Anesthesiology
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Patients who had upper respiratory tract gram-negative bacillary colonization and noncolonized patients were followed through surgical procedures to determine what bacterial organisms would be deposited in anesthesia apparatus. Anesthesia machines were cultured for bacteria in many locations before and after each surgical procedure. Six machines in routine operating room use were studied after use on six colonized patients and nine uncolonized patients. ⋯ Intentional contamination of a sterilized anesthesia machine with two gram-negative organisms confirmed the clinical observations. Analysis of oxygen and nitrous oxide gas sources for bacteria had negative results. Basic hygienic management of anesthesia machines will ensure safety from the standpoint of cross-infection.
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Comparative Study
Acid-base status in diabetic mothers and their infants following general or spinal anesthesia for cesarean section.
Acid-base status was studied in 30 diabetic mothers and their infants and in 30 healthy mothers and their babies after general or spinal anesthesia for cesarean section. A normal acid-base state was found for the diabetic subjects following general or spinal anesthesia. ⋯ These values were significantly lower than those observed in the infants of the other groups, where the average pH was between 7.28 and 7.30 and the base excess between -1.87 mEq/l and 1.00 mEq/l. These findings were significantly related to maternal diabetes and maternal hypotension.