The blocking-room.
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Biomedical subjects
Publications and source records attributed to Y H Khouw.
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A case of mechanical airway obstruction is described. The cause of the obstruction proved to be an internal berniation resulting from detachment of the innermost latex layers of the tube. The various measures to avoid the hazards are briefly mentioned.
Abolition of a temporary occlusion of the circulation in the legs during surgical reconstruction of the abdominal aorta generally exerts but little influence on the patient's acid-base status. The changes in acid-base status can be corrected by the patient himself. Routine administration of sodium bicarbonate or Tham is unnecessary. However, respiration, circulation and electrolyte balance should be carefully monitored to ensure that any disturbances in this respect can immediately be given adequate treatment. Determination of the acid-base status during the operation is a valuable aid in evaluation of the patient's condition and can be used as a guideline in therapy.
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A description is presented of a method to eliminate anesthetic gases when using the Loosco system for children with an expiratory valve according to the Waters' principle. From practical experience we have gained the strong impression that this convenient device meets the requirements we have formulated. Exact gas-chromatographic determinations are still in progress, and the results will be published as soon as possible.
This paper describes a case of a difficult intubation in a neonate with the Pierre-Robin syndrome. Direct laryngoscopy was impracticable due to the atypical anatomy of the oropharyngeal cavity. The importance of adequate pre-anesthetic examination is stressed. Deep anesthesia during spontaneous respiration can facilitate endotracheal intubation in such cases.
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