PubMed HealthSearch

Biomedical subjects

E F Meyers

Publications and source records attributed to E F Meyers.

At least 19 recordsLinked to original sources

Cocaine toxicity during dacryocystorhinostomy.

Toxic effects were observed in two healthy patients who received cocaine intranasally before dacryocystorhinostomy. One patient suffered an additional reaction to intranasally administered phenylephrine (Neo-Synephrine) hydrochloride. Because cocaine blocks uptake of catecholamines and has a sympathetic potentiating effect, its use is dangerous in patients with hypertensive cardiovascular disease or in conjunction with sympathomimetic or alpha-modifying drugs. Use of dilute solutions carefully measured for select patients is mandatory. The total dose of cocaine should not exceed 3 mg/kg.

Administration, Topical

Grand mal seizures after retrobulbar block.

Convulsions developed in two patients after retrobulbar block. The amount of local anesthetic agent that was used was considerably less than the intravenous toxic dose in both cases. No retrobulbar hemorrhage resulted. The probable cause of seizures was inadvertent injection of local anesthetic directly to the CNS via the ophthalmic artery or its sheath.

Aged

Vitrectomy: a new challenge for the anesthesiologist.

A new surgical procedure, virtectomy, for alleviation of blindness caused by previously intractable vitreous disease, is described. Special demands of vitrectomy upon the anesthesiologist are enumerated. Problems presented by a patient population, 83 percent of whom suffered from severe diabetes mellitus and/or hypertension with a variety of complications, are discussed. Anesthetic technic used for 47 patients undergoing vitrectomy is described.

Adolescent