Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
-
Anasthesiol Intensivmed Notfallmed Schmerzther · May 1995
The influence of the double burst stimulation (DBS) pattern on the DBS-train-of-four ratio relationship.
The double-burst-stimulation (DBS) is a new stimulation pattern developed to facilitate tactile evaluation of residual neuromuscular blockade. DBS consists of two bursts of high frequency stimulations separated by a short time interval. ⋯ At any chosen level of reversal defined by a TOF ratio, it should therefore be possible to construct a DBS ratio, where fade just can be detected by tactile evaluation.
-
Anasthesiol Intensivmed Notfallmed Schmerzther · May 1995
Case Reports[Unexpectedly difficult intubation: fiberoptic endotracheal intubation with the laryngeal mask].
A 67-year old patient, scheduled for elective transvesical resection of the prostate gland, presented intubation problems. Fibreoptic assessment of the larynx revealed secretions as well as a swollen laryngeal mucosa; endotracheal intubation guided by the fibreoptic bronchoscope was not possible. After multiple attempts to intubate the trachea a laryngeal mask airway was inserted. ⋯ The laryngeal mask airway, a relatively new device for airway protection, has proved to be beneficial in planned as well as in unexpectedly difficult endotracheal intubation. However, although the laryngeal mask airway may solve ventilation problems initially, prelaryngeal alterations present a contraindication for perioperative ventilation via the laryngeal mask airway. The fibreoptic intubation through the laryngeal mask airway is an important technique to consider in the "cannot intubate" situation.