Articles: general-anesthesia.
-
Anaesth Intensive Care · Aug 1990
Management of failed endotracheal intubation at caesarean section.
A review of the history of endotracheal intubation and endotracheal tubes is presented and a plan of management of failed endotracheal intubation at caesarean section is described. The importance of preparation for such an event by incorporation of certain features into anaesthesia training programs is emphasised.
-
Tijdschr Diergeneesk · Jul 1990
Comparative Study[Intramuscularly administered non-opiate anesthesia in dogs. A report on the use of ketamine/xylazine, tiletamine/zolazepam, ketamine/midazolam and metomidine].
In the present paper, findings on the use of ketamine/xylazine, ketamine/midazolam, tiletamine/zolazepam, and medetomidine following intramuscular injection in dogs are reported. The combined use of ketamine/xylazine induced anaesthesia, the duration of which was thirty minutes. Untoward side-effects were not observed. ⋯ Neither the combination ketamine/midazolam nor medetomidine induced a surgical level of anaesthesia. Post-anesthetic muscle spasms were a frequently observed side-effect when the combination ketamine/midazolam was administered. The use of medetomidine resulted in a qualitatively satisfactory and prolonged sedation.
-
Randomized Controlled Trial Clinical Trial
Attenuation of hemodynamic responses to rapid sequence induction and intubation in healthy patients with a single bolus of esmolol.
The effectiveness of a single preinduction intravenous (IV) bolus of esmolol in blunting hemodynamic responses to rapid sequence induction and tracheal intubation was evaluated. In a randomized double-blind study, 32 ASA I and II healthy patients scheduled for surgery were monitored with electrocardiography (EKG) lead V5, arterial cannulation, and impedance cardiography. After preoxygenation and a priming dose of vecuronium (0.01 mg/kg), patients received either saline (n = 12), esmolol 100 mg (n = 10), or esmolol 200 mg (n = 10) as an IV bolus (20 ml volume). ⋯ Plasma norepinephrine levels at 1.5 minutes after intubation increased in the esmolol groups about 130% above that measured in the placebo group. This finding was associated with a more gradual return of peripheral resistance to baseline following tracheal intubation. However, both doses of esmolol effectively attenuated heart rate (HR), SP, and rate pressure product (RPP) increases (p less than 0.05 vs placebo) produced by laryngoscopy and tracheal intubation.
-
Case Reports
Respiratory tract infection and anaesthesia. Haemophilus influenzae pneumonia that developed under anaesthesia.
A 2-year-old boy with symptoms of a minor upper respiratory tract infection developed Haemophilus influenzae pneumonia that presented as hypoxaemia under anaesthesia for minor emergency surgery. The patient required 72 hours of mechanical ventilation in an intensive care unit after the anaesthetic and thereafter made an uneventful recovery. The value of pre-operative chest radiology and the possible contributory effect of anaesthesia are discussed.
-
Anesteziol Reanimatol · Jul 1990
[Moradol (butorphanol tartrate) as the analgesic component of current combination general anesthesia].
A technique is described for the use of moradol as an agent ensuring analgesia in modern combined general anesthesia during abdominal and thoracic surgery, cardiac surgery, cardiopulmonary bypass included, and diagnostic manipulations. Moradol was particularly effective for long-term surgery. ⋯ Agonist opioid activity of moradol was maximum 10 min after its intravenous administration, therefore a 5 to 10 min exposition upon moradol injection prior to hypnotic drug administration is suggested. Bolus drug dose (150 mg/kg) for induction to anesthesia was an adequate protection against pain impulsation in surgical trauma in the course of 3-4 hours of surgical intervention.