The American surgeon
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The American surgeon · Aug 1992
Comparative StudyThe use of epidural anesthesia and analgesia in aortic surgery.
During a 3-year period, sixty-four consecutive patients, who had elective aortic reconstruction were investigated to determine whether epidural anesthesia and analgesia, combined with light general anesthesia, would lower the rate of perioperative complications in this high-risk group of patients. The epidural group comprised 32 consecutive patients who had surgery during the 20-month period from July 1986 to December 1987. These patients were compared with the previous 32 patients who had aortic reconstruction at Huntington Memorial Hospital (Pasadena, CA) using conventional general anesthetic techniques. ⋯ There was no statistically significant difference in cardiovascular morbidity, length of hospital stay, or intensive care unit stay between the two groups. There was however, a striking decrease in respiratory complications and length of intubation in the epidural anesthesia group (P less than 0.005). The authors conclude that epidural anesthesia and analgesia, combined with a light general anesthetic may confer benefits over conventional general anesthesia in patients undergoing aortic surgery.
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The American surgeon · Aug 1992
Comparative StudyRisk factors for myocardial infarction after distal arterial reconstructive procedures.
This study identifies the preoperative, intraoperative, and postoperative factors associated with perioperative myocardial infarction (MI). The records of all patients who had distal vascular reconstructive procedures who sustained a perioperative MI were retrospectively reviewed from 1977 to 1990. ⋯ Diabetes, heart murmur, and previous major amputations were identified as significant risk factors for the development of a perioperative MI. No laboratory or cardiographic data correlated with an increased risk, and the Goldman Index was inadequate in predicting perioperative MI risk.
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The American surgeon · Aug 1992
Case ReportsPost-traumatic pseudoaneurysm of the left hepatic artery initially appearing as upper gastrointestinal hemorrhage secondary to hepatic artery-duodenal fistula. A case study.
Post-traumatic hepatic artery pseudoaneurysm initially appearing as upper gastrointestinal hemorrhage secondary to rupture in the duodenum is rare. Diagnosis was made on selective arteriogram and the patient was managed successfully by ligating the feeding vessel to the aneurysm.