Articles: general-anesthesia.
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A 27-year-old female with severe pulmonary hypertension was scheduled to undergo an elective cesarean section at the 32-week gestational age. Since the preoperative assessment revealed that the patient could not tolerate the hemodynamic changes during the operation under general anesthesia without any cardiopulmonary support, the percutaneous cardiopulmonary support (PCPS) with a centrifugal pump was applied for the anesthetic management of the patient during the operation. ⋯ The operation was finished uneventfully, and the patient could successfully emerge from the PCPS immediately after the operation. The PCPS is thought to be very useful for the anesthetic management of the patients with poor cardiopulmonary tolerance.
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Anaesth Intensive Care · Apr 1995
Comment Letter Case ReportsA non-muscle-relaxant technique for video-assisted thoracoscopic thymectomy in myasthenia gravis.
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We report the anesthetic management of Cesarean section in a pregnant (31 weeks) woman with dilated cardiomyopathy. She had dyspnea and chest pain which were signs of congestive heart failure. The left ventricular ejection fraction was 38%. ⋯ There was no significant cardiovascular changes in the mother during the operation. The baby was apneic and showed no movement at birth, but he was immediately intubated and his condition became almost normal on the following day. In the anesthesiological management of Cesarean sections with cardiac disease, general anesthesia with fentanyl can be used to minimize cardiovascular changes in the mother as long as the baby is immediately resuscitated after delivery.
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Randomized Controlled Trial Clinical Trial
Effects of intravenous anesthetic agents on middle cerebral artery blood flow velocity during induction of general anesthesia.
Our objective was to quantify the effects of intravenous anesthetics on values measured by or derived from transcranial Doppler sonography (TCD) during induction of general anesthesia. ⋯ Under the circumstances of our study, values derived from TCD measurements responded differently to the agents used to induce general anesthesia in nonneurosurgical patients.