Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jun 2003
Comparative StudyPharyngeal mucosal pressures with the laryngeal tube airway versus ProSeal laryngeal mask airway.
We tested the hypothesis that mucosal pressures are higher for the laryngeal tube airway trade mark than the ProSeal laryngeal mask airway. Fifteen fresh cadavers were studied. Microchip pressure sensors were attached to the laryngeal tube airway and ProSeal laryngeal mask airway at four similar anatomical locations (base of tongue, lateral pharynx, posterior pharynx and posterior hypopharynx) and three dissimilar locations (laryngeal tube airway trade mark, anterior and lateral hypopharynx; ProSeal laryngeal mask airway, pyriform fossa). ⋯ Mean mucosal pressures for the ProSeal laryngeal mask airway ranged from 6-23, 3-10, 8-25, 6-17 and 2-8 cm H2O for the base of tongue, lateral pharynx, posterior pharynx, pyriform fossa and posterior hypopharynx respectively. We conclude that mucosal pressures are higher for the laryngeal tube airway, particularly when oropharyngeal leak pressure greater than 25 cm H2O. This suggests that mucosal ischemic injury will be more common with the LTA than the PLMA.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jun 2003
[Correlation of a computerized SOFA score and derived measures with length of stay at an operative ICU].
The purpose of this study was to assess whether or not the information on progression of illness and therapeutic interventions included in a computerized SOFA (Sequential Organ Failure Assessment) score and derived measures (maximum SOFA, total maximum SOFA and delta SOFA) influences the correlation with length of stay (LOS) at an operative intensive care unit (ICU). ⋯ Therefore, the sum of information on progression of illness and therapeutic interventions included in derived measures improves the correlation with LOS at an ICU compared to the "admission-SOFA".
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jun 2003
[Shortage of anaesthesiologists in Germany].
After the glut of doctors in the past, we find a shortage of doctors in the present time. Approximately only 60% of all doctors would decide to become a doctor again. ⋯ Improvement of the financial situation is without doubt important--this must include payment according to performance principle rather than payment with regard to age. Moreover, training programs (e. g. financial support of meetings) of the young anaesthesiologists, working conditions for all staff members (e. g. limitation of overtime), and importance of the role of anaesthesia must be modified to improve motivation and to guarantee high standards of quality of anaesthesia for the future.