Anaesthesia, resuscitation, and intensive therapy最新文献_第8页

Disturbances in the function of cardiovascular system in patients following endotracheal intubation and attempts of their prevention by pharmacological bloackade of sympathetic system. 气管插管后心血管系统功能紊乱及交感神经阻滞预防的尝试。

Anaesthesia, resuscitation, and intensive therapy Pub Date : 1975-04-01

J Siedlecki

{"title":"Disturbances in the function of cardiovascular system in patients following endotracheal intubation and attempts of their prevention by pharmacological bloackade of sympathetic system.","authors":"J Siedlecki","doi":"","DOIUrl":"","url":null,"abstract":"The author recorded arterial blood pressure by direct method and ECG in 94 patients during laryngoscopy and intubation. A rise of the mean arterial blood pressure was observed from 104 to 153 mm Hg together with the appearance of ventricular premature beats in patients with normal arterial blood pressure and without arhythmia before the procedure. Superficial analgesia of the pharynx, larynx and trachea failed to prevent the rise of arterial pressure during intubation. The procedure of superficial analgesia connected with intubation caused also a rise in the arterial blood pressure and arrhythmia. Blockade of beta adrenergic receptors reduced the intensity of these disturbances, while blockade of alpha adrenergic receptors increased them. Blockade of the sympathetic ganglia by controlled infusion of trimethaphan (Arfonad) allowed the arterial pressure to be controlled during intubation thus preventing sudden rises and the development of arrhythmia. The author suggests that a sudden rise in the arterial blood pressure during endotracheal intubation may cause rupture of aortic or intracranial aneurysms. The rise of arterial blood pressure precedes the appearance of ventricular premature beats caused by stimulation of the pharynx, larynx and trachea.","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"3 2","pages":"107-23"},"PeriodicalIF":0.0,"publicationDate":"1975-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12357668","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

Hyperventilation in neurosurgery. 神经外科过度换气。

Anaesthesia, resuscitation, and intensive therapy Pub Date : 1975-04-01

K Moszyński, W Lewelt

引用次数: 0

Clinical evaluation of the action of dexamethasone. 地塞米松作用的临床评价。

Anaesthesia, resuscitation, and intensive therapy Pub Date : 1975-04-01

S Kopczyński, E Kurzaj, D Lipińska

引用次数: 0

Professor Vladimir Alexandrovitch Negovski, M.D. Doctor of Medicine (Honoris Causa) of the Medical Academy in Poznań. 弗拉基米尔·亚历山德罗维奇·涅戈夫斯基教授，医学博士，波兹纳佐夫医学院荣誉医学博士。

Anaesthesia, resuscitation, and intensive therapy Pub Date : 1975-01-01

W Jurczyk

引用次数: 0

Evaluation of dynamic compliance of lungs and disturbances of breathing mechanics in patients following laryngectomy for carcinoma of the larynx. 喉癌术后患者肺动态顺应性及呼吸力学紊乱的评价。

Anaesthesia, resuscitation, and intensive therapy Pub Date : 1975-01-01

S Woźniak

{"title":"Evaluation of dynamic compliance of lungs and disturbances of breathing mechanics in patients following laryngectomy for carcinoma of the larynx.","authors":"S Woźniak","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of study was to observe changes which may develop in the mechanics of breathing following laryngectomy in patients with carcinoma of the larynx as compared with the pre-operative conditions. The studies were carried out on a group of 29 patients, performing the measurements twice, i.e. before operation and after laryngectomy and tracheostomy. The measurements were done using a Godart Compliance-Test type 121 apparatus. The value of the coefficient of dynamic compliance of the lungs was determined together with the magnitude and type of work necessary to overcome respiratory resistance. It was found that after the operation the coefficient of dynamic compliance of the lungs increased by 63.7% while the total work of breathing decreased by 38.7% and the work necessary to overcome the elastic resistance of the lungs fell by 33.7% and that for overcoming the non-elastic resistance fell by 49.3%. The most significant changes in breathing mechanics observed after the operation concerned the ratio or breathing work necessary to overcome the non-elastic resistance to the total breathing work. This ratio was 43.35% pre-operatively and 34.11% post-operatively. The obtained results suggest that impairment of laryngeal patency caused by the tumour raises the breathing work and reduces the coefficient of dynamic compliance of the lungs due mainly to an increased non-elastic breathing resistance.","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"3 1","pages":"43-55"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12333024","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

Comparison of controlled respiration by the manual technique and with a respirator during general anaesthesia for abdominal operations. 腹部手术全麻时人工呼吸与呼吸器控制呼吸的比较。

Anaesthesia, resuscitation, and intensive therapy Pub Date : 1975-01-01

W Rychlewski

{"title":"Comparison of controlled respiration by the manual technique and with a respirator during general anaesthesia for abdominal operations.","authors":"W Rychlewski","doi":"","DOIUrl":"","url":null,"abstract":"These studies investigating the difference between controlled respiration performed by manual technique and controlled respiration applied by means of a respirator during general anaesthesia, and assessing the influence of these methods on the immediate post-operative condition of the patient were carried out on 75 patients during abdominal operations. Gasometric tests in arterial blood were performed before premedication, at intervals of 30 min from the beginning of operation, and 10 min. after the removal of the endotracheal tube. Controlled respiration with a respirator is a more favourable method of pulmonary ventilation during general anaesthesia given for a long-lasting surgical operation. The manual technique of controlled respiration leads to respiratory alkalosis. The best results were obtained using a respirator with inspiratory volume of 10 ml/kg and respiratory frequency 10/min., which ensured normocapnia. It was observed that oxygenation of arterial blood was reduced postoperatively in all patients but the value of PaO2 was the lowest in patients on manual controlled respiration. Disturbances in acid-base balance and oxygenation had an unfavourable effect and delayed the regaining of consciousness.","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"3 1","pages":"57-68"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11454453","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 artifical ventilation and dehydrobenzperidol on the development of early changes in the respiratory system in dogs with Mendelson's syndrome. 人工通气和脱氢苯哌利醇对门德尔松综合征犬早期呼吸系统变化的影响。

Anaesthesia, resuscitation, and intensive therapy Pub Date : 1975-01-01

W Budych

{"title":"The effect of artifical ventilation and dehydrobenzperidol on the development of early changes in the respiratory system in dogs with Mendelson's syndrome.","authors":"W Budych","doi":"","DOIUrl":"","url":null,"abstract":"The experiments were carried out to observe certain functional changes in the respiratory system which develop in the early stage of aspiration pneumonia and to study the possibility of influencing these changes by application of artificial ventilation (IPPB) and/or administration of dehydrobenzperidol. The experiments were carried out on 32 mongrel dogs divided into 4 groups. Experimental Mendelson's syndrome was produced by instilling, during anaesthesia, hydrochloric acid solution of pH 1.5 in a dose of 4 ml/kg into the tracheobronchial tree. Immediately after anaesthesia and then 10 times at intervals of one hour after HCl instillation the following determinations were done: mean blood pressure, CVP, haematocrit, PO2 and PCO2 in arterial and mixed venous blood, and minute artifical ventilation. The veno-arterial blood shunt in the lungs, alveolo-arterial difference of oxygen partial pressure and the effective compliance were also determined. The chemical damage to the lungs by acid caused condensation of blood and a fall in CVP. These changes were due to fluid escape from the vessels especially in the pulmonary vascular tree. Disturbances in pulmonary gas exchange were a result of deficient ventilation of lung areas damaged primarily by acid and suffering secondarily from developing disturbances in pulmonary blood flow. Dehydrobenzperidol in a dose of 1 mg/kg applied as the only treatment in Mendelson's syndrome had the same favourable effect on pulmonary changes as controlled IPPB. The combination of controlled artificial ventilation and intravenous dehydrobenzperidol decreased the disturbances in pulmonary gas exchange in Mendelson's syndrome. This was possible because both factors exert a benficial effect on ventilation and perfusion preventing the development of oedema and atelectasis.","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"3 1","pages":"15-23"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11454451","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

Assessment of arterial blood oxygenation in various states of acute respiratory failure. 急性呼吸衰竭不同状态下动脉血氧合的评价。

Anaesthesia, resuscitation, and intensive therapy Pub Date : 1975-01-01

W E Tumalewicz

引用次数: 0

Changes in the dynamic compliance coefficient of the lungs and breathing mechanics during administration of diethyl ether and halothane for general anaesthesia with spontaneous respiration. 乙醚和氟烷用于全身麻醉伴自主呼吸时肺动态顺应系数和呼吸力学的变化

Anaesthesia, resuscitation, and intensive therapy Pub Date : 1975-01-01

A Budniewski

引用次数: 0

Morphological changes of tracheobranchial mucosa in dogs caused by breathing through a surgically produced tracheal fistula. 犬经手术造气管瘘管呼吸引起的气管鳃裂黏膜形态学改变。

Anaesthesia, resuscitation, and intensive therapy Pub Date : 1975-01-01

A Kakomy

{"title":"Morphological changes of tracheobranchial mucosa in dogs caused by breathing through a surgically produced tracheal fistula.","authors":"A Kakomy","doi":"","DOIUrl":"","url":null,"abstract":"The author studied the morphological changes developing in the tracheobronchial mucosa following a surgical tracheal fistula. The experiments were carried out on 19 dogs which were divided into 2 groups. Group I included 10 dogs, in which specimens were obtained by bronchoscopy; in group II, 9 dogs, specimens were obtained directly. Histological examinations were carried out by Gomori's reaction and hematoxylin-eosin staining method. Histo-chemical tests included PAS reaction and alcian blue stain. The results showed that after 24 hours morphological changes mainly involved the tracheal mucosa and their characteristic feature was the variety of forms of lesions of the epithelium covering the mucosa. The longer the duration of the fistula the more these changes increased in intensity and involved further parts of the tracheobronchial tree. The author also took into account the living conditions in the kennels where the dogs were kept following the tracheostomy. The changes observed were compared with those reported by other authors and the correlation between the occurrence of these changes and the environmental conditions and length of breathing through the surgically produced fistula was analysed.","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"3 1","pages":"3-14"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12333966","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