Rhode Island Anesthesia Services

07/28/2025

Physostigmine is a drug that inhibits the action of cholinesterase, which breaks down acetylcholine, a neurotransmitter that plays an important role in muscle movement and the function of brain neurons. It is useful across a range of conditions in which a deficiency of acetylcholine is present or in which it is useful to promote an increase in acetylcholine in nerve synapses.

Physostigmine is a drug that inhibits the action of cholinesterase, which breaks down acetylcholine, a neurotransmitter that plays an important role in muscle movement and the function of brain neurons. It is useful across a range of conditions in which a deficiency of acetylcholine is present or in...

06/23/2025

Claustrophobia, the intense fear of confined or enclosed spaces, can pose unique challenges in medical environments. Whether for an MRI scan, surgery, or dental work, patients with claustrophobia may experience heightened anxiety, panic attacks, or outright refusal of treatment. For clinicians, understanding and accommodating these fears is essential to providing safe and effective care.

Claustrophobia, the intense fear of confined or enclosed spaces, can pose unique challenges in medical environments, where patients may need to be in diagnostic or procedural settings that trigger their claustrophobia. Whether for an MRI scan, surgery, or dental work, patients with claustrophobia ma...

12/17/2024

Recognition of pain in the post-operative period – whether due to patients reporting their pain or clinical appraisal of pain – is imperative for adequate analgesic management. As anesthesia used during the procedure wears off, maintaining an appropriate level of pain relief is essential for patient outcomes and recovery.

Recognition of pain and pain reporting in the post-operative period is imperative for adequate analgesic management.

11/25/2024

Anesthetic agents come in various forms, including oral and intravenous (IV), and have different chemical compositions to suit different clinical situations and patient needs. Anesthetics with both oral and IV forms provide versatility, allowing healthcare providers to tailor sedation and analgesia depending on factors such as the procedure type, patient health, and the desired onset of action. These anesthetics include midazolam, ketamine, and certain opioids, with some research on adding other drugs to this list.

Anesthetics with both oral and IV forms provide versatility, allowing healthcare providers to tailor sedation and analgesia.

10/03/2024

In obstetric care, the choice of anesthesia plays a pivotal role in ensuring the safety and comfort of both mother and infant.

Research shows that cesarean deliveries under general anesthesia result in increased maternal complications, including greater blood loss and higher risks of infection, compared to neuraxial anesthesia.

08/07/2024

The management of patients with tracheal stenosis presents a number of significant challenges, including the potential for airway obstruction, difficulty in ventilation, and an increased risk of perioperative complications.

Adherence to these principles can significantly reduce perioperative morbidity and mortality in patients with tracheal stenosis.

07/18/2024

Predicting outcomes is a critical aspect of planning and patient management. Understanding the potential risks and complications that might arise after surgery helps providers deliver better care and improve rates.

Comorbidities' role in predicting postoperative outcomes, enhancing patient care and surgical success rates.

07/03/2024

Pulmonary hypertension (PH) is a condition that causes high blood pressure in the arteries of the lungs. While the signs and symptoms of PH can be nonspecific, patients usually present with shortness of breath and fatigue, which progressively worsen over time until right-sided heart failure develops.

Pulmonary hypertension and right-sided heart failure present unique challenges for anesthesia and surgery and increase the risk of perioperative mortality and morbidity.

06/20/2024

The management of postoperative pain in pediatric patients is a critical component of surgical care, as it directly influences recovery speed, overall comfort, and the risk of developing chronic pain.

The comparison between postoperative pain in pediatric patients with propofol or sevoflurane.

06/10/2024

Fascial plane nerve blocks are a type of regional anesthesia that offer versatile and effective pain management in various surgical and chronic pain settings. By targeting specific planes within the fascial layers, these nerve blocks provide localized analgesia with minimal side effects, enhancing patient comfort and recovery.

There are several types of fascial plane nerve blocks, each tailored to target specific regions of the body.

06/03/2024

diseases affect many people worldwide and can have severe impacts on quality of life and function. Fortunately, numerous eye conditions, including cataracts, glaucoma, and corneal injury, now have the option of surgical treatment.

Fortunately, numerous eye conditions, including cataracts, glaucoma, and corneal injury, now have the option of surgical treatment.

04/01/2024

While the sensation of pain is ubiquitous, the report of or reaction to pain can differ dramatically across species and individuals.