Unexpected high level of epidural analgesia during labor--report of one case.
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Biomedical subjects
Publications and source records attributed to M H Shyr.
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Despite improvements in anesthetic techniques postoperative vomiting still remains a problem, particularly in ambulant outpatients, and when an opioid is given before or during anesthesia. Anti-emetic are of limited value and often cause drowsiness or other side effects. We report a study in which a simple acupuncture procedure was used in patients undergoing fraction D & C under standard intravenous anesthesia. Sixty-four patients were included and allocated randomly into one of the two groups: control group receiving standard fentanyl-valium-thiopentone anesthesia alone, and the other group receiving injection of 3 mL normal saline into the P6 acupuncture point after the anesthesia. Ten out of the 32 control patients experienced nausea or vomiting compared with only 2 out of 32 patients receiving acupoint injection. The reduction in nausea was significant. These findings cannot be well explained, but it is recommended that the use of acupuncture as an anti-emetic should be explored further.
We presented in this communication a computer algorithm that offers the advantage of simultaneous analysis of the power spectrum of multiple physiologic signals, including systemic arterial pressure, single-neuronal and electroencephalographic signals, on a continuous, on-line and real-time basis. It provided sensitive definition, discrimination and quantification (graphic and digital) of the various frequency components in the spectrum. There was also great flexibility in selecting the physiologic signal(s) to be analyzed, the choice of results of analysis to be displayed for each physiologic parameter and the alteration of sensitivity and baseline of each event channel. Furthermore, it included window options to improve the frequency or temporal resolution and discrimination of the spectral changes. Most importantly, all these desirable features can be accomplished economically with a general purpose personal computer.