Research in Medicine

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Tousi A. Hypotension in Reconstructive and Plastic Surgery. Research in Medicine 1974; 2 (5) :381-384
URL: http://pejouhesh.sbmu.ac.ir/article-1-2704-en.html

to 60m.m.Hg. and with no ill effects at the end of the anaesthesia and the tremination of the operation the drops of the serum which contains 15mg. Wyamin will be in­creased to rise the blood pressure, now if the anaesthetic drug is Halothane recovery is quick and if Ether is used it is a little pro­longed. If while operating there is need for further injection of Adrenaline solution in the operative site, the tachycardia, more than 110 beats minutes, would be controlled by the re-injecting of neostigmin. 
Contra-indication 
This method of anaesthesia is not advisable for the ·elderly patients who have hypertension or those who suffer Cardiac, dis function, Em­phisema, Aneamia, cirrhosis and those who are addicted or children less than 15 years oid. 
Indication 
In the reconstructive and plastic surgeries such as face-lifting, breasts, abdomen, thigh and plastic burn injeries, operation on ear and on throat, this method can be used; because of the severe hypotension hemorrage will be prevented, and the operation time becomes very short. This method of anaesthesia may be used in general and orthopedic surgeries providing the least bleeding is haemostated. 
Complications 
The only complication by this method is the intravenous injection of Adrenaline and must be done to avoid this accident, if not severe tachyoardia may be turn into ventricule fibrila­tion. In 13 years more· than 2,615 anaesthetic cases have taken place under this method and all have met success.