Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2004
Review[How to establish an preoperative anaesthetic clinic].
The preoperative anaesthetic clinic has established at large german hospital since 1980 because of shorter ways, waiting times and best preoperative risk-management. Now there is an increasing need for the preoperative anaesthetic clinic in all german hospitals because of the introduction of DRGs for hospital billing since 2003. Organization, leadership, equipment and aspects of the personnel are discussed. ⋯ An model of rotation for the physician personnel is introduced. Cooperation of the OP departments is necessary. At least our preoperative anaesthetic day clinic has become an logistic centre and an speaking point for patients and the OP-department.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jun 2004
Randomized Controlled Trial Comparative Study Clinical Trial[A comparison of the Arndt endobronchial blocker with a double lumen tube in robotic cardiac surgery].
In this prospective, randomised study a double lumen tube (DLT) or an Arndt bronchial blocker (BB) was used for one lung ventilation (OLV). Intraoperative oxygenation, ventilation, haemodynamics, and ease of placement were compared. ⋯ OLV in patients undergoing robotic cardiac surgery was safely achieved either by BB or by left-sided DLT. Positioning of the BB was easier than that of a DLT when intubation was difficult and tube exchange at the end of surgery is avoided. Therefore, we prefer a BB in patients undergoing robotic harvesting of left ITA.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jun 2004
Randomized Controlled Trial Comparative Study Clinical Trial[A comparison of the effects of 50 % oxygen combined with CPAP to the non-ventilated lung vs. 100 % oxygen on oxygenation during one-lung ventilation].
In a prospective, randomised, double-blind study the effects of FiO (2) of 0,5 with CPAP and a FiO (2) of 1.0 without CPAP on oxygenation and pulmonary shunt during one-lung ventilation (OLV) were examined. ⋯ The application of low FiO (2) with CPAP provided a better oxygenation and a lower pulmonary shunt during the OLV compared to high FiO (2) without CPAP.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jun 2004
Comparative Study[EasyScope - an alternative to the conventional Macintosh laryngoscope?].
This study was conducted to compare two different techniques used for tracheal intubation (TI). We evaluated airway management conditions for a conventional Macintosh laryngoscope and the Brummert EasyScope, a new device. ⋯ Personnel not accustomed to a particular airway management technique achieved comparable outcomes when using either the Macintosh laryngoscope or the EasyScope device for TI. Possible reduction of effort required for tracheal intubation or better dental protection have to be evaluated for the EasyScope in further clinical studies.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jun 2004
Clinical Trial[The positioning of reinforced laryngeal masks (LMA) with the "Zerer-introducer"].
Correct and rapid positioning of reinforced laryngeal masks (LMA) is often a problem in anaesthetics. Although different techniques have been developed, none of them are satisfactory. A newly designed introduction device was used to place reinforced laryngeal masks. These are first results of a clinical observational study. ⋯ A newly designed introduction device allows a fast and efficient placement of reinforced laryngeal masks and contributes to the safety of this mode of application.