Der Anaesthesist
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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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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.
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Randomized Controlled Trial Clinical Trial
[Pre-emptive analgesia with ropivacaine in adult tonsillectomy].
We examined whether a pre-emptive analgesic effect could be achieved with ropivacaine, which has less cardiovascular and central nervous system toxicity than bupivacaine, in adults undergoing tonsillectomy. ⋯ We could demonstrate no significant pre-emptive analgesic effect with ropivacaine in adults undergoing tonsillectomy in our study. One can, however, recommend the administration of ropivacaine post-operatively after tonsillectomy, since a reduction of pain scores can thereby be achieved. For post-operative analgesia we recommend the combination of a non-opioid analgesic with a weak opioid.