Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2003
Historical Article[The centennial of oxygen-therapy (1902 - 2002) -- reassessing its history. Part II: The contributions of the "Roth-Draeger anaesthesia apparatus" (1902) and other inventions of 100 years of Draeger-Medical-Technology (1902-2002) to the history of truly "therapeutic" application of oxygen].
This is the second part of a survey which analyses the history of inhalative oxygen therapy and its interactions with the history of anaesthesiology. Specific emphasis is put here on illustrating inventions of modern pressure gas technology such as pressure reducing valves. These enabled Draeger Inc. to be the first firm to develop and trade on a large scale technically convincing products allowing a rational, therapeutic application of oxygen. ⋯ S. Haldane (1860 - 1936) is regarded there to have "founded" of modern oxygen therapy in 1917. Critically reviewing this earlier research, we propose a historical reassessment, concluding that the year 1902 was the historically decisive "turning point" towards the development of modern oxygen therapy.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Dec 2002
Multicenter Study Comparative Study Clinical Trial[A comparison of the Proseal laryngeal mask to the standard laryngeal mask on anesthesized, non-relaxed patients].
It was our goal to compare the Proseal-laryngeal mask airway (PLMA) with the classical laryngeal mask airway (LMA) in a german multicenter trial. Handling of the instruments and application criteria were to be tested. 7 anaesthesia departments were able to take part in this study. 280 patients could be investigated after approval of the ethics committee of the medical faculty of the university of Goettingen. 145 patients received the PLMA and 135 the LMA. The surgical interventions were small to moderate procedures with a duration of at least 20 minutes in the sections general surgery, trauma/orthopedic surgery, urology, vascular surgery, gynecology, ENT-surgery and ophthalmology. ⋯ The PLMA may be applied in laparoscopies and lower abdominal surgical interventions. Careful clinical observation will show, if the minimal invasiveness of the PLMA offers an advantage for these patients. The PLMA should not be applied in patients with increased aspiration risk.