Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 1995
Randomized Controlled Trial Comparative Study Clinical Trial Controlled Clinical Trial[Behavior of intraocular pressure in anesthesia with isoflurane in comparison with propofol/alfentanil].
To investigate the influence of isoflurane anaesthesia versus total intravenous anaesthesia with propofol/alfentanil on intraocular pressure (IOP). ⋯ We conclude from our results that both anaesthetic techniques can be administered if increases in IOP have to be avoided.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 1995
Review[Allergic and pseudo-allergic reactions in anesthesia. II: Symptoms, diagnosis, therapy, prevention].
In this article we present the symptomatic features and discuss relevant diagnostic and therapeutic aspects of anaphylactoid reactions. In addition we give practical advice as to how to avoid and manage allergic or pseudoallergic reactions during anaesthesia. ⋯ Preventive measures like careful premedication, calm atmosphere, slow injection of drugs, the use of diluted solutions, and the use of drugs with a low potential for anaphylactoid reactions are important. Substances like inhalation anaesthetics, propofol, etomidate, ketamine, midazolam, fentanyl, alfentanil and bupivacain without epinephrine should be used.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 1995
[Incidents, events and complications in the perioperative period in normal and malnurished patients--results of 23,056 patients].
Prevalence of cardiovascular risk factors in anaesthetic patients and perioperative pitfalls, events and complications (PECs) in different nutritional states were examined. The results should contribute to a current project of the German Society of Anaesthesiology and Intensive Care, established for quality assurance. ⋯ Nutritional disorder is an important epidemiological factor in anaesthesia. Particularly in younger patients without defined preoperative cardiovascular disturbance but with obesity the anaesthesist may be surprised by a remarkable incidence of relevant problems during and immediately after anaesthesia. We should consider the possible phenomenon that we are underestimating the anaesthetic challenge in young obese patients in a "healthy" cardiovascular state.