Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2009
Review[Videolaryngoscopy for endotracheal intubation - new developments in difficult airway management].
Difficulties in tracheal intubation are the major causes of anaesthesia related morbidity and mortality. Novel videolaryngoscopes facilitate endotracheal intubation by indirect visualisation of glottic structures through optical systems. In this review, differences and the advantages and disadvantages of videolaryngoscopes are discussed.
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Thoracic paravertebral block for postoperative pain control has been introduced more than a century ago. It is currently gaining increasing popularity. ⋯ When compared to epidural analgesia for postthoracotomy pain control, thoracic paravertebral analgesia provides comparable analgesic efficacy, but less side-effects. Regarding concomitant use of anticoagulants and antiplatelet drugs, paravertebral blockade is considered a central nerve block.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2009
Review[Regional anaesthesia for carotid endarterectomy].
Cervical plexus blocks have been established as safe and feasible procedures for carotid endarterectomy. Comparable perioperative complication rates have been reported for plexus techniques and general anaesthesia. The results of the GALA trial support the theory that the indication for insertion of intraluminal shunts was significantly reduced by regional procedures (14 % vs. 43 %) in consequence of the more reliable diagnosis of neurological complications. However, it has not been identified yet which technique (superficial, deep or a combination) offers the highest effectiveness.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2009
Case Reports[Prehospital noninvasive ventilation in a 102-years old patient].
Guidelines for the therapy of cardiogenic pulmonary edema or acute exacerbation of COPD imply the use of noninvasive ventilation (NIV). Clinical studies show a decrease in intubation frequency, mortality and length of stay with inhospital NIV. First prehospital reports show a safe and feasible use of NIV in this setting. We report the case of a 102-year old patient who was successfully treated with preclinical NIV.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2009
[Options and limits of interscalene nerve blocks].
Regional anaesthesia has gained increasing importance during the last decades. Successful regional anaesthesia for shoulder surgery requires a detailed knowledge of the relevant anatomy. ⋯ They are efficient for the majority of surgical procedures and therefore offer an interesting supplementation or an alternative to general anaesthesia. When carried out as a catheter-technique they provide a high quality postoperative pain therapy.