Articles: general-anesthesia.
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Review Case Reports
Multiple dental extractions using general anesthesia for a patient with Down and Eisenmenger syndromes and periodontal disease.
A patient with Down syndrome and severe retardation and Eisenmenger syndrome sought dental treatment at the Oregon Health Sciences University Hospital Dental Service. Eisenmenger syndrome is a form of cyanotic congenital cardiovascular pulmonary disease. ⋯ This article reviews the appropriate measures necessary for the safe anesthetic, operative, and perioperative care of a severely compromised patient. It is based on an understanding of the pathophysiology associated with Eisenmenger syndrome.
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The use of the laryngeal mask airway, a new form of airway, is described in infants and young children receiving radiotherapy under general anesthesia. The laryngeal mask airway consists of a tube, at the distal end of which is attached an elliptically shaped cuff resembling a miniature face mask. ⋯ No complications occurred during use of the laryngeal mask in 25 children who received 312 anesthetics. This experience suggests that the laryngeal mask airway has a valuable role in this situation and may contribute to the safety of anesthesia.
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A case of intraoperative awareness during a thoracotomy is described. The patient's recall coincided with an intraoperative period during which a Siemens 900B ventilator and a Siemens 952 isoflurane vaporiser were used. ⋯ This problem eventually was traced to a malfunctioning inlet control valve on the ventilator. This complication may have been prevented if the end-tidal anaesthetic concentration had been monitored intraoperatively.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparative evaluation of propofol and thiopentone for total intravenous anaesthesia.
Sixty unpremedicated ASA physical status I or II patients scheduled for surgical procedures of intermediate duration (15 to 60 min) were studied to evaluate the safety and efficacy of propofol, to measure recovery times and to compare the return of psychomotor and cognitive function with thiopentone. Patients were randomly allocated into two groups. Anaesthesia was induced and maintained by either propofol (2.0-2.5 mg.kg-1 followed by a continuous infusion 0.1-0.2 mg.kg-1.min-1) or thiopentone (4.0-5.0 mg.kg-1, and infusion rate 0.16-0.32 mg.kg-1.min-1), titrated to patient response. ⋯ Psychomotor and cognitive function returned earlier with propofol and fewer side effects were noted. At 24 hr there was no distinguishable difference between groups. Propofol is a safe anaesthetic agent with the potential for early patient discharge and street fitness after outpatient procedures.
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Rev Esp Anestesiol Reanim · Mar 1990
[Usefulness of isoflurane in anesthesia in elective cesarean section].
A series of 25 patients undergoing iterative cesarean section under general anesthesia received isoflurane at 0.75% together with a mixture of O2 and N2O at 50% for anesthetic maintenance. The inhalant agent was withdrawn when closing fascia. ⋯ Mean hematocrit value was 31.43 (SD 1.27) at 6 hours of operation. Fetal arterial gasometric values and Apgar score at 5 and 10 minutes fell within acceptable limits.