Thoracic Anaesthesia

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Anaesthesia for thoracic surgery

Anaesthetic techniques Anaesthetic techniques for thoracic surgery (Table 10.1) are little different from those used in other forms of major surgery. Anaesthesia is induced intravenously and endobronchial intubation is performed following the administration of a non-depolarizing neuromuscular blocking drug. The depolarizing agent suxamethonium is indicated, however, if a difficult laryngeal int...

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Thoracic epidural anaesthesia for open cholecystectomy.

OBJECTIVE To compare the postoperative pain relief and vomiting and the length of hospital stay in patients undergoing open cholecystectomy under general anaesthesia versus those receiving thoracic epidural anaesthesia. STUDY DESIGN Quasi experimental study. PLACE AND DURATION OF STUDY The Combined Military Hospital, Skardu, from February 2009 to July 2010. METHODOLOGY American Society of...

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Risks and benefits of thoracic epidural anaesthesia.

Thoracic epidural anaesthesia (TEA) reduces cardiac and splanchnic sympathetic activity and thereby influences perioperative function of vital organ systems. A recent meta-analysis suggested that TEA decreased postoperative cardiac morbidity and mortality. TEA appears to ameliorate gut injury in major surgery as long as the systemic haemodynamic effects of TEA are adequately controlled. The fun...

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Effect of thoracic epidural anaesthesia on colonic blood flow.

BACKGROUND The effect of thoracic epidural block on splanchnic blood flow is unclear. It remains to be resolved if sympathetic block, increases or decreases regional splanchnic blood flow and whether regional splanchnic flow becomes dependent on cardiac output or perfusion pressure. A clear understanding of the regional haemodynamic consequences of an epidural block may modify practice with res...

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Coexisting harlequin and Horner syndromes after high thoracic paravertebral anaesthesia.

A patient undergoing left mastectomy and immediate latissimus dorsi breast reconstruction under combined paravertebral block and general anaesthesia developed transient, well-demarcated, right-sided hemifacial erythema and sweating, and left-sided Horner syndrome postoperatively. This "harlequin" appearance occurs because of a normal or excessive vasodilatory, thermoregulatory response to heat ...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 1965

ISSN: 0007-0912

DOI: 10.1093/bja/37.3.214