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Results for “ANESTHESIA, ENDOTRACHEAL”

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At least 19 recordsLinked to original sources
PubMed2002

Thoracoscopic sympathectomy: endobronchial anesthesia vs endotracheal anesthesia with intrathoracic CO2 insufflation.

PURPOSE: To compare clinical advantages and hemodynamic and respiratory changes during one lung-collapsed ventilation (OLCV) using a double-lumen tube (DLT) or a single-lumen tube (SLT) with intrathoracic CO(2) insufflation, in patients undergoing thoracic sympathectomy (TS) under general anesthesia. METHODS: One hundred and twenty-five patients (94 men and 31 women) undergoing TS for the treatment of palmar hyperhidrosis (PH) were randomly allocated to two groups: group A (68 patients; age, 29 +/- 6 years) in whom DLT was used, and group B (57 patients; age, 32 +/- 3 years) in whom SLT with intrathoracic CO(2) insufflation at a rate of 0.5-1 l.min(-1) and sustained intrathoracic pressure at 6 mmHg insufflation were used. Anesthesia was maintained with 1 minimum alveolar concentration (MAC) isoflurane in 50% nitrous oxide in oxygen with incremental doses of sufentanil and atracurium when required. Arterial blood gases were measured in 10 patients in group B. Hemodynamic and respiratory parameters were obtained perioperatively. RESULTS: There were no significant differences in hemodynamic and respiratory parameters between the two groups during the study phases, except for the arterial oxygen saturation (SpO(2)). The times required for anesthesia and surgery were significantly shorter in the SLT group than in the DLT group. SpO(2) during OLCV was 95 +/- 1% with DLT and 98 +/- 1% with SLT, with a significant difference. Three patients had an SpO(2) of less than 90% in the recovery room, where the chest tube position was readjusted, with no further sequelae. CONCLUSION: General anesthesia with SLT and intrathoracic CO(2) insufflation provides optimal operating conditions, adequate oxygenation, and perfect hemodynamic stability during TS.

Clinical Trial↗
PubMedDate not supplied

Laryngeal sequelae of endotracheal anesthesia.

The endotracheal administration of anesthesia has been improved considerably in the past decade. By reducing mortality and morbidity, this modality has made possible many advances in all forms of surgery, especially of the chest, head, and neck. There are, however, some disadvantages: 1. The endotracheal tube is a foreign body and thus can cause irritation. 2. Lubricants and solutions used for cleansing and sterilizing the tube may be irritating and can produce a membrane which obstructs the airway. 3. The lumen of the airway is reduced, an especially hazardous problem in children. 4. The patient must be under deeper anesthesia for intubation than is sometimes necessary for the surgical procedure. 5. There may be trauma to teeth, pharynx, nose, or trachea during intubation. 6. Coughing or straining may cause increased venous pressure, with undesired effects. 7. Bacteria from the nose may be carried to the lower respiratory tract. 8. Pulmonary sequelae may occur. 9. Laryngeal sequelae may occur. It is with laryngeal sequelae that we are concerned in this (1951) presentation, which includes the reports of 8 cases of laryngeal obstruction, with 2 deaths, and 7 cases of laryngeal granulomas.

Anesthesia, Endotracheal↗
PubMed1996

Dental treatment of handicapped patients using endotracheal anesthesia.

Dental treatment using endotracheal anesthesia is indicated where acute odontogenic infections, accidental injuries, or multiple caries and periodontitis marginalis require surgical and/or restorative treatment. It is also indicated where it is not possible to use psychological support during local anesthesia or during premedication or analgosedation. Dental treatment of handicapped patients using endotracheal anesthesia is described, along with indication and frequency of such treatment. The state of the dentition is illustrated, along with its relationship to the oral hygiene the handicapped patients receive. The main points of the intraoperative dental procedures and the follow-up of patient care are reported. Postoperative dental or general medical complications have not occurred within the patient population under study.

Adolescent↗
PubMed1993

Anesthesia pharmacology for general endotracheal anesthesia.

The multiple of pharmacological agents and the proliferation of new anesthetic drugs make it incumbent on the perioperative nurse to keep abreast of those areas of pharmacology that impact on their care of the surgical patient. This article provides relevant information about agents used in a general anesthetic technique. Included is the pharmacodynamics of induction agents, skeletal muscle relaxants, inhalation agents, and opioids.

Anesthesia, Endotracheal↗