Autor: |
Joseph, Samuel I., Denson, Judson S. |
Zdroj: |
JAMA: Journal of the American Medical Association; November 1958, Vol. 168 Issue: 10 p1330-1333, 4p |
Abstrakt: |
The effects of various detergents left as contaminants in the needles and syringes used for spinal anesthesia were studied in experiments with 18 monkeys. There were three test groups: a series of five monkeys in which a variety of detergents were used as contaminants, a series of five monkeys in which the contaminant was a 1 % solution of tribasic sodium phosphate (TSP), and a series of four monkeys in which the contaminant was 5% TSP. There was a contrast group consisting of four monkeys who were observed for five months or more after spinal anesthesia had been induced with due precautions against contamination with detergents. In this group no clinical, gross, or microscopic evidence of neurological damage was obtained. In the test groups only two monkeys escaped arachnoiditis; all the others developed it varying degrees of severity, and one became clinically paraplegic. Detergents are not the only contaminants to be concerned about, but it is clear that extreme care should be used in all phases of the induction of spinal anesthesia. |
Databáze: |
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