ABSTRACT
A rare case of primary renal ganglioneuroblastoma in a 68 year old female is presented. The authors believe this to be the first case report of this tumour arising in the kidney of an adult patient.
Subject(s)
Ganglioneuroma , Kidney Neoplasms , Abdominal Neoplasms/pathology , Aged , Female , Ganglioneuroma/pathology , Humans , Kidney Neoplasms/pathology , Liver Neoplasms/pathology , Neoplasm InvasivenessSubject(s)
Anesthesia/history , Bibliographies as Topic , Extracellular Space/physiology , Fluid Therapy/history , General Surgery/history , England , History, 17th Century , History, 18th Century , History, 19th Century , History, 20th Century , Humans , Surgical Procedures, Operative , United StatesSubject(s)
Anesthesia, Epidural , Blood Glucose/analysis , Insulin/blood , Anesthesia, General , HumansABSTRACT
Isoflurane and halothane were compared in two similar groups of 100 patients each. Isoflurane compared favorably with halothane in producing adequate anesthesia in all our patients. Induction period was a little stormy when there was direct induction with isoflurane. Maintenance was excellent and recovery was good. Mean concentration necessary to induce anesthesia was 3.07% with isoflurane and 2.56% with halothane. Mean maintenance with isoflurane was 1.39%, compared to 1.40% with halothane. Less curare was required for relaxation when used with isoflurane than with halothane. This difference was not seen with pancuronium (Pavulon). Patient recovery was faster with isoflurane than with halothane. Incidence of delirium and shivering in the recovery period was similar for both agents. Incidence of nausea and vomiting was greater with isoflurane. Other clinical and biochemical postoperative comparisons did not show any significant differences between the two agents.
Subject(s)
Anesthesia/methods , Halothane/administration & dosage , Isoflurane/administration & dosage , Methyl Ethers/administration & dosage , Adolescent , Adult , Arrhythmias, Cardiac/chemically induced , Halothane/adverse effects , Humans , Isoflurane/adverse effects , Liver/drug effects , Male , Middle AgedSubject(s)
Infusions, Parenteral , Shock, Hemorrhagic/therapy , Wounds and Injuries/surgery , Acidosis/blood , Blood Platelets , Blood Transfusion , Blood Vessels/metabolism , Blood Volume , Extracellular Space/analysis , Extracellular Space/metabolism , Humans , Hypotension/physiopathology , Kidney/physiopathology , Lactates/blood , Pulmonary Edema/etiology , Salts/metabolism , Serum Albumin/therapeutic use , Shock, Hemorrhagic/complications , Shock, Hemorrhagic/metabolism , Shock, Hemorrhagic/physiopathology , Solutions , UrineABSTRACT
To overcome the disadvantages of other methods, the authors have devised a procedure for below-the-knee operations, involving a new technic of sciatic-femoral nerve block. The technic has so far been successful without use of adjuvant agents in 90 percent of over 100 patients so handled.