Acta anaesthesiologica Scandinavica
-
Acta Anaesthesiol Scand · May 1996
Propofol anaesthesia in spontaneously breathing paediatric patients during magnetic resonance imaging.
The aim of this study was to evaluate the use of propofol to induce and maintain anaesthesia in spontaneously breathing paediatric patients (age 2 weeks-11 years) during Magnetic Resonance Imaging (MRI) of the CNS. ⋯ Propofol can be safely used for total intravenous anaesthesia in children undergoing MRI.
-
Acta Anaesthesiol Scand · May 1996
Gastric emptying of a light hospital breakfast. A study using real time ultrasonography.
While intake of clear fluids 2-3 h before surgery is considered safe as it does not influence gastric content, it is not known if the same applies to a light breakfast meal. We therefore studied gastric emptying of a light breakfast in healthy, female volunteers without evidence of gastrointestinal motility disorders. The test meal consisted of one slice of buttered toast with jam, one cup of coffee without milk or sugar and one glass of pulp-free orange juice taken together with a paracetamol mixture. ⋯ The gastric antral area returned to fasting value significantly faster than the disappearance of solid particles; median 150 min versus 210 min; P = 0.01. Our results show that in healthy subjects the stomach cannot be considered empty for solid particles the first 4 h after a light breakfast meal. To secure some safety limits, we suggest a 6-h mandatory preoperative fast after a light breakfast.
-
Acta Anaesthesiol Scand · May 1996
Case ReportsTransfusion-related acute lung injury (TRALI) after fresh frozen plasma in a patient with coagulopathy.
Transfusion-related acute long injury (TRALI) is due to specific antigen-antibody reaction involving the donor's leucocyte or granulocyte antibodies towards the recipient's antigens. Aggregation in small pulmonary vessels occurs, leading to derangement of permeability. ⋯ When TRALI is suspected the donor blood has to be tested against the recipient. Ventilatory support of the patient is continued until adequate oxygenation is reached.