Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jun 2005
[Frequency of intervention and risk factors in monitored anesthesia care in ophthalmic surgery -- a retrospective analysis].
Patients for ophthalmic surgery have an average age of 70 - 75 years and frequently suffer from cardiopulmonary disease. Despite the fact that only local anesthesia is applied, these patients often receive monitored anesthesia care. Aims of this study were to determine the frequency of drug interventions during monitored anesthesia care and to identify risk factors for treatment. ⋯ The high intervention frequency for a variety of complications, especially of cardiovascular nature, advises the presence of a physician during ophthalmic operations who is trained to control such emergency situations.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jun 2005
[Evaluation of sympathicolysis after continuous brachial plexus analgesia using laser Doppler flowmetry in patients suffering from CRPS I].
The aim of this study was to evaluate continuous brachial plexus analgesia in terms of pain relief and sympathicolysis in patients suffering from CRPS I. ⋯ The study shows that clinical investigation of temperature change is not reliable in the evaluation of sympathicolysis. This is of special interest in patients who are suspected of having sympathically maintained pain (SMP) and are treated by brachial plexus analgesia.
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Injection-induced pain during induction of anaesthesia can result in patient's discomfort. This can prevent the use of propofol-anaesthesia in paediatric patients. Because of the high incidence of pain on injection with propofol numerous interventions have been tested to prevent this pain including the use of different drugs and physical measures as well as the combination of methods. ⋯ For paediatric anaesthesia the application of EMLA-cream seems to be suitable, because it alleviates the pain during venous cannulation at the same time. Although a painfree propofol injection is not possible with every prevention strategy there exist a wide range of effective interventions to prevent pain on injection with propofol. This article reviews methods that have been investigated and established to minimise the incidence of pain.