A Clinical Observation of Balanced Anesthesia with Demerol and Valium .
10.4097/kjae.1980.13.2.174
- Author:
Sang Hyun KIM
1
;
Jong Hak KIM
;
Jae Bong LEE
;
Won Jin KIM
;
Chung Hyun CHO
Author Information
1. Department of Anesthesiology, Eul-Ji General Hospital, Seoul, Korea.
- Publication Type:Original Article
- MeSH:
Anesthesia;
Antidotes;
Balanced Anesthesia*;
Blood Pressure;
Diazepam*;
Heart Rate;
Hospitals, General;
Humans;
Inhalation;
Intubation;
Korea;
Meperidine*;
Narcotics;
Pancuronium;
Psychotic Disorders;
Recovery Room;
Respiration;
Seoul;
Succinylcholine;
Thiopental;
Tubocurarine
- From:Korean Journal of Anesthesiology
1980;13(2):174-179
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A clinical observation was made randomely selected 30 of 78 cases of balanced anesthesia consist of Demerol, Valium and N2O-O2, inhalation, performed from January to March 1980 at Eul-Ji General Hospital, Seoul, Korea. After pre-oxygenation, all cases received 5 mg of d-Tubocurarine, 5 mg/Kg of thiopental sodium, orotracheal intubation was facilitated with l.5 mg/kg of succinylcboline chloride intravenously and N2O-O2, (2:1 L/min) inhalation was carried out with semiclosed circle absorber system and 1 mg/kg of Demerol and 0. 2 mg/kg of Valium were intermittently injected intravenously. 0.04 mg/kg of pancuronium bromide, 0.4 mg/kg of succinylcholine chloride intravenously or 0.1% succinylcholine chloride by way of dripping was given and maintained controlled respiration. The following results were observed; 1) Systolic blood pressure was decreased 6. 5% at 5 minutes following anesthesia initiated, and maintained initial pressure at 30 minutes, at the end of anesthesia, and in recovery room. 2) Diastolic blood pressure was increased 4. 5% at 5 minutes, 7. 9% at 30 minutes following anesthesia initiated, however maintained the pressure at the end of anesthesia and in recovery room. 3) Pulse rates were maintained 5 minutes. 3.7% increased 30 minutes following anesthesia was initiated, maintained same rates at the end of anesthesia and in the recovery room. 4) 26% of anesthetized patients required narcotics for pain up to 4 hours of staying recovery room. 5) Jerking movement and psychosis were not observed following anesthesia. 6) Respiratory assistance and antidotes were not needed for all patients.
