Articles: general-anesthesia.
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Six cases of acute transient enlargement of the parotid gland under general anesthesia, so called anesthesia mumps, are reported. Patient 1 was placed in the left lateral position and the left parotid gland was subsequently observed to be diffusely enlarged. With five patients in the prone position, bilateral parotid gland enlargement was observed. ⋯ Mechanical compression by sheet amadou may have produced the swelling in the patient who was placed in a lateral position. In the prone position, changes in the autonomic nervous system during surgical procedures and anesthesia, vascular congestion resulting from the surgical position, an overactive pharyngeal reflex stimulated by endotracheal intubation and mechanical ventilation are discussed as possible causes. Evaluation of the occurrence and clinical course of anesthesia mumps provided useful diagnostic and management data.
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There is nowadays virtually no contraindication to anaesthesia for even small, sick neonates provided that adequate resuscitation is first carried out. Furthermore, apart from severe trauma and airway difficulties, very few paediatric surgical emergencies require immediate intervention. Most emergencies can be treated within a few hours, preferably when the full facilities of the hospital are available.
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We wished to identify patients able to recall intraoperative events after general anaesthesia involving cardiopulmonary bypass (CPB). A balanced anaesthetic technique consisting of benzodiazepines, low dose fentanyl (15.9 +/- 8.5 micrograms.kg-1) and a volatile agent was employed. Perioperative recall was sought utilizing a structured interview on the fourth or fifth postoperative day. ⋯ The incidence of recall in patients undergoing cardiac surgery was less in our group than previously reported. It is, however, higher than the 0.2% incidence recently reported in patients undergoing non-cardiac surgery. This is probably due to patient characteristics and intraoperative factors which make it difficult to avoid periods of relatively light anaesthesia during cardiac surgery.
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Tijdschr Gerontol Geriatr · Oct 1993
Review[The role of general or regional anesthesia in the etiology of cognitive disorders in elderly subjects. Literature review].
In the eighties and nineties, eighteen papers were published concerning the influence of general or regional anaesthesia on mental function of elderly patients. In both groups mental changes can be found in the immediate post-operative period, but not on the long term. Analysis of these studies shows a relation between postoperative mental changes and, for example, high doses of drugs, a low preoperative level of mental performance or other factors, associated with personality and environment of the patient.