Articles: general-anesthesia.
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The progress of understanding the special physiology and pathology of the small child, as well as the perfection of the technical equipment for pediatric anesthesia are responsible for the fact that today practically every child even during very difficult surgical interventions can be kept with security in general anesthesia. A survey of the problems occuring in pediatric anesthesia includes the following items: preoperative examination, preparation for anesthesia and surgical intervention, techniques of anesthesia, special dangers for the newborn and small children (fluid ratio, decrease of body temperature, hypoglycemia) and postoperative treatment. The author comes to the conclusion that the best conditions for general anesthesia of the small child are only present in a children's hospital where the necessary infrastructure is available. The pediatric anesthesist strongly wish therefore that also the specialists like the ophthalmologist make use of the specialised children's hospital for operative purposes.
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Acta Anaesthesiol Scand · Jan 1977
Comparative Study Clinical Trial Controlled Clinical TrialKetamine and diazepam as anaesthesia for forceps delivery. A comparative study.
In a clinically controlled trial in forceps delivery, a comparison was made between the general anaesthesia induced by ketamine and that by a combination of diazepam and N2O. Local anaesthesia was added in the diazepam group for episiotomy and suturation. The indication for operative delivery was in all cases a prolonged second stage of labour. ⋯ One mother in each group required ventilation with oxygen due to respiratory depression of short duration. Three of the children in the ketamine group and two in the diazepam group had subnormal Apgar score with slight acidosis. This was probably not attributable to the anaesthesia.
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Comparative Study
Althesin (alphadione, CT 1341) a 'new' induction agent for anesthesia.
Althesin (alphadione) is a hypnotic agent introduced in the U. K. a few years ago by the firm of Glaxo. It is mixture of two steroids: alphaxalone 9 mg per ml and alphadolone 3 mg per ml, in solution in cremophore EL. ⋯ In 8 patients the following parameters were recorded: plethysmogram, ECG, central venous pressure, pulse rhythm arterial pressure, stroke volume and cardiac output. Compared with thiopentone, Althesin is not significantly worse, but neither does it present any advantages where the circulatory parameters determined are concerned. In view of this and the recent publication concerning hypersensitivity reactions, we have ceased to use this hypnotic agent in our department.