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PubMed · 10083932

Anesthesia for office endoscopy.

S Eige·E A Pritts·S F Palter·D L Olive
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Abstract

A trend is emerging in the United States whereby surgical procedures are gradually migrating to less complex environments. The demands of cost containment, pressures to limit unnecessary time delays, and desires for increased control have all conspired to promote ambulatory surgicenters, minor procedure center, and office surgical suites. Concomitant with this shift is a differing attitude toward anesthesia, with an increasing number of procedures using alternatives to general anesthesia, such as regional blocks and conscious sedation.

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Ambulatory Surgical ProceduresAnalgesics, OpioidAnesthesia, ConductionAnesthetics, LocalAttitude to HealthProcedural SedationCost ControlEndoscopyFemaleHumansHypnotics and SedativesMonitoring, IntraoperativeNerve BlockPatient Care PlanningPatient SelectionSurgicentersTime FactorsTreatment OutcomeJournal Article

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S Eige, E A Pritts, S F Palter, D L Olive. 1999. Anesthesia for office endoscopy.. https://doi.org/10.1016/s0889-8545(05)70060-7

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The role of gait analysis in the orthopaedic management of ambulatory cerebral palsy.

PURPOSE OF REVIEW: The literature was reviewed to describe the role of gait analysis in the orthopaedic management of ambulatory children with cerebral palsy and examine the current best evidence to support these roles. RECENT FINDINGS: Gait laboratory analysis is superior to visual or observational analysis of gait because it provides an objective record of gait that is able to quantify the magnitude of deviations of pathologic gait from normal and also explain these abnormalities. Recognizable gait patterns can be classified and used for making treatment decisions, the effectiveness of which can be assessed using gait analysis as a measure of gait outcomes. There are many sources of variability, however, including patients themselves, the gait laboratories and testing processes, interpretation of data and surgeons' surgical recommendations. SUMMARY: Although gait analysis has been shown to alter decision making, there is little evidence that the decisions based on gait analysis lead to better outcomes. Consequently, clinical gait analysis remains controversial, with wide variation in the rates of utilization of gait analysis in the management of children with ambulatory cerebral palsy. The time is ripe for clinical trials and cohort studies to provide the evidence to establish the appropriate utilization of this technology.

Ambulatory Surgical Procedures↗