ABSTRACT
The incidence of medical diseases in surgical patients was assessed using data gathered from 5944 consecutive anaesthetics. Medical disease which might affect anaesthetic management was present in 23.2% of patients. The commonest diseases were hypertension, anaemia, chronic obstructive airway disease, diabetes mellitus, and pulmonary tuberculosis. No significant difference was detected in sex incidence for ischaemic heart disease and cerebrovascular disease. There was a disproportionate preponderance of males with respiratory diseases. It is suggested that anaesthetics should be administered only by qualified anaesthetists, that the establishment of anaesthetic outpatient clinics is desirable, and that internal medicine should be included in anaesthetic training.
Subject(s)
Anesthesia/methods , Morbidity , Surgical Procedures, Operative , Adolescent , Adult , Aged , Cardiovascular Diseases/surgery , Child , Child, Preschool , Diabetes Mellitus/surgery , Female , Gastrointestinal Diseases/surgery , Hematologic Diseases/surgery , Hong Kong , Humans , Infant , Infant, Newborn , Male , Middle Aged , Respiratory Tract Diseases/surgery , Sex FactorsABSTRACT
An asthmatic patient developed intense bronchospasm immediately following the administration of alcuronium and d-tubocurarine in the same anaesthetic. Intradermal test was positive for both of these drugs but negative for thiopentone and suxamethonium, both of which were given prior to alcuronium. The differential diagnosis and the possible mechanism of the reaction are discussed.
Subject(s)
Alcuronium/adverse effects , Asthma/complications , Bronchial Spasm/chemically induced , Toxiferine/analogs & derivatives , Tubocurarine/adverse effects , Adult , Bronchial Spasm/diagnosis , Female , Humans , Intradermal Tests , Pregnancy , Pregnancy, Ectopic/surgery , RuptureABSTRACT
The relationship between tubocurarine requirements and plasma levels of albumin and total globulin was investigated in 50 adult patients undergoing elective upper abdominal operation. No significant correlation was found with plasma proteins expressed in g/100 ml of plasma. A significant positive correlation between tubocurarine requirements and plasma total globulin corrected for packed cell volume (PCV) by multiplying, by (1-PCV) was demonstrated. This relationship decreased with time.
Subject(s)
Hematocrit , Tubocurarine/administration & dosage , Adult , Aged , Female , Humans , Male , Middle Aged , Serum Albumin , Serum Globulins , Time FactorsABSTRACT
The relationship between alcuronium requirements and the plasma concentration of albumin and total globulin was investigated in 50 adult patients undergoing elective upper abdominal surgery. No significant correlation was obtained with the plasma proteins (g/100 ml plasma). A significant positive correlation between alcuronium requirements and plasma albumin X (1-PCV), especially in anaemic patients, was found. This relationship tended to decrease with time.
Subject(s)
Alcuronium/administration & dosage , Hematocrit , Serum Albumin , Serum Globulins , Toxiferine/analogs & derivatives , Adult , Aged , Female , Humans , Male , Middle Aged , Time FactorsABSTRACT
The onset, depth and recovery from paralysis produced by gallamine triethiodide were studied using the tibialis anterior muscle/sciatic nerve preparation in mongrel dogs, during changes in blood flow to this muscle. A roller pump was used to effect the blood flow changes via an aorto-femoral shunt. The onset and depth of paralysis were related directly to muscle blood flow. There was no correlation between the rate of recovery from paralysis and the blood flow to the muscle.
Subject(s)
Blood Flow Velocity , Gallamine Triethiodide/adverse effects , Muscles/blood supply , Regional Blood Flow , Animals , Body Temperature , Cardiac Output , Gallamine Triethiodide/blood , Muscles/drug effects , Paralysis/chemically induced , Time FactorsABSTRACT
Our experience of twenty-eight patients with intermittent claudication treated by means of paravertebral lumbar somatic nerve block is presented. There was immediate demonstrable improvement in 92-5% of the twenty-six patients included in this follow up. At the end of 6 months the improvement was maintained in 72-7% of the patients and in about 70-0% of patients at 6 months and at 9 months. Six of the seven patients followed up for 1 year had a claudication distance at least twice that prior to the block. The results of this indicate that lumbar somatic nerve block is less disturbing and more effective than other forms of conservative treatment for intermittent claudication.
