Pollution in the operating room.
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Biomedical subjects
Publications and source records attributed to A Pace-Floridia.
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Forty-one patients undergoing outpatient anaesthesia and operation were studied. Nineteen received inhalation agents. Twenty-two received narcotics. Up to one hour post-operatively, patients who received inhalation anaesthesia performed significantly better than did those who received narcotics. After 60 minutes there was no significant difference between the two groups. It is suggested that narcotics be avoided in patients who will be discharged within one hour of anaesthesia. A small number of patients exhibited slow recovery. It is suggested that these may be patients at risk and that special care be exercised.
Cold saline was injected intrathecally for the relief of intractable pain in terminal cancer patients. Worthwhile relief was obtained in five out of seven patients. The procedure should be considered in the management of such cases when neurosurgical procedures have failed or are contraindicated and when patients have become addicted to, or their pain is unrelieved by, narcotics. There is still uncertainty as to whether cold or hypertonicity is the operative factor; we are more in favour of the latter view.
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