Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 1996
[Behm's T-piece for reducing anesthesia gas pollution at the anesthesia work site].
The safety standards demanded for performing anaesthesia and the increasing burden of work to be handled by OP personnel entail continuous supervision and elimination of hazards and leaks. One example illustrates this necessity: Anaesthetic agents in the circular system of the induction are pollute the atmosphere after disconnection of one patient and transport into the OP suite and are a potential risk to personnel and next patient. ⋯ Behm developed a T-piece which connects the Y-piece with the scavenging system leading to elimination of residual anaesthetics from the circular system. A useful byproduct is the longer life of the galvanic O2 sensor.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 1996
Randomized Controlled Trial Comparative Study Clinical Trial[Does propofol have advantages over isoflurane for sufentanil supplemented anesthesia in children for strabismus surgery?].
The present study investigates the effectivity and the incidence of side effects of sufentanil-supplemented propofol versus isoflurane anaesthesia in children undergoing elective strabismus surgery. ⋯ Propofol as an induction agent of balanced anaesthesia fails to show advantages over thiopentone. During total intravenous anaesthesia propofol increases the risk of bradycardia especially in younger children. However, a significantly lower incidence of postoperative nausea and vomiting after TIVA with propofol and sufentanil, irrespective of N2O administration, may be an advantage over isoflurane anaesthesia in paediatric patients after strabismus surgery.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 1996
Comparative Study[Ventilation via a transnasally placed pharyngeal tube. Comparison with mask ventilation].
The present prospective study was designed to investigate the respiratory function during ventilation via a tube inserted through the nose into the pharynx. Results were compared with respiratory parameters measured during conventional mask ventilation in the same patients. ⋯ The use of a pharyngeally placed tube proved adequate compared to conventional mask ventilation in 20 patients without underlying airway disease.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 1996
[Patient knowledge concerning anesthesia general practice and the responsibilities of the anesthetist].
In two Austrian university hospitals 104 patients were interviewed on the basis of questionnaires about their knowledge of the role of anaesthetists. Although 93% of the Patients considered anaesthesists to be physicians, major deficits were found regarding the knowledge about the spheres of activities of anaesthetists. 60% of the respondents confined the anaesthetist to the operating theatre. ⋯ To current practice of informing the patient calls for improvement and new approaches. In addition to this further evaluation work on the influence of the mass media and public knowledge about anaesthesia and the anaesthetists' role should be undertaken.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 1996
Review[Mucociliary clearance function and medicamentous modification].
Mucociliary clearance represents a complex self-cleaning mechanism of the lung and is based on the functional unity of ciliated columnar cells and the special viscoelastic properties of the secretion produced in the tracheobronchial system. It has been known for a long time that intubation and mechanical ventilation can impair mucous transport and lead to morphological damage to the tracheobronchial mucosa. Recent studies made it clear, however, that mechanical ventilation during anaesthesia using an appropriate anaesthesiological technique has no deleterious effect on mucus transport in patients with healthy lungs. ⋯ In these patients a number of factors combine to form a formidable potential insult to the mucociliary transport mechanism. Numerous drugs can affect mucociliary transport. Beta-mimetics and theophylline, in particular, have a favourable effect on mucociliary transport, whereas the effect of mucolytic agents is controversial.