Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Dec 1995
[Exposure of intensive care personnel to isoflurane in long-term sedation].
Isoflurane is a suitable agent to produce sedation in the intensive care unit (ICU). However, data concerning occupational exposure to isoflurane during long-term sedation are not yet available. The purpose of this study was to evaluate occupational exposure to isoflurane in the ICU. ⋯ We conclude that an effective high flow scavenging system, a low-leakage anaesthesia machine and an airconditioning equipment without recirculation could keep occupational exposure low. The majority of the measured values was below the NIOSH recommendation (2 ppm). All values was lower than a national state recommendation (10 ppm). Under other circumstances (e.g. without scavenging system) air pollution will be higher and therefore measurements at the working place are needed.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Dec 1995
Review[Intravenous anesthesia--current aspects].
Intravenous anaesthesia as a defined technique has become popular in recent years, since new developed drugs and more sophisticated application systems were introduced into clinical practice. However, only a minority of anaesthesiologists really practise this new technique. The scientific basis of continuous intravenous anaesthesia has not been spread widely in the anaesthetic community yet. ⋯ The newly found properties of propofol, such as antiemetic, anticonvulsive and antioxidant, and its present clinical use are described. Finally, modern continuous intravenous anaesthetica techniques have been feasible only by the development of efficient application systems. The text gives an overview of the properties of modern syringe pumps and future developments of "smart" pumps.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Dec 1995
[Improved technique of dilatation tracheostomy and initial results].
Percutaneous dilatational tracheostomy is a simple bedside procedure and can be performed with a minimum of time and staff. Tears in the posterior wall of the trachea and paratracheal displacement of the tube are possible complications. ⋯ As a severe complication we noted bleeding from a vein with lethal blood aspiration in one case. Bleeding during dilatational tracheostomy procedure requires changing of technique and dissection of the anterior wall of the trachea.