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Study on peroperative bleeding in ear, nose and throat surgery

par Doom, A.;Mundeleer, Paul
Référence Acta Anaesthesiologica Belgica, 27, page (41-54)
Publication Publié, 1976

Article révisé par les pairs

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Résumé :

Some interventions in ENT surgery are very difficult or are even impossible if the slightest bleeding occurs. Microsurgery of the ear is the best example. For this reason the authors choose this particular intervention to test different anesthesia techniques. Bleeding in the surgical field is followed, while simultaneously respiratory, venous and arterial pressure tracings are recorded. These parameters are followed and changes can be attributed directly to observations by microscopy of the surgical field. Successively neuroleptanalgesia in its pure form or with help of several drugs (trimetaphan, furosemide, enflurane) is studied. It is concluded that an anesthesia with 'light' analgesia gives better results than an anesthesia completely protecting the patient.