Articles: general-anesthesia.
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It is important to involve the patient's general dentist in the preoperative management, since routine dental examinations are performed more frequently than surgery. If the dentist learns from the patient that he or she will be undergoing surgery, the dentist should stress the importance of stabilizing or removing any loose teeth or prostheses prior to surgery. In most medical centers today, patients undergoing elective surgery are seen by the anesthesiologist prior to their date of surgery for preadmission testing. ⋯ One review of anesthesia-related claims reports that 17 percent of the claims are due to damage to the teeth or dental prosthesis. Several authors had advocated the use of devices to help protect the dentition during the surgery. Most of these devices temporarily splint or protect the teeth from trauma during intubation and extubation.(ABSTRACT TRUNCATED AT 250 WORDS)
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Randomized Controlled Trial Clinical Trial
[Effects of anesthesia on higher brain functions in the elderly].
Sixty-four patients aged over 60 about to undergo elective surgery of the lower limbs were allocated at random to two groups, one with general anaesthesia, the other with local/regional anaesthesia, in order to compare the effects of these two types of anaesthesia on superior brain functions. The two groups were similar in age, disease, treatment and risk from anaesthesia. ⋯ The score decreased to pathological values (less than or equal to 20) in 4 patients from the local/regional anaesthesia group, and this fall was associated with trans- and postoperative incidents (haemorrhage, cardiorespiratory arrest, confusion after receiving pethidine, cardiac decompensation). This study shows that alterations of the superior brain functions are probably related to trans and postoperative incidents rather than to the type of anaesthesia administered.
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British dental journal · Oct 1990
Biography Historical Article'The Yankee dodge': some new observations on the discovery of anaesthesia.
The discovery of general anaesthesia is arguably the most important advance in the practice of surgery. To whom the credit belongs has, however, remained controversial. A first-hand account has now indicated that this controversy can finally be resolved, and that the credit for the discovery of anaesthesia should be given to Horace Wells.
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Randomized Controlled Trial Clinical Trial
Postoperative analgesic requirements in patients exposed to positive intraoperative suggestions.
To establish whether positive suggestions given to a patient under general anaesthesia reduce postoperative pain and analgesic requirements. ⋯ Positive intraoperative suggestions seem to have a significant effect in reducing patients' morphine requirements in the early postoperative period.