Der Anaesthesist
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Simulation has gained an important role in medical education and continuing education in the field of anaesthesia and emergency medicine. This article gives background information on how full-scale simulators are applied in medical education as well as in continuing education for advanced anesthesia and scientific applications. Acceptance of training seems enhanced by inclusion of the human factor aspect, since this has proven to be a major source for the development of critical situations in our specialty. Furthermore, drawbacks of the simulators available and the current training availability in Germany is described.
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Randomized Controlled Trial Clinical Trial
[Postoperative analgesia in children after hernioplasty. Wound infiltration with different concentrations of bupivacaine: a pilot study].
Wound instillation seems to be an easy and preferable way to achieve postoperative analgesia in pediatric hernioplasty. This prospective, randomized and double-blinded pilot-study was initiated to gain preliminary information in order to define the appropriate concentration of local anaesthetic for efficient posthernioplastic analgesia. ⋯ Wound instillation with 0.2 ml of bupivacaine 0.5% seems to be easy to perform, safe and efficient in controlling posthernioplastic pain. Because of the small numbers of patients included however, no statistically significant differences were observed between the groups. Neither in the LAPS on arrival and observation at the PACU nor in the need for supplementary analgesics. Despite lacking significance the clinical impression suggests a difference to be validated by larger studies. Our data implies that wound instillation with 0.2 ml/kg bupivacaine 0.5% should be regarded for routine usage.
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Systemic air embolism is a dramatic event frequently resulting in death. The clinical manifestations are polymorphic and unspecific. We report a case of a systemic air embolism in a patient with lung contusion. We wish to arouse a sensibility for this clinical picture, which seems to be underestimated in its frequency and importance, and discuss concepts of mechanical ventilation in patients with blunt thoracic trauma.
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Historical Article
[News of ether anesthesia in the local press in the 1847 in Bamburg] 449 -1 [How much blood flow is required by the myocardium?].
The news of success in ether anesthesia on 16 October 1846 in Boston spread like wildfire through Europe. In the German-speaking countries, the national newspapers as conveyers of the development played a prominent role; this was especially the case for the Augsburger Allgemeine Zeitung whose correspondent, Aloys Martin [1], was a medical professional. The function of local newspapers has not yet been investigated. ⋯ These were then catalogued according to date, extent and contents. Starting on 22.01.1847, the events outside of and in Bamberg were reported on in 26 notices and articles of just a few lines to half a page and in advertisements; Aloys Martin also appears on the scene. Thus, the local press in Bamberg also informed its readers early and regularly on the discovery of ether and the succeeding events.