ABSTRACT
This paper discusses the advantages and disadvantages of the use of double-lumen tubes in pulmonary surgery. The method to be used has to be determined in each individual case. Regular peroperative determination of arterial blood gas values is part of the monitoring required in pulmonary surgery (Acta anaesth. belg., 1980, 31, 29-34).
Subject(s)
Intubation, Intratracheal/instrumentation , Lung/surgery , Humans , Intubation, Intratracheal/adverse effects , Pulmonary Embolism/etiology , Thoracic Surgery/instrumentationABSTRACT
Tumor embolus as a cause of death during lung surgery is not a common occurrence. Aspects of this uncommon observation are discussed, and 4 cases from the literature about this subject are reviewed. A brief discussion of treatment and the possibility of prevention is presented.
Subject(s)
Anesthesia , Embolism/etiology , Lung/surgery , Neoplasms/complications , Humans , Lung Neoplasms/surgery , Male , Middle Aged , Postoperative ComplicationsSubject(s)
Anesthesia, Conduction , Hospital Units , Monitoring, Physiologic/instrumentation , Environment , Humans , Safety , SterilizationABSTRACT
A case of mechanical airway obstruction is described. The cause of the obstruction proved to be an internal berniation resulting from detachment of the innermost latex layers of the tube. The various measures to avoid the hazards are briefly mentioned.
Subject(s)
Airway Obstruction/etiology , Intubation, Intratracheal/instrumentation , Aged , Humans , Intubation, Intratracheal/adverse effects , MaleABSTRACT
Abolition of a temporary occlusion of the circulation in the legs during surgical reconstruction of the abdominal aorta generally exerts but little influence on the patient's acid-base status. The changes in acid-base status can be corrected by the patient himself. Routine administration of sodium bicarbonate or Tham is unnecessary. However, respiration, circulation and electrolyte balance should be carefully monitored to ensure that any disturbances in this respect can immediately be given adequate treatment. Determination of the acid-base status during the operation is a valuable aid in evaluation of the patient's condition and can be used as a guideline in therapy.
Subject(s)
Acid-Base Imbalance/prevention & control , Aorta, Abdominal/surgery , Arterial Occlusive Diseases/surgery , Acid-Base Imbalance/drug therapy , Aged , Arteriosclerosis/surgery , Bicarbonates/blood , Carbon Dioxide/blood , Humans , Hydrogen-Ion Concentration , Middle Aged , Partial PressureABSTRACT
A description is presented of a method to eliminate anesthetic gases when using the Loosco system for children with an expiratory valve according to the Waters' principle. From practical experience we have gained the strong impression that this convenient device meets the requirements we have formulated. Exact gas-chromatographic determinations are still in progress, and the results will be published as soon as possible.
Subject(s)
Air Pollution/prevention & control , Anesthesia, Inhalation/instrumentation , Operating Rooms , Child , Humans , MethodsABSTRACT
This paper describes a case of a difficult intubation in a neonate with the Pierre-Robin syndrome. Direct laryngoscopy was impracticable due to the atypical anatomy of the oropharyngeal cavity. The importance of adequate pre-anesthetic examination is stressed. Deep anesthesia during spontaneous respiration can facilitate endotracheal intubation in such cases.
