Anesthesia and analgesia
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Anesthesia and analgesia · Mar 1976
A technic of general anesthesia for blepharoplasty and rhytidectomy.
A series of 66 consecutive cases of blepharoplasty and rhytidectomy are reported, 60 of which were performed with a general anesthesia technic utilizing local anesthesia with epinephrine, in association with enflurane inhalation delivered via bilateral nasopharyngeal airways (BNPA). Six cases were not suitable candidates for the technic because of physical status or for anatomic reasons. The technic has teh advantage of providing airway control without tracheal intubation, light depth of anesthesia, compatibility with epinephrine, and highly acceptable limits of intraoperative bleeding and postoperative hematoma.
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Anesthesia for a patient with gas gangrene presents a challenge for the anesthesiologist, since it is an uncommon disease requiring emergency treatment. The authors, faced with such a challenge and finding little guidance in the literature, have proposed modalities of anesthetic management based on pathophysiology, symptomatology, and the reported experience of others. In addition to choice of anesthetic agents, problems reviewed include shock, hypovolemia, tachycardia, fever, anemia, renal dysfunction, pulmonary insufficiency, and contamination. Factors relating to anesthesia during hyperbaric-O2 therapy are also reviewed.
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Anesthesia and analgesia · Mar 1976
Circulatory changes in patients with coronary artery disease following thiamylal-succinylcholine and tracheal intubation.
Circulatory responses after thiamylal (4 mg/kg) and succinylcholine (SCh) (2 mg/kg) administration followed by direct laryngoscopy and tracheal intubation were measured in 20 patients before elective aortocoronary vein bypass graft operations. Compared with awake measurements, the mean arterial pressure (MAP) decreased 19 +/- 3 torr (mean +/- SE) and heart rate (HR) increased 9 +/- 3 bpm 1 minute after thiamylal-SCh. ⋯ Stroke volume index was decreased significantly after tracheal intubation but cardiac index was not altered. The authors conclude that thiamylal-SCh followed by tracheal intubation is an acceptable anesthetic induction sequence for patients without evidence of left ventricular heart failure who require anesthesia for elective coronary artery revascularization.