Anaesthesiology intensive therapy
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Anaesthesiol Intensive Ther · Jan 2014
Observational StudyIntraoperative awareness during general anaesthesia: results of the observational survey.
Intraoperative awareness is a rare but extremely unfavourable phenomenon affecting 0.1-0.2% of patients who undergo surgery under general anaesthesia. The event exposes patients to stress and its remote, severe outcomes. The aim of the present study was to determine the incidence of intraoperative awareness in patients undergoing general anaesthesia. ⋯ The incidence of intraoperative awareness in our study was low. The intraoperative monitoring including clinical analysis of anaesthetized patient as well as measurement of end-tidal concentration of volatile anaesthetic agent seems to be sufficient for prevention of episodes of awareness during general anaesthesia.
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Anaesthesiol Intensive Ther · Jan 2014
Effect of oral gabapentin on haemodynamic variables during microlaryngoscopic surgery.
Manipulation of the larynx, such as laryngoscopy and tracheal intubation, is associated with haemodynamic and cardiovascular responses. In microlaryngoscopic procedures, these responses are more severe than laryngoscopy for endotracheal intubation because in microlaryngoscopic surgeries laryngoscope fixes for a longer time (15-20 minutes compared to 15-30 seconds in tracheal intubation). This study was performed to evaluate the effect of 800 mg oral gabapentin on the haemodynamic variables during microlaryngoscopic surgery. ⋯ 800 mg oral gabapentin given 90 min before a procedure attenuates the rise of diastolic blood pressure and mean arterial blood pressure in the first 15 min after microlaryngoscopy surgery, but has no effect on systolic blood pressure or heart rate.