Der Anaesthesist
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Randomized Controlled Trial Comparative Study Clinical Trial
[Axillary plexus block with long-acting local anaesthetics (a comparative study of etidocaine and bupivacaine) (author's transl)].
Brachial and axillary plexus blockade was carried out on volunteers using a mixture of etidocaine 1% with adrenaline, and bupivacine 0,5% with adrenaline. Both drugs are long-acting local anaesthetics. ⋯ With the latter motor blockade seems to be more strongly influenced and significantly outlasts sensory sympathetic nerve block. The results and findings of other authors are discussed, and whether the different behaviour of the 2 long acting local anaesthetics in this context implies a different affinity of the drugs to the different types of nerves.
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Clinical Trial Controlled Clinical Trial
[The influence of hydroxyethyl starch on postoperative alterations of blood coagulation (author's transl)].
The influence of hydroxyethyl starch (HES) on postoperative hypercoagulaemia was examined in a double blind study. One group of 10 patients received 500 ml HES during surgery and on the following three days. ⋯ In some respects, hypercoagulaemia was significantly diminished in the HES-group. The diminution could, however, be mainly explained by the diluting effect of the plasma expander.
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In a retrospective study first-aid measures taken in 939 individuals who had died from accidents and the means of transport were investigated. At the scene of accident, emergency medical technicians have been and will in future be the ones to take first measures (43%). Physicians (22%) and untrained persons (20%) alike have been found to attend to victims at about the same frequency. ⋯ In view of the above situation it is, therefore, urged that first-aid training of laymen be organized on a broad scale and that all possibilities of providing instruction be exploited. Emergency medical technicians should receive well-founded and goal-oriented training enabling them to master the outlined complications. Since adequate first-aid care from other physicians has not been available, there is a need to enlist increasingly the services of specially trained emergency ambulance physicians.