Canadian Anaesthetists' Society journal最新文献_第7页

Edrophonium and plasma cholinesterase activity. 血浆胆碱酯酶活性。

Canadian Anaesthetists' Society journal Pub Date : 1986-09-01 DOI: 10.1007/BF03014265

R K Mirakhur

引用次数: 11

Open drop ether anaesthesia for caesarean section: a review of 420 cases in Nepal. 剖宫产术中开放滴注乙醚麻醉:尼泊尔420例病例回顾。

Canadian Anaesthetists' Society journal Pub Date : 1986-09-01 DOI: 10.1007/BF03014272

J R Maltby, D S Malla, H Dangol

引用次数: 4

Prolonged neuromuscular blockade with atracurium. 阿曲库铵延长神经肌肉阻滞。

Canadian Anaesthetists' Society journal Pub Date : 1986-09-01 DOI: 10.1007/BF03014279

F Donati

引用次数: 6

Pharmacokinetics of meperidine in spinal anaesthesia. 哌替啶在脊柱麻醉中的药代动力学。

Canadian Anaesthetists' Society journal Pub Date : 1986-09-01 DOI: 10.1097/00132582-198609000-00028

M. Naguib, C. E. Famewo, A. Absood

引用次数: 12

Contribution of muscle relaxant to the haemodynamic course of high-dose fentanyl anaesthesia: a comparison of pancuronium, vecuronium and atracurium. 肌肉松弛剂对大剂量芬太尼麻醉血流动力学过程的影响:泮库溴铵、维库溴铵和阿曲库铵的比较。

Canadian Anaesthetists' Society journal Pub Date : 1986-09-01 DOI: 10.1007/BF03014267

J Heinonen, M Salmenperä, M Suomivuori

{"title":"Contribution of muscle relaxant to the haemodynamic course of high-dose fentanyl anaesthesia: a comparison of pancuronium, vecuronium and atracurium.","authors":"J Heinonen, M Salmenperä, M Suomivuori","doi":"10.1007/BF03014267","DOIUrl":"https://doi.org/10.1007/BF03014267","url":null,"abstract":"To define the role of muscle relaxants in haemodynamic responses to high-dose (75 micrograms X kg-1) fentanyl anaesthesia and to noxius stimuli associated with intubation and sternal spread during coronary artery bypass surgery, we compared haemodynamics between three groups of patients given either pancuronium (0.1 mg X kg-1, n = 11), vecuronium (0.086 mg X kg-1, n = 11) or atracurium (0.43 mg X kg-1, n = 12). Additional doses of the relaxants were given to maintain a 90 per cent neuromuscular block. Patients given pancuronium showed no increases in mean values of heart rate, arterial pressure or cardiac output during the induction of anaesthesia or after intubation, whereas a decrease in these variables was observed in the vecuronium group. The haemodynamics in the atracurium group were intermediate compared with the other two study groups. In spite of a decrease in coronary perfusion pressure, no patient given vecuronium developed myocardial ischaemia. An advantage of vecuronium over pancuronium and atracurium was an attenuation of the blood pressure response to sternotomy. Patients given atracurium had a small increase in pulmonary vascular resistance during sternotomy. Our patients continued their beta-adrenergic antagonist medication until the morning of the day of operation and they were pretreated with a small intravenous dose of diazepam (0.1 mg X kg-1) before induction of anaesthesia. These drugs may have prevented the deleterious haemodynamic effects observed by some investigators after the administration of pancuronium during high-dose fentanyl anaesthesia.","PeriodicalId":9371,"journal":{"name":"Canadian Anaesthetists' Society journal","volume":"33 5","pages":"597-605"},"PeriodicalIF":0.0,"publicationDate":"1986-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF03014267","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14014323","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: 9

Respiratory depression following epidural morphine: a clinical study. 硬膜外吗啡后呼吸抑制的临床研究。

Canadian Anaesthetists' Society journal Pub Date : 1986-09-01 DOI: 10.1007/BF03014258

A N Sandler, P Chovaz, W Whiting

{"title":"Respiratory depression following epidural morphine: a clinical study.","authors":"A N Sandler, P Chovaz, W Whiting","doi":"10.1007/BF03014258","DOIUrl":"https://doi.org/10.1007/BF03014258","url":null,"abstract":"Thirteen post-thoracotomy patients were entered into a double-blind, randomized clinical trial comparing the effects of epidural morphine (Group E) and intravenous morphine (Group I) on postoperative respiratory depression. Postoperative respiratory depression was assessed for 24 hours by (a) PaCO2 at 2, 6, 12 and 24 hours (b) hourly assessment of respiratory rate (RR) (c) presence of respiratory rate of less than ten breaths per min for greater than 5 min (SRR) (d) hypopnoea/apnoea (H/A). RR, SRR, and H/A were measured using respiratory inductive plethysmography. PaCO2 was significantly elevated at 2, 6 and 12 hours in Group E and only at two hours in Group I. One of five patients in Group I had a single episode of SRR whereas five of eight patients in Group E had multiple episodes of SRR. None of the patients in Group I had H/A episodes, in contrast to six of eight in Group E who had numerous H/A episodes post-operatively. This difference was statistically significant. Multiple doses of epidural morphine produce an insidious and unpredictable change in respiratory pattern. Electronic monitoring is useful to assess those at risk of overdose and possible respiratory arrest.","PeriodicalId":9371,"journal":{"name":"Canadian Anaesthetists' Society journal","volume":"33 5","pages":"542-9"},"PeriodicalIF":0.0,"publicationDate":"1986-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF03014258","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14225976","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: 40

Pulmonary hypertension in children: perioperative management. 儿童肺动脉高压:围手术期处理。

Canadian Anaesthetists' Society journal Pub Date : 1986-09-01 DOI: 10.1007/BF03014268

F A Burrows, J R Klinck, M Rabinovitch, D J Bohn

引用次数: 83

Understanding and selecting monitoring equipment in anaesthesia and intensive care. 了解和选择麻醉和重症监护监护监护设备。

Canadian Anaesthetists' Society journal Pub Date : 1986-09-01 DOI: 10.1007/BF03014276

C E Hope, D L Morrison

引用次数: 3

Hydropneumothorax--an unusual complication of lung lavage. 气胸积液——肺灌洗的一种罕见并发症。

Canadian Anaesthetists' Society journal Pub Date : 1986-09-01 DOI: 10.1007/BF03014274

E T Hudes, J W Bradley, J Brebner

引用次数: 7

Plasma levels of vitamin E and lipoperoxide during paediatric anaesthesia. 儿科麻醉期间血浆维生素E和过氧化物水平。

Canadian Anaesthetists' Society journal Pub Date : 1986-08-01 DOI: 10.1097/00132586-198608000-00017

H. Obara, N. Maekawa, H. Hoshina, O. Tanaka, R. Chuma, S. Iwai, H. Hisano, K. Nakamura, T. Yamamoto

{"title":"Plasma levels of vitamin E and lipoperoxide during paediatric anaesthesia.","authors":"H. Obara, N. Maekawa, H. Hoshina, O. Tanaka, R. Chuma, S. Iwai, H. Hisano, K. Nakamura, T. Yamamoto","doi":"10.1097/00132586-198608000-00017","DOIUrl":"https://doi.org/10.1097/00132586-198608000-00017","url":null,"abstract":"We measured plasma levels of vitamin E (total tocopherol) and lipoperoxide in seventeen neonates (less than 10 days), twenty infants (1-12 months) and ten children (1-5 years) during anaesthesia. The seventeen neonates were randomly divided into two groups; seven who received 30 mg X kg-1 of alpha-tocopheryl acetate intramuscularly before anaesthesia and ten who did not. The 20 infants were divided into three groups: Group 1: eight infants who did not receive vitamin E; Group 2: six who received 30 mg X kg-1 of alpha-tocopheryl acetate orally for three days before anaesthesia; Group 3: six who received 30 mg X kg-1 of alpha-tocopheryl acetate intramuscularly three hours before anaesthesia. In the neonates who did not receive alpha-tocopheryl acetate, plasma vitamin E and lipoperoxide levels were unchanged following surgery. In Group 1 infants, plasma vitamin E levels decreased (p less than 0.05) and plasma lipoperoxide levels increased (p less than 0.05). In both neonates who received vitamin E and Group 3 infants the mean plasma vitamin E levels increased significantly (p less than 0.05) following surgery. In Group 2 infants, the levels of plasma vitamin E before surgery were high, as compared to the other groups: however, plasma vitamin E levels decreased following surgery. In the children, the plasma vitamin E levels were unchanged, while the plasma lipoperoxide levels decreased significantly (p less than 0.05) during anaesthesia. It is suggested from our studies that plasma vitamin E levels decrease and plasma lipoperoxide levels increase during anaesthesia and surgery in infants; however, those levels are unchanged in neonates.","PeriodicalId":9371,"journal":{"name":"Canadian Anaesthetists' Society journal","volume":"54 1","pages":"358-63"},"PeriodicalIF":0.0,"publicationDate":"1986-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90759394","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: 1