Case Report: Anaesthetic Approach For Emergency Surgery In A Patient With Acute Myocardial Infarction

In this case report, we examined anaesthetic approach for emergency surgery in a patient with acute myocardial infarction and stomach perforation at the same time.Anaesthesia was induced with midazolam, propofol, fentanyl and vecuronium, and maintained with sevoflurane 1-2% in 100% oxygen, fentanyl and vecuronium. Patient controlled analgesia with morphine was used for postoperative analgesia. At postoperative 17th day, the patient was discharged from the hospital as health

Preemptive Analgesic Effects Of Caudal Block In Paediatrıc Patients Undergoing Orthopaedic Surgey

We examined preemptive analgesic effect of caudal block in patients undergoing orthopaedic hip or lower extremities surgery.Forty children between ages of 1-12 years whom orthopaedics hip and or lower extremities surgery would be applied to were included into study. Fifteen minutes before surgical incision, in Group I, 0.125% bupivacaine 0.5 ml/kg was given for caudal anaesthesia. In Group II, caudal block was postoperatively applied with the same dose of drug. During postoperative period, patients were followed for 48 hours, and OPS “objective pain scale”, time to demand of first analgesic, and total analgesic consumption were recorded. In Group II, OPS score and total analgesic consumption were higher in initial 8 hours (P<0.05, P<0.001). Duration of first analgesic application was longer in Group I (P<0.001).We concluded that preoperative caudal block has preemptive analgesic effect in children undergoing orthopaedic surgery