ABSTRACT
A male patient with atrial fibrillation aged 74 years underwent an operation for benign hypertropic prostate under spinal anesthesia. Post-operatively he suffered from convulsions but was discharged without sequlae on the 1Sth post-operative day. The causes of symptcnmatic fits include hypoxia in general, cerebral edema, embolus hyperpyrexia, drugs, hypoglycemia, hypocalcemia and concomitant diseases including cerebrovascular accidents. Probably a combination of some of these factors caused have caused post-operative or post-spinal anesthesia convulsions.
Subject(s)
Humans , Male , Anesthesia , Anesthesia, Spinal , Hypoxia , Atrial Fibrillation , Brain Edema , Embolism , Hypocalcemia , Hypoglycemia , Prostate , Seizures , StrokeABSTRACT
The choice of equipment for the administration of anesthesia depends to a considerable extent upon personal preference. Underlying factors must guide this choice, however. Equipment is suited to the individual patient, with especial care to avoid resistance, dead space, fatigue, and trauma, since all of these insults are easily imposed upon small patients. As we have had good experience in pediatric anesthesia with the Ambu valve and the results were satisfactory, we report with discussion of references.
Subject(s)
Humans , Anesthesia , FatigueABSTRACT
The hypnotic activity of diazepam was compared with that of inactive placebo in a double- blind, randomized study in 40 surgical patients the night before their scheduled procedures. Diazepam per os (10mg) produces a pattern of response that differed markedly from that of the placebo. The patient receiving diazepam fell asleep sooner, slept more soundly and steadily and more felt they had been helped to sleep, while fewer awoke during the night. The significant difference Was obtained in both hypnotic and ataractic effects between diazepam and inactive placebo. Neither diaxepam nor inactive placbo caused marked changes in vital signs or any serious side effects.