Canadian Journal of Anesthesia/Journal canadien d'anesthésie

Wyant, Gordon

doi: 10.1007/BF03020155pmid: N/A

McConnell, J.; Dodds, W.; Graves, H.

doi: 10.1007/BF03020156pmid: N/A

Nous avons fait une analyse rétrospective de 113 opérations au pours desquelles l’aorte abdominale avait été pincée, et nous avons comparé les résultats de 54 opérations exécutées sous hypothermie et 59 sans hypothermie. Les deux groupes se sont avérés comparables en ce qui concerne l’âge et le sexe. Nous avons employé des agents et des techniques anesthésiques semblables. Aux malades hypothermisés, nius avons donné 500 c.c. de sang de plus qu’aux autres. Seulement chez trois de ces malades, laT° a été abaissée au-dessous de la température recommandée de 27° C. (81° F.). On a observé des arythmies cardiaques chez 7 malades sous hypothermie et chez un seul sans hypothermie. Un arrät cardiaque est survenu chez les hypothermises.

Conn, A.

doi: 10.1007/BF03020157pmid: 14022598

This paper gives a brief review of congenital hypertrophic pyloric stenosis with a report on 441 consecutive cases coming to operation at The Hospital for Sick Children during 1957–60. The pathology, pathological physiology, and clinical features and preoperative treatment are outlined. The anaesthetic management of these cases is discussed in detail and our results reported.

Seleny, F.; Spoerel, W.

doi: 10.1007/BF03020158pmid: 13992704

We have selected 123 patients who vomited twice following complete recovery from anaesthesia; these were then treated with anti-emetic drugs. Children and patients with gastric suction were excluded. The incidence of this degree of vomiting was 3.6 per cent. Most of our patients were females. There was a higher incidence of vomiting than expected following caesarian section, ophthalmic surgery, and gynaecological operation but not after abdominal operations. The duration of the operation, the type of anaesthesia, the position oi the patient, and the preoperative medication did not appear to have a significant influence. About 50 per cent of the patients did not vomit after receiving treatment. Of the two main drugs used, prochlorperazine proved to be more effective than trimethobenzamide. In patients where an initial injection of anti-emetic had not abolished vomiting, subsequent treatment with the same drug or with another anti-emetic was less effective. Since vomiting may develop into a major postoperative complication in patients of this last group special attention should be directed to their management and these patients should be taken into consideration when the therapeutic value of an anti-emetic drug is investigated.

Gilbert, R.

doi: 10.1007/BF03020159pmid: 13947825

The anesthetist’s knowledge of ventilation and circulation, or fluid and electrolyte requirements, and his association with the use of potent depressant and stimulant drugs, place him in a position to use his ability in a worth-while manner in the care and treatment of severe injuries.

StOlar, S.; Wynands, J.

doi: 10.1007/BF03020160pmid: 13984332

The indications for employing hypothermia in cancer perfusion therapy have been reviewed and the technique for carrying out this procedure described. An inexpensive, readily constructed, collapsable rubber tub has been used for surface cooling and the specifications for construction described.

Jacques, André; Hudon, Fernando

doi: 10.1007/BF03020161pmid: 13964401

This report is an analysis of 150 cases of N2O-O2-methoxyflurane inhalational anaesthesia with the concomitant topical and subcutaneous use of epinephrine added either to cocaine, hexylcaine, or lidocaine to overcome oozing in the surgical field. During the course of anaesthesia, the pulse, the blood pressure, and the cardiac rhythm were monitored with appropriate apparatus, and ventilation was adequately maintained with Bird ventilators No. 4 and No. 8.

Jacques, André; Hudon, Fernando

doi: 10.1007/BF03020162pmid: N/A

Ce rapport est une analyse de 150 cas d’anesthésie inhalatoire au N2O-O2-méthoxyflurane avec l’emploi concomittant en surface et par voie souscutanée d’adrénaline ajoutee a la cocaine, à l’hexylcaine ou à la lidocaine pour diminuer le suintement sanguin dans le champ opératoire, Au cours de l’anesthésie, le pouls, la tension artérielle et le rythme cardiaque ont été mesurés avec des moniteurs appropriés et la ventilation pulmonaire a été maintenue adéquatement avec les ventilateurs Bird No 4 et No 8.

Taylor, Cyril; Stoelting, Vergil

doi: 10.1007/BF03020163pmid: 13993549

A new phenothiazine compound, thiethylperazine malate, was investigated with regard to its effectiveness in preventing postoperative emesis and to its side-effects. A double-blind technique was employed. Thiethylperazine or a placebo was injected intramuscularly at the termination of anaesthesia, and the patient was observed in the recovery room for two hours. There was a significant reduction in the incidence of postoperative emesis in patients who had received 5.0 mg. or 10.0 mg. of thiethylperazine. There was a slight prolongation of postanaesthetic somnolence by the drug. Hypotension, greater than 30 mm. Hg, was more frequent in the group of patients who had received 10.0 mg. of thiethylperazine. No other side-effects were detected. Thiethylperazine appeared to be a very useful anti-emetic, and is a forward step in the drive to find one with maximal efficiency and minimal side-effects.

Webster, A.

doi: 10.1007/BF03020164pmid: N/A

A method of endotracheal anaesthesia for adeno-tonsillectomy is described which combines the use of an “automatic” non-rebreathirig valve with a pressure-equalizing valve.