Acta anaesthesiologica Sinica
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Acta Anaesthesiol. Sin. · Mar 1994
Outcome of surgery and anesthesia in patients 80 years of age and older.
We studied retrospectively the outcome of surgery and anesthesia in 294 patients aged 80 and older who underwent 362 surgical procedures. Of these, 52 cases (14.4%) were admitted to intensive care unit (ICU) post-operatively. The 48-hour, 48-hour-to-30-day and overall mortality rates were 0.8%, 3.8% and 5.2% respectively. ⋯ Only 2.5% (7 cases) of cases who underwent extra-pleural and extra-peritoneal procedures required controlled ventilation for more than 24 hours post-operatively. Of these, 2 died subsequently. For comparison, the study were artificially divided into two phases, each of three years long: they were the period from 1986-1988 and the period from 1989-1992.(ABSTRACT TRUNCATED AT 250 WORDS)
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Acta Anaesthesiol. Sin. · Mar 1994
Comparative Study[Comparison of double-lumen endobnonchial versus single-lumen endotracheal tube anesthesia in bilateral thoracoscopic sympathectomy].
Since the development of video endoscopic surgery, the number of transthoracic endoscopic sympathectomy has been increasing. The use of double-lumen endobronchial tube or single-lumen endobronchial tube during anesthesia for these surgeries has been a controversial. 385 palmar hyperhidrosis patients divided into three groups: group I, under alterative one lung ventilation anesthesia with double-lumen endobronchial tube; group II, under alterative one lung ventilation anesthesia with single-lumen endobronchial tube; group III, under two lung ventilation anesthesia with single-lumen endobronchial tube were studied. All had received bilateral thoracoscopic sympathectomy. ⋯ The average anesthesia durations for group I, II and III were 38.56 +/- 10.28, 34.14 +/- 5.21, 31.83 +/- 3.34 min respectively. The variables considered in the study were: physique of the patients; duration of anesthesia; airway pressure changes; SaO2 changes during the operation and post-anesthesia complaints. We found that upon using double-lumen endobronchial tube, SaO2 levels was better maintained especially in the obese patients and the patients who had received a traditional surgical operation before.
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Liver is the largest organ and is located in the right upper quadrant of the abdominal cavity. Surgery for liver transplantation is performed through a large skin incision, which gives considerable pain post operatively. We experienced 10 cases of liver transplant, 3 cases used meperidine 0.5 mg/kg intramuscularly, 3 cases used epidural morphine analgesia, and for the remainder 4 cases, we used morphine 2-3 mg intravenously as needed. ⋯ Patients in all three groups were equally satisfied with their analgesic therapy post-operatively. As all patients expect pain after surgery, they were satisfied when the pain was less than what they had anticipated. Blood gases analysis was however better in patients with epidural morphine analgesia.