/library/oar/handle/123456789/26869 Mon, 29 Dec 2025 01:55:23 GMT 2025-12-29T01:55:23Z :443/library/oar/retrieve/0e1a5a74-819b-4f9f-9fa1-d2e8215959fe/ /library/oar/handle/123456789/26869 /library/oar/handle/123456789/21307 Title: Anaesthesia for carotid endarterectomy Abstract: About 120 carotid endarterectomies are performed each year at our hospital. All patients have more than 70% stenosis of one or both internal carotid arteries as shown by Duplex-scan and/or arteriography. Most of the patients suffered previous transient ischemic attacks or reversible ischemic neurologic deficits although some patients are asymptomatic. It is thought that surgical removal of the stenosis can significantly diminish the risk of stroke. Two main questions arise when giving anaesthesia for these operations: firstly, can the brain be protected from ischemia by our anaesthetic technique and secondly, how is brain perfusion best monitored during the cross-clamping of the carotid artery? Thu, 01 Sep 1988 00:00:00 GMT /library/oar/handle/123456789/21307 1988-09-01T00:00:00Z /library/oar/handle/123456789/21306 Title: Use of a peripheral nerve stimulator in regional anaesthesia : clinical evaluation Abstract: Halsted performed the first dental nerve block in 1884 and the first brachial block (under direct exposure) in the neck in 1889. Hirschel described the first percutaneous brnchial plexus block in 1911. It is not easily understood how nowadays regional anaesthesia is not a technique of choice in many centres. Possible reasons may be 1) lack of consistent success 2) the time necessary to perform the block 3) the limited duration of the block 4) fear of complications 5) unfamiliarity with various techniques available. Successful regional anaesthesia depends on accurate placement of local anaesthetic in close proximity to the nerve trunks. In most peripheral somatic nerve block the eliciting of parasthesia helps in identifying the correct spot for injection. This has led to the dictum 'No parasthesia, no anaesthesia'. This may however cause nerve damage either directly by the needling or during intra-neural injection of anaesthetic agent. Parasthesiae are subjective feelings and uncooperation by the patient may severely sabotage such a technique. Difficulty in identifying landmarks by thick subcutaneous fat may also hamper accurate regional block placement. The use of a nerve stimulator may help overcome these problems. Its use was first described in 1912 by von Perthes. The patient is spared a lot of discomfort as the eliciting of twitching by stimulating a motor nerve requires a lower electrical stimulus than that to cause parasthesiae in a sensory nerve. It also makes cooperation by the patient to a large extent superfluous. Thu, 01 Sep 1988 00:00:00 GMT /library/oar/handle/123456789/21306 1988-09-01T00:00:00Z /library/oar/handle/123456789/21303 Title: Constant pressure in the non-dependent lung for lung decortication surgery Abstract: In this trial, a modified technique of general anaesthesia using a constant pressure of 3.99 kPa (30 mm mercury or 40.5 cm HP) in the non-dependent lung, has been used in eighteen patients requiring Lung Decortication. The haemodynamic response to anaesthesia and surgery was studied. No significant alteration from the preoperative values of Arterial Blood Pressure (BP), Heart Rate (HR) and Central Venous Pressure (CVP) were noticed. The surgical technique has been considerably improved by use of this technique with a significant decrease in operating time. Thu, 01 Sep 1988 00:00:00 GMT /library/oar/handle/123456789/21303 1988-09-01T00:00:00Z /library/oar/handle/123456789/21302 Title: Use of Propofol (Diprivan) in diabetic patients Abstract: The use of propofol for the induction of Diabetic patients for relatively short surgical interventions was studied. No remarkable cardiovascular problems were noted. The quick clear headed recovery and the relative absence of nausea and vomiting favoured early reSUrħption of feeding and normal daily routine. Thu, 01 Sep 1988 00:00:00 GMT /library/oar/handle/123456789/21302 1988-09-01T00:00:00Z