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Anaesthesia, resuscitation, and intensive therapy最新文献

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A case of malignant hyperthermia during epidural analgesia. 硬膜外镇痛时恶性高热1例。
Anaesthesia, resuscitation, and intensive therapy Pub Date : 1976-04-01
J Klimanek, W Majewski, K Walencik
{"title":"A case of malignant hyperthermia during epidural analgesia.","authors":"J Klimanek,&nbsp;W Majewski,&nbsp;K Walencik","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Malignant hyperthermia syndrome developed during epidural analgesia in 25-year-old female to be operated on for haemorrhoidal varices. After premedication with diazepam and atropine epidural analgesia was started with lidocaine 300 mg and bupivacaine 50 mg. Signs and symptoms of malignant hyperthermia syndrome appeared 30 min. later, with muscle rigidity, hyperpyrexia 41.5degrees C, and loss of consciousness. Treatment alleviating the syndrome was applied as indicated in this complication. Full recovery was obtained.</p>","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"4 2","pages":"143-5"},"PeriodicalIF":0.0,"publicationDate":"1976-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12153490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of dissociative anaesthesia with ketamine on the activity of lysosomal enzymes in peripheral blood granulocytes of guinea pigs. 氯胺酮游离麻醉对豚鼠外周血粒细胞溶酶体酶活性的影响。
Anaesthesia, resuscitation, and intensive therapy Pub Date : 1976-04-01
W Gaszyński, A Majka
{"title":"The effect of dissociative anaesthesia with ketamine on the activity of lysosomal enzymes in peripheral blood granulocytes of guinea pigs.","authors":"W Gaszyński,&nbsp;A Majka","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The effect of ketamine on the activity of lysosomal enzymes in peripheral blood granulocytes was studied in guinea pigs. Ketamine was given intramuscularly in one single dose, in divided doses and in long-term administration (repeatedly) for 14 days. The blood for determination was obtained from the heart, the lysosomes were prepared by the Chodirker's method determining the activity of marker enzymes: acid phosphatase, acid protease and neutral protease, in the obtained fractions. No statistically significant differences were found in the activity of lysosomal enzymes in the studied groups. The results obtained point out the usefulness of ketamine in severe conditions associated with significant catabolic changes in the organism.</p>","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"4 2","pages":"79-84"},"PeriodicalIF":0.0,"publicationDate":"1976-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12153491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The influence of upper respiratory tract receptors stimulation on the respiration and heart action in rats. 上呼吸道受体刺激对大鼠呼吸和心脏活动的影响。
Anaesthesia, resuscitation, and intensive therapy Pub Date : 1976-04-01
S Bogdanowicz, J Aleszewicz, G Swiqtecka, S Zielazek
{"title":"The influence of upper respiratory tract receptors stimulation on the respiration and heart action in rats.","authors":"S Bogdanowicz,&nbsp;J Aleszewicz,&nbsp;G Swiqtecka,&nbsp;S Zielazek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>1. Stimulation of the upper respiratory tract with water releases reflex respiratory arrest and very marked bradycardia due to conduction and impulse generation disturbances in the heart accompanied by ventricular hyperexcitability. 2. Asphyxia causes bradycardia as a result of an inhibition of sinus node and the development of vicarious rhythms with excessive ectopic ventricular excitability. The intensity and duration of bradycardia during asphyxia are less than during water stimulation of airways. 3. Urethane anaesthesia did not prevent the development of the above described changes appearing during stimulation of the upper airways while topical analgesia with lidocaine completely prevented their appearance. The observations seem to suggest that for safety, surgical treatment in the upper airways should be done under analgesia of the respiratory mucosa. 4. The mechanism of the development of these changes seems to depend mainly on nervous and humoral factors, although the influence of other factors cannot be excluded. 5. Reflex changes in the action of the heart caused by water stimulation of the upper airways may be one of important components of the complex physiopathological process leading to death in drowning persons.</p>","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"4 2","pages":"85-93"},"PeriodicalIF":0.0,"publicationDate":"1976-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12153493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ketamine used for anaesthesia in children for pneumoencephalography. 氯胺酮用于儿童气脑造影术麻醉。
Anaesthesia, resuscitation, and intensive therapy Pub Date : 1976-04-01
B Polocki, K Czerwińska-Ciechan, H Berger, I Slizewska, W Szwaykowski, J Niewińska
{"title":"Ketamine used for anaesthesia in children for pneumoencephalography.","authors":"B Polocki,&nbsp;K Czerwińska-Ciechan,&nbsp;H Berger,&nbsp;I Slizewska,&nbsp;W Szwaykowski,&nbsp;J Niewińska","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ketamine was given together with premedication (droperidol + pethidine + atropine) for general anaesthesia in 36 children during pneumoencephalography. Most children (26) had epilepsy. No significant cardiovascular and respiratory disturbances were observed during and after anaesthesia. This proposed method of anaesthesia in children is sufficient for short-lasting diagnostic procedures, particularly for pneumoencephalography.</p>","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"4 2","pages":"121-9"},"PeriodicalIF":0.0,"publicationDate":"1976-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12153489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Continuous positive airway pressure in children. 儿童持续气道正压治疗。
Anaesthesia, resuscitation, and intensive therapy Pub Date : 1976-04-01
K Brodzińska, Z Kruszyński
{"title":"Continuous positive airway pressure in children.","authors":"K Brodzińska,&nbsp;Z Kruszyński","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Difficulties in the treatment of respiratory disturbances in children and the principles and rationale of continuous positive airway pressure respiration (CPAP) are discussed. The authors present personal experiences with this method, based on 88 cases, and the clinical usefulness and safety of CPAP. Development of acute respiratory failure in children after operations, mainly, after cardiac operations, during penumonia, lung oedema and respiratory distress syndrome in newborns, were effectively prevented on condition, however, that diagnosis was made sufficiently early. Systemic recording of PA-aO2 significantly contributed to early diagnosis. The use of CPAP allowed lower oxygen concentrations in the respiratory air to be used.</p>","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"4 2","pages":"105-11"},"PeriodicalIF":0.0,"publicationDate":"1976-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11978051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spirometric, gasometric and electrocardiographic studies in patients with extreme obesity prepared for surgical treatment. 为手术治疗准备的极度肥胖患者的肺活量测定、气测和心电图研究。
Anaesthesia, resuscitation, and intensive therapy Pub Date : 1976-04-01
A Kubacki, M Nowicka, K Pakulska, M Tuszewski
{"title":"Spirometric, gasometric and electrocardiographic studies in patients with extreme obesity prepared for surgical treatment.","authors":"A Kubacki,&nbsp;M Nowicka,&nbsp;K Pakulska,&nbsp;M Tuszewski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Spirometric, gasometric and electrocardiogarphic studies were carried out in 17 patients at rest, who were treated surgically for extreme obesity (overweight from 52 to 175 per cent in relation to the normal weight). The measurements were made before operation. It was found that the mean spirometric values were within the range of acceptable deviations from the normal value. The residual volume showed a tendency towards decreasing, especially in young patients. The values of dynamic parameters indicated a tendency towards ventilatory changes of a restrictive type in both groups. Minute ventilation at rest increased proportionally to obesity. Decreased values of respiratory equivalent indicated a good economy of respiration in obese persons when at rest. The mean gasometric values in capillary blood at rest were also within the acceptable range of abnormalities. Electrocardiographic tracings taken at rest showed considerable changes in the group of more obese persons.</p>","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"4 2","pages":"113-20"},"PeriodicalIF":0.0,"publicationDate":"1976-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12153492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The usefulness of Resusci-Anne manikin in teaching modern methods of resuscitation. 复苏安妮人体模型在现代复苏方法教学中的作用。
Anaesthesia, resuscitation, and intensive therapy Pub Date : 1976-04-01
Z Banasik, Z Sledziński, D Arciszewska, M Wawel, K Kucharska, A Lewiński
{"title":"The usefulness of Resusci-Anne manikin in teaching modern methods of resuscitation.","authors":"Z Banasik,&nbsp;Z Sledziński,&nbsp;D Arciszewska,&nbsp;M Wawel,&nbsp;K Kucharska,&nbsp;A Lewiński","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>From experiences gained during the training of personnel the authors evaluate the effectiveness of teaching the principles of modern methods of resuscitation. They concluded that there are no essential differences in the preparation of carrying out resuscitation precedures between laymen and medical personnel. It is necessary to organize refreshing courses periodically. The Recording Resusci-Anne manikin with a device controlling the correctness of resuscitation procedures has been found to be an indispensable training aid in teaching the principles of resuscitation.</p>","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"4 2","pages":"131-7"},"PeriodicalIF":0.0,"publicationDate":"1976-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12153360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of endotracheal anaesthesia on the activity of lysosomal enzymes in peripheral blood granulocytes. 气管内麻醉对外周血粒细胞溶酶体酶活性的影响。
Anaesthesia, resuscitation, and intensive therapy Pub Date : 1976-01-01
W Gaszynski, Z Sulowska, M Szpunar, J Siwik, K Kralkowski
{"title":"Effect of endotracheal anaesthesia on the activity of lysosomal enzymes in peripheral blood granulocytes.","authors":"W Gaszynski,&nbsp;Z Sulowska,&nbsp;M Szpunar,&nbsp;J Siwik,&nbsp;K Kralkowski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to assess the effect of endotracheal anaesthesia on the activity of lysosomal enzymes in peripheral blood granulocytes. The determinations were carried out before anaesthesia, after 1 hour of anaesthesia and 1 hour after awakening. The activity of lysosomal enzymes was assessed on the basis of the activity of marker-enzymes, i.e. acid phosphatase, acid protease and neutral protease. The lysosomal fraction was prepared by Choduker's method and the activity of lysosomal enzymes was calculated for 100 mug of protein. The obtained results showed a statistically not significant rise in the activity of these enzymes in the lysosomes during anaesthesia without a similar rise in the supernatant. The activity of marker enzymes in lysosomes rose to the initial values after the awakening of patients. Such rapid changes in the activity of lysosomal enzymes seem to depend mainly on the mobilization of the reserve pool of granulocytes from other sources than the peripheral blood and, to a lesser extent, on latency and stabilization of lysosomal membranes by anaesthetic agents used in correctly conducted anaesthesia.</p>","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"4 1","pages":"3-9"},"PeriodicalIF":0.0,"publicationDate":"1976-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12152530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anaesthesia for operation of traumatic heart tamponade. A case report. 外伤性心包填塞手术的麻醉。一份病例报告。
Anaesthesia, resuscitation, and intensive therapy Pub Date : 1976-01-01
W Fijalkowski, L Kuczynski, T Molas-Drozd
{"title":"Anaesthesia for operation of traumatic heart tamponade. A case report.","authors":"W Fijalkowski,&nbsp;L Kuczynski,&nbsp;T Molas-Drozd","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors report a case of myocardial stab wound followed by shock and symptoms of heart tamponade. Following a discussion on the haemodynamic aspects of this disease entity and description of the case the authors analize the most essential elements of general anaesthesia in such conditions.</p>","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"4 1","pages":"71-5"},"PeriodicalIF":0.0,"publicationDate":"1976-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12152534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anaphylactic shock following althesin. A case report. althesin后过敏性休克。一份病例报告。
Anaesthesia, resuscitation, and intensive therapy Pub Date : 1976-01-01
M Rawicz, Z Rondio, J Cwizewicz-Adamska
{"title":"Anaphylactic shock following althesin. A case report.","authors":"M Rawicz,&nbsp;Z Rondio,&nbsp;J Cwizewicz-Adamska","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors present a case of anaphylactic shock in a 9-year-old girl with heamorrhagic rash developing during anaesthesia. Shock was controlled with steroids, antihistamine drugs and dextran. The authors find it important to consider the possibility of the development of intravascular clotting in anaphylactic shock and the necessity of seeking a history of any allergy in patients before althesin anaesthesia.</p>","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"4 1","pages":"65-9"},"PeriodicalIF":0.0,"publicationDate":"1976-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11354347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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