ISSN:0038-4348    

出版商:OVID    

年代:1974

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1974

数据来源: OVID

摘要:

Abstract:Twenty-two patients suffering from shock, dehydration, cardiovascular instability, asthma, or respiratory insufficiency requiring operative procedures had anesthesia induced with ketamine. Anesthesia was produced rapidly. No arrhythmia or impairment of respiratory function occurred. The pre-induction cardiovascular state was maintained with no instances of shock or cardiac arrest. Ketamine appears to be a safe induction agent in this group of poor-risk patients.

ISSN:0038-4348    

出版商:OVID    

年代:1974

数据来源: OVID

摘要:

Abstract:Ketamine has been used at Ochsner Foundation Hospital as the anesthetic agent for induction of anesthesia in five children undergoing bronchoscopy. After an initial rise in blood pressure and heart rate, the vital signs were stable throughout the entire bronchoscopy in all five children. Although there have been no reports in the literature of such use of ketamine and our series is too small to be difinitive, these results indicate that consideration should be given to using the presented technic of ketamine anesthesia for bronchoscopy of children.

ISSN:0038-4348    

出版商:OVID    

年代:1974

数据来源: OVID

摘要:

Abstract:Significant injury of the iliac arteries may occur with blunt (nonpenetrating) abdominal trauma. The majority of reported cases have been associated with pelvic fractures, and a spectrum of injury, from thrombosis to complete transection of the vessel, has occurred. The care of these injuries must be greatly individualized. Simple thrombosis in the absence of extensive pelvic fractures may be treated with immediate operation and reestablishment of vessel continuity. Injuries associated with extensive pelvic fractures or injury to a hollow viscus should be treated by observation alone or by ligation and graft interposition from a remote site because of the danger of exsanguinating hemorrhage or contamination of the arterial repair.

ISSN:0038-4348    

出版商:OVID    

年代:1974

数据来源: OVID

摘要:

Abstract:Several of the major disadvantages of hair transplantation by the plug or strip method have been corrected by the use of a nontoxic tissue adhesive, isobutyl-2-cyanoacrylate. Annoying incidences of slippage of plugs during the operative procedure and elevation of the plugs above the surface causing a “cobblestone” appearance can be avoided by deep insertion of the plugs and application of droplets of tissue adhesive. Drying within 5 to 15 seconds enables the operator to proceed more rapidly with the hair transplantation. Adhesive is also useful for reinforcing the suture lines for strip grafting. Both prevent later dislodgement and make wearing excessive bandages unnecessary.

ISSN:0038-4348    

出版商:OVID    

年代:1974

数据来源: OVID

摘要:

Abstract:A review of the literature pertaining to anesthesia for the obese surgical patient is presented, and data are provided from a retrospective study of 59 morbidly obese patients evaluated for anesthesia for surgical procedures at The University of Texas Medical Branch Hospitals. The majority of the patients were successfully managed with general anesthetic technics; four (7.1%) of the 56 patients who had operations died. All patients in the series who experienced morbidity or mortality had ponderal indices of 10.4 or lower. Pulmonary complications were by far the leading cause of morbidity and mortality in the series, with pulmonary embolism the most common pulmonary complication.

ISSN:0038-4348    

出版商:OVID    

年代:1974

数据来源: OVID

摘要:

Abstract:We have devised a reproducible means of locating and identifying Schlemm's canal that facilitates operations on the trabecular meshwork. With this technic a nylon suture is passed into Schlemm's canal at the time of operation, and immediate gonioscopy allows the surgeon to correctly identify the canal before proceeding with trabecular operation.

ISSN:0038-4348    

出版商:OVID    

年代:1974

数据来源: OVID

摘要:

Abstract:Review of 66 triple arthrodeses in 47 children (average age at operation, 12.1 years) with a minimal follow-up of two years provides a study of contemporary experience with this surgical procedure. Over 90% of patients had no or negligible pain; 79% considered their feet to be satisfactory in appearance; and most wore regular or mismatched shoes. Pseudarthrosis occurred in 9.1% of cases and could not be related to underlying disease or type of fixation. A major problem was residual deformity which occurred to some degree in 57% of cases. It could not be related to type of fixation, presence of pseudarthrosis, or age at operation, but was related to the type of underlying disease and original anatomic deformity. The incidence of residual deformity was high in patients with spastic paralysis (73%) and painful flatfeet (80%) and in patients who originally had a valgus deformity (88%). Wound infection occurred in ten cases, one of which was serious.

ISSN:0038-4348    

出版商:OVID    

年代:1974

数据来源: OVID

摘要:

Abstract:A case of emphysematous pyelonephritis is presented and the radiographic and clinical findings are described. This disease has a 50% mortality and is often seen in systemic conditions such as diabetes mellitus.

ISSN:0038-4348    

出版商:OVID    

年代:1974

数据来源: OVID