Subject(s)
Intraoperative Complications/diagnosis , Pneumothorax/diagnosis , Thoracotomy , Aged , Anesthesiology/methods , Humans , MaleSubject(s)
Anesthesia, Intravenous , Bronchoscopy , Flumazenil , Midazolam , Thiopental , Aged , Anesthesia Recovery Period , Consciousness , Female , Flumazenil/administration & dosage , Humans , Male , Midazolam/administration & dosage , Succinylcholine/administration & dosage , Thiopental/administration & dosage , Time FactorsABSTRACT
Forty patients scheduled to undergo thoracotomy were randomly allocated to receive either transcutaneous electrical nerve stimulation with intramuscular papaveretum (20 patients) or intramuscular papaveretum alone (20 patients) for postoperative pain relief. Total intramuscular analgesic requirements in the first 24 hours, time to satisfactory transfer to oral analgesia, antiemetic requirements and length of stay in hospital postoperatively were noted. Peak expiratory flow rate was compared pre- and postoperatively in the two groups. Use of nerve stimulation did not significantly alter the requirements for analgesia although there was a reduction in postoperative nausea and vomiting in the nerve stimulation group. There was no difference between the two groups with respect to changes in peak expiratory flow rate.
Subject(s)
Electric Stimulation Therapy , Forced Expiratory Flow Rates , Pain, Postoperative/therapy , Peak Expiratory Flow Rate , Thoracotomy , Transcutaneous Electric Nerve Stimulation , Clinical Trials as Topic , Female , Humans , Male , Middle Aged , Opium/therapeutic use , Pain, Postoperative/physiopathology , Prospective Studies , Random AllocationABSTRACT
A case is described of retropharyngeal haematoma due to spontaneous bleeding from the inferior thyroid artery and causing acute upper airway obstruction. Results of the haematological investigations were suggestive of underlying polycythaemia rubra vera. The presentation and findings in this case are discussed.
Subject(s)
Airway Obstruction/etiology , Hematoma/complications , Pharyngeal Diseases/complications , Polycythemia Vera/complications , Acute Disease , Aged , Female , HumansABSTRACT
Sixty patients received either alfentanil, halothane or enflurane for maintenance of anaesthesia during short day-case gynaecological procedures. The alfentanil group recovered more rapidly but there was no difference between halothane and enflurane in terms of recovery time. Apnoea and movement during surgery only occurred in the patients who received alfentanil. The incidence of other side effects was the same in each group, including late subjective feelings of drowsiness and unsteadiness.
Subject(s)
Ambulatory Surgical Procedures , Analgesics , Anesthesia, Intravenous , Anesthesia, Obstetrical , Fentanyl/analogs & derivatives , Adult , Alfentanil , Analgesics/adverse effects , Anesthesia, Inhalation/adverse effects , Anesthesia, Intravenous/adverse effects , Anesthesia, Obstetrical/adverse effects , Enflurane/adverse effects , Female , Fentanyl/adverse effects , Halothane/adverse effects , HumansABSTRACT
The incidence of hypotension occurring in women undergoing elective Caesarean section with epidural anaesthesia was investigated in 20 patients receiving an intravenous preload of 1 litre of Hartmann's solution and in 20 patients receiving 0.5 litre of polygelatin (Haemaccel) and 0.5 litre of Hartmann's solution. Hypotension occurred in 45% of the Hartmann's group but in only 5% of the polygelatin and Hartmann's group. An argument for the use of a 2-litre intravenous preload of crystalloid solution is offered to provide prophylaxis against hypotension occurring during Caesarean section under epidural anaesthesia.
