ABSTRACT
This is taecase report of a 64 year old male patient with the chief complaint of esophagial vahix bjeeding, who has been scheduled for emergency sever hypoalbuminemia, and abnormal liver function test. Anesthesia was induced with nitrous oxide, Innovar, morphine sulfate, pancuronium bromide and Valium. The long operation of 3 hours required transfusions of 5 pints banked bloods without any and difficulty. Anesthesia was reversed with Nsrcan, neostigmain and Atropine. In the recovery room, the patient's ventilation was satisfactory but he did not recover from deep coma until 5 hours after surgery. After repeated injection of Narcan intramuscularly the patient awoke from his deep asleep at midnight without any delayed sequelae.
Subject(s)
Humans , Male , Middle Aged , Anesthesia , Atropine , Balanced Anesthesia , Coma , Diazepam , Emergencies , Hypoalbuminemia , Liver Cirrhosis , Liver Function Tests , Liver , Morphine , Naloxone , Nitrous Oxide , Pancuronium , Recovery Room , VentilationABSTRACT
This study was undertaken to investigate the effect of premedicants, diazepam and atropine sulfate in ten surgical patients by determining human plasma thyroxine levels. Tetrasorb-125 was utilized as a kit which offers a method for quantitative measurement of total circulating serum thyroxine. The plasma thyroxine level before administration of premedicants was 11. 16+/-2. 45ug/100ml and at 60 minutes after administration of premedicants. it was 11. 3+/-2. 73ug/100ml so that clinical significance of the result was absent. The number of male and female patients was 3 and 7, mean age 40. 1+/-9. 82 and average body weight 56. 1+/-4. 01kg. Consequently there was no significant change in human plasma thyroxine during one hour :of premedication.