Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Asthma is defined as a chronic inflammatory airway disease in response to a wide variety of provoking stimuli. Characteristic clinical symptoms of asthma are bronchial hyperreactivity, reversible airway obstruction, wheezing and dyspnea. Asthma presents a major public health problem with increasing prevalence rates and severity worldwide. ⋯ The anesthesiologists' goal should be to minimize the risk of inciting bronchospasm and to avoid triggering stimuli. As increases in airway resistance are noticed, therapy should be directed towards optimizing oxygenation and proper diagnosis needs to be established. With deepening anesthesia level and aggressive pharmacological management utilizing both, beta-agonists and steroids, respiratory failure may be properly controlled.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2000
Performance of the size 5 laryngeal mask airway in males and females.
We compare the functional performance (ease of insertion, oropharyngeal leak pressure and anatomic position) of the size 5 LMA in males and females over a range of cuff volumes. We also determine 1) if age, height, weight and body mass index predict functional performance and 2) the relationship between oropharyngeal leak pressure (OLP) and anatomic position (judged by fibreoptic scoring). One hundred male and one hundred female paralysed, anaesthetised patients were studied. ⋯ Age, weight and body mass index do not predict performance, but efficacy of seal improves with increasing patient height. Fiberoptically determined anatomic position is a poor predictor of efficacy of seal. The shape of the pharynx may be different between tall and short adults.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2000
[German language publications of German university departments of anesthesiology].
To evaluate contributions of German university departments of anesthesiology to the German language literature. ⋯ There is a great difference with respect to total publication count. The differences in total publication count can only in part be explained by different size of the departments. Even the leading department had far less than 1 paper per scientist and year.