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Anesthesia and Analgesia

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Loma Linda University Electronic Theses, Dissertations & Projects

Theses/Dissertations

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Full-Text Articles in Medicine and Health Sciences

Evaluation Of Trismus Associated With Mandibular Fractures As It Relates To The Need For Direct Laryngoscopy And Intubation : A Prospective Study, Stephen T. Goei Jun 1993

Evaluation Of Trismus Associated With Mandibular Fractures As It Relates To The Need For Direct Laryngoscopy And Intubation : A Prospective Study, Stephen T. Goei

Loma Linda University Electronic Theses, Dissertations & Projects

Trismus associated with mandibular fractures is thought to increase the risks of general anesthesia. Nasotracheal intubation is necessary since the dental arches will be occluded at the end of the procedure. To establish an airway, an awake nasal intubation or fiberoptic endoscopy is required if direct laryngoscopy cannot be performed due to trismus. A prospective analysis of fifty-one patients with various types of mandibular fractures indicated that trismus was for the most part due to two factors, pain induced guarding and infection. In this series, direct laryngoscopy was easily performed after induction and paralyzation in cases without infection. Direct laryngoscopy …


Value Of Oxygen With Innovar And Methohexital For Outpatient Oral Surgery, Andrew D. Harsany May 1972

Value Of Oxygen With Innovar And Methohexital For Outpatient Oral Surgery, Andrew D. Harsany

Loma Linda University Electronic Theses, Dissertations & Projects

This paper demonstrates the value of oxygen in maintaining arterial blood gas in an adequate range during outpatient oral surgery. Dental extractions were completed on ten patients under an anesthetic technique utilizing Innovar and methohexital with supplemental nasal oxygen. Blood gas samples were drawn at five stages during the procedure.

The mean of the PaO2 samples drawn with the patient at the point of deepest sedation was approximately three times the normal value.

Oxygen for pulmonary ventilation provides a reservoir in the lungs, saturation of hemoglobin, and increased oxygen in the plasma which provides a margin of safety if …


An Anesthetic Technique Utilizing Innovar, Fentanyl, And Methohexital Sodium For Outpatient Oral Surgery, Fredric D. Haerich May 1971

An Anesthetic Technique Utilizing Innovar, Fentanyl, And Methohexital Sodium For Outpatient Oral Surgery, Fredric D. Haerich

Loma Linda University Electronic Theses, Dissertations & Projects

A study of 800 patients ranging in age from seven to one hundred years was conducted in the development of an anesthetic technique which combines the desirable qualities of a neuroleptic agent with the requirements of an outpatient oral surgical anesthetic. These requirements included rapidity of onset, effectiveness of action, ease of controlling duration, and rapid postoperative recovery.

Patients who were cleared medically for outpatient procedures were given Innovar 1.5 cc/150 lb of body weight, atropine 0.4 mg, and fentanyl 1.0 cc/150 lb of body weight as an initial dose within 30-45 seconds in a D5W drip by means of …


A Study Of The Relationship Between Preoperative Anxiety And Postoperative Vomiting, Taye Grace Emori Sep 1965

A Study Of The Relationship Between Preoperative Anxiety And Postoperative Vomiting, Taye Grace Emori

Loma Linda University Electronic Theses, Dissertations & Projects

The identification of anxiety as a causative factor in post operative vomiting was the purpose of this study. It was hypothesized that the more anxiety a patient experienced before surgery, the greater would be his chances of vomiting immediately after surgery.

The establishment of an underlying basis and need for a study of the relationship of anxiety and postoperative vomiting were made through a review of literature. The factors which researchers believed were contributory to postoperative vomiting and the possible inclusion of anxiety as one of them were studied.

Three physiologic measures (systolic blood pressure, heart rate, and eosinophil count) …


Nurse Attendance Versus Use Of Analgesic Medication In The First Stage Of Labor, Jo Ann Soulé Henriksen Jun 1965

Nurse Attendance Versus Use Of Analgesic Medication In The First Stage Of Labor, Jo Ann Soulé Henriksen

Loma Linda University Electronic Theses, Dissertations & Projects

To determine if the woman who receives the continuous attendance of a nurse during the first stage of labor requires less analgesic medication than the woman who is given interrupted or intermittent nursing care, a study was made employing the experimental method with the parallel-group technique. Thirteen patients meeting the criteria of the study who received continuous nursing attendance during the first stage of labor by the nurse researcher were closely matched to thirteen patients from a group of one hundred seventy-three, whose nursing care was given by the staff personnel. As an objective method of assessing support during labor …