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At least 811 records · Page 45Linked to original sources
PubMed1994

[Comparison between balanced anesthesia and total intravenous anesthesia in videolaparocholecystectomy].

The aim of this work was to assess which anaesthetic technique is more suitable to the performance of videolaparocholecystectomy (VLC), particularly seeking for a faster and more comfortable recovery, although saving the maximum safety of the patient. A comparative investigation between two different anaesthetic techniques was carried out in 40 patients scheduled for VLC; the procedure's average length was 110.3 +/- 32.8 minutes and pneu- moperitoneum was obtained with 12-15 mmHg of CO2. Patients (32 females and 8 males, average age 52.3 +/- 8 years and ASA class 1, 2, 3, were randomized in two groups. The first group was administered total intravenous anaesthesia (TIVA): propofol+ fentanyl+pancuronio bromide; the second one received balanced narcosis:TPS+ Isoflurane+Pancuronio bromide. The following parameters were monitored at set times: SAP, DAP, HR and EtCO2; statistical analysis was performed by analysis of variance. The quality of recovery was assessed by Steward's test and analyzed by Student's "t" test. The data obtained from analysis of the intraoperative parameters showed no significant differences between the two groups; on the contrary a statistically significant difference was found with regard to the quality of recovery (p > 0.5 at 5' from the extubation). Thus, the comparative study showed the efficacy and safety of both techniques, but TIVA allowed a faster and more comfortable awakening with shorter time to recovery of consciousness. This, together with the reduced requirements of analgesic drugs in the postoperative period and the lack of air pollution, seems to suggest that TIVA is to be preferred for laparoscopic surgery.

Anesthesia, General↗
PubMed1994

[Short anesthesia in rats: an injection or an inhalation anesthesia].

First we describe the application of an injection anaesthesia in a specific strain of rats and test its usefulness under practical conditions. Application (i.p.) of the described dose according to the animals body-weight resulted in an acceptable anaesthesia, which lasted approximately 50 minutes in male rats and 80 minutes in female rats. Next we compare the common ether anaesthesia with an other inhalation anaesthesia (Methoxyflurane) which, by using a self-made mask, could be prolonged without any problem for at least 15 minutes ("prolonging-time"). A correlation was found between the duration of the prolonging-time and the awakening time. Inhalation anaesthesia using Methoxyflurane obviously affected the animals health and well-being less than the conventional ether anaesthesia.

Anesthesia, General↗
PubMed1993

[Complications of spinal anesthesia compared to general anesthesia. A prospective study of 408 consecutive orthopedic patients].

UNLABELLED: In this prospective study the preoperative risk classification and pulmonary status was compared to postoperative mortality and morbidity, following either spinal or general anaesthesia. We studied 408 consecutive orthopaedic patients. Comparing the anaesthetic methods we found no differences in mortality or in frequency of cardiac complications, while the non-cardiac complications were seen more frequently in patients who had undergone spinal anaesthesia (p < 0.05). Patients from the lower risk groups with a preoperative abnormal pulmonary status had a higher frequency of postoperative pulmonary complications following spinal anaesthesia than following general anaesthesia (p = 0.015). IN CONCLUSION: 1) We find no difference in postoperative mortality depending on the anaesthetic method chosen, 2) the predictive value of the Boston Cardiac Risk index is identical for the two anaesthetic methods, and 3) the anaesthetic method of choice for the pulmonary disabled patient has not yet been established.

Adult↗