Anaesthesia and intensive care
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Anaesth Intensive Care · Jun 2000
Case ReportsTarget-controlled intravenous anaesthesia with bispectral index monitoring for thoracotomy in a patient with severely impaired left ventricular function.
The anaesthetic management of an elderly patient with severely impaired left ventricular function undergoing thoracotomy and lobectomy is described. Total intravenous anaesthesia (TIVA) with remifentanil and target-controlled infusion of propofol titrated according to the bispectral index (BIS) was used, with thoracic epidural anaesthesia commenced at the end of surgery providing postoperative analgesia. ⋯ The rapid offset of action of remifentanil and low-dose propofol facilitated early recovery and tracheal extubation. The BIS was a valuable monitor in optimal titration of TIVA.
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Anaesth Intensive Care · Jun 2000
Case ReportsOesophageal rupture in a patient with postoperative nausea and vomiting.
Rupture of the oesophagus (Boerhaave's syndrome) is a rare complication of forceful or suppressed vomiting. Postoperative nausea and vomiting is common but does not usually lead to life-threatening complications. ⋯ Delayed diagnosis mandated conservative treatment. The clinical presentation, diagnosis and management of oesophageal rupture is discussed.
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Anaesth Intensive Care · Jun 2000
Letter Case ReportsDiathermy burn to a visitor in the operating theatre.
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Anaesth Intensive Care · Jun 2000
Letter Case ReportsEphedrine may predispose to arrhythmias in obstetric anaesthesia.