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Biomedical subjects

M M Ankutse

Publications and source records attributed to M M Ankutse.

5 recordsLinked to original sources

Tracheal soiling with blood during intranasal surgery--comparison of two endotracheal tubes.

Sixty adult patients, ASA Classes I & II, were involved in a study to compare the effectiveness of Mallinckrodt Hi-Lo-Evac tube and Portex blue line tube in preventing soiling of the lower airways during intranasal surgery. The Hi-Lo-Evac tube with and without pack was significantly more effective than the Portex tube with pharyngeal pack (P less than 0.002) and (P less than 0.01 respectively). There was no significant difference when the Hi-Lo-Evac tube was used with or without a pack (P greater than 0.2). The more effective protection of the lower airways by the Hi-Lo-Evac tube is attributed to the facility of subglottic aspiration during surgery. It is suggested that the Hi-Lo-Evac tube could be used with safety during intranasal surgery in order to reduce postoperative morbidity associated with the use of pharyngeal pack.

Adolescent↗

Oculocardiac reflex during excision of periorbital tumor--a case report.

The occurrence of oculocardiac reflex causing severe bradycardia and hypotension during the excision of a large, hemorrhagic, periorbital tumor in a 66 year old male is presented. The reflex occurred despite complete destruction of the eye by the tumor. Intravenous atropine, 0.5 mg, restored both the heart rate and blood pressure and prevented further occurrence of the reflex during the rest of the operation.

Aged↗

Gas exchange during microsurgery of the larynx using Foley catheter insufflation technique--preliminary results.

The technique of insufflating anesthetic gases via oro-tracheal Rusch type Foley catheter with spontaneous ventilation for microsurgery of the larynx is described. Fifteen unselected patients were used to assess the adequacy of gas exchange with this technique. Arterial blood gas analysis was carried out 5 minutes and 25 minutes after induction of anesthesia. The results at 25 minutes indicate adequate gas exchange. There was a significant increase in the PaO2 at 25 minutes but the decrease in PaCO2 at 25 minutes was insignificant. The technique also provided very satisfactory conditions for surgery with only minimal risk of gross tracheal soiling. No dysrhythmias were encountered and there was hemodynamic stability in all cases.

Adolescent↗