Small doses of propofol or fentanyl at the end of sevoflurane anaesthesia comparably reduced EA. Propofol was better than fentanyl due to a lower incidence of nausea and vomiting.
We have developed an MR method to measure the volumes of renal cysts and parenchyma in patients with polycystic kidney disease. Phantoms were designed to simulate polycystic kidneys. Four patients were recruited. MR scans were performed on the phantoms and patients. A stereology technique was applied for image segmentation and volume measurement. Volumetric measurement of renal cysts and parenchyma was accurate in phantom studies and reliable in both phantom and patient studies in these limited examples.
Recently, demand for minimally invasive surgery has increased greatly. As a result, robot-assisted techniques have gained in popularity, because they overcome several of the shortcomings of conventional laparoscopic techniques. However, robotic surgery may require innovations with regard to patient positioning and the overall arrangement of operative equipment and personnel, which may go against the conservative nature of anesthesia care. Anesthesiologists should become familiar with these changes by learning the basic features of robotic surgical systems to offer better anesthetic care and promote patient safety.
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