Acta anaesthesiologica Belgica
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A classification is given of the types of pain emanating from the vertebral column and associated neural structures. Treatment should primarily be conservative, and if this is not successful surgery should be considered. If pain is still resistant to therapy after these steps percutaneous interruption of afferent stimuli by thermocoagulation may be considered. ⋯ The indications, selection of patients, techniques, results and complications of both methods are described. It is concluded that percutaneous facet denervation is an effective method for alleviating posterior mechanical pain. Partial posterior rhizotomy has a worth while success rate considering the fact that there is nothing else to offer to those patients. (Acta anaesth. belg., 1981, 32, 63-80).
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Acta Anaesthesiol Belg · Jan 1981
Incentive spirometry. Prevention of pulmonary complications after abdominal surgery.
The postoperative period after laparotomy is characterized by a decrease in pulmonary volumes combined with a maldistribution of the ventilation and the perfusion. Together with manual techniques, intermittent pressure breathing and incentive spirometry have been suggested to maintain open alveoli and to prevent atelactasissis. ⋯ The decrease in pleural pressure can result in high transpulmonary pressures. For many investigators, incentive spirometry represents a very easy and efficient method to prevent atelectasis.
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Acta Anaesthesiol Belg · Jan 1981
Clinical TrialPain and myoclonus during induction with etomidate. A double-blind, controlled evaluation of the influence of droperidol and fentanyl.
To compare the incidence and severity of pain and myoclonus, 83 patients, premedicated with oral diazepam, received a double-blind intravenous injection of either droperidol 5 mg, fentanyl 0.1 mg or normal saline two minutes before induction with etomidate. The only statistically significant difference between the three groups was the decreased incidence of involuntary movements in the fentanyl and the droperidol group as compared with the normal saline group.