Regional anesthesia

Regional anesthetic techniques provide powerful analgesia during the postoperative period. Evidence is increasing that epidural local anesthetics and/or opioids may even improve cardiovascular and pulmonary morbidity in some patient subgroups (e.g. major abominal surgery, vascular surgery, morbidly obese). The most promising results have been achieved in patients with thoracic epidural anesthesia and combined local anesthetics and opioids (bupivacaine plus morphine). The greatest concerns about epidural anesthesia in the ICU are associated with an increased risk of hemorrhage in anticoagulated patients or those with coagulation disorders and an increased risk of spinal infections. Experience with prolonged epidural analgesia in long-term ventilated patients is limited. Therefore the possible beneficial effects of central neuraxial blocks in ventilated patients should be carefully weighed against the possible risks on an individual basis.

Sleep Apnea

Sleep Apnea

Have You Been Told Over And Over Again That You Snore A Lot, But You Choose To Ignore It? Have you been experiencing lack of sleep at night and find yourself waking up in the wee hours of the morning to find yourself gasping for air?

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