Journal of neurosurgery
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Journal of neurosurgery · Jun 1988
Aneurysms of the basilar artery treated with circulatory arrest, hypothermia, and barbiturate cerebral protection.
Complete circulatory arrest, deep hypothermia, and barbiturate cerebral protection are efficacious adjuncts in the surgical treatment of selected giant intracranial aneurysms. These techniques were utilized in seven patients, one with a large and six with giant basilar artery aneurysms; four had excellent results, one had a good result, one had a fair outcome, and one died. ⋯ The surgical and anesthetic considerations are reviewed. The perioperative morbidity and long-term results support the use of these techniques in selected patients with complex intracranial vascular lesions.
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Journal of neurosurgery · Jun 1988
Case ReportsExtravasation injury to the hand by intravenous phenytoin. Report of three cases.
Extravasation of intravenous phenytoin can result in serious soft-tissue complications. Three patients are presented, one of whom lost a hand. ⋯ Caution is recommended in the intravenous administration of phenytoin. Infusions at rates of less than 50 mg/min and education of nursing staff about this potential complication will decrease its incidence.