in caudal versus dorsal penile nerve block (DPNB) patients undergoing penile surgeries. Material and Methods We performed a retrospective cohort study of males <10 years old undergoing penile procedures (2013-2015) using the Pediatric Regional Anesthesia Network, Pediatric Health Information System databases and our medical records. The primary outcome was a maximum Faces Limbs Activity Crying Consolability pain score > 3. Secondary outcomes were intraoperative/post-anesthesia care unit (PACU) narcotics, pre-incision anesthesia time, adjusted operating room charges and complications. We performed bivariate and multivariable analyses controlling for demographic/procedure characteristics and clustering by surgeon. Results Of 738 patients, (mean age 2.1 years) 74.1% had a caudal. DPNB patients were more likely to have a maximum pain score >3 (19.5% vs. 8.1%, p<0.0001), receive intraoperative (33.0% vs.2.9%, p<0.0001) and PACU narcotics (15.7% vs. 7.5% vs. p=0.0009), had shorter pre-incision anesthesia time (19.5 vs. 27.9 minutes, p<0.0001) and lower adjusted operating room charges ($9,402 vs. $12,760, p<0.0001). In a bivariate logistic regression, DPNB patients had 2.7 times the odds of a maximum pain score > 3 (95% CI 1.7- 4.4, p<0.0001) and 5.2 times the odds of intraoperative/PACU narcotic administration (95% CI 3.3-8.1, p<0.0001). In multivariable analyses, caudal patients had longer pre-incision anesthesia time (27.9 ± 7.4 vs. 19.5 ± 6.6 minutes, p<0.0001) and higher adjusted operating room charges ($12,760 ± 4077 vs. $9,402 ± 3741, p=0.01). Conclusion Caudal blocks may offer a small advantage in the immediate postoperative period although cost-effectiveness is unproven.Item Comparison of Pethidine-Ketorolac Versus Pethidine Alone for Postoperative Pain After Limb Implants(2020-09-12) Umukoro, Nelly N.; Jamgbadi, Shola S.; Isamade, Erdoo S.