Cases reported "Syncope"

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1/3. Loss of consciousness after emergence from anaesthesia. A case of suspected micturition syncope.

    A case of postanaesthesia micturition syncope with respiratory arrest is described. If syncope occurs, the temporary myocardial ischaemia and cerebral hypoperfusion may increase anaesthetic risk in the marginally compensated patient. The loss of airway protection during the syncopal period is also a cause of concern. We recommend the use of an indwelling bladder catheter during any prolonged surgical procedure.
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ranking = 1
keywords = anaesthesia
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2/3. isoflurane anaesthesia for a patient with long Q-T syndrome.

    A case report of a patient known to have long Q-T syndrome (LQTS) undergoing elective oral surgery is presented. While nitrous oxide-narcotic, nitrous oxide-enflurane, or nitrous oxide-halothane techniques for anaesthetic management of LQTS have been previously reported, we report the use of nitrous oxide-isoflurane for the maintenance of anaesthesia. The authors feel that isoflurane is a safe anaesthetic agent for use in LQTS.
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ranking = 1
keywords = anaesthesia
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3/3. Prolongation of the Q-T interval (romano-ward syndrome): anaesthetic management.

    The anaesthetic management is described of a patient with prolonged Q-T interval which had been complicated by ventricular fibrillation at induction of general anaesthesia for a previous operation. This complication was prevented by effective premedication with i.v. propranolol and block of the left stellate ganglion.
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ranking = 0.2
keywords = anaesthesia
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