Neuroleptanalgesia in otorhinolaryngology

1980 ◽  
Vol 94 (7) ◽  
pp. 765-771
Author(s):  
S. K. Vishwakarma ◽  
Rajesh Gupta
Keyword(s):  
Marked Decrease ◽  
Elective Surgery ◽  
Anesthetic Techniques ◽  
General Anesthetic ◽  
Myocardial Depression ◽  
Operative Morbidity ◽  
Nose And Throat

AbstractNEUROLEPTANALGESIA is described for its use in the management of otolaryngologic cases undergoing elective surgery. 100 cases have been reviewed extensively. The advantages and possible problems are outlined. It seems to be a highly satisfactory alternative to conventional general anesthetic techniques for most ear, nose and throat procedures and operations, where quiescence rather than anesthesia is required. The absence of direct myocardial depression and a marked decrease in operative and post-operative morbidity constitute the principal advantages.

A Double-blind Protocol Comparing Regional and General Anesthetic Techniques during Abdominal Aortic Surgery

1994 ◽  
Vol 81 (SUPPLEMENT) ◽  
pp. A65
Author(s):  
R. B. Gorman ◽  
EJ. Norris ◽  
MJ. Breslow ◽  
JA. Grass ◽  
C. Beattie
Keyword(s):  
Aortic Surgery ◽  
Anesthetic Techniques ◽  
General Anesthetic ◽  
Double Blind ◽  
Abdominal Aortic Surgery ◽  
Abdominal Aortic

Outpatient surgical treatment of cervical radiculopathy

1997 ◽  
Vol 87 (1) ◽  
pp. 41-43 ◽  
Author(s):  
Christopher R. Tomaras ◽  
J. Bob Blacklock ◽  
Warren D. Parker ◽  
Richard L. Harper
Keyword(s):  
Surgical Treatment ◽  
Cervical Radiculopathy ◽  
Preoperative Imaging ◽  
Anesthetic Techniques ◽  
Workers Compensation ◽  
General Anesthetic ◽  
Content Type ◽  
Good Outcome ◽  
Compensation Claims

✓ A series of 200 patients who underwent outpatient surgical treatment for cervical radiculopathy is presented. The patients were selected on the basis of their willingness to undergo surgery in the outpatient setting and the absence of serious underlying medical conditions. All operations were performed using general anesthetic techniques with limited posterior dissections. A laminoforaminotomy was performed at each affected level, which had been determined by preoperative imaging and clinical examination. After being observed for several hours, the patients were discharged if they met specific criteria. No patient required subsequent hospital admission in the immediate postoperative period. Follow-up review in 183 patients ranged from 3 to 43 months, with a mean of 19 months. In cases in which Workers' Compensation claims were not involved, 92.8% of patients reported an excellent or good outcome and returned to work or comparable duties at a mean of 2.9 weeks. In cases in which Workers' Compensation claims were involved, 77.8% of patients reported excellent or good outcome and returned to work at a mean of 7.6 weeks postoperatively. Two patients whose cases involved Workers' Compensation claims did not return to work. There were seven patients (3.8%) who had a poor outcome. Two of these patients underwent a second posterior procedure and reported a good outcome at the time of follow-up review. The results of this study show that outpatient surgical treatment of cervical radiculopathy can be safely provided in selected patients with outcomes similar to the inpatient surgical management of these individuals.

Oropharyngeal trauma during routine ear, nose and throat procedures

1994 ◽  
Vol 108 (5) ◽  
pp. 403-405 ◽  
Author(s):  
A. A. P. Connolly ◽  
J. P. Davis ◽  
N. D. Stafford
Keyword(s):  
High Risk ◽  
Prospective Study ◽  
Sore Throat ◽  
Operative Morbidity ◽  
Laryngeal Masks ◽  
Common Cause ◽  
Discharge From Hospital ◽  
A Prospective Study ◽  
Palatal Surgery ◽  
Nose And Throat

AbstractA prospective study of 122 adults undergoing routine ear, nose and throat (ENT) operations over a three-month period was carried out to determine the cause of oropharyngeal trauma seen in some patients. Those having tonsillar or palatal surgery were excluded from the study. Forty-five (36.9 per cent) patients complained of a mild sore throat post-operatively and six (4.9 per cent) of a severe sore throat. Five of these (4 per cent) had evidence of injury to the uvula and soft palate which delayed their discharge from hospital. No single cause of trauma was identified but possible factors included the use of laryngeal masks (two cases), throat packs (two cases) and blind suctioning with a plastic Yankauer sucker (one case). There is a relatively high risk of oropharyngeal trauma during routine otolaryngological procedures and we recommend that care should be taken to prevent this common cause of significant post-operative morbidity.

scholarly journals Regional or general anesthesia for fast-track hip and knee replacement - what is the evidence?

F1000Research ◽  
2015 ◽  
Vol 4 ◽  
pp. 1449 ◽  
Author(s):  
Henrik Kehlet ◽  
Eske Kvanner Aasvang
Keyword(s):  
General Anesthesia ◽  
Spinal Anesthesia ◽  
Regional Anesthesia ◽  
Hip Arthroplasty ◽  
Afferent Input ◽  
Bladder Function ◽  
Anesthetic Techniques ◽  
Thromboembolic Complications ◽  
General Anesthetic ◽  
Knee And Hip Arthroplasty

Regional anesthesia for knee and hip arthroplasty may have favorable outcome effects compared with general anesthesia by effectively blocking afferent input, providing initial postoperative analgesia, reducing endocrine metabolic responses, and providing sympathetic blockade with reduced bleeding and less risk of thromboembolic complications but with undesirable effects on lower limb motor and urinary bladder function. Old randomized studies supported the use of regional anesthesia with fewer postoperative pulmonary and thromboembolic complications, and this has been supported by recent large non-randomized epidemiological database cohort studies. In contrast, the data from newer randomized trials are conflicting, and recent studies using modern general anesthetic techniques may potentially support the use of general versus spinal anesthesia. In summary, the lack of properly designed large randomized controlled trials comparing modern general anesthesia and spinal anesthesia for knee and hip arthroplasty prevents final recommendations and calls for prospective detailed studies in this clinically important field.

Assessing Pediatric Anesthesia Practices for Volunteer Medical Services Abroad

2001 ◽  
Vol 95 (6) ◽  
pp. 1315-1322 ◽  
Author(s):  
Quentin A. Fisher ◽  
David Nichols ◽  
Frank C. Stewart ◽  
G. Allen Finley ◽  
William P. Magee ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Elective Surgery ◽  
Ventilatory Support ◽  
Pediatric Anesthesia ◽  
Developed Countries ◽  
Medical Services ◽  
Postanesthesia Care Unit ◽  
Anesthetic Techniques ◽  
Medical Teams ◽  
The Developed Countries

Background Anesthetic techniques and problems in volunteer medical services abroad are different from those of either the developed countries from which volunteers originate or the host country in which they serve because of differences in patient population, facilities, and goals for elective surgery. Assessing outcomes is hampered by the transience of medical teams and the global dispersion of providers. We studied general anesthesia techniques and outcomes in a large international voluntary surgical program. Methods Anesthesia providers and nurses participating in care of patients undergoing reconstructive plastic and orthopedic surgery by Operation Smile over an 18-month period were asked to complete a quality assurance data record for each case. Incomplete data were supplemented by reviewing the original patient records. Results General anesthesia was used in 87.1% of the 6,037 cases reviewed. The median age was 5 yr (25th-75th percentiles: 2-9 yr). Orofacial clefts accounted for more than 80% of procedures. Halothane mask induction was performed in 85.6% of patients; 96.3% of patients had tracheal intubation, which was facilitated with a muscle relaxant in 19.3%. Respiratory complications occurred during anesthesia in 5.0% of patients and during recovery (postanesthesia care unit) in 3.3%. Arrhythmias requiring therapy occurred in 1.5%, including three patients to whom cardiopulmonary resuscitation was administered. Prolonged ventilatory support was required in seven patients. There was one death. Inadvertent extubation during surgery occurred in 38 patients. Cancellation of surgery after induction of anesthesia occurred in 25 patients. Overall, complications were more common in younger children. Conclusions Our study showed that in this setting it is feasible to track anesthesia practice patterns and adverse perioperative events. We identified issues for further examination.

scholarly journals Thyroid surgery when general anesthesia is not feasible

2016 ◽  
Vol 44 (1) ◽  
pp. 38-40
Author(s):  
Manilal Aich ◽  
Md Asadur Rahman ◽  
Sharfuddin Mahmud ◽  
Siddikur Rahman ◽  
Md Mizanur Rahman ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Local Anesthesia ◽  
Postoperative Recovery ◽  
Anesthetic Techniques ◽  
General Anesthetic ◽  
Early Assessment ◽  
Duration Of Action ◽  
Anesthetic Agents ◽  
Sedation And Analgesia ◽  
Effective Sedation

Historically, thyroid and parathyroid surgery was done initially under local anesthesia. With the advent of safer general anesthetic techniques, the need for local anesthesia fell dramatically. Recently the use of local anesthesia combined with monitored anesthesia care (MAC) has been reintroduced as an alternative to general anesthesia for some particular thyroidectomy. Newer intravenous anesthetic agents allow for the establishment of effective sedation and analgesia with adjusted level and duration of action. This allows for monitoring of the effectiveness of the anesthesia during the surgical procedure that meet the patient's comfortable needs and the surgeon's technical needs. This approach allows for rapid recovery of alertness and early assessment of the patient's initial postoperative recovery. Additionally, it optimizes the potential for outpatient .Bangladesh Med J. 2015 Jan; 44 (1): 38-40

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