Comparison Between Isoflurane and Sevoflurane on Pulse Rate in Patients Under Going General Surgery

2021 ◽  
Vol 3 (1) ◽  
pp. 20-23
Author(s):  
Ismael Waadullah Ismael ◽  
Husam K. Mghames ◽  
Mortatha A. Khulaif ◽  
Zahraa T. Jaafer
Keyword(s):  
Prospective Study ◽  
General Anesthesia ◽  
Pulse Rate ◽  
General Surgery ◽  
Muscle Relaxant ◽  
Depth Of Anesthesia ◽  
Anesthetic Agents ◽  
Medical City ◽  
Anesthetic Gases ◽  
Time Of Operation

The inhalational agents are very important to maintain the depth of anesthesia, provide analgesia and muscle relaxant. Many factors have effect of anesthetic gases, including type in an anesthetic agents and its MAC and other properties and postoperative stays. This study were designed to comparison between isoflurane  and sevoflurane as inhalational agents on the pulse rate during general anesthesia. This prospective study were carried out at Baghdad Teaching Hospital, Medical City Complex, Baghdad/Iraq from 2nd January 2020 –  20th February 2020. Thirty (30) patients between 7 - 68 years old were enrolled in this study. Male was 13 and female was 17, in all selected patients, pulse rate was recorded at baseline, at intubation at 5 min, 10 min, 15 min, 20 min, 25 min, 30min, 40 min of the time of operation, extubation, and recovery. Results showed that the pulse rate at baseline there is not significant different in pulse rate of each gas, at intubation there is significant change in pulse rate, at 5 min ,10 min, 15 min, 20 min, 25 min, 30 min, 40 min, extubation, recovery there is not significant different in pulse rate.

scholarly journals General anesthesia with remimazolam in a patient with mitochondrial encephalomyopathy: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Yuji Suzuki ◽  
Matsuyuki Doi ◽  
Yoshiki Nakajima
Keyword(s):  
Lactic Acidosis ◽  
General Anesthesia ◽  
Mitochondrial Disease ◽  
Muscle Relaxation ◽  
Anesthetic Management ◽  
Perioperative Period ◽  
Mitochondrial Encephalomyopathy ◽  
Anesthesia Induction ◽  
General Anesthetic ◽  
Anesthetic Agents

Abstract Background Systemic anesthetic management of patients with mitochondrial disease requires careful preoperative preparation to administer adequate anesthesia and address potential disease-related complications. The appropriate general anesthetic agents to use in these patients remain controversial. Case presentation A 54-year-old woman (height, 145 cm; weight, 43 kg) diagnosed with mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes underwent elective cochlear implantation. Infusions of intravenous remimazolam and remifentanil guided by patient state index monitoring were used for anesthesia induction and maintenance. Neither lactic acidosis nor prolonged muscle relaxation occurred in the perioperative period. At the end of surgery, flumazenil was administered to antagonize sedation, which rapidly resulted in consciousness. Conclusions Remimazolam administration and reversal with flumazenil were successfully used for general anesthesia in a patient with mitochondrial disease.

scholarly journals A prospective study on the incidence of sore throat after use of laryngeal mask airway during general anesthesia

2021 ◽  
pp. 102595
Author(s):  
kourosh Farazmehr ◽  
Mohamad Aryafar ◽  
Farshid Gholami ◽  
Giti Dehghanmanshadi ◽  
Seyed Sepideh Hosseini
Keyword(s):  
Laryngeal Mask Airway ◽  
Prospective Study ◽  
General Anesthesia ◽  
Sore Throat ◽  
Laryngeal Mask ◽  
A Prospective Study

scholarly journals General Anesthesia With Dexmedetomidine and Remifentanil in a Neonate During oracotomy and Resection of a Congenital Cystic Adenomatoid Malformation

2018 ◽  
Vol 23 (3) ◽  
pp. 215-218 ◽  
Author(s):  
Ellise Cappuccio ◽  
Arlyne K. Thung ◽  
Joseph D. Tobias
Keyword(s):  
General Anesthesia ◽  
Early Life ◽  
Neonatal Period ◽  
Congenital Cystic Adenomatoid Malformation ◽  
Unique Combination ◽  
Limited Data ◽  
Intravenous Anesthetic ◽  
Anesthetic Agents ◽  
Cystic Adenomatoid Malformation ◽  
Animal Data

Based on animal data, concern has been expressed regarding the potential deleterious neurocognitive effects of general anesthesia during infancy and early life. Although there are no definitive data to prove this effect, the neonatal period has been suggested to be the most vulnerable period. While various inhaled and intravenous anesthetic agents have been implicated, dexmedetomidine and the opioids may be devoid of such effects. However, there are limited data regarding the combination of these agents during neonatal surgery and anesthesia. We present the use of these agents in combination with epidural anesthesia for postoperative analgesia in a 1-day-old neonate during thoracotomy and excision of a congental cystic adenomatoid malformation. Previous reports of the use of this unique combination of agents are reviewed and their role in this scenario discussed.

scholarly journals Effect of depth of anesthesia on the phase lag entropy in patients undergoing general anesthesia by propofol

Medicine ◽  
2020 ◽  
Vol 99 (30) ◽  
pp. e21303
Author(s):  
Jae Hong Park ◽  
Sang Eun Lee ◽  
Eunsu Kang ◽  
Yei Heum Park ◽  
Hyun-seong Lee ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Phase Lag ◽  
Depth Of Anesthesia

Intraoperative Monitoring of Central Neurophysiology

2017 ◽  
Author(s):  
Alan D. Legatt ◽  
Marc R. Nuwer ◽  
Ronald G. Emerson
Keyword(s):  
Intraoperative Monitoring ◽  
Corticospinal Tract ◽  
Motor Evoked Potentials ◽  
Anesthetic Management ◽  
Depth Of Anesthesia ◽  
Central Nervous System Function ◽  
Anatomy And Physiology ◽  
Anesthetic Agents ◽  
Nervous System Function ◽  
Signal Changes

This chapter covers neurophysiological intraoperative monitoring (NIOM). It describes the relevant neurophysiological signals, their anatomical sources, the techniques used to record them, the manner in which they are assessed, and possible causes of intraoperative signal changes. Techniques used include electroencephalography (EEG), electromyography, and auditory, somatosensory, and motor evoked potentials. Some of these techniques can be used to localize and identify areas of cerebral cortex or the corticospinal tract. Recording of the electromyogram generated by reflex activity can be used to evaluate central nervous system function in some circumstances. EEG can be used to assess depth of anesthesia. Signals can be affected by anesthesia, and the chapter discusses various anesthetic agents, their effects on signals, and considerations for anesthetic management during NIOM. Personnel performing NIOM must be knowledgeable about the anatomy and physiology underlying the signals, the technology used to record them, and the factors (including anesthesia) that can affect them.

Risk Factors for Surgical-Wound Infection in General Surgery: A Prospective Study

1997 ◽  
Vol 18 (5) ◽  
pp. 310-315 ◽  
Author(s):  
Maxima Lizán-García ◽  
Juan García-Caballero ◽  
Angel Asensio-Vegas
Keyword(s):  
Risk Factors ◽  
Prospective Study ◽  
Wound Infection ◽  
General Surgery ◽  
Surgical Wound Infection ◽  
Surgical Wound ◽  
A Prospective Study

Harvesting bone marrow in an outpatient setting using newer anesthetic agents.

1993 ◽  
Vol 11 (2) ◽  
pp. 320-323 ◽  
Author(s):  
A C Thorne ◽  
M Stewart ◽  
S C Gulati
Keyword(s):  
Bone Marrow ◽  
Side Effects ◽  
General Anesthesia ◽  
Autologous Bone Marrow Transplantation ◽  
Autologous Bone Marrow ◽  
Pain Medication ◽  
Outpatient Setting ◽  
Postanesthesia Care Unit ◽  
Anesthetic Agents ◽  
At Home

PURPOSE To evaluate the results of outpatient bone marrow harvest (BMH). PATIENTS AND METHODS Seventy-two adult patients with various malignancies had 79 BMH procedures performed for future autologous bone marrow transplantation (BMT) in our institution's outpatient surgical facility. All patients were evaluated and educated before the procedure. Newer anesthetic agents specifically developed to have shorter half-lives, more rapid recovery from general anesthesia, and fewer unpleasant side effects were chosen. Propofol was used for induction of anesthesia in 76 patients, the other three were induced with sodium pentothal. The blood volume removed was replaced by colloid (6% hydroxyethyl starch). Also, a new parenteral nonnarcotic pain medication, ketoroloc, was used during the last part of general anesthesia to help with expected postoperative pain in 76 patients. RESULTS BMH took 111 +/- 24 minutes and patients were in postanesthesia care unit (PACU) for 220 +/- 72 minutes before being sent home with a companion and Tylenol with codeine (acetaminophen with codeine; McNeil Pharmaceutical, Spring House, PA). PACU complications were minor and included transient mild dizziness (7.6%), vomiting (3.8%), and fever (2.6%). No life-threatening complication was observed. Only one patient was hospitalized for observation (fever) and then sent home. Seventy-five patients (94.9%) were contacted at home by the hospital nursing staff the day following the procedure. Five (6.7%) complained of nausea or vomiting, and four (5.3%) developed fever at home (temperature, 37.2 to 38.3 degrees C). Only 36% of patients actually took oral narcotic pain medication at home. CONCLUSION Autologous BMH (AuBMH) is a safe outpatient procedure with minimal side effects when newer anesthetic agents are used.

Silicone Rubber: A New Diffusion Property Useful for General Anesthesia

1967 ◽  
Vol 40 (3) ◽  
pp. 928-931 ◽  
Author(s):  
Judah Folkman ◽  
David M. Long ◽  
Richard Rosenbaum
Keyword(s):  
Nitrous Oxide ◽  
General Anesthesia ◽  
Silicone Rubber ◽  
New Method ◽  
Diffusion Property ◽  
Rubber Tubing ◽  
Anesthetic Agents ◽  
Potential Applications

Abstract Ether, nitrous oxide, halothane, and cyclopropane diffuse through silicone rubber. General anesthesia can be produced in dogs by passing the vapors of any of these anesthetic agents through a coil of silicone rubber tubing, each end of which is placed in an artery and vein. Potential applications include a new method for general anesthesia and a simple accurate vaporizer for halothane.

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