Intubation after temporal fossa surgery.
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Biomedical subjects
Publications and source records attributed to A Saady.
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Unusual case of brachial plexus palsy developed in a patient following general anaesthesia in the sitting position. Congenital skeletal anomalies together with severe bony degenerative changes surrounding the nerve roots probably precipitated the palsy.
The EEG was continuously recorded on 43 patients who received Althesin. A basic pattern for this drug, typical of most general anaesthetic agents at a level of light surgical anaesthesia, was established. Four significant levels of change could be discriminated in the EEG following administration of incremental boluses of undiluted Althesin, reflecting deeper levels of anaesthesia. These ranged from a mild slowing of the dominant rhythms to burst-suppression activity at the deepest level reached with larger doses. The EEG demonstrated that althesin has a rapid onset and a short duration and that recovery is rapid and complete after continuous infusion.
Althesin was used as a induction agent then diluted and administered as a controlled infusion for 60 patients undergoing 66 procedures. Increment doses of fentanyl were given to provide additional analgesia. There was delayed awakening in 7 patients (12.1%), 3 of whom responded rapidly to narcotic reversal with naloxone. Intracerebral pathology and surgical trauma contributed to the slow recovery in the other 4 patients. Evidence is presented that Althesin infusions reduce the narcotic requirement. Althesin anaesthesia provides good neurosurgical conditions without delay in recovery.
A case of status epilepticus, resistant to conventional anti-epileptic treatment is described. Althesin rapidly abolished the epileptic activity, and control was achieved by a continuous infusion of Althesin.
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