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At least 739 records · Page 41Linked to original sources
PubMed1990

[Intraoperative changes in blood cortisol and prolactin during surface surgery: totally intravenous anesthesia with propofol vs balanced anesthesia].

Forty patients ASA class 1-2 admitted to elective plastic-reconstructive surgery were randomized in two groups of 20 patients to receive either total intravenous anaesthesia (TIVA) with propofol (group P) or balanced-anaesthesia with sodium thiopental + isoflurane + N2O (group M). 24 hours before surgery (t0) blood was drawn for cortisol and prolactin; this was repeated 30 minutes after skin incision (t1), 30 minutes after extubation (t2) and 24 hours after surgery (t3). Serum cortisol level rose, but not significantly, at t2 in group M. Serum prolactin level rose significantly at t1 and t2 in group M, at t1 in group P. By 24 hours after surgery, the cortisol and prolactin concentration in both groups was not significantly different from the baseline value.

Adult↗
PubMedDate not supplied

[Peridural anesthesia and method of delivery. Peridural anesthesia performed by the obstetrician].

In deliveries in epidural analgesia (PDA) there are more obstetrical operations than in deliveries without PDA. We have investigated the delivery mode in relation to the indication of epidural analgesia. If the PDA is done because of prolonged course of labour or because of suspicious fetal heart rate, about 40% of these women deliver spontaneously, in about 35% a cesarean is done, and in about 25% a forceps- or vacuum-extraction is done. This high rate of operative interventions is not unexpected due to the indication that led to epidural analgesia. If the PDA is done because of painful labour only, 60% of these mothers deliver spontaneously, 12% by cesarean and about 28% by forceps or vacuum. The rate of vaginal extractions is triple as in all obstetric patients of the clinic. The increase of operative deliveries in PDA isn't found generally. Epidural analgesia managed by the obstetrician doesn't result in more complications by the method itself, the increase of operative deliveries is found even in clinics where the PDA is carried out by the anesthetist. The possible reasons are discussed.

Adult↗
PubMed1990

[Total intravenous anesthesia using propofol and alfentanil in comparison with balanced anesthesia in neurosurgery].

Anaesthesia for neurosurgical patients should provide haemodynamic stability, reduce cerebral metabolism, preserve cerebral autoregulation, avoid increases of intracranial pressure and guarantee rapid recovery without respiratory depression. A commonly used Balanced Anaesthesia (BA, n = 20) (thiopental and fentanyl bolus induction and maintenance with repetition boluses of fentanyl and droperidol, thiopental infusion, and isoflurane in N2O/O2) was compared to Total Intravenous Anaesthesia (TIVA, n = 20) with propofol and alfentanil infusion. Pancuronium was employed for muscle relaxation in both groups. The TIVA evinced more haemodynamic stability during induction; notably, there was no increase in blood pressure after intubation, as seen in the BA group. Another advantage of TIVA is that it obviates the use of N2O. Quality of recovery after the procedure was determined by standardised psychometric tests. The time span between awakening of patients to orientation and concentration was significantly shorter in the TIVA group compared to the BA group. There was also a smaller deviation of these parameters in the TIVA group indicating a more predictable recovery.

Adult↗
PubMed1990

[Initial clinical experiences with the combination of catheter peridural anesthesia and general anesthesia].

From the international point of view, the combination of epidural anaesthesia and general anaesthesia is still under controversial discussion. We analysed 35 cases which were treated by this anaesthesiological method between 1987 and 1988. The catheter epidural anaesthesia showed advantages mainly in the postoperative course. Analgesia was nearly complete. Respiratory depression which is caused by systemically applied opiates was not observed. Sympathicolysis led to a good perfusion of the legs and enabled a quick overcoming postoperative intestinal atonia. During the operation above all the does of drugs with respiratory depressant effect could be diminished. The complications observed mainly included the cardiovascular system and consisted in decreases of arterial blood pressure and heart rate. Side-effects can be reduced to the greatest possible extent by correct application of this procedure.

Adult↗
PubMed1989

[Alfentanil combination anesthesia in adeno-tonsillectomy in children--a comparison with ethrane inhalation anesthesia].

In two groups, each comprising 25 children undergoing adenotonsillectomy, two different methods of anaesthesia were used. Group I received ethrane inhalations, group II an alfentanil combination anaesthesia. The objective was to find out, whether or not the two methods differed in respect of haemodynamics, side-effects and practicability. In the patients of group II more haemodynamic stability, less ethrane consumption and faster postanaesthetic recovery was observed. The incidence of vomiting was equally low in both groups. Other side-effects ascribable to alfentanil, such as respiratory depression, chest rigidity and bradycardia, had no clinical significance. One may conclude from the results, that on account of the advantages described an alfentanil combination anaesthesia represents a true alternative to the routinely used "pure" inhalation anaesthesia in children undergoing adenotonsillectomy.

Adenoidectomy↗
PubMedDate not supplied

[Comparative results of stripping under general anesthesia and under locoregional anesthesia (200 cases)].

A study showing the improved results of operations on varices performed under local anaesthetic was based on 100 complete files of operations on varicose veins including crossectomy, long invaginated stripping and superficial phlebectomies (type Muller) carried out in one operation under general anaesthetic, and 100 identical files of operations performed under local anaesthetic. The fact that the result is more comfortable under local anaesthetic is especially to lengths of hospitalization, which mean that day surgery is preferable in 80% of cases, and also to the length of time off work which, statistically, can be reduced by local anaesthetic. Finally, the study of anatomic sequelae (varicosities and post-operative neurological disorders) shows particularly that the development of varicosities during the operative period probably depends on oestroprogestative impregnation, and shows much more clearly that local anaesthetic facilitates the avoidance of lesion to the short saphenal nerve during the stripping, because of the pain signal triggered.

Absenteeism↗