Articles: general-anesthesia.
-
Case Reports
[Postanesthetic recall ability, anxiety and dreams in surgical patients. A clinical study].
The recall of stimuli registered during general anaesthesia is described. Patients were interviewed 2 days after surgery, concerning their experiences during anaesthesia. ⋯ Of 140 patients, 2 described recall of awareness during anaesthesia. There was no evidence that external stimuli had been incorporated into dream content.
-
Anesthesia and analgesia · Oct 1986
Randomized Controlled Trial Clinical TrialLack of effect of intravenous lidocaine on hemodynamic responses to rapid sequence induction of general anesthesia: a double-blind controlled clinical trial.
A double-blind, randomized trial was conducted in 16 women aged 20-48 yr, to assess the effect of intravenous lidocaine on the circulatory responses to rapid sequence induction of general anesthesia. None of the patients suffered from heart or lung diseases, all were scheduled for hysterectomy, and all were premedicated with 0.3 mg/kg diazepam orally 2 hr beforehand. Induction, preceded by preoxygenation, included simultaneous injection of thiopental and succinylcholine, without starting manual ventilation until the airway was secured with the endotracheal tube. ⋯ Pronounced, but similar decreases in LVEF were observed in the two groups, to 0.40 from 0.65 in the lidocaine group and to 0.41 from 0.65 in the saline group. In all patients, RPP reached a level considered potentially dangerous to patients with ischemic heart disease. We conclude that lidocaine, 1.5 mg/kg IV, 2 min prior to laryngoscopy and intubation does not prevent hemodynamic reactions evoked by rapid sequence induction.
-
Comparative Study
Barbiturate anesthesia in greyhound and mixed-breed dogs: comparative cardiopulmonary effects, anesthetic effects, and recovery rates.
The cardiovascular effects, anesthetic effects, and recovery rates were evaluated in racing Greyhounds under barbiturate anesthesia. Greyhounds and mixed-breed dogs of similar body weights were given (by IV route) thiopental (15 mg/kg), thiamylal (15 mg/kg), methohexital (10 mg/kg), and pentobarbital (20 mg/kg). The anesthesia lasted longer in Greyhound than in non-Greyhound mixed-breed dogs given thiopental, thiamylal, and methohexital. ⋯ Packed cell volumes in Greyhounds were significantly higher than those in non-Greyhound mixed-breed dogs after the thiobarbiturates and methohexital were administered. Total plasma protein concentrations were significantly lower in Greyhounds, compared with those in the other dogs before and during barbiturate anesthesia. Methohexital is a useful alternative to thiobarbiturates for short-duration barbiturate anesthesia in Greyhounds.
-
Regional-Anaesthesie · Oct 1986
Comparative Study[Results of various anesthesia procedures in cesarean section].
Between 1979 and 1985, 1170 anaesthetics have been used for caesarean sections. The frequency of caesarean sections ranged from 11.9% to 14%. Since 1979, the use of general anaesthesia for caesarean sections has continually decreased from 76% to 11% in favour of regional anaesthesia, and the decrease in general anaesthesia has been most obvious since 1981. ⋯ Regarding general anaesthesia, the most frequent secondary effects were said to be tachycardia, hypotension and ventricular extrasystoles. Serious complications rarely occurred; nevertheless, when they occurred, they were a threat to life under certain circumstances. Regarding regional anaesthesia, the most frequent secondary effects proved to be vomiting, hypotension and tachycardia.(ABSTRACT TRUNCATED AT 250 WORDS)