Subject(s)
Critical Care , Positive-Pressure Respiration , Respiration , Humans , Postoperative CareABSTRACT
AMong 149 old ophthalmological patients over 70 years old, 29 patients did not undergo a general anaesthesia. The other 120 patients underwent 148 operations under general anaesthesia. The anaesthetic techniques came from neuroleptanalgesia. The results are quite good from a surgical view/point so that now we don't to refuse old people for an ophthalmological surgery under general anaesthesia any longer.
Subject(s)
Anesthesia/methods , Ophthalmologic Surgical Procedures , Age Factors , Aged , Anesthesia/adverse effects , Anesthesia, General , Anesthesia, Local , Arrhythmias, Cardiac/etiology , Female , Humans , Hypotension/etiology , Male , Neuroleptanalgesia/methods , Preanesthetic MedicationSubject(s)
Embolism, Air/etiology , Embolism/etiology , Gases/adverse effects , Surgical Procedures, Operative/adverse effects , Catheterization/adverse effects , Embolism/prevention & control , Embolism, Air/prevention & control , Endoscopy/adverse effects , Humans , Pneumoradiography/adverse effects , Transfusion ReactionABSTRACT
The authors report a case of lesions of the pharyngo-oesophagolaryngeal junction following difficult intubation. On the basis of the small number of cases published in recent years, they attempt to determine those factors which may permit early diagnosis before the development of complications in order that any medical or surgical therapeutic measures applied may be fully effective.
Subject(s)
Fistula/etiology , Intubation, Intratracheal/adverse effects , Larynx/injuries , Pharynx/injuries , Tracheoesophageal Fistula/etiology , Aged , Female , Fistula/diagnostic imaging , Humans , RadiographyABSTRACT
Sixty patients suffering from a neoplasm of the oesophagus underwent surgery. All received parenteral alimentation in an intensive care unit and its value was studied, in particular in the immediate postoperative period. Describing the technique used, together with the qualitative and quantitative nature of the products employed, the authors analyse the results obtained and in particular the effectiveness of treatment from the standpoint of protein balance and of body weight stability in these patients.
Subject(s)
Esophageal Neoplasms/surgery , Parenteral Nutrition, Total , Parenteral Nutrition , Adult , Aged , Body Weight , Esophageal Neoplasms/diet therapy , Evaluation Studies as Topic , Female , Humans , Male , Middle Aged , Protein-Energy Malnutrition/prevention & controlABSTRACT
Pulmonary complications frequently occur during the postoperative period following surgery for neoplasms of the oesophagus. The aetiology varies according to the time of their onset but the clinical signs and treatment are essentially the same. The problems encountered and related either to anaesthesia, to the surgical approach to the position of the patient. It is after the third day that complication develop related at one and the same to the past history, classical in such patients, (tobacco, chronic bronchitis, alcoholism) and the ectopic position of an abdominal viscus.
Subject(s)
Esophageal Neoplasms/surgery , Lung Diseases/etiology , Postoperative Complications , Humans , Time FactorsSubject(s)
Endoscopy/methods , Neuroleptanalgesia/methods , Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Postoperative ComplicationsSubject(s)
Dextrans/adverse effects , Macromolecular Substances , Plasma Substitutes/adverse effects , Anaphylaxis/chemically induced , Anaphylaxis/immunology , Anaphylaxis/pathology , Animals , Antigen-Antibody Reactions , Antigens , Blood Coagulation Disorders/etiology , Complement System Proteins , Dextrans/immunology , Hematocrit , Hemostasis/drug effects , Histamine Release , Humans , In Vitro Techniques , Kidney/drug effects , Molecular Weight , Plasma Substitutes/immunologyABSTRACT
Extra-corporeal circulation (E.C.C.) has been held responsible for histamine liberation incidents, essentially by a mechanical cause. In order to prove this, the authors assayed the overall histaminaemia at different times during E.C.C. in 11 patients. The results are discussed in terms of the patients' backgrounds, temperature, hematocrit, blood gases and the acid-base balance, and electrolyte balance. Histaminaemia, corrected depending on the dilution, did not show any significant variation, even in two patients who clinically had anaphylactic manifestations.
Subject(s)
Extracorporeal Circulation , Histamine Release , Acid-Base Equilibrium , Body Temperature , Droperidol/pharmacology , Extracorporeal Circulation/methods , Female , Hematocrit , Histamine/blood , Histamine Release/drug effects , Humans , Male , Middle Aged , Neuroleptanalgesia , Phenoperidine/pharmacologyABSTRACT
71 male rats (Whitstar strain) are submitted to restraint. 37 of them were receiving twice an injection of 10 000 I.U. of vitamin A in order to protect them against the occurence of stress ulcer. Untreated animals are used as controls. Incidence of obtained ulcer is compared with the variation of vitamin A serum concentration, classicaly decreased in stress. Analysis of individual results shows that, if parenteral administration was followed either by restitution of the initial serum concentration, or by its increase, the treatment was efficient in 64 p. 100 of the cases.
