Articles: general-anesthesia.
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J. Endocrinol. Invest. · Oct 1989
Randomized Controlled Trial Clinical TrialEffects of surgery and general or epidural anesthesia on plasma levels of cortisol, growth hormone and prolactin in infants under one year of age.
Twenty infants under one yr of age undergoing minor surgery were divided in two groups according to the type of anesthesia (epidural, Group 1, n = 10; general, Group 2, n = 10) which was randomly performed. Blood samples for cortisol (F), growth hormone (GH), and prolactin (PRL) determination were taken from each infant in baseline conditions, before surgery, and at the end of surgery. Mean plasma F levels in infants of group 2 rose significantly (p less than 0.01) before surgery to attend a maximum at the end of surgery (p less than 0.005). ⋯ Mean plasma PRL levels showed a significant increase before surgery (p less than 0.05 and p less than 0.01 in group 1 and 2, respectively) and a further increase at the end of surgery in both groups of infants (p less than 0.005). These results suggest that in infants under one yr of age both types of anesthetic procedures preceding surgery have no significant effect on plasma GH, but produce a significant increase of cortisol and prolactin mean plasma levels. The cortisol response to surgery and general or epidural anesthesia was similar to that reported in adults and prepubertal boys.(ABSTRACT TRUNCATED AT 250 WORDS)
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Acta Anaesthesiol Scand · Oct 1989
ReviewLung function during anesthesia and respiratory insufficiency in the postoperative period: physiological and clinical implications.
This review covers the physiological and clinical implications of lung function during anesthesia and respiratory insufficiency in the postoperative period. We have divided it into 3 main sections: 1) lung function changes induced by anesthesia and surgery, in which the impact on pulmonary mechanics, ventilation/perfusion changes and gas exchange are examined; 2) physiological implications of postoperative respiratory function secondary to decreased alveolar ventilation, development of atelectasis, and interstitial lung edema; and 3) clinical implications of postoperative respiratory failure. In this last section we analyze the current therapeutic modalities available to reduce the incidence of postoperative respiratory failure, as well as related morbidity and mortality.
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Randomized Controlled Trial Clinical Trial
Haemodynamic changes after induction of anaesthesia and tracheal intubation following propofol or thiopentone in patients of ASA grade I and III.
Thirty-six ASA I patients received either propofol 2.25 (0.07) mg kg-1 (mean (SEM] or thiopentone 4.8 (0.18) mg kg-1, for induction of general anaesthesia together with fentanyl and a neuromuscular blocking drug. This technique was repeated in 12 ASA III patients, using propofol 1.8 (0.18) mg kg-1 or thiopentone 4.7 (0.37) mg kg-1. There was a significant decrease in systolic arterial pressure following induction of anaesthesia with both drugs; this was more pronounced after propofol, and in ASA III patients. Plasma noradrenaline concentrations increased after tracheal intubation only in the thiopentone group, but the pressor response to tracheal intubation was not attenuated by the use of propofol.