Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2006
Review[Thoracic surgery in children--common diseases and their therapy].
In the day life in a thoracic surgery department interventions in childage are more or less seldom. The skill of the surgical and anesthesiological team is strictly related to the outcome of the patient. Beneath benign tumors of the lung and mediastinum are inflammatory diseases first of all pleuraempyema in the focus of interest. VATS is an increasing point of diagnostic and therapies.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2006
Review[Intubation and ventilation during thoracic surgery in children].
Single lung ventilation is indicated in many cases for thoracic surgery in children. The indication for single lung ventilation and the airway management should always be discussed thoroughly with the surgeon in order to tailor the effort, complexity and risk of airway management to the needs of the patient. According to the height and age of the child endobronchial intubation, bronchial blockers, the Univent-tube and double lumen tubes can be used. During single lung ventilation infants are particularly predisposed to hypoxemia, because unlike adults in the lateral decubitus position the dependent ventilated lung is prone to alveolar collapse and does not receive a larger part of pulmonary perfusion than the non ventilated lung.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2006
Review[Thoracic surgery in children--pain control after surgery].
In the postoperative phase after thoracic surgery in children patients can suffer considerable pain. The repertoire of analgesic treatments consist of basic treatment with non-opioid analgesics such as paracetamol or ibuprofen, as well as need-determined treatments with opioids given under intensive care monitoring. In addition, local and regional anaesthetic methods are an important part of the big picture of effective pain control after thoracic surgery in children.