thiamylal has been researched along with Blood-Loss--Surgical* in 2 studies
2 other study(ies) available for thiamylal and Blood-Loss--Surgical
Article | Year |
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A huge frontal meningioma associated with intraoperative massive bleeding and severe brain swelling--case report.
A 58 year old female presented with progressive memory disturbance and personality change. Magnetic resonance (MR) imaging disclosed a huge mass lesion accompanied by prominent oedema in the right frontal lobe. Cerebral angiogram demonstrated a vascular-rich tumour and a major drainer through diploic vein. A right frontotemporal craniotomy was performed. We encountered massive bleeding from diploic vein and dura mater immediately at the craniotomy. We were also faced with severe brain swelling at the dural incision. The tumour was solid, highly vascularised, and fairly well demarcated. We performed total removal of the tumour as quickly as possible in order to reduce the intracranial hypertension and avoid the impending brain herniation. The patient had an uneventful recovery and was asymptomatic at 10 months follow-up. Topics: Blood Loss, Surgical; Brain Edema; Cerebral Hemorrhage; Craniotomy; Dura Mater; Encephalocele; Female; Frontal Bone; Frontal Lobe; Hemostasis, Surgical; Humans; Intracranial Hypertension; Mannitol; Memory Disorders; Meningeal Neoplasms; Meningioma; Middle Aged; Personality Disorders; Thiamylal | 2001 |
[Anesthesia combined with profound hypothermia using cardiopulmonary bypass for clipping of giant basilar artery aneurysm].
A 52 year-old female was scheduled for clipping of giant basilar artery aneurysm. This operation needed temporary clipping of the basilar artery for 30-40 minutes, and preoperative examination suggested that some regions would become ischemic by temporary clipping. Therefore profound hypothermia using cardiopulmonary bypass (CPB) and thiamylal loading were planned to prevent cerebral damage during the operation. Anesthesia was induced with thiamylal, fentanyl, and isoflurane in nitrous oxide and oxygen. Following administration of vecuronium, trachea was intubated. Two hours after the start of surgery, thiamylal was titrated to obtain EEG patterns of burst-suppression before CPB and the infusion was continued until CPB was discontinued. With burst-suppression present, CPB was instituted. Hypothermia below 20 degrees C at pulmonary artery temperature was maintained until the aneurysm was clipped and bleeding from the operating site was controlled. Cooling and rewarming by CPB were carried out with ease and uneventfully. The patient had no neurological complications postoperatively. Topics: Basilar Artery; Blood Loss, Surgical; Cardiopulmonary Bypass; Female; Humans; Hypothermia, Induced; Intracranial Aneurysm; Middle Aged; Thiamylal | 1996 |