Articles: general-anesthesia.
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Randomized Controlled Trial Clinical Trial
[Evaluation of postoperative hypoxemia with a pulse oximeter].
We investigated postoperative hypoxemia by monitoring of SPO2 with a pulse oximeter for the first 5 hours in the ward. Forty-eight adults were divided into the general anesthesia along (G) group and the combination of epidural and general anesthesia (E) group. The patients were randomly administered either 3 l. min(-1) oxygen with face mask for the initial 3 hours or room air. ⋯ Significant correlations were found between Spo2 levels and both age (R = 0.75) and preanesthetic Spo2 (R = 0.66) in G group. Spo2 was significantly lower in the patients whose anesthesia was stopped after 5 p.m. than in those who were weaned before 5 p.m. In conclusion, there is a high incidence of postoperative hypoxemia for several hours in the ward, which can be relieved by 3 l. min(-1) oxygen inhalation with face mask.
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Zhongguo Zhong Xi Yi Jie He Za Zhi · Feb 1996
[Study on combined acupunctural and general anesthesia in pneumonectomy].
Combined acupunctural and general anesthesia in pneumonectomy were studied. The result showed that general anesthesia complemented with electro-acupuncture at He Gu (LI 4) and San Yang Luo(SJ 8) reduced amount of Fentanyl 38-85 micrograms/h compared with general anesthesia alone. ⋯ It was considered that acupuncture in combination with general anesthesia could reduce dosage of anesthetics and the inhibition of physiological function. It is a practical and acceptable anesthetic method by the surgeon and patient.
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Infants with Beckwith-Wiedemann syndrome usually present different abnormalities which may require surgical correction. Anaesthetic management may be complicated by abnormal airway anatomy, congenital heart disease and severe hypoglycaemia. Careful preoperative evaluation, perioperative monitoring and suitable choice of anaesthetic technique are required for a successful outcome. We report the perioperative management of a patient with Beckwith-Wiedemann syndrome presenting for omphalocoele surgery on his first day of life and for bilateral inguinal hernia repair four months later.
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Paediatric anaesthesia · Jan 1996
Case ReportsRegurgitation and aspiration of gastric contents in a child during general anaesthesia using the laryngeal mask airway.
We present a case report of a child who underwent general anaesthesia for elective surgery in whom regurgitation and aspiration of gastric contents were associated with the use of the laryngeal mask airway (LMA). Bronchospasm developed but mechanical ventilation was not required. The possible mechanisms causing regurgitation are discussed.
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Rett syndrome is a devastatingly disabling neurological disease that is only observed in girls. Scoliosis occurs in roughly half the girls and surgery may be required. ⋯ Sudden death may be a feature of the disease which occurred four weeks postoperatively in one case. Although a long QTc interval may be seen, it did not occur in any of our cases.