Cahiers d'anesthésiologie
-
Resections and end-to-end anastomosis have been effective in correcting localized tracheal strictures. Important clinical considerations are the precise preoperative assessment of the lesion, careful planning of anesthetic management and choice of the appropriate decision. ⋯ The more commonly employed technique is the use of a tracheal tube so that anaesthesia can be maintained using conventional IPPV. In our experience, the majority of strictures in adults can be managed as well, or better, by using a conventional endotracheal tube.
-
Cahiers d'anesthésiologie · Dec 1987
Randomized Controlled Trial Comparative Study Clinical Trial[Recovery following anesthesia with diazepam-ketamine and fentanyl-methohexital].
The quality of recovery from general anaesthesia for day-case surgery is assessed by the Trailmaking test in a randomized study of 100 women scheduled for termination of pregnancy on an outpatients basis. All patients are in ASA group I or II. Recovery following diazepam-ketamine based anaesthesia is compared to that following fentanyl-methohexital based anaesthesia. ⋯ In group A, the mean score for the two parts of the test is not significantly different 1 h after surgery from the pre-anaesthetic score. In group B, the mean score for the two parts of the test is not significantly different 1/2 h after surgery than the pre-anaesthetic score. This better post-anesthetic score is explained by a learning effect of the test when used several times.(ABSTRACT TRUNCATED AT 250 WORDS)
-
Cahiers d'anesthésiologie · Dec 1987
[Changes in the pH and volume of gastric contents during pregnancy and labor].
We measured the volume and pH of gastric contents of 97 patients after induction of anaesthesia. The patients were divided into 3 groups: group I (N = 39): elective cesarean section, group II (N = 44): elective gynecological surgery, group III (N = 14): emergency cesarean section. ⋯ There were no significant differences between the groups: Pregnancy and labour do not influence gastric pH. As far as gastric volume is concerned there is a significant difference between Group I and III (p less than 0.01) and Group II and III (p less than 0.01).
-
Cahiers d'anesthésiologie · Oct 1987
Comparative Study[Peridural anesthesia in thoraco-abdominal surgery. Propofol-methohexital comparison for complementary anesthesia].
Two groups of 20 patients scheduled for major abdominal surgery or thoracic surgery received analgesia by thoracic peridural route: 850 and 837 micrograms.kg-1 of bupivacaine, plus 4.30 and 4.20 micrograms.kg-1 of fentanyl. Anaesthesia was induced and maintained with either infusion of propofol 0.2% or infusion of methohexital 0.1% and patients were intubated and ventilated. The quality of induction was good in the two groups (3.48 mg.kg-1 in 4 min with propofol and 2.76 mg.kg-1 in 5 min with methohexital). ⋯ Two of them were severe 39 and 38 b.min-1 with major decrease of LVSWI to 32.45 and 24.47 g.mm-2. The role of hypovolemia (Bainbridge reflex) or vagomimetic effect of propofol is discussed. Nevertheless, this study shows that propofol given by infusion can better achieve adequate anaesthesia than methohexital.
-
Cahiers d'anesthésiologie · Oct 1987
Comparative Study[Halothane. An alternative: intravenous agents].