[Analgesia in labor. VII. Analgesia in labor using gamma-OH administration; personal experiences].
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Biomedical subjects
Publications and source records attributed to G Barrier.
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Continuous spectral EEG activity monitoring has been used in adults as a monitor of brain activity during anesthesia. It has not been used in infants. We studied 22 infants less than 7 months old undergoing minor surgery. Halothane alone or minimal Halothane anesthesia associated with caudal epidural anesthesia were used. Life-Scan analysis, in spite of wide individual variations, allowed us to detect infraclinical hypoxia episodes, it provided informations about operative confort, depth of anesthesia and added in the post-operative period an objective criteria to clinical evaluation of pain. A wide use of such a monitoring is warranted in infants.
EEG activity in infants is difficult to assess because of the fast development of brain activity during the first months of life. EEG spectral activity monitoring seems to be easier than non processed EEG analysis. We studied processed EEG aspects in infants less than one year old. As in previous studies, we found an early lack of dominant frequency with slow activity alone with subsequent wanderning of the dominant frequency from slow towards faster frequencies.
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The clinical effects of methohexital versus thiopental are studied in 60 randomized patients anaesthetized for E.N.T. endoscopy or laser surgery of the larynx. Thiopental is injected by I.V. bolus (5 mg/kg) and methohexital is administered by continuous infusion (0.1 mg/kg/min). Fentanyl is the analgesic and succinyl-choline is used for curarisation. All patients are ventilated by a conventional ventilator or by high frequency ventilation. Side-effects, extubation time, and recovery estimated by the Newman-test modified by Weber are studied. The only difference between methohexital and thiopental is a better recovery-score at 30 minutes for the methohexital group.
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