Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Mar 1997
Case Reports[Severe aspiration pneumonia with the laryngeal mask].
The anaesthesia management of a 10-year old girl with a fracture to her distal arm is presented, using inhalational anaesthesia with a laryngeal mask and a supplementary axillary plexus block. Due to light anaesthesia the patient vomited during the course of surgery resulting in a severe pulmonary aspiration necessitating four days of mechanical ventilation in the ICU. The safety of the laryngeal mask airway for emergency surgery is discussed.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Mar 1997
[Experiences with use of the laryngeal mask with flexible, wire reinforced tube for ENT interventions in childhood].
This is a report on experiences regarding the use of the reinforced laryngeal mask airway for 121 minor operations in paediatric otolaryngology. By far the most interventions were adeno-tonsillectomies (104), which until now were performed under general anaesthesia with tracheal intubation. ⋯ The use of the reinforced laryngeal mask airway during paediatric otolaryngological operations in the hand of an experienced anaesthetist appears to be a promising alternative to tracheal intubation and merits more widespread use.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Feb 1997
Randomized Controlled Trial Comparative Study Clinical Trial[Effect of lidocaine administration mode on decreasing injection pain caused by propofol].
Pain is a well known complication of propofol injection. Many methods are described to reduce it but often empirical ways are used. In this study we attempt to determine the effects of premixing propofol with lidocaine or to preinjecting lidocaine in a hand vein in combination with using a tourniquet before we applicated propofol. Our study shows that both ways are able to reduce the injection pain but premixing with lidocaine 0.05% is less effective than giving a bolus of lidocaine before the propofol injection.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Feb 1997
Comparative Study[Effectiveness of anesthetic gas scavengers fulfilling EN 740 requirements with reference to equipment leakage and fresh gas flow].
During inhalation anaesthesia, contaminations of the working environment be anaesthetic volatiles and nitrous oxide occur. The amount of leaking gases is influenced by leakages of the anaesthetic ventilator, by fresh-gas flows and by the effectivity of the scavenging system. Since 1st January 1996 new ventilators have to be equipped with scavenging devices according to the European standard EN 740. We measured the effectivity of this system with anaesthetic ventilators of a type that is now superseded (mean leakage rate 100 ml/min) and recent devices (mean leakage rate 5 ml/min) using high and low fresh-gas flows. ⋯ The formerly reported dependence of the room air concentrations of anaesthetic volatiles and nitrous oxide from the fresh gas flow are caused by the spillage of pollutants through scavenging devices according to DIN 13260. The use of systems according to EN 740 is not only useful in new devices but must also be recommended for superseded models of anaesthetic ventilators.