Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Aug 1994
Case Reports[Capnothorax and subcutaneous emphysema in attempted laparoscopic suture of duodenal ulcer].
A 72-year old lady suffering from coronary heart disease was admitted with acute abdominal pain. Laparoscopy was performed and revealed perforation of a duodenal ulcer. The surgeon decided to suture the perforation via laparoscope. ⋯ The further hospital stay was uneventful. The possible causes for the increasing hypercapnia are discussed. We suggest close monitoring of patients during laparoscopy including capnometry and the anaesthesist should be aware of rare complications.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Aug 1994
Case Reports[Pneumothorax in laparoscopic cholecystectomy (I)].
A case of pneumothorax during laparoscopic cholecystectomy is reported. Etiology, evaluation and therapy are discussed.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Aug 1994
[Anesthesia in acute respiratory tract obstructions caused by high degree laryngeal and tracheobronchial stenoses].
Stenotic process of the laryngeal and/or tracheobronchial system may lead to dyspnoea which can become life threatening. ⋯ The SHFJV technique presents the possibility to ventilate the patients continuously for surgical procedures even with massive stenosis of the respiratory tract. The application of SHFJV via the jet laryngoscope not only enables the anaesthesist to ventilate this group of patients but also helps the surgeon and therefore results in more safety for the patient.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Aug 1994
Case Reports[Pneumothorax in laparoscopic cholecystectomy (II)].
This case report deals with pneumothorax during elective laparoscopic cholecystectomy in a young woman with no history of severe pulmonary disease. After inflating the capnoperitoneum, pulse oximetry and capnography raised suspicion of pneumothorax whereas the physical examination showed no irregularities. Surgical drapes provided a lack of information from percussion and auscultation. ⋯ There were no further postoperative complications. Pulse oximetry, capnography and relaxometry proved helpful in monitoring. There may be a benefit from the use of pressure-controlled-ventilation in certain situations, if all changes in volume-controlled-ventilation fail.