Anaesthesia
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Randomized Controlled Trial Clinical Trial
The prevention of pain on injection. A study of the effect of intravenous lignocaine before methohexitone.
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Randomized Controlled Trial Comparative Study Clinical Trial
Intubating conditions with ORG NC45. A preliminary study.
The case of tracheal intubation using two doses of the new steroid neuromuscular blocking compound ORG NC45 (Norcuron) 0.1 and 0.15 mg/kg was compared with a standard dose of pancuronium 0.1 mg/kg at 60, 90 and 120 seconds. The results did not reveal any statistically significant benefit of the new drug within 2 minutes of administration over the control.
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In 205 patients undergoing surgery of the nose, throat of dental surgery, a gauze pack was used fixed into the tracheal tube, remaining during surgery above the vocal cords. Advantages in adults as well as children are discussed: laryngoscopy has to be performed only once, a free operating field is secured for the surgeon in that throat, the tube cannot be inserted too far into the trachea and the pack cannot be forgotten in the pharynx. The only disadvantage noticed so far was that in about 10% of the patients intubation was somewhat more difficult for the less experience anaesthetist.
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We have developed a para-carotid approach for internal jugular cannulation which utilizes only the carotid artery as a landmark. This technique allows us to locate-the puncture site regardless of an individual patient's physical, skeletal or postural variations. ⋯ The overall success rate was 96.1%. The only complications encountered during our study were five carotid artery punctures with formation of two haematomas.