Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · May 1994
Randomized Controlled Trial Clinical Trial[Comparison of 5% human albumin and 6% 200/0.5 HES as exclusive colloid components in large surgical interventions].
It was the purpose of the following study to compare effects of 6% hydroxyethyl starch 200/0.5 (HES) and albumin 5% (HA5) on haemostasis, haemodynamics, oncotic function and plasmatic homoeostasis. ⋯ Regarding total blood output/intake, haemodynamic functions, haematological parameters, coagulation, oncotic function, and plasmatic homoeostasis, HES is a safe colloid if contra-indications are taken into account, capable of replacing albumin 5% entirely as a colloid component of treatment of even large blood losses intraoperatively above the recommended dose of 20 ml/kg BW/d.
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Anasthesiol Intensivmed Notfallmed Schmerzther · May 1994
Case Reports[Cesarean section with subsequent craniotomy in the area of the posterior cranial fossa].
We report on a 31-year old pregnant patient with von-Hippel-Lindau syndrome who presented to the emergency room with symptoms of increased intracranial pressure. She was found in premature labour with a normal foetus of 29 weeks' gestational age in breech presentation. We discuss an anaesthetic and neurosurgical management during emergent craniotomy and Caesarean section. ⋯ Neonatal depression is likely with this technique and requires resuscitative measures. The indications for rapid sequence induction in pregnant patients with raised intracranial pressure at risk for aspiration are discussed. Different options for monitoring during this procedure are described.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 1994
Comparative Study Historical Article[A historical vignette. Ether versus chloroform].
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Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 1994
[Analgesia and hemodynamics under 8 mu/kg clonidine for pain therapy following major abdominal surgery].
To characterise the haemodynamic profile after epidural injection of high-dose clonidine for postoperative pain management and to establish recommendations for the therapy of haemodynamic instabilities. ⋯ Epidural clonidine 8 micrograms/kg causes rapid and intense analgesia. Haemodynamic instability is a consequence of a drop in heart rate and has to be treated accordingly. The application of a pure vasopressor does not seem to be indicated taking in account the fact that the total peripheral resistance remains unchanged and in the normal range.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 1994
[Pain control with paracetamol following inguinal herniorrhaphy or orchidopexy in childhood].
The application of opiates after day case surgery in childhood is discussed controversially because of possible complications. Therefore many anaesthetists try to avoid these substances and prefer peripheral analgesics for postoperative pain control. ⋯ Following herniorrhaphy the postoperative pain therapy with acetaminophen seems to be sufficient. For the postoperative pain treatment after orchidopexy additional measures like local nerve blocks, regional anesthesia or wound infiltrations with local anaesthetics should be considered.