thiopental and Syndrome

Posterior reversible encephalopathy syndrome refers to a neuroradiologic disorder in which seizure activity (multiple seizures are more common than single events) is commonly the initial presenting symptom. We describe a case of posterior reversible encephalopathy syndrome in a previously healthy parturient who presented to the labor and delivery suite with generalized tonic-clonic seizures. Prompt recognition and treatment of this potentially catastrophic disease may avert injury to the patient and neonate.

Topics: Adolescent; Anesthetics, Intravenous; Anticonvulsants; Brain; Cesarean Section; Epilepsy, Tonic-Clonic; Factor V; Female; Humans; Hypertension; Intubation, Intratracheal; Magnesium Sulfate; Magnetic Resonance Imaging; Neuromuscular Depolarizing Agents; Pregnancy; Pregnancy Complications; Pregnancy Trimester, Third; Succinylcholine; Syndrome; Tachycardia; Thiopental; Tomography, X-Ray Computed

Topics: Acidosis; Adult; Anesthetics, Intravenous; Coma; Conscious Sedation; Critical Care; Fatal Outcome; Female; Fever; Humans; Hyperkalemia; Infusions, Intravenous; Male; Propofol; Rare Diseases; Syndrome; Thiopental; Time Factors

Topics: Abnormalities, Multiple; Amides; Analgesia, Epidural; Analgesics; Anesthetics, Inhalation; Anesthetics, Intravenous; Anesthetics, Local; Apnea; Child, Preschool; Clonidine; Facies; Fingers; Growth Disorders; Humans; Intellectual Disability; Male; Methyl Ethers; Nerve Block; Nitrous Oxide; Orchiectomy; Ropivacaine; Sevoflurane; Syndrome; Thiopental

Topics: Abnormalities, Multiple; Anticonvulsants; Apnea; Child; Chromosome Deletion; Chromosomes, Human, Pair 4; Craniofacial Abnormalities; Diazepam; Dose-Response Relationship, Drug; Drug Therapy, Combination; Emergency Medical Services; Epilepsy, Tonic-Clonic; Female; Humans; Infusions, Intravenous; Phenobarbital; Status Epilepticus; Syndrome; Thiopental; Valproic Acid

Robinow syndrome, originally described in 1969, consists of mesomelic brachymelia, short stature, genital hypoplasia and characteristic facies. Associated organ system involvement may include developmental delay, congenital heart disease, obstructive disorders of the urinary tract and renal cysts. As there is a potential for airway problems related to the facial features, such as midface hypoplasia and micrognathia, perioperative management of these patients is important. The authors present an 8-year-old boy, previously diagnosed with Robinow syndrome, who was admitted for an emergency surgical procedure. The perioperative implications of this disorder are reviewed.

Topics: Abnormalities, Multiple; Anesthesia; Anesthetics, Inhalation; Anesthetics, Intravenous; Appendectomy; Appendicitis; Child; Face; Fentanyl; Genitalia, Male; Growth Disorders; Humans; Isoflurane; Laparoscopy; Limb Deformities, Congenital; Male; Syndrome; Thiopental

A patient who was unresponsive to multiple conservative medical treatments for complex regional pain syndrome was assessed using a novel approach--the sodium pentothal hypnosis interview. The interview suggested that his pain was centrally generated. The patient's pain symptoms resolved with hypnotherapeutic treatment. Indications for this procedure and implications for assessment and treatment are discussed. This case raises more questions than it answers, and leaves the reader to struggle with current difficulties in diagnostic decision-making.

Topics: Adult; Humans; Hypnotics and Sedatives; Interview, Psychological; Male; Narcotherapy; Pain; Pain Management; Syndrome; Thiopental

The paper describes five cases of accidental intraarterial injection of pharmacological drugs (diazepam or thiopentone) or dope (heroin) in an upper limb. Following a review of the physiopathological mechanisms which led to ischemic damage, the Authors outline a protocol of continuous pharmacological sympathicolysis in the affected limb, using repeated anesthetic blocks of the homolateral stellate ganglion.

Topics: Arm; Autonomic Nerve Block; Diazepam; Heroin; Humans; Injections, Intra-Arterial; Ischemia; Regional Blood Flow; Stellate Ganglion; Syndrome; Thiopental

Thirty patients with an acute midbrain syndrome were treated by high dose barbiturate therapy. Of these patients 19 had a severe head injury. In 8 patients the symptoms of acute midbrain syndrome developed after subarachnoid haemorrhage. In three patients these symptoms were caused by postoperative swelling or ischaemia. The results of those patients, who were treated with barbiturates after head injury were much better than in 16 other patients, who had no barbiturates. The indications for high dose barbiturate therapy in neurosurgery are discussed with reference to other publications and to the pathophysiological effects of barbiturates.

Topics: Adolescent; Adult; Brain Diseases; Brain Injuries; Humans; Mesencephalon; Middle Aged; Neurosurgery; Postoperative Complications; Subarachnoid Hemorrhage; Syndrome; Thiopental

Topics: Anesthesia; Brain Diseases; Humans; Infant; Infant, Newborn; Ketamine; Male; Myoclonus; Syndrome; Thiopental

Topics: Abnormalities, Multiple; Biopsy; Blepharoptosis; Child, Preschool; Craniofacial Dysostosis; Electromyography; Eye Abnormalities; Facial Muscles; Foot; Hand; Humans; Karyotyping; Male; Radiography; Syndrome; Thiopental

Topics: Anesthesia, General; Anesthesia, Obstetrical; Antacids; Cesarean Section; Cognition; Female; Humans; Infant, Newborn; Infant, Newborn, Diseases; Inhalation; Intubation, Gastrointestinal; Intubation, Intratracheal; Laryngeal Edema; Nitrous Oxide; Pneumonia, Aspiration; Posture; Pregnancy; Pregnancy Complications, Cardiovascular; Succinylcholine; Syndrome; Thiopental; Time Factors; Vascular Diseases; Vena Cava, Inferior