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Abdullah Nabhan, Wolf-Ingo Steudel, Lutfi Dedeman, Jehad Al-Khayat, and Basem Ishak

Carpal Tunnel Release using a modified application technique of local anesthesia: safety and effectiveness . J Brachial Plex Peripher Nerve Inj 3 : 11 , 2008 13 Patil S , Ramakrishnan M , Stothard J : Local anaesthesia for carpal tunnel decompression: a comparison of two techniques . J Hand Surg Br 31 : 683 – 686 , 2006 14 Sander HW : Carpal tunnel syndrome: Classification and surgical indications . Surg Neurol 50 : 388 – 389 , 1998 15 Saw NL , Jones S , Shepstone L , Meyer M , Chapman PG , Logan AM : Early outcome and

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William F. Bingham

under local anesthesia. Ann Surg 81: 213–222, 1925 30. Elsberg CA : Experiences in cranial surgery. Surg Gynec Obstet 9 : 468 – 480 , 1909 Elsberg CA: Experiences in cranial surgery. Surg Gynec Obstet 9: 468–480, 1909 31. Elsberg CA : Experiences in thoracic surgery under anaesthesia by the intratracheal insufflation of air and ether: with remarks on the value of the method for general anaesthesia. Ann Surg 54 : 749 – 757 , 1911 Elsberg CA: Experiences in thoracic surgery under anaesthesia

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J. Robert S. Hales, John D. Yeo, Stefanie Stabback, Alan A. Fawcett, and Raymond Kearns

employ anesthesia, and frequently a laminectomy is also necessary. Anesthesia alters BF in many tissues, particularly the brain, 6 and there are regional differences in effects. 3, 20 There appears to be only one study of effects of laminectomy on SCBF. 1 Preliminary observations in this laboratory 28 yielded results sufficiently at variance with these reports that a detailed definition of “normal regional SCBF” and the effects on it of anesthesia and laminectomy was warranted before proceeding with studies of effects of experimental injury on SCBF. Materials

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Anthony C. Wang, Khoi D. Than, Arnold B. Etame, Frank La Marca, and Paul Park

accomplished as well, but it is an impractical method, given the complex electromagnetic environment within the operating room and the ease of electrical stimulation. 8 Early attempts at MEP monitoring encountered similar difficulties, with signal suppression due to anesthesia. Inghilleri et al. 11 first reported improved monitoring with paired stimulation, which is attributed to effective accumulation of excitatory postsynaptic potentials at the level of the anterior horn motor neurons. Application of a short train of stimulation, spaced 2–5 msec apart, was found to

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Alan A. Artru

D uring prolonged halothane anesthesia (for 3½ hours), a late-occurring sustained increase of cerebrospinal fluid (CSF) pressure has been observed in dogs. 4 Unlike the early transient increase of CSF pressure associated with halothane anesthesia, 4, 18 the later, sustained increase could not be explained solely by an increase in cerebral blood volume (CBV). 4 Previously, Van Landingham, et al. , 24 reporting on their study in cats, noted that when data on CSF pressure from short-term (several-minute infusions) manometric studies were fit to a nonlinear

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David J. Boarini, Neal F. Kassell, and Hans C. Coester

, et al : Recovery after intravenous barbiturate anaesthesia. Comparative study of recovery from methohexitone and thiopentone. Lancet 2 : 68 – 70 , 1962 Elliott CJR, Green R, Howells TH, et al: Recovery after intravenous barbiturate anaesthesia. Comparative study of recovery from methohexitone and thiopentone. Lancet 2: 68–70, 1962 8. Gruber CM Jr , Stoelting VK , Forney RB , et al : Comparison of an ultrashort acting barbiturate (22451) with thiobarbiturates during anesthesia. Anesthesiology 18

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Robert F. McLain, Iain Kalfas, Gordon R. Bell, John E. Tetzlaff, Helen J. Yoon, and Maunak Rana

Intensive Care 14: 373–380, 1986 3. Covino BG : Rationale for spinal anesthesia. Int Anesthesiol Clin 27 : 8 – 12 , 1989 Covino BG: Rationale for spinal anesthesia. Int Anesthesiol Clin 27: 8–12, 1989 4. Davis FM , Laurenson VG , Lewis J , Wells JE , Gillespie WJ : Metabolic response to total hip arthroplasty under hypobaric subarachnoid or general anaesthesia. Br J Anaesth 59 : 725 – 729 , 1987 Davis FM, Laurenson VG, Lewis J, Wells JE, Gillespie WJ: Metabolic response to

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Kai-Michael Scheufler and Josef Zentner

: 228–233, 1997 31. Watt JW , Fraser MH , Soni BM , et al : Total i.v. anaesthesia for transcranial magnetic evoked potential spinal cord monitoring. Br J Anaesth 76 : 870 – 871 , 1996 Watt JW, Fraser MH, Soni BM, et al: Total i.v. anaesthesia for transcranial magnetic evoked potential spinal cord monitoring. Br J Anaesth 76: 870–871, 1996 32. Woodforth IJ , Hicks RG , Crawford MR , et al : Variability of motor-evoked potentials recorded during nitrous oxide anesthesia from the

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Martin D. Sokoll, Samir D. Gergis, and Neil F. Kassell

effect of induced hypotension under both balanced and enflurane anesthesia on cardiac output, arterial and mixed venous oxygen tension and content, and intrapulmonary shunting. Clinical Material and Methods Forty patients aged 18 to 75 years agreed to participate in a study approved by the Human Research Committee of our institution. All the patients had intracranial aneurysms that were scheduled to be clipped. The patients were premedicated with diazepam, 10 mg, and atropine, 0.3 mg. In 22 patients anesthesia was induced with thiopental, 3 to 5 mg/kg, and

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Neurosurgical Forum: Letters to the Editor To The Editor Laurence Marshman , M.D. Surrey, United Kingdom 241 241 Abstract Object. This study was aimed at clarifying the effect of intraoperative hypotensive anesthesia on the outcome of early surgery in patients with subarachnoid hemorrhage (SAH) caused by saccular cerebral aneurysms. Other factors were also screened for possible effects on the outcome. Methods. Hospital charts in 84 consecutive patients with SAH who underwent aneurysm clipping by Day 4 were