RESUMEN
The use of general anaesthesia for dental treatment in the NHS outside hospitals has changed over time. Although deaths are uncommon during or immediately after general anaesthesia for dental treatment, they are more likely to occur than with other methods of pain and anxiety reduction, such as local anaesthesia and conscious sedation. Inquiries into recent anaesthetic deaths in dental practice have been critical of the standard of care provided in areas such as pre-operative assessment, monitoring, resuscitation and transfer to specialist critical care facilities.
Asunto(s)
Anestesia Dental/métodos , Anestesia Intravenosa , Sedación Consciente/métodos , Atención Dental para Niños/métodos , Alfentanilo/administración & dosificación , Atención Ambulatoria , Procedimientos Quirúrgicos Ambulatorios , Anestésicos Combinados/administración & dosificación , Anestésicos Disociativos/administración & dosificación , Anestésicos Intravenosos/administración & dosificación , Niño , Preescolar , Humanos , Ketamina/administración & dosificación , Midazolam/administración & dosificación , Encuestas y CuestionariosRESUMEN
This report describes the management of a poor risk Nepalese patient (active pulmonary tuberculosis, haemoglobin concentration 4.6 g dl-1, weight 28.5 kg) requiring emergency Caesarean section for fetal distress. Subarachnoid blockade (0.5% bupivacaine plain 3.5 ml) was satisfactory; blood loss was around 400 ml and was replaced with Haemaccel and lactated Ringer's solution (blood was not available). Although unresponsive at birth, the child had an Apgar score of 10 at 15 min.
Asunto(s)
Anestesia Obstétrica , Anestesia Raquidea , Cesárea , Adulto , Urgencias Médicas , Femenino , Humanos , Complicaciones del Trabajo de Parto , Embarazo , Riesgo , Tuberculosis Pulmonar/complicacionesRESUMEN
A randomised double-blind trial comparing morphine and buprenorphine and postoperative analgesia combined with droperidol was conducted in 60 patients. Compared with morphine, taken as the standard analgesic, buprenorphine was shown to be a satisfactory analgesic for major surgery, with no difference in the incidence of unwanted effects.