No Abstract Available.
Surgical Procedures, Minor*

Dermatologists frequently perform a number of procedures without the aid of an assistant and have sometimes difficulty to obtain hemostasis during the biopsy or other minor surgery. A flat plastic cylinder made of a disposable syringe effectively stops bleeding and procedures are easily carried out with a clean surgical field. It is believed to be inexpensive, durable and easy to be sterilized.
Biopsy ; Hemorrhage ; Hemostasis* ; Plastics* ; Surgical Procedures, Minor ; Syringes*

BACKGROUND: The purpose of this study was to determine the incidence of side effects, rate of recovery, and maintenance of anesthesia when using a mixture of propofol and thiopentone as compared with propofol alone. METHODS: Fifty ASA Physical Status I or II patients aged between 12 and 60 years scheduled for minor surgical procedures were randomly allocated to group P (propofol) or group PT (propofol mix with thiopentone) in which a loading dose of propofol 2 mg/kg (group P) or propofol 1 mg/kg and thiopentone 2.5 mg/kg (group PT) was applied. At induction of anesthesia, an independent anesthesiologist graded the incidence and severity of pain. After administering the induction dosage, he also checked spontaneous movements. The duration of operation time and the duration of anesthesia were also noted. RESULTS: There was a significant decrease of the incidence of pain on injection and spontaneous movements in group PT compared with group P (P < 0.05). The propofol maintenance dose was also significantly decreased (P < 0.05). There were no significant differences in recovery indexes between the two groups except delay in time to eye opening. CONCLUSIONS: Our data indicate that a propofol-thiopentone mixture for induction, maintenance and recovery are satisfactory during anesthesia undergoing minor surgery. In addition, there were significant reductions in pain on injection, spontaneous movement, and cost-effectiveness.
Anesthesia ; Humans ; Incidence ; Propofol* ; Surgical Procedures, Minor ; Thiopental

BACKGROUND: Surgical procedures carried out under local anesthesia are associated with patient discomfort and apprehension. The purpose of this study is to compare propofol and midazolam with regard to their suitability for the patient controlled sedation (PCS) technique during local anesthesia. METHODS: Forty unpremedicated, ASA physical status I day surgery patients undergoing elective minor surgery were randomly divided into two equal groups of patients who self-administered either propofol or midazolam intraoperatively. All patients initially received 0.5 g.kg-1 fentanyl. The bolus dose was either 20 mg (2 ml over 25 sec) of self-administered propofol or 0.5 mg (2 ml over 25 sec) of midazolam and lock-out period was 1 min. RESULTS: The onset of sedation following propofol was significantly faster than midazolam (p<0.05) and demands of propofol was significantly less than midazolam (p<0.05). There were no significant differences for postoperative recovery, sedation and comfort scale. CONCLUSIONS: Propofol was judged the more suitable agent for PCS than midazolam, because of its more rapid onset of sedation and less demands of drug.
Ambulatory Surgical Procedures ; Anesthesia, Local* ; Anesthetics ; Fentanyl ; Humans ; Midazolam* ; Propofol* ; Surgical Procedures, Minor

BACKGROUND: Recently, the value of routine preoperative screening tests has been questioned, especially in healthy children scheduled for elective minor surgery. We have assumed that sufficient history taking and physical examination could replace these tests. We prepared child health check lists for the parents to answer. Then, we compared the usefulness between preoperative screening tests and child health check lists. METHODS: Group A included 67 children, the parents of whom had answered the child health check list, and group B included 63 children who underwent routine preoperative screening tests. Each group was divided into ambulatory surgery patients (groups A1, B1) and patients admitted for surgery (group A2, B2). Comparison values between the two groups included preoperative evaluation time, operation time, anaesthesia time and recovery time. Also, clinical side effects were evaluated. RESULTS: The operation time, anaesthesia time and recovery time in each group showed no statistical differences. However, there were statistical differences of preoperative evaluation time. Preoperative evaluation time was significantly decreased in groups A1 (4.0 +/- 1.2), and A2 (5.4 +/- 1.3) compared to groups B1 (7.6 +/- 1.7), and B2 (8.6 +/- 1.8). CONCLUSIONS: The use of a child heath check list saved time in the preoperative evaluation and saved the effort of the anaesthesiologist. It also decreased the discomfort of the children by omitting the invasive procedure and it reduced the medical costs.
Ambulatory Surgical Procedures ; Child ; Child Health ; Humans ; Mass Screening ; Parents ; Physical Examination ; Surgical Procedures, Minor

Ketamine is a rapidly acting dissociative anesthetic that can be administered as a sole agent, an induction agent, or a supplement to low potency anesthetic agents.It is usually used for the minor surgery or outpatient surgery in pediatric anesthesia because of the undesirable psychotomimetic side effects of ketamine are less common in the children. We report that a pediatric patient had experienced a profound paralytic ileus after ventilation tube insertion with ketamine anesthesia.
Ambulatory Surgical Procedures ; Anesthesia ; Child ; Humans ; Ileus ; Intestinal Pseudo-Obstruction ; Ketamine ; Surgical Procedures, Minor ; Ventilation

Ketamine is a rapidly acting dissociative anesthetic that can be administered as a sole agent, an induction agent, or a supplement to low potency anesthetic agents.It is usually used for the minor surgery or outpatient surgery in pediatric anesthesia because of the undesirable psychotomimetic side effects of ketamine are less common in the children. We report that a pediatric patient had experienced a profound paralytic ileus after ventilation tube insertion with ketamine anesthesia.
Ambulatory Surgical Procedures ; Anesthesia ; Child ; Humans ; Ileus ; Intestinal Pseudo-Obstruction ; Ketamine ; Surgical Procedures, Minor ; Ventilation

BACKGROUND: A thoracic sympathicotomy with cauterization has been reported to decrease cardiac sympathetic activity. The purpose of this study was to investigate immediate changes in autonomic function after thoracic sympathicotomy by clipping. METHODS: Autonomic function test such as heart rate response to deep breathing (HRDB), Valsalva ratio (VR), 30/15 ratio and systolic blood pressure change response to standing (delta SBP) were measured before (baseline) and 2 hr after the T3-4 sympathicotomy by clipping in 12 patients with palmar hyperhidrosis. Baseline data were also compared with data obtained from 18 matched patients who were planned to take minor surgery. Anesthesia was induced with 5 mg/kg thiopental sodium and 0.6 mg/kg rocuronium. The anesthesia was maintained with 2.0-2.5 vol% sevoflurane, 2 L/min nitrous oxide and 2 L/min oxygen. RESULTS: There were no significant differences of the autonomic test results between control and clip group before operation. In the clip group, there were no significant differences of autonomic test results between before and after clipping. CONCLUSIONS: This study showed that the response to sympathetic stimulation was not changed after thoracic sympathicotomy by clipping.
Anesthesia ; Blood Pressure ; Cautery ; Heart Rate ; Humans ; Hyperhidrosis ; Nitrous Oxide ; Oxygen ; Respiration ; Surgical Procedures, Minor ; Thiopental

BACKGROUND: The influence of preoperative starvation on blood glucose concentrations in children remains controversal. This period varies from 6 to 12 hr or even more, in different institutions. A surgical operation causes a rise in the blood glucose concentration, and this increased concentration returns to normal within 8 to 12 hr. The purpose of the present study was to investigate blood glucose concentra tions in children undergoing elective surgery who fasted before anesthesia. METHODS: One hundred sixty-five healthy children, aged less than 7 yr, and scheduled for elective minor surgery were included in the study. Blood samples were collected before induction of anesthesia, after induction of anesthesia and at the recovery room. The correlation between the period of starvation and the blood glucose concentration was estimated and hypoglycaemia was defined as a blood glucose concentration less than 40 mg%. RESULTS: The duration of starvation ranged from 10 to 14 hr in the majority of the patients (66.7%). The duration of starvation beyond 14 hr was 7.8%. No significant correlations were obtained between preoperative blood glucose concentrations and duration of starvation. None of the patients were hypoglycaemia before surgery. The intraoperative and postoperative blood glucose concentrations were significantly higher than the preoperative blood glucose concentration. CONCLUSIONS: In children less than 7 yr, blood glucose concentrations were not influenced by duration of starvation within a 14 time period.
Anesthesia ; Blood Glucose* ; Child* ; Fasting* ; Humans ; Recovery Room ; Starvation ; Surgical Procedures, Minor

BACKGROUND: Recently, it was reported that bupivacaine-induced spinal block significantly reduced the hypnotic requirements for thiopentone, midazolam and propofol. We evaluated the hypnotic effect and requirements for intravenous propofol when pretreated with intravenous lidocaine. METHODS: Fifty patients, ASA I or II, undergoing minor surgical procedures were randomly divided into five groups according to anesthetic pretreatment (group N: 0.9% normal saline; group 0.5: lidocaine 0.5 mg/kg; group 1.0: lidocaine 1.0 mg/kg; group 1.5: lidocaine 1.5 mg/kg; group 2.0 lidocaine 2.0 mg/kg). Ninty seconds after the administration of normal saline or lidocaine, propofol was administered intravenously over 5 sec in bolus doses of 0.2 mg/kg every 30 sec. The inability of patients respond to a simple command ("Open your eyes," said twice) was used as the end point for hypnosis. Responses to verbal commands were evaluated 25 sec after each bolus. The total dose required to achieve complete loss of response in each patient was recorded in mg/kg. The time of the loss of response was from the adminstration of propofol to the loss of response. Mean arterial pressures and heart rates were measured before induction, after loss of response, and immediately after induction. RESULTS: The time and total dose required to achieve loss of response was significantly reduced in groups 1.0, 1.5 and 2.0. Heart rates in groups 2.0 and mean arterial pressure in groups 0.5, 1.0, 1.5, 2.0 were significantly decreased after the loss of response. CONCLUSIONS: We suggest that lidocaine pretreatment significantly enhances the hypnotic effect and reduces the dose requirement for propofol during the induction period.
Anesthesia* ; Arterial Pressure ; Heart Rate ; Humans ; Hypnosis ; Hypnotics and Sedatives* ; Lidocaine* ; Midazolam ; Propofol* ; Surgical Procedures, Minor ; Thiopental