Articles: general-anesthesia.
-
Pulmonary aspiration of gastric contents during the perioperative period may be associated with postoperative mortality or pulmonary morbidity. Recent determination of the incidence of perioperative pulmonary aspiration and evaluation of factors related to clinical outcomes is lacking. ⋯ This study suggests that patients with clinically apparent aspiration who do not develop symptoms within 2 h are unlikely to have respiratory sequelae.
-
Comparative Study
[The use of vecuronium bromide (Norcuron) during balanced general anesthesia for abdominal operations].
The new nondepolarizing muscle relaxant vecuronium bromide (Norcurone) was applied to 30 patients in the course of general balanced anesthesia for abdominal operations. The advantages of Norcurone over other similar nondepolarizing muscle relaxants used so far are pointed out. The fact that Norcurone has no adverse effect on the hemodynamics is considered essential advantage for its acceptance in anesthesiologic practice.
-
Anesthesia progress · Jan 1993
Case ReportsTotal intravenous anesthesia with propofol for thymectomy in a patient with myasthenia gravis.
Experience with the use of propofol for induction and maintenance of anesthesia in patients with myasthenia gravis is limited. This case report documents the safe use of propofol in a patient with myasthenia gravis. Because of its unique pharmacodynamic and pharmacokinetic profile, propofol may be an ideal agent for safe use in the young patient with myasthenia gravis.
-
Review Case Reports
[Definitive transient monocular blindness caused by ocular compression during general anesthesia].
We present a case of irreversible monocular blindness caused by obstruction of the central retinal artery detected in a young patient without any previous history, when waking up from a surgical procedure performed under general anesthesia. Clinical and complementary investigations were not conclusive. ⋯ The fact that the patient was simultaneously submitted to a controlled low blood pressure may have worsened the effects of the compression. Reviewing the medical literature on the subject reveals that, although rare, such accidents do occur; they must be prevented by a constant surveillance when performing surgical procedures.
-
Laparoscopic surgery may be associated with increased perioperative morbidity due to respiratory and cardiocirculatory problems. Preoperative assessment requires a diagnostic program including laboratory tests and noninvasive diagnostic studies, and a physical status classification. ⋯ Increased intraoperative morbidity is expected in patients with manifest cardiac failure or severely restricted pulmonary function. In patients with moderate pulmonary dysfunction laparoscopic procedures seem to be associated with the benefit of a better postoperative pulmonary function.