Articles: general-anesthesia.
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We collected data on postoperative nausea and vomiting from 3850 patients aged 11-91 years. Thirty-seven percent of the 3244 patients who received a general anaesthetic reported nausea and 23.2% vomited. Twenty percent of the 606 patients who received a local anaesthetic reported nausea and 11.4% vomited. ⋯ Anxiety before general, but not local, anaesthesia was associated with postoperative nausea (p < 0.001) but not vomiting. Patients from the gynaecological, orthopaedic, ENT and general surgical wards had higher incidences of postoperative nausea and vomiting. Linear visual analogue pain scores were higher in patients with postoperative nausea and vomiting in both general and local anaesthesia groups (p < 0.001).
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Ann Fr Anesth Reanim · Jan 1994
[Lack of sensitivity to per-anesthetic malignant hyperthermia in 32 patients who developed neuroleptic malignant syndrome].
The aim of this study was to verify whether a relationship exists between neuroleptic malignant syndrome (NMS) and anaesthetic-induced malignant hyperthermia (MH) or not. The in vitro halothane-caffeine tests were performed on muscle tissue obtained from 32 patients with documented NMS episodes. The diagnosis of NMS relied on Levenson's criteria. ⋯ Three patients were classified as MH equivocal. These findings demonstrate the lack of any link between NMS and MH. Therefore, patients with a history of NMS are not likely to be at risk of developing MH and special measures against MH are not required for anaesthesia in these patients.
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Berl Munch Tierarztl · Jan 1994
[Possibilities and limits of pulse oximetry for monitoring anesthesia in horses].
In this paper the measurement technique pulse oximetry is examined in 25 halothane-anaesthetized horses. Furthermore measures are presented which lead to a successful sensor placement at the tongue of the horse. ⋯ Pulse oximetry is an important progress in equine patient monitoring. A decline of oxygen saturation in the blood is detected immediately and the registration of the pulse amplitude renders a rough estimation of the quality of peripheral perfusion.
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Anaesth Intensive Care · Dec 1993
Randomized Controlled Trial Comparative Study Clinical TrialCombined epidural and general anaesthesia versus general anaesthesia for abdominal aortic surgery: a prospective randomised trial.
Fifty patients undergoing elective abdominal aortic surgery were randomised to receive either combined epidural and general anaesthesia and postoperative epidural analgesia (CEGA) or general anaesthesia and postoperative intravenous morphine infusion (GA). Prospective data was collected in order to compare the two groups. This included intraoperative cardiovascular changes and postoperative complications. ⋯ Two patients in the CEGA group died postoperatively compared to one in the GA group (not significant). There was no significant difference between groups in the total number or type of postoperative complications. Combining epidural anaesthesia with general anaesthesia altered intraoperative cardiovascular management but did not affect postoperative outcome.