ISSN:0952-7907    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Anxiety, intercurrent disease, age and physical condition of the patient, current medication and proposed surgical procedure, elective or emergency, must be assessed preoperatively. Preparing the patient involves explanation and informed consent, the use of anxiolytic drugs, restriction of oral intake, a reduction in volume and an increase in the pH of gastric contents, and prophylaxis against venous thromboembolism.

ISSN:0952-7907    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

This review highlights some recent developments in general and urological surgery which have implications for the anaesthetist. There has been an increase in the understanding of factors which may influence the overall quality of patient recovery. Epidemiological studies may cause anaesthetists and surgeons to question some established anaesthetic techniques.

ISSN:0952-7907    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Recent work on anaesthesia for orthopaedic surgery has focused on the controversies surrounding major arthroplasties. Few studies have emerged which may result in radical change or advances in anaesthesia for gynaecological or endocrine surgery.

ISSN:0952-7907    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Anaesthesia has an important role to play in the provision of dental, maxillofacial, plastic and reconstructive surgery. More outpatient procedures are being performed and standards of practice in this environment are continually being improved. For major surgery on inpatients, changes and advances in surgical techniques, for example in neonatal cleft-lip surgery and ‘free-flap surgery’, may have important implications for anaesthetists.

ISSN:0952-7907    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

This article reviews the available literature on anaesthesia for ear. nose, throat (ENT) and ophthalmic surgery, in the past year.

ISSN:0952-7907    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Day-case surgery is rapidly expanding throughout the Western world. This expansion is primarily the result of financial pressure from health care administrators, and many surgeons and anaesthetists have been reluctant to become involved in this type of practice. A series of helpful reports have appeared in the UK which give pointers to those trying to improve their throughput of such work, both for adult and paediatric day-care. Much research is currently underway in this field as anaesthetists try to decrease the morbidity of increasingly complex surgery for day-care. Interesting avenues are in geriatric care, preoperative and outcome assessment, recovery from anaesthesia and perioperative fluid therapy. Propofol is proving to be the drug of choice for the majority of day anaesthesia, but some adverse phenomena have been reported and more time will be needed to fully evaluate its place. More extensive audit of day-care work is urgently needed to provide information for future treatment plans. Nausea and vomiting remain as some of the worst after effects of anaesthesia. Despite a wide variety of anti-emetic drugs these symptoms are poorly controlled. Acupuncture and acupressure are proving to be interesting lines of research while other investigators continue to introduce newer drugs such as alizapride and dixyrazine. Other possible research areas include the use of traditional herbal remedies such as ginger root. Work on the history of anaesthesia continues to appear in a few of the mainstream anaesthetic journals. The majority of this work is on the historical use of specific drugs like muscle relaxants, the evolution of specific items of apparatus, or the life histories of noteable pioneers. Anaesthetic historians need to develop greater appreciation of the wider social, political and economic forces that were moulding the lives and researches of their topics. Editors of journals should be encouraged to publish more historical work.

ISSN:0952-7907    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

This review of current advances in airway management covers the topics of fibreoptic intubation, the Brain laryngeal mask, preoxygenation, use of the gum-elastic bougie, the FEF end-tidal CO2detector (Fenem Inc., New York, USA) and changes in airway anatomy under anaesthesia.

ISSN:0952-7907    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

This article deals with publications within the last year that describe, or contribute to the process of reducing, mortality and morbidity associated with anaesthesia. There is some evidence to suggest a decrease in the incidence of serious complications, although the range of described complications shows no sign of diminishing.

ISSN:0952-7907    

出版商:OVID    

年代:1991

数据来源: OVID

ISSN:0952-7907    

出版商:OVID    

年代:1991

数据来源: OVID