The Postanesthesia Care Unit

Nicholau, Dorre

doi:10.1016/b978-0-443-06959-8.00085-6

Cited by 18 publications

(17 citation statements)

References 165 publications

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“…An increase in the concentration of volatile anaesthetic raises the risk of complications including intraoperative cardiovascular depression 1 , slow recovery 2 and postoperative respiratory depression. 3 In order to prevent these sideeffects, anaesthetists monitor the depth of the hypnotic component of anaesthesia via the bispectral index (BIS), administer adjuvants such as short-acting opioids, local anaesthetics, or α 2 -agonists (balanced anaesthesia), and minimize the inhaled concentration of volatile anaesthetics.…”

Section: Introductionmentioning

confidence: 99%

The Sparing Effect of Low-Dose Esmolol on Sevoflurane during Laparoscopic Gynaecological Surgery

et al. 2011

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Section: Introductionmentioning

confidence: 99%

The Sparing Effect of Low-Dose Esmolol on Sevoflurane during Laparoscopic Gynaecological Surgery

et al. 2011

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“…Böylece kavşak sonu membranda uzamış depolarizasyon yaparak iskelet kaslarında paraliziye yol açmaktadır [5]. SK'nin iv enjeksiyonu mümkün değilse, vü-cut ağırlığına göre 4 mg/kg'a kadar olan doz intramusküler olarak uygulanır [13]. Bununla birlikte 150 mg'ın üzerinde total doz uygulanmamalıdır.…”

Section: Discussionunclassified

A Rare Suicidal Method: Succinylcholine Chloride Injection

Karadaş¹,

Aydın²,

Selvi³

et al. 2015

Ann Clin Anal Med

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ÖzetDepolarizan nöromusküler bloker bir ajan olan süksinilkolin, entübasyonda 1-1,5 mg/kg dozlarında kullanılmaktadır. Günümüzde sokak köpeklerinin yakalanmasın-da kullanılan tüfekler için enjektör şeklinde de satılmaktadır. Bu şekilde veterinerlik alanında da kullanılması kolayca bulunma imkanını da beraberinde getirmiştir. Bu çalışmada, etken maddesi süksinilkolin olan ilaçtan, özkıyım amacıyla sol omuza 3 ml (60 mg) enjekte ettikten bir saat sonra halsizlik, karın ağrısı gibi nonspesifik şikâyetlerle acil servise başvuran olgu sunuldu. Acil servis hekimlerinin özellikle solunum depresyonu olmak üzere ciddi sistemik etkileri nedeniyle süksinilkolin ile ilgili bilgi sahibi olmalarının önemi vurgulandı. Anahtar KelimelerSüksinilkolin; Özkıyım; Acil Servis Abstract Succinylcholine is a depolarizing neuromuscular blocking drug which is used for intubating the patient in dosage of 1-1.5 mgr/kgr. Nowadays, it is also sold for rifles as an injector form to capture the stray dogs. The introduction of the field of veterinary medicine has increased the availability of succinilcolin. In this study, a case was introduced who injected to his left arm a 3 ml (60 mg) pharmaceutical product whose active substance was succinylcholine and applied to the emergency service one hour later with non-specific complaints such as fatigue and abdominal pain. The significance of having knowledge of succinylcholine by emergency doctors owing to severe systemic effects, particularly respiratory depression is emphasized.

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“…Hypoxia occurs in 30-50% of postoperative abdominal surgery patients, even aft er an uncomplicated surgery and anesthesia, and 8-10% them need re-intubation and mechanical ventilation in the postoperative care unit 5,18 . NIV, particularly in prophylactic use, can be brilliant and miraculous.…”

Section: Resultsmentioning

confidence: 99%

“…Anesthetic factors along with surgical factors, type of surgery (particularly thoracic and abdominal surgeries), demographical factors (age, obesity, etc), and preexisting hypoxemia or lung disease increase the risk of PPC. Approximately 8-10% of patients need intubation and mechanical ventilation aft er abdominal surgery 18 . In a multicenter prospective study conducted by Canet et al, 5% of 2464 patients developed at least one PPC 19 .…”

Section: Postoperative Pulmonary Complications (Ppc)mentioning

confidence: 99%