Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Feb 1997
Comparative Study[Diagnosis of pleural effusion in intensive care patients with supine digital thoracic imaging. A study of CT validated cases].
The significance of the recumbent chest x-ray using digital luminescence radiography was to be assessed in respect of diagnosis of pleural effusions. ⋯ Recumbent chest x-ray with digital luminescence radiography is an imaging method of limited accuracy in respect of diagnosis of pleural effusions. Supplementary diagnostic methods are recommended, as the present results show, especially in such cases where the recumbent chest x-ray does not reveal an effusion or if the volume must be determined accurately. Digital recumbent chest x-ray ranks equal with conventional x-ray in the diagnosis of pleural effusions.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 1997
Randomized Controlled Trial Comparative Study Clinical Trial[Comparative study of pethidine and clonidine for prevention of postoperative shivering. A prospective, randomized, placebo-controlled double-blind study].
Patients with ischaemic heart disease and cardiac failure are endangered by an increase in oxygen consumption caused by postoperative shivering. The purpose of this study was to evaluate if pethidine and clonidine, which are well known for their effectiveness in the treatment of this undesirable side effect, can also prevent postoperative shivering if administered at the end of surgery. In addition it was investigated whether their intraoperative application influences the time of extubation and analgesics demand in the early postoperative period. ⋯ Intraoperative administration of clonidine (2 micrograms x kg-1) is suitable for prevention of postoperative shivering. Despite its sedative effects the recovery time until extubation was not prolonged. 0.3 mg x kg-1 pethidine proved to be less beneficial.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 1997
Review[Damage due to patient positioning in anesthesia and surgical medicine (1)].
Positioning a patient for surgery requires great care and caution. Correct positioning provides the surgeon with good access to the site, minimizes blood loss and reduces the risk of damage to nerves, soft tissue, compartments and the cardio-pulmonary system. Each position has its specific risks. ⋯ The interdisciplinary responsibilities concerning the positioning must be clearly defined and it is essential that the documentation of positioning as well as the documentation of positioning control is carried out as accurately as possible. Correct positioning can effectively aid surgery. Slovenly positioning should not be accepted, as there is a high probability of ill effects, possibly of permanent damage.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 1997
[EMLA for anesthesia of puncture sites for large lumen indwelling venous catheters for autologous plasma and erythrocyte concentrate donation].
The analgetic effect of EMLA-Creme (Lidocaine-Prilocaine-Cream) was studied in 52 patients undergoing preoperative autologous blood and/or plasma donation. ⋯ The application of EMLA-Creme results in an effective analgesia for venous puncture. 37% of our patients were punctured without any pain and 67% felt a tolerable pain (VAS: 0-10).
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Anasthesiol Intensivmed Notfallmed Schmerzther · Dec 1996
Review[Evaluation of suicidal risk in emergency service].
Identification and assessment of suicide risk in emergency situations depend on special circumstances and are a difficult task in daily routine. Emergency physicians and intensive care physicians usually do not have enough psychiatric experience to deal with psychotic or depressed patients in acute suicidal crisis. In this paper, the authors give an overview on diagnostic procedures which may help to assess suicidal tendencies and acute risk in emergency situations.