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Biomedical subjects

R Kosanin

Publications and source records attributed to R Kosanin.

8 recordsLinked to original sources

Evaluation of transcutaneous oxygen tension monitoring during cosmetic surgery.

Transcutaneous oxygen monitoring during rhytidectomy surgery under local anesthesia was evaluated in 18 patients. Blood gas analysis of samples of arterial blood obtained from the superficial temporal arteries during rhytidectomy was compared with transcutaneous PO2 values. Simple linear regression analysis indicated that the transcutaneous PO2 correlates strongly with arterial PO2. Transcutaneous PO2 monitoring could be a reliable, inexpensive, and continuous method of assessing gradual or sudden changes in arterial PO2, provided the sensor is fastidiously maintained and properly applied, elements which are critical to relying on this particular device. However, this instrument has no advantages over the digital pulse oximeter.

Anesthesia, Local↗

Experience with triazolam as a preoperative sedative for outpatient surgery under local anesthesia.

Triazolam, a new benzodiazepine hypnotic agent with an ultra-short duration of action, was given preoperatively to 251 outpatients who underwent plastic surgical procedures under local anesthesia. Satisfactory sedation was obtained in 96% of the patients, all of whom received intravenous diazepam primarily for its amnesic action. There were no untoward results attributed to triazolam and no residual effects postoperatively. Triazolam may be preferable over other benzodiazepine sedative-hypnotic agents used for outpatient surgery because of its rapid onset and short half-life.

Ambulatory Surgical Procedures↗

Complications of the forehead-brow lift.

The actual and possible sequelae and complications associated with a series of forehead-brow lifts are reviewed. Based on a review of the records of 61 patients who underwent the procedure, we recommend that the forehead-brow lift be primarily intended to correct soft tissue ptosis of the upper face. Because of the significant number of patients who required a revision upper blepharoplasty, this procedure either should not be combined with a brow lift, or the patient should be warned of the probable necessity of a later revision upper blepharoplasty.

Eyebrows↗