Premium
THORACOLUMBAR SPLANCHNICECTOMY AND SYMPATHECTOMY
Author(s) -
GRIFFITHS H. W. C.,
GILLIES JOHN
Publication year - 1948
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1948.tb06768.x
Subject(s) - medicine , insignificance , sympathectomy , anesthesia , paralysis , circulatory system , surgery , cardiology , psychology , psychotherapist
Summary A method of combined analgesia, vasoconstrictor paralysis and narcosis has been devised, to provide an ischæmic field and adequate relaxation, with safeguards against disturbances of circulatory and respiratory dynamics. The reduction in operating time and the complete insignificance of any loss of blood are advantages which contribute to the undoubted value of the method and the satisfactory results achieved. Frequently, the hypotension induced has been extreme, possibly unnecessarily so. As the series proceeded equally satisfactory results have been obtained with systolic pressures of about 70 mm. Hg, which may be regarded as the optimal level. The development of this work owes much to the kindly cooperation and stimulating encouragement of Professor J. R. Lear‐month, C.B.E., Ch.M., F.R.C.S.E.