Diazepam valium and propofol only for tracheal intubation

Anesthesia for day-case minor surgical procedures increasingly accepted with the introduction of fast onset and short acting drugs. In this work, general anesthesia with endotracheal tube was used without the use of muscle relaxant to allow early, rapid and smooth recovery. In the study, 80 patients were divided into four groups, each of them 20 patients, according to the dose of diazepam 2.5, 5, 7.5 and 10 mg for groups I, II, III and IV, respectively. The study concluded that 2 mg/kg and 7.5 or 10 mg diazepam intravenously provides good or excellent conditions for tracheal intubation and may permit the rapid return of spontaneous ventilation

Severe chronic obstructive pulmonary disease and anaesthesia

The current study done to compare the pulmonary functions and blood gases changed in the patients with severe chronic pulmonary obstructive disease, before, during and after surgical interference. This study included 90 patients 60 of them were COPD ASA III and 30 patients formed the control group. The patients were divided into three equal main group according the anaesthetic technique. First group 30 patients 20 of them have severe COPDand 10 withen normal limits, analgesia with 3ml heavy marcain 0.5percent, at the level of 3.4 lumber vertebra "Mid spinal". Another 30 patient in group two 20 of them with sever COPD and 10 normal received general anaesthesia [9A] using endotracheal tube E.T.T. while the last 30 patients group three 20 patients with sever COPD. ASA III and 10 ASA I were given J.A. using laryngeal mask L.M. The present study concludes that, the spinal anaesthesia is preferred to general anaesthesia and that general anaestesia with laryngeal mask is referable to general anaestheisa with endotraceal intubation

Comparative study between intranasal midazolam and ketamine as a preanesthetic medication for children

The perfect pre anesthetic medication and its ideal route of administration are still debated, However for pediatric day-case surgery premedication is frequently omitted because of the fear that it will prolong the child's recovery and hospital discharge time. The effects or intranasal midazolam 0.2 mg.kg-1 and placebo were compared as regard to separation score, induction score, recovery time and hospital discharge time. Sixty children, ASA I and II, aged between 2 and 6 year undergoing a day case surgery, were randomly allocated into 3 groups separation and induction scores were satisfactory in midazolam [85%, 75%] and ketamine [80%, 70%] groups and poor in placebo [10% - 15%] [P < 0.05]. Recovery time was the same as the placebo. Also the hospital discharge time was nearly the same