Ma zui xue za zhi = Anaesthesiologica Sinica最新文献_第8页

[Patient-controlled intravenous versus epidural analgesia after major joint replacement]. [大关节置换术后患者控制静脉与硬膜外镇痛]。

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

W L Peng, G J Wu, W Z Sun, S Z Fan, T L Chen, F Y Huang

{"title":"[Patient-controlled intravenous versus epidural analgesia after major joint replacement].","authors":"W L Peng, G J Wu, W Z Sun, S Z Fan, T L Chen, F Y Huang","doi":"","DOIUrl":"","url":null,"abstract":"The analgesic efficacy, side effects, and satisfaction of patient-controlled analgesia (PCA) with intravenous and epidural morphine for postoperative pain were evaluated in this study. Twenty patients undergoing major joint replacement surgery were randomly allocated to intravenous PCA (IPCA) group or epidural PCA (EPCA) group. All patients had a standardized balanced anesthesia, and an epidural catheter was introduced after the operation in EPCA group. Postoperative pain relief was evaluated with verbal pain scale. The result showed that pain intensity and pain relief were similar in either group without significant difference (p greater than 0.05). Morphine consumption in IPCA group was 1.72 +/- 0.30 mg/h in the postoperative 0 - 12 h and 1.14 +/- 0.44 mg/h in 12 - 24 h. In EPCA group, relatively low doses of morphine were used, i.e., 0.20 +/- 0.07 mg/h in the postoperative 0 - 12 h and 0.17 +/- 0.07 mg/h in 12 - 24 h. Both groups showed an \"incomplete\" but satisfactory analgesia with relatively low doses of morphine. The \"equianalgesic dose ratio\" of IPCA to EPCA with morphine was approximately 8.5:1. Sedation was minimal in both groups. No respiratory depression developed in all patients. Nausea and vomiting were the most prominent side effects which might limit the usefulness of PCA. The incidence was 5 out of 10 patients in IPCA group and 4 out of 10 patients in EPCA group, despite under the treatment of droperidol (15 micrograms/kg, iv, prn) for most of the patients.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":77247,"journal":{"name":"Ma zui xue za zhi = Anaesthesiologica Sinica","volume":"30 2","pages":"71-7"},"PeriodicalIF":0.0,"publicationDate":"1992-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12696975","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

Acute neuroendocrine and metabolic stress responses of anesthesia and surgery. 麻醉和手术的急性神经内分泌和代谢应激反应。

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

F C Yeh, C L Chang

引用次数: 0

Different sensory blockade of interscalene versus axillary approach of brachial plexus block. 臂丛神经阻滞的腋窝入路与斜角肌间感觉阻滞的不同。

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

J T Shen, S T Ho, S J Hwang, H C Chung

引用次数: 0

[Atracurium-induced anaphylactoid shock during anesthesia]. [麻醉期间阿曲库利引起的类过敏性休克]。

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

F K Yu, S J Huang, Y P Chou, S T Ho

引用次数: 0

Report of three cases of sudden cardiac arrest during spinal anesthesia. 脊髓麻醉时心脏骤停3例报告。

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

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

引用次数: 0

[Seroepidemiological analysis of hepatitis B virus infection between anesthesia personnel and hospital administration staffs in Changhua Christian Hospital]. 彰化基督教医院麻醉人员与医院管理人员乙型肝炎病毒感染的血清流行病学分析

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

W T Hung, M H Tsai, C Y Shen, C Y Lin

{"title":"[Seroepidemiological analysis of hepatitis B virus infection between anesthesia personnel and hospital administration staffs in Changhua Christian Hospital].","authors":"W T Hung, M H Tsai, C Y Shen, C Y Lin","doi":"","DOIUrl":"","url":null,"abstract":"For hospital personnel, transmission of virus is a common and serious occupational hazard. Other than suffering from physical discomfort, these infected hospital staffs may also transmit the disease to patients through their blood, mucous or secretion contamination. The purpose of this study is intended to understand the condition of hepatitis B virus infection between anesthetists and hospital administration staffs. Forty-six anesthetists (study group) and 90 hospital administration staffs (control group) were volunteers of the study. Blood samples for serologic and biochemical test of hepatitis B virus infection in each participant were proceeded from October to December 1990. To investigate personal recognition about hepatitis B infection, each was requested to fill up a questionnaire after blood sampling. We also retrieved the chart of all participators for their annual hepatitis B serologic result in order to find out the incidence of seroconversion. Among the 136 participators, 20 (14.7%) were HbsAg carriers. Only 28 (20.6%) of all the participators were free from infection and seronegative. However, it was found that there was no significant difference (P greater than 0.05) between the two groups, no matter in HbsAg positive or seronegative incidence. There was 10 (1.27%) incidence of seroconversion during 790 times of person-year observation. Though not significant (P less than 0.05), there was a double fold (2.2 times) seroconversion rate in the study group than that of the control group. Twenty (19.9%) seropositive participators knew that they are hepatitis B carrier or had been infected. Generally, anesthetists seemed better than hospital administration staffs in realizing that they were infected or carrier from the data of serological test.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":77247,"journal":{"name":"Ma zui xue za zhi = Anaesthesiologica Sinica","volume":"30 2","pages":"79-86"},"PeriodicalIF":0.0,"publicationDate":"1992-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12696976","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

Repeated blood administration after incompatible blood transfusion. 不相容输血后反复给血。

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

Z K Chong, B Jawan, C S Chang, J H Lee

引用次数: 0

Topical application of local anesthetics for postoperative analgesia in children undergoing circumcision. 局部麻醉剂在儿童包皮环切术后镇痛中的应用。

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

C S Chen, M C Tunng, C L Yang, C T Wang

引用次数: 0

Incidence of hypotension induced by spinal anesthesia with xylocaine for cesarean section and postpartum tubal ligation. 剖宫产术及产后输卵管结扎术中腰麻加二氯卡因致低血压的发生率。

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

B K Fung, A J Gislefoss, E S Ho

引用次数: 0

[Mannitol reduces plasma hydrogen peroxide free radical in patients undergoing coronary artery bypass graft surgery]. [甘露醇降低冠状动脉搭桥手术患者血浆过氧化氢自由基]。

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

M W Yang, C Y Lin, H L Hung, K H Chan, K Y Lin, T Y Lee, S H Chan

{"title":"[Mannitol reduces plasma hydrogen peroxide free radical in patients undergoing coronary artery bypass graft surgery].","authors":"M W Yang, C Y Lin, H L Hung, K H Chan, K Y Lin, T Y Lee, S H Chan","doi":"","DOIUrl":"","url":null,"abstract":"During the procedure of coronary artery bypass graft surgery (CABG), the release of free oxygen radicals as a result of ischemia and reperfusion which plants the seeds of post-operative low cardiac output and arrhythmias has grave consequence on the reestablishment of cardiac function. A variety of chemical agents such as mannitol, allopurinol, catalase (Q-10) and superoxide dismutase (SOD) has proved to be considerably effective to improve the myocardial necrosis following ischemia and reperfusion. In this study we chose mannitol (0.2 gm/kg) as the free oxygen radicals scavenger and utilized mass spectrophotometric method to detect the variation of concentration of [H2O2], a by-product of free oxygen radical, in an attempt to evaluate the efficacy of mannitol in this regard in patients undergoing CABG. Patients were divided into experimental group (n = 19) and control group (n = 20). In the experimental group the concentration of [H2O2] changed from 61 +/- 24 microM/L pre-operatively to 77 +/- 18 microM/L post-operatively as against 75 +/- 31 microM/L and 99 +/- 31 microM/L respectively in the control group. In comparison, only the change in experimental group was statistically significant (p less than 0.05). We confirmed that mannitol functions considerably as a free oxygen radical scavenger since it reduces the production of [H2O2] in patients undergoing CABG.","PeriodicalId":77247,"journal":{"name":"Ma zui xue za zhi = Anaesthesiologica Sinica","volume":"30 2","pages":"65-70"},"PeriodicalIF":0.0,"publicationDate":"1992-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12696974","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