This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

E. J. KNUDSEN, M.D.; H. RASMUSSEN, M.D.; H. RUBEN, M.D.; P. TRAUN-PEDERSEN, M.D.

AMA Arch Otolaryngol. 1958;67(1):20-23.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Peroral operations in and about the larynx, such as taking of biopsy specimens or removal of polypi, cysts, and the like through the laryngoscope, are associated with special anesthetic problems, because oral intubation cannot be applied and accordingly the patient's respiration cannot be controlled in the usual way. The ordinary technique of anesthesia is therefore based on preservation of the patient's spontaneous respiration.

In adults surface analgesia generally fulfills this requirement. It can make the surgical procedure tolerable in many cases, but does not provide ideal operating conditions, as especially nervous patients cannot voluntarily relax the cervical and mandibular muscles. In addition, a necessary immobilization of the vocal cords cannot be secured, even under carefully induced surface analgesia.

In a previously-reported investigation¹ meperidine (Demerol, isonipecaine, Dolantin, pethidine), injected intravenously, was found to have a depressing effect on the laryngeal and pharyngeal reflexes. This effect was utilized for anesthetization prior . . . [Full Text PDF of this Article]

Author Affiliations
Copenhagen

From the Finsen Institute, Department of Anesthesiology and Department of Otolaryngology.

Footnotes
Accepted for publication May 25, 1957.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?