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Anesth Analg 1977; 56:344-347
© 1977 International Anesthesia Research Society
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Anesthetic Considerations for Cerebral Computer Tomography

THERESA FERRER-BRECHNER, MD*, and JAMES WINTER, MD{dagger}

*Assistant Professor, Department of Anesthesiology, University of California School of Medicine, Los Angeles, California 90024. {dagger}Assistant Professor, Department of Radiology (James Picker Foundation Fellow in Academic Radiology), University of California School of Medicine, Los Angeles, California 90024.

Abstract

Cerebral computer tomography is a recently introduced neuroradiologic procedure involving tomographic x-rays of horizontal brain sections. Although most adults undergo the procedure without anesthesia, children and uncooperative adults must be given general anesthesia for absolute immobility. Of 84 procedures under general anesthesia, 10 employed ketamine, 6 used oral chloral hydrate; 60, endotracheal anesthesia enflurane or halothane; 7 used combinations of various sedatives. One was performed with local anesthesia standby. Ketamine and heavy sedation were found to be totally unsatisfactory because of airway problems and unpredictability of motion, which produced image artifacts. General endotracheal anesthesia with either halothane or enflurane in N2O-O2 was found most satisfactory because of better control of airway and prevention of motion.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1977 by the International Anesthesia Research Society.