Ma zui xue za zhi = Anaesthesiologica Sinica最新文献_第7页

[Misplacement of bilateral femoral venous catheters into the abdominal cavity]. [双侧股静脉导管插入腹腔错位]。

Ma zui xue za zhi = Anaesthesiologica Sinica Pub Date : 1992-09-01

J S Giiang, Y L Huang

引用次数: 0

Anesthetic consideration and postpartum care of severe preeclampsia-eclampsia complicated by acute pulmonary edema. 重度子痫前期-子痫合并急性肺水肿的麻醉考虑及产后护理。

Ma zui xue za zhi = Anaesthesiologica Sinica Pub Date : 1992-09-01

S H Wang, A R Talbot

引用次数: 0

Is routine preanesthetic hemoglobin test necessary in minor pediatric surgery? 小儿科手术有必要进行常规麻醉前血红蛋白检测吗?

Ma zui xue za zhi = Anaesthesiologica Sinica Pub Date : 1992-09-01

K L Wong, K B Lai, T G Yang, T T Wei, J Y Chuan

{"title":"Is routine preanesthetic hemoglobin test necessary in minor pediatric surgery?","authors":"K L Wong, K B Lai, T G Yang, T T Wei, J Y Chuan","doi":"","DOIUrl":"","url":null,"abstract":"The value of preanesthetic assessment of anemia and analysis of the hemoglobin level prior to a minor pediatric surgery has been recently questioned in some reports. This study was to retrospectively analyse 8859 pediatric patients who underwent minor surgery in the period from January 1987 to December 1990 in our hospital. They were all ASA class I-II in physical status with age ranging from one month to 19 years. Those patients with their hemoglobin values determined at other laboratories or hospitals in spite of our recognition and those suspected of having an immune or oncologic disease were excluded from this study. The mean hemoglobin value of the patients under study was 12.99 +/- 0.82 g/dl. 0.62% of the patients (55) were found to have hemoglobin values less than 10 g/dl which were similar to the results obtained by Wood et al (0.7%) in 1981 and Roy et al (0.5%) in 1990. Among the 55 anemic patients, 41 (74.5%) were at the age between 2 to 4 months (within the physiologic anemic period of infancy). Sampling of blood for routine preanesthetic hemoglobin determination which caused discomfort and pain was often rejected by pediatric patients and struggle for escape also upset the children very much. Based on the results from our analysis, we suggest that in healthy pediatric patient scheduled for minor surgery routine hemoglobin test could be excluded. Hemoglobin test is selectively performed in a patient is anemic or under suspicious circumstances. The value and shortcomings of selective hemoglobin test before surgery require further evaluation.","PeriodicalId":77247,"journal":{"name":"Ma zui xue za zhi = Anaesthesiologica Sinica","volume":"30 3","pages":"163-8"},"PeriodicalIF":0.0,"publicationDate":"1992-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12477127","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

[A case report of oculocardiac reflex-induced cardiac arrest]. 【心房反射性心脏骤停1例报告】。

Ma zui xue za zhi = Anaesthesiologica Sinica Pub Date : 1992-09-01

K Y Chen, C S Tang, L Y Tseng, K L Yu, C K Tseng

引用次数: 0

The sedative effect of intravenous injection of low dose midazolam during spinal anesthesia in cesarean section. 剖宫产术腰麻时静脉注射小剂量咪达唑仑的镇静作用。

Ma zui xue za zhi = Anaesthesiologica Sinica Pub Date : 1992-09-01

B K Fung, A J Gislefoss, E S Ho

引用次数: 0

[Changes of blood viscosity in patients undergoing cardiac surgery during cardiopulmonary bypass]. [心脏手术患者体外循环期间血液粘度的变化]。

Ma zui xue za zhi = Anaesthesiologica Sinica Pub Date : 1992-09-01

I S Ling, C F Wang, C L Lee, C G Liu, Y T Lee, J L Wu

{"title":"[Changes of blood viscosity in patients undergoing cardiac surgery during cardiopulmonary bypass].","authors":"I S Ling, C F Wang, C L Lee, C G Liu, Y T Lee, J L Wu","doi":"","DOIUrl":"","url":null,"abstract":"The patient undergoing open-heart surgery depends on hypothermia and cardiopulmonary bypass (CPB) to maintain organ perfusion during cardiac arrest. Increased blood viscosity during hypothermic CPB might be life-threatening, so hemodilution is imperative. Fourteen open-heart patients of ASA class II-III were included in this study. Pre- and intra-CPB viscosity changes were observed. Before CPB, 6 ml blood sample was drawn out from open-heart patients after systemic heparinization and another 6 ml blood sample was drawn out from the oxygenator after CPB was established. The hematocrit and relative viscosity of each sample in different temperatures were measured. The result revealed that as the temperature decreases, the viscosity of each sample increases apparently. As compared to the pre-CPB blood sample, the hematocrit of blood obtained intra-CPB decreases from 36.81 to 27.04, (p < 0.001), and the viscosity also decreases at all different temperatures (p < 0.001). Blood viscosity obtained at 37 degrees C pre-bypass is not statistically different from the sample at 25 degrees C during bypass. Obviously, increased viscosity due to hypothermia is buffered by hemodilution after using large amount of fluid as priming solution during CPB. Therefore, the hematocrit and viscosity remain within physiologic ranges.","PeriodicalId":77247,"journal":{"name":"Ma zui xue za zhi = Anaesthesiologica Sinica","volume":"30 3","pages":"153-7"},"PeriodicalIF":0.0,"publicationDate":"1992-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12477271","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 premedication on the changes of neuropeptide Y (NPY) in anesthesia. 麻醉前用药对神经肽Y (NPY)变化的影响。

Ma zui xue za zhi = Anaesthesiologica Sinica Pub Date : 1992-09-01

C L Chang, Y C Tsai, S S Lin, J T Cheng

{"title":"Effect of premedication on the changes of neuropeptide Y (NPY) in anesthesia.","authors":"C L Chang, Y C Tsai, S S Lin, J T Cheng","doi":"","DOIUrl":"","url":null,"abstract":"Premedication is one of the popular techniques in anesthesia, not only for the decrease of side effects but also for the increase of actions. Clinically, we found that plasma neuropeptide Y-like immunoreactivity (NPY-IR) was lowered in patients who had received premedication. In rats, plasma NPY-IR was not modified by the intravenous injection of diazepam. Pethidine reduced the plasma NPY-IR level which could be reversed by naloxone. Direct inhibition of plasma NPY-IR through an activation of opioid receptors can thus be considered. To the cold-stress stimulation, plasma NPY-IR was markedly raised. Diazepam reduced this stimulation-induced increase of plasma NPY-IR in a dose-dependent manner. Similar derivative of benzodiazepine produced an inhibition in a way following the potency as that to produce anxiolytic action. Also, this inhibition was reversed by PK11195, an antagonist of peripheral benzodiazepine receptors. Moreover, pain-stimulated increase of plasma NPY-IR in rats was also reduced by pethidine. This action was totally reversed in the presence of naloxone, indicating the participation of opioid receptors in the process. The obtained results suggest that premedication of diazepam and/or pethidine has the ability to decrease plasma NPY-IR in animals.","PeriodicalId":77247,"journal":{"name":"Ma zui xue za zhi = Anaesthesiologica Sinica","volume":"30 3","pages":"147-52"},"PeriodicalIF":0.0,"publicationDate":"1992-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12477270","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

Re-expansion pulmonary edema after removal of a huge intra-abdominal tumor. 腹内巨大肿瘤切除后再次扩张肺水肿。

Ma zui xue za zhi = Anaesthesiologica Sinica Pub Date : 1992-09-01

H P Lau, C J Hong

引用次数: 0

Anesthetic management in myasthenic parturient. 肌无力产妇的麻醉处理。

Ma zui xue za zhi = Anaesthesiologica Sinica Pub Date : 1992-09-01

C H Lu, C M Liou, Y S Chen, C J Hung, H S Tso

引用次数: 0

[The analgesic effect of subarachnoid administration of tetracaine combined with low dose morphine or nalbuphine for spinal anesthesia]. [蛛网膜下给药丁卡因联合小剂量吗啡或纳布啡用于脊髓麻醉的镇痛效果]。

Ma zui xue za zhi = Anaesthesiologica Sinica Pub Date : 1992-06-01

M L Lin

{"title":"[The analgesic effect of subarachnoid administration of tetracaine combined with low dose morphine or nalbuphine for spinal anesthesia].","authors":"M L Lin","doi":"","DOIUrl":"","url":null,"abstract":"The analgesic effect of subarachnoid administration of tetracaine combined with low dose morphine or nalbuphine for spinal anesthesia was evaluated in 60 ASA physical status class I or II patients. Dextrose solution (10%) was added to 0.4 mg morphine or 0.4 mg nalbuphine to make a total volume of 2 ml, which was injected intrathecally with tetracaine in a double-blind, randomized fashion. Vital signs, sensory level, motor block, pain score, and side effects were recorded every 2 min for the first 15 min and then at 15, 30, 45, and 60 min and at 30-min intervals until the patient complained of pain. Side effects and opioid requirements were recorded for the first 24 h. Complete analgesia (time from injection to first report of pain) lasted 180 +/- 51.6 min in the control group and increased to 238 +/- 71 min in group with addition of 0.4 mg nalbuphine, 250 +/- 74 min in group with addition of 0.4 mg morphine (p less than 0.05). The effective analgesia (time from injection to first opioid requirement) also increased in groups of nalbuphine and morphine than the control group. No differences in complete or effective analgesia was found between groups in the presence of nalbuphine or morphine. Results indicate that the addition of 0.4 mg nalbuphine or morphine to hyperbaric tetracaine for spinal anesthesia improves the quality of intraoperative analgesia and can last into the postoperative period. Side effects were less in nalbuphine group than with morphine group.","PeriodicalId":77247,"journal":{"name":"Ma zui xue za zhi = Anaesthesiologica Sinica","volume":"30 2","pages":"101-5"},"PeriodicalIF":0.0,"publicationDate":"1992-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12696966","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