RESUMO
The effects of general and spinal anesthesia on maternal plasms levels of prolactin and Cortisol in response to the stress of cesarean section were studied. Surgery under general anesthesia resulted in significant increases in both the mean maternal plasma prolactin and cortisol levels. However, onty the cortisol level exhibited a significant increase when surgery was performed under spinal anesthesia It is concluded that prolactin and cortisol responses to the stress of labor and delivery are modified by the anesthetic method, and that the mechanism of hormonal response under general anesthesia as compared with spinal anesthesia remains to be clarified.
Assuntos
Feminino , Gravidez , Anestesia Geral , Raquianestesia , Cesárea , Hidrocortisona , Plasma , ProlactinaRESUMO
A 4 year old girl was admitted for correction of PDA under the general anesthesia. A 4.5mm ID cuffed orotracheal Rusch tube was inserted and the Jackson-Rees system was used for maintenance of anesthesia with enflurane-nitrous oxide-oxygen. During surgery a mild increase in airway resistance was noticed and tachycardia was seen but all other vital signs were within normal limits. In the recovery room, she exhibited signs of complete airway oibstruction, and so the endotracheal tube was extubated. The obstruction was due to a dried mucous crust attached to the bevel of the endotracheal tube.
Assuntos
Pré-Escolar , Feminino , Humanos , Resistência das Vias Respiratórias , Anestesia , Anestesia Geral , Sala de Recuperação , Taquicardia , Sinais VitaisRESUMO
A 4 year old girl was admitted for correction of PDA under the general anesthesia. A 4.5mm ID cuffed orotracheal Rusch tube was inserted and the Jackson-Rees system was used for maintenance of anesthesia with enflurane-nitrous oxide-oxygen. During surgery a mild increase in airway resistance was noticed and tachycardia was seen but all other vital signs were within normal limits. In the recovery room, she exhibited signs of complete airway oibstruction, and so the endotracheal tube was extubated. The obstruction was due to a dried mucous crust attached to the bevel of the endotracheal tube.