Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Mar 2004
Randomized Controlled Trial Comparative Study Clinical Trial[ProSeal-laryngeal mask versus endotracheal intubation in patients undergoing gynaecologic laparoscopy].
The aim of this study was to assess the practicality of the ProSeal laryngeal mask (PS-LMA) airway during laparoscopic surgery with capnoperitoneum compared to endotracheal intubation (ET). ⋯ The PS-LMA is a convenient and practicable approach for anaesthesia in patients undergoing laparoscopic surgery.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Feb 2004
Review[Volume replacement with hydroxyethyl starch: is there an influence on kidney function?].
Hydroxyethyl starch (HES) solutions are synthetic colloids with the pharmacological properties that are closest to natural colloids. In Germany, numerous types of HES preparations with different combinations of concentration, weight-averaged mean molecular weight (Mw), and hydroxyethylation pattern are available. They differ with regard to their volume-supporting capacity, intravascular half-life, and side effect profile. ⋯ In the case of HES, the risk of high plasma colloid osmotic pressure and thus the risk of acute renal failure are probably increased by high concentrations of the colloid or repeated administration of slowly degradable HES with a high Mw and DS. With adequate hydration, using sufficient amounts of crystalloids, HES has little if any adverse effects on renal function. Furthermore, modern -rapidly degradable HES solutions with a low Mw and DS, such as HES 130/0.4, do not increase the risk for renal dysfunction even when used in large amounts perioperatively.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Feb 2004
Clinical Trial[Spinal anaesthesia in 50 patients with previous lumbar spinal surgery].
In anaesthesia textbooks, spinal anaesthesia is described as relatively contraindicated in patients with a history of lumbar spinal surgery. In order to assess the feasibility of spinal anaesthesia in these patients, we performed 56 spinal anaesthetics in 50 consecutive patients with previous lumbar spinal surgery. ⋯ Side effects were only minor and had a low incidence. We conclude that spinal anaesthesia is a viable technique in these patients.