Browsing by Author "De Roubaix, J. A. M."

Now showing 1 - 3 of 3
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    Administration of depolarizing muscle relaxants after non-depolarizer reversal: when is it safe?
    (Health & Medical Publishing Group, 1982-04) De Roubaix, J. A. M.
    ENGLISH ABSTRACT: In the light of studies on the duration of action and pharmacokinetics of intravenous neostigmine, it is recommended that, depending upon the dosage administered, at least 1 hour should elapse before a depolarizer can safely be given after neuromuscular reversal with neostigmine, and at least 90-120 minutes after reversal with physostigmine. It is suggested that a diluted test dose of depolarizer be given first, and its effect monitored with a peripheral nerve stimulator because fasciculations will not occur.
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    The anaesthetic management of distal (thoracic) tracheal resection in a quadriplegic patient
    (Health & Medical Publishing Group, 1980-06) De Roubaix, J. A. M.
    ENGLISH ABSTRACT: The anaesthetic management of distal tracheal resection in a quadriplegic patient is described. Ketamine, halothane, fentanyl and Entonox (50% N2O, 50% O2) were successfully employed. The major problems discussed include airway maintenance, cardiovascular instability and autonomic hyperreflexia, the dangers of depolarizers, and the need for monitoring temperature, blood pressure and fluid balance. The importance of team work is mentioned.
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    Successful resuscitation in severe accidental hypothermia : a case report
    (HMPG, 1980-03) De Roubaix, J. A. M.
    Accidental hypothermia has a mortality rate of 30-80% and should always be borne in mind with comatose, hypotensive patients. It is a preventable condition when adequate safety measures are ensured. One should act in the case of early symptoms, because collapse may soon follow and evacuation of a patient on a stretcher is time-consuming, dangerous and a major undertaking. In severe cases absence of respiration and circulation should not preclude resuscitation. Resuscitation should be continued until the patient is warm and all biochemical abnormalities have been corrected and intoxication has been ruled out. Resuscitation may be successful in primitive, adverse conditions, as illustrated by this case of a 13-year-old boy with cardiopulmonary arrest and a core temperature of only 25°C, who was successfully reanimated.