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[Intraoperative awareness in balanced anesthesia. A literature review based on a randomized double blind study using fentanyl, pentazocine and ketamine].
Anaesthesist
July 1992
Institut für Anaesthesiologie und operative Intensivmedizin, Universität zu Köln.
Since the first case report by Winter-bottom [106], the problem of intraoperative awareness or recall has received increasing attention from patients, anaesthesiologists and, more recently, even law courts [4, 20, 21, 78]. Our own interest in awareness derives from a study with the opiate agonist tramadol as a supplement to balanced anaesthesia, which revealed an unexpectedly high incidence of about 65% of patients who could recall intraoperative music [55]. It was the aim of the present randomized double-blind study to evaluate, under identical experimental conditions, what the incidence would be with other analgesic supplements to balanced anaesthesia (fentanyl, pentazocine and ketamine).
View Article and Find Full Text PDFTramadol-N2O anaesthesia as recommended by Stoffregen was studied in 40 patients (ASA I-II) undergoing elective orthopaedic or lower abdominal surgery. Fentanyl and droperidol (Thalamonal)/atropine were given as i.m.
View Article and Find Full Text PDFDue to its basic principle the Takaoka-Respirator uses essentially a higher gas flow per minute then the normal anesthesia-circuit-system. In order to avoid any air-pollution we have recently constructed a special airtight plastic box (Ventex) with fittings for the respirator and its manometer.
View Article and Find Full Text PDFThe Takaoka respiratory was used during lumbar pneumoencephalography in 12 patients in a rotatory chair of X-ray apparatus. Anaesthesia and ventilation were maintained with oxygen or 50% nitrous oxide in oxygen supplemented by neuroleptanalgesia. The mean minute volume of ventilation was 84.
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