Ketamine, midazolam and vecuronium infusion. Anaesthesia for Down's syndrome and congenital heart disease.

Abstract:

:A ketamine, midazolam and vecuronium infusion was used for total intravenous anesthesia in a patient with Down's syndrome, a ventricular septal defect and pulmonary hypertension. A mixture of ketamine 200 mg, midazolam 5 mg and vecuronium 12 mg in 50 ml of normal saline was infused at 0.5 ml/kg/hour. This simple technique and ventilation with 100% oxygen maintained tissue oxygenation and cardiovascular stability.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Riley DP,McBride LJ

doi

10.1111/j.1365-2044.1991.tb09356.x

subject

Has Abstract

pub_date

1991-02-01 00:00:00

pages

122-3

issue

2

eissn

0003-2409

issn

1365-2044

journal_volume

46

pub_type

杂志文章
  • The effect of pre-induction glycopyrronium on the haemodynamic response of elderly patients to anaesthesia with propofol.

    abstract::This study investigated whether pretreatment with glycopyrronium can attenuate the hypotension caused by anaesthesia of the elderly with propofol. Twenty elderly patients (77.1 +/- 2.44 years, mean +/- SEM) of ASA physical status 2 or 3 scheduled for elective urological procedures were given glycopyrronium 0 (n = 10) ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1992.tb02341.x

    authors: Sneyd JR,Mayall R

    更新日期:1992-07-01 00:00:00

  • Haemostatic profile of reconstituted blood in a proposed 1:1:1 ratio of packed red blood cells, platelet concentrate and four different plasma preparations.

    abstract::The concept of haemostatic resuscitation implies early and high-volume plasma transfusion. We investigated the haemostatic profile of reconstituted whole blood prepared in a 1:1:1 ratio of blood, platelets and plasma. This consisted of packed red blood cells, platelet concentrate and four different plasma variants: fr...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13067

    authors: Ponschab M,Schöchl H,Gabriel C,Süssner S,Cadamuro J,Haschke-Becher E,Gratz J,Zipperle J,Redl H,Schlimp CJ

    更新日期:2015-05-01 00:00:00

  • Validation of a point-of-care prothrombin time test after cardiopulmonary bypass in cardiac surgery.

    abstract::Point-of-care coagulation monitoring can be used for the guidance of haemostasis management. However, the influence of time on point-of-care prothrombin time testing following protamine administration after cardiopulmonary bypass has not been investigated. Bland-Altman and error grid analysis were used to analyse the ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13591

    authors: Meesters MI,Kuiper G,Vonk AB,Loer SA,Boer C

    更新日期:2016-10-01 00:00:00

  • Laryngeal anaesthesia with aspiration following intubation.

    abstract::Two patients who had undergone emergency tracheal intubation developed signs of aspiration of ingested food. Nasendoscopy demonstrated supraglottic anaesthesia which recovered from the laryngeal margins in towards the vocal cords. It is assumed that this was caused by a neuropraxia of the internal branch of the superi...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1989.tb11230.x

    authors: Aucott W,Prinsley P,Madden G

    更新日期:1989-03-01 00:00:00

  • Propofol and serum potassium.

    abstract::The aim of this study was to examine the effect of propofol and propofol with suxamethonium on serum potassium concentration during induction of general anaesthesia. Forty patients were studied during elective surgery and serum electrolytes were measured before and after the induction of anaesthesia. Patients were all...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1992.tb01959.x

    authors: Fogarty DJ,McCleane GJ

    更新日期:1992-01-01 00:00:00

  • Respiratory injury in the burned patient. The role of flexible bronchoscopy.

    abstract::The purpose of the study was to investigate the role of flexible bronchoscopy in the management of patients admitted to a busy Regional burns unit, with particular reference to possible smoke inhalation injury. The basic procedure employed was that used in routine bronchoscopy for the diagnosis of bronchial carcinoma,...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1983.tb10370.x

    authors: Clark CJ,Reid WH,Telfer AB,Campbell D

    更新日期:1983-01-01 00:00:00

  • A comparison of four risk models for the prediction of cardiovascular complications in patients with a history of atrial fibrillation undergoing non-cardiac surgery.

    abstract::It is unclear how best to predict peri-operative cardiovascular risk in patients with atrial fibrillation undergoing non-cardiac surgery. This study examined the accuracy of the revised cardiac risk index and three atrial fibrillation thrombo-embolic risk models for predicting 30-day cardiovascular events after non-ca...

    journal_title:Anaesthesia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/anae.14777

    authors: McAlister FA,Youngson E,Jacka M,Graham M,Conen D,Chan M,Szczeklik W,Alonso-Coello P,Devereaux PJ,vascular events in non-cardiac surgery patIents cohort evaluation (VISION) investigators.

    更新日期:2020-01-01 00:00:00

  • Neural inertia and differences between loss of and recovery from consciousness during total intravenous anaesthesia: a narrative review.

    abstract::Most anaesthetists using target-controlled infusion systems will have observed that the calculated effect-site concentration at loss of consciousness is usually higher than the concentration at emergence. Inertia is the ability of biological systems to keep a functional state at rest or in activity and is an active pr...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/anae.14609

    authors: Sepúlveda PO,Tapia LF,Monsalves S

    更新日期:2019-06-01 00:00:00

  • Gas movement in the nonventilated lung at the onset of single-lung ventilation for video-assisted thoracoscopy.

    abstract::To assess the potential for atmospheric nitrogen to enter the nonventilated lung following the initiation of single-lung ventilation, the nonventilated lung of 10 patients undergoing video-assisted thoracoscopy was connected to the air in a water-filled spirometer, and gas movement out of and back into the lung was me...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.1999.00845.x

    authors: Pfitzner J,Peacock MJ,McAleer PT

    更新日期:1999-05-01 00:00:00

  • A randomised placebo-controlled trial of the effects of midazolam premedication on children's postoperative cognition.

    abstract::This randomised, placebo-controlled study assessed the effects of midazolam premedication on children's postoperative cognition and physical morbidity. In all, 179 children aged 5-10 years were randomly assigned to receive buccal midazolam (0.2 mg x kg(-1)) or placebo before sevoflurane-nitrous oxide anaesthesia for m...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2007.05148.x

    authors: Millar K,Asbury AJ,Bowman AW,Hosey MT,Martin K,Musiello T,Welbury RR

    更新日期:2007-09-01 00:00:00

  • The effect of propofol on patient reaction time and its relationship with loss of verbal contact before induction of anaesthesia.

    abstract::Increasing the calculated plasma concentration of propofol has been shown to increase choice reaction time and visual and auditory response times. We studied the relationship of reaction to a vibrating handset as the effect-site target-controlled propofol concentration was incrementally increased in 20 patients during...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.12035

    authors: Anderson KJ,Allam S,Chapman R,Kenny GN

    更新日期:2013-02-01 00:00:00

  • Neostigmine after spontaneous recovery from neuromuscular blockade. Effect on depth of blockade monitored with train-of-four and tetanic stimuli.

    abstract::The effect of neostigmine on neuromuscular function was examined after spontaneous recovery from an atracurium-induced neuromuscular blockade, which reached a train-of-four ratio of either 0.5 or 0.9. Two doses of neostigmine 2.5 mg were given 5 minutes apart. Neuromuscular recovery was assessed with train-of-four and...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1989.tb11280.x

    authors: Goldhill DR,Wainwright AP,Stuart CS,Flynn PJ

    更新日期:1989-04-01 00:00:00

  • The implications of HIV for the anaesthetist and the intensivist.

    abstract::The acquired immune deficiency syndrome has reached pandemic proportions. Anaesthetists should be aware of the implications of dealing with increasing numbers of both diagnosed and undiagnosed, symptomatic and asymptomatic, human immunodeficiency virus-infected patients in the fields of intensive therapy, operating th...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2044.2000.01265.x

    authors: Avidan MS,Jones N,Pozniak AL

    更新日期:2000-04-01 00:00:00

  • Tramadol for prevention of postanaesthetic shivering: a randomised double-blind comparison with pethidine.

    abstract::The present study was conducted with the aims of comparing intravenous tramadol 1, 2 and 3 mg.kg(-1) with pethidine 0.5 mg.kg(-1) for prophylaxis of postanaesthetic shivering and to find a dose of tramadol that could provide the dual advantage of antishivering and analgesic effect in the postoperative period. The stud...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2008.05711.x

    authors: Mohta M,Kumari N,Tyagi A,Sethi AK,Agarwal D,Singh M

    更新日期:2009-02-01 00:00:00

  • Pharmacological characteristics and side effects of a new galenic formulation of propofol without soyabean oil.

    abstract::We compared the pharmacokinetics, pharmacodynamics and safety profile of a new galenic formulation of propofol (AM149 1%), which does not contain soyabean oil, with a standard formulation of propofol (Disoprivan 1%). In a randomised, double-blind, cross-over study, 30 healthy volunteers received a single intravenous b...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.2003.03345.x

    authors: Paul M,Dueck M,Kampe S,Fruendt H,Kasper SM

    更新日期:2003-11-01 00:00:00

  • All that wheezes is not asthma.

    abstract::A case is presented in which the inhalation of a foreign body caused a respiratory arrest and was subsequently diagnosed and treated as an attack of acute asthma. The presentation, diagnosis, investigation and treatment of this condition is discussed and a review of the literature is presented. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb13177.x

    authors: Lloyd-Thomas AR,Bush GH

    更新日期:1986-02-01 00:00:00

  • Propofol use in children with allergies to egg, peanut, soybean or other legumes.

    abstract::Propofol is the most commonly administered intravenous agent for anaesthesia in children. However, there are concerns that the emulsified preparation may not be safe in children with an allergy to egg, peanut, soybean or other legumes. We conducted a retrospective study of children with immunologically confirmed egg, ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.14693

    authors: Sommerfield DL,Lucas M,Schilling A,Drake-Brockman TFE,Sommerfield A,Arnold A,von Ungern-Sternberg BS

    更新日期:2019-10-01 00:00:00

  • Prolonged bradycardia and hypotension after neostigmine administration in a patient receiving atenolol.

    abstract::A 78-year-old woman admitted for an elective hip operation was maintained on atenolol for control of her hypertension. She received neostigmine and atropine for reversal of muscle relaxation at the end of general anaesthesia. She then developed prolonged bradycardia and hypotension which necessitated the use of adrena...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1987.tb05277.x

    authors: Eldor J,Hoffman B,Davidson JT

    更新日期:1987-12-01 00:00:00

  • The use of the Cape Minor ventilator with the circle absorber system.

    abstract::Various methods by which the Cape Minor ventilator may be used in the circle absorber system are described and the problems of the circuits described are considered. A new valve system is described which overcomes most of the problems encountered with other circuits. The economic advantages of an inexpensive ventilato...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1978.tb08327.x

    authors: James MF

    更新日期:1978-11-01 00:00:00

  • Respiratory effects of 'lissive" anaesthesia using gallamine.

    abstract::'Lissive anaesthesia', the administration of a small dose of a non-depolarising muscle relaxant to a patient breathing nitrous oxide, oxygen and an anaesthetic vapour, is a technique popularly employed for minor procedures. In this study, the effects of intravenous gallamine triethiodide (40 mg) on the blood-gas statu...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1365-2044.1976.tb11791.x

    authors: Macfarlane DW,Downing JW,Mahomedy MC

    更新日期:1976-03-01 00:00:00

  • The use of antacids as a prophylaxis against Mendelson's syndrome in the United Kingdom. A survey.

    abstract::Maternal mortality from aspiration of gastric contents still remains unacceptably high, despite various recommended prophylactic measures. In order to establish which forms of antacid prophylaxis are currently being used, a questionnaire was sent to anaesthetists working in obstetric units in the United Kingdom. Despi...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb13231.x

    authors: Sweeney B,Wright I

    更新日期:1986-04-01 00:00:00

  • Communication skills for the anaesthetist.

    abstract::Anaesthetists have traditionally focused on technological and pharmacological advances when considering the provision of anaesthetic care. Anaesthetists are expected to be able to communicate effectively with peers, patients, their families and others in the medical community; however, few details are provided regardi...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2009.05887.x

    authors: Cyna AM,Andrew MI,Tan SG

    更新日期:2009-06-01 00:00:00

  • Non-conventional uses of the Aintree Intubating Catheter in management of the difficult airway.

    abstract::We present 14 cases, of which three have been previously reported, in which non-conventional use was made of the Aintree Intubating Catheter (AIC). In seven cases the AIC was used via a ProSeal Laryngeal mask airway (PLMA). Two patients had anticipated difficult intubation, two unexpected difficult intubation and two ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2006.04909.x

    authors: Cook TM,Seller C,Gupta K,Thornton M,O'Sullivan E

    更新日期:2007-02-01 00:00:00

  • The potencies of edrophonium and neostigmine as antagonists of pancuronium.

    abstract::Dose response curves were constructed for edrophonium and neostigmine when used to antagonise pancuronium, 0.07 mg/kg during thiopentone-nitrous oxide-halothane anaesthesia. The antagonist was given when 10% twitch height had been restored and the effect was measured 10 minutes later. Recoveries to 50% and 90% twitch ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1985.tb11044.x

    authors: Breen PJ,Doherty WG,Donati F,Bevan DR

    更新日期:1985-09-01 00:00:00

  • Patient blood management during the COVID-19 pandemic: a narrative review.

    abstract::As COVID-19 disease escalates globally, optimising patient outcome during this catastrophic healthcare crisis is the number one priority. The principles of patient blood management are fundamental strategies to improve patient outcomes and should be given high priority in this crisis situation. The aim of this expert ...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/anae.15095

    authors: Baron DM,Franchini M,Goobie SM,Javidroozi M,Klein AA,Lasocki S,Liumbruno GM,Muñoz M,Shander A,Spahn DR,Zacharowski K,Meybohm P

    更新日期:2020-08-01 00:00:00

  • A survey of anaesthetic misadventures.

    abstract::Reports of anaesthetic misadventures were regularly collected in the Anaesthetic Department of a district general hospital, to identify recurring problems. Eighty-one misadventures, none of which had serious outcome, were reported during a 6-month period, in which 8312 anaesthetics were administered. Human error was m...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1981.tb08650.x

    authors: Craig J,Wilson ME

    更新日期:1981-10-01 00:00:00

  • Anabolic steroid abuse: physiological and anaesthetic considerations.

    abstract::This review summarises the physiological and pharmacological effects of the anabolic steroids used to enhance performance in sports. The anabolic steroids promote muscle growth and protein synthesis. Side-effects of anabolic steroids include cardiomyopathy, atherosclerosis, hypercoagulopathy, hepatic dysfunction, and ...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.2005.04218.x

    authors: Kam PC,Yarrow M

    更新日期:2005-07-01 00:00:00

  • Pain on injection of propofol.

    abstract::Pain on injection of propofol is a common problem, the cause of which remains unknown. The chemical properties and preparation of propofol, proposed mechanisms for the cause of the pain and clinical strategies to prevent pain on injection of propofol are reviewed in the hope of shedding some light on the subject. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2044.1998.00405.x

    authors: Tan CH,Onsiong MK

    更新日期:1998-05-01 00:00:00

  • The estimation of inspired desflurane concentration in a low-flow system.

    abstract::We have examined the predictability of inspired desflurane concentration during low-flow anaesthesia using a to-and-fro breathing system. Twenty-two adult patients requiring mechanical ventilation of the lungs during surgery took part in the study. Using a fresh gas flow of 1 l.min-1, the ratio of inspired desflurane ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1996.tb14953.x

    authors: Gowrie-Mohan S,Muralitharan V,Lockwood GG

    更新日期:1996-10-01 00:00:00

  • Echocardiographic assessment of the haemodynamic effects of propofol: a comparison with etomidate and thiopentone.

    abstract::The haemodynamic effects of propofol (2 mg/kg), etomidate (0.2 mg/kg) and thiopentone (4 mg/kg) were studied in 30 ASA 1 and 2 patients in whom anaesthesia had been induced with midazolam 0.1 mg/kg, fentanyl 5 micrograms/kg, vecuronium 0.1 mg/kg and atropine 10 micrograms/kg, and maintained with nitrous oxide in oxyge...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1991.tb09349.x

    authors: Gauss A,Heinrich H,Wilder-Smith OH

    更新日期:1991-02-01 00:00:00