Anaesthesia, resuscitation, and intensive therapy
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Anaesth Resusc Intensive Ther · Oct 1976
Comparative StudyComparative studies of artificial respiration sets for babies and infants.
In experiments on appropriately modified manikins the action and effectiveness of artificial respiration sets for infants Penlon (British production) and Ambu (Danish production) were compared. The tidal volume, pressure and characteristics of respiratory phases, rebreathing, oxygen concentration, safety systems and their effect on ventilation were assessed. It was found that better ventilation parameters for the needs of resuscitation of newborns and babies can be obtained using the Ambu set, particularly when compliance is lower and bronchial resistance is higher. The Ambu set is simple, easy and safe to use.
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Anaesth Resusc Intensive Ther · Jul 1976
Acid-base balance and blood gases changes and "lactate excess" in acute respiratory alkalosis during general anaesthesia.
In 40 young males aged 18-20 years operated on for inguinal hernioplasty acute respiratory alkalosis was obtained in the 45th minute of general anaesthesia. The values of basic acid-base balance parameters, blood gases, pyruvate and lactate levels and "lactate excess" were determined before and after hyperventilation. ⋯ No changes were observed in the oxygenation of capillary blood and the values of "lactate excess" were normal which rules out tissue hypoxia during acute respiratory alkalosis. Passive hyperventilation being a less dangerous alternative of hypoventilation is a frequent occurrence during general anaesthesia and it causes transient respiratory alkalosis.
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Anaesth Resusc Intensive Ther · Jan 1976
Case ReportsAnaphylactic shock following althesin. A case report.
The authors present a case of anaphylactic shock in a 9-year-old girl with heamorrhagic rash developing during anaesthesia. Shock was controlled with steroids, antihistamine drugs and dextran. The authors find it important to consider the possibility of the development of intravascular clotting in anaphylactic shock and the necessity of seeking a history of any allergy in patients before althesin anaesthesia.
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Anaesth Resusc Intensive Ther · Apr 1975
Case ReportsKetamine anaesthesia for caesarean section in poor-rick patients.
Caesarean section in a poor-risk patient treated intensively before and after operation is described. The operation was carried out when the patient was in diabetic coma with metabolic acidosis, electrolyte disturbances and low arterial blood pressure. Anaesthesia was conducted using ketamine with nitrous oxide and oxygen. Controlled respiration was performed administering fractionated doses of suxzmethonium.
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Anaesth Resusc Intensive Ther · Jan 1975
Assessment of arterial blood oxygenation in various states of acute respiratory failure.
The study contains an analysis of the clinical course of 48 patients with acute respiratory failure. The degree of arterial hypoxaemia and respiratory failure were correlated with the value of true pulmonary shunt of non-oxygenated blood. ⋯ The value of 47% of shunt was accepted as that with is incompatible with survival. It was demonstrated that determinations of pulmonary shunt are superior to A-aP02 measurements in assessment of the ventilatory function of the lungs.