Articles: general-anesthesia.
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Hysteria as a cause of failure to recover consciousness following general anaesthesia is a rare event. This case report describes such an instance in a young, healthy 22-year-old female suffering severe dental phobia who was undergoing dental conservation. The literature is reviewed and a summary of the possible physiological mechanisms involved is given.
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Anesteziol Reanimatol · Nov 1991
[General anesthesia in patients with abdominal trauma in a district hospital].
The paper reviews three techniques of anesthesia used in 113 patients with abdominal trauma and thoracoabdominal wounds. In 42 patients N2O-ether (halothane)-O2 anesthesia was used. In 40 patients thalamonal-hydroxybutyric analgesia was used. ⋯ In six patients trauma was incompatible with life. From the point of view of their effect on the cardiovascular system two techniques of anesthesia seem to be most advisable: thalamonal-hydroxybutyric general anesthesia and general anesthesia with ketamine. Postoperative lethality was 6 patients (5.6%).
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Surgery on the shoulder often causes severe pain and, therefore, requires high doses of opiates. As postoperative pain is frequently treated inadequately, it is desirable to seek alternatives for providing effective analgesia. In a prospective study we examined the efficacy of balanced anesthesia consisting of general anesthesia combined with interscalene brachial plexus blockade for intra- and postoperative analgesia for operations on the shoulder. ⋯ CONCLUSION. The combination of ISB and GA allows a reduction in intraoperative doses of opiates and facilitates postoperative pain management. Because of the low incidence of side effects, the lack of complications, and the high degree of patient acceptance, we recommend this type of balanced anesthesia for patients undergoing shoulder surgery.
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J. Cardiothorac. Vasc. Anesth. · Oct 1991
Randomized Controlled Trial Comparative Study Clinical TrialPostoperative course after sufentanil or fentanyl anesthesia for coronary artery surgery.
Postoperative hemodynamic effects were compared in 50 patients randomly selected to receive either sufentanil, 25 micrograms/kg, or fentanyl, 100 micrograms/kg, anesthesia for coronary artery bypass grafting. The two groups exhibited similar patient demographics; dose of premedicants and muscle relaxants; and use of inhalation agents. Values for 15 hemodynamic variables were recorded at baseline and at six postoperative times. ⋯ Elimination half-lives differed significantly: 554 +/- 91 minutes (fentanyl) versus 277 +/- 60 minutes (sufentanil). Serum concentrations of both decreased linearly. The added advantages of postoperative hemodynamic stability could be important in the choice of anesthetic.