SMJ // December 1974, Volume 67 - Issue 12
Primary Article
Ketamine as an Induction Anesthetic for Poor-Risk Patients
Abstract:Twenty-two patients suffering from shock, dehydration, cardiovascular instability, asthma, or respiratory insufficiency requiring operative procedures had anesthesia induced with ketamine. Anesthesia was produced rapidly. No arrhythmia or impairment of respiratory function occurred. The pre-induction cardiovascular state was maintained with no instances of shock or cardiac arrest. Ketamine appears to be…
Primary Article
Ketamine for Bronchoscopy of Children
Abstract:Ketamine has been used at Ochsner Foundation Hospital as the anesthetic agent for induction of anesthesia in five children undergoing bronchoscopy. After an initial rise in blood pressure and heart rate, the vital signs were stable throughout the entire bronchoscopy in all five children. Although there have been no reports…
Primary Article
Injuries of the Iliac Arteries Associated With Nonpenetrating Abdominal Trauma
Abstract:Significant injury of the iliac arteries may occur with blunt (nonpenetrating) abdominal trauma. The majority of reported cases have been associated with pelvic fractures, and a spectrum of injury, from thrombosis to complete transection of the vessel, has occurred. The care of these injuries must be greatly individualized. Simple thrombosis…
Primary Article
Tissue Adhesive as an Adjunct in Hair Transplantation
Abstract:Several of the major disadvantages of hair transplantation by the plug or strip method have been corrected by the use of a nontoxic tissue adhesive, isobutyl-2-cyanoacrylate. Annoying incidences of slippage of plugs during the operative procedure and elevation of the plugs above the surface causing a “cobblestone” appearance can be…
Primary Article
Anesthesia in the Morbidly Obese Patient
Abstract:A review of the literature pertaining to anesthesia for the obese surgical patient is presented, and data are provided from a retrospective study of 59 morbidly obese patients evaluated for anesthesia for surgical procedures at The University of Texas Medical Branch Hospitals. The majority of the patients were successfully managed…
Primary Article
Catheterization of Schlemm's Canal as an Aid in Operations on Trabecular Structures
Abstract:We have devised a reproducible means of locating and identifying Schlemm's canal that facilitates operations on the trabecular meshwork. With this technic a nylon suture is passed into Schlemm's canal at the time of operation, and immediate gonioscopy allows the surgeon to correctly identify the canal before proceeding with trabecular…
Primary Article
Triple Arthrodesis in Children A Ten–Year Review
Abstract:Review of 66 triple arthrodeses in 47 children (average age at operation, 12.1 years) with a minimal follow-up of two years provides a study of contemporary experience with this surgical procedure. Over 90% of patients had no or negligible pain; 79% considered their feet to be satisfactory in appearance; and…
Primary Article
Emphysematous Pyelonephritis: A Radiographic Description and Report of a Survivor
Abstract:A case of emphysematous pyelonephritis is presented and the radiographic and clinical findings are described. This disease has a 50% mortality and is often seen in systemic conditions such as diabetes mellitus.
Primary Article
Surgical Correction of Prognathism
Abstract:Prognathism is a common maxillofacial deformity, causing not only dental malocclusion, but creating psychologic problems due to the “jut-jawed” appearance characteristic of the deformity. Surgical correction of prognathism has been done since the turn of the century, although the operative technics have changed. Osteotomy, through the vertical ramus of the…
Primary Article
The Role of Multi-Isotope (67Ga, 111In, 99mTc) Tumor Localization in Cancer Management
Abstract:Scintillation scanning technics using certain newer radiotracer agents (gallium 67, indium 111, and technetium 99m) have been used in the diagnosis, staging, and management of over 350 cancer patients. This experience has demonstrated the unique capabilities of scintillation scanning in this role and has permitted some clarification as to the…
Primary Article
Delayed Recognition of Lead Encephalopathy in Two “Moonshine” Drinkers
Abstract:Two patients with lead encephalopathy are presented, and reasons for delay in the diagnosis are discussed. Lead encephalopathy must be considered when moonshine drinkers present with unexplained encephalopathy and indirect evidence of increased lead burden in the body. It is important that the diagnosis be established rapidly, because this is…
Primary Article
Relapsing Polychondritis
Abstract:Two cases of relapsing polychondritis are presented to emphasize the variety of clinical features and the seriousness of problems encountered with involvement of the cartilaginous portion of the respiratory tree. Inflammation of cartilage characterizes the syndrome, while it also affects such structures as the inner ear, sclera, and anterior uveal…
Primary Article
Rapid Identification of Pills, Capsules, and Other Forms of Drugs
Abstract:Widespread distribution of drugs of abuse has made it necessary for the physician to have relatively simple screening tests for identifying legend drugs. Such screening tests should have their greatest value in an emergency room setting to rapidly identify pills, capsules, or other forms of drugs. Methods are presented for…
Primary Article
Complications of Transrectal Biopsy Examination of the Prostate
Abstract:A retrospective analysis of 158 transrectal prostatic needle biopsy examinations done in 140 patients from Jan 1, 1968, through April 30, 1972, showed 62 complications in 51 biopsies. Fourteen major complications occurred in 11 patients. Fever developed in 41 (26%) of the patients. A review of the literature dealing with…
Primary Article
Preservation of the Cadaveric Kidney for Transplantation
Abstract:Two clinical experiences are presented involving cadaveric in vitro renal preservation and transplantation. Advantages of a dependable portable renal perfusion system are discussed in terms of patient benefit and increased salvage of donated kidney.
