ABSTRACT
Autologous blood collection and haemodilution with gelatin solution had an effect on the decrease in red blood cells, haemoglobin, haemotocrit, fibrinogen and platelets; however, this technique had no effect on coagulograms, platelet function and haemostasis. In conclusion, this technique is suitable and possibly practical in obtaining sufficient blood for elective surgical patients and is without any undesirable side effects.
Subject(s)
Blood Transfusion, Autologous , Gelatin/analogs & derivatives , Hemodilution , Plasma Substitutes , Adolescent , Adult , Blood Cell Count , Blood Coagulation Tests , Female , Genital Diseases, Female/blood , Genital Diseases, Female/surgery , Humans , Hysterectomy , Middle AgedABSTRACT
Though hyperbaric solution of bupivacaine following intrathecal injection had satisfactory spread of analgesia, it regressed rapidly with more side effects. Isobaric bupivacaine seemed to provide a slow regression of analgesia with fewer undesirable effects except for its inadequate spread of analgesia. As a result, if the dosages as well as the time of administration of isobaric solution are well adjusted, we believe that it is safe and reliable with an excellent level of analgesia for caesarean section.
Subject(s)
Anesthesia, Obstetrical , Anesthesia, Spinal , Bupivacaine/administration & dosage , Cesarean Section , Adult , Anesthesia, Obstetrical/adverse effects , Anesthesia, Spinal/adverse effects , Atmospheric Pressure , Bupivacaine/adverse effects , Double-Blind Method , Female , Humans , Pregnancy , Treatment OutcomeABSTRACT
The 2.5 mg salbutamol in 2.5 ml normal saline (Ventolin nebules) was used in 22 patients with unexpected bronchospasm via a nebulizer connected to an inspired limb of an anaesthetic machine. Recording of cardiovascular effects, specific notes of breath sound according to symptom severity (clinical lung score), arterial blood gases and airway pressure, was made every 5 minutes up to 30 minutes. The PaCO2 decreased and a/A ratio appeared to increase (improved shunt effect) significantly. However, the cardiovascular effects showed no statistical significance. The airway pressure as well as the clinical lung score appeared to decrease significantly to normal limits 20 minutes after the therapy. We conclude that the use of nebulized beta 2 selective bronchodilator is suitable in the treatment of unexpected bronchospasm without any cardiovascular disturbances.
Subject(s)
Albuterol/therapeutic use , Anesthesia/adverse effects , Bronchial Spasm/drug therapy , Intraoperative Complications/drug therapy , Administration, Inhalation , Adolescent , Adult , Aged , Airway Resistance , Albuterol/administration & dosage , Blood Gas Analysis , Bronchial Spasm/etiology , Bronchial Spasm/physiopathology , Child , Female , Hemodynamics , Humans , Intraoperative Complications/etiology , Intraoperative Complications/physiopathology , Male , Middle AgedABSTRACT
0.5 per cent plain bupivacaine following intrathecal injection in the lateral position seems to be lower than that in the sitting position. The dosages of the drug according to the patients' height and the time for injection were shown to yield a desirable spread of analgesia. Provided that strict attention is paid to volume replacement, the technique is safe quick and reliable and provides excellent analgesia. It is satisfactory for use in orthopaedic surgery and abdominal surgery that does not take more than 2 hours.
