Der Anaesthesist
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A scheme for evaluating brachial plexus block was developed, which is based on anatomical structures and which utilizes simple neurological examination techniques. It facilitates the localization of the tip of the cannula near the plexus, gives an idea of the spread of the local anesthetic in the region of the trunks and cords, gives well timed judgement on the success of the block and allows a comparison of the development of the block when using various techniques. ⋯ With the supraclavicular technique, motor as well as sensory blockade of all nerves of the brachial plexus occurred with about the same frequency; with the interscalene technique, the centre of the block affected the caudal nerves of the cervical plexus and the cranial nerves of the brachial plexus. Following both approaches, the blockade developed from proximal to distal areas, the motor blockade preceding the sensory blockade.
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Pneumothorax may occur following procedures such as the insertion of a subclavian catheter, intercostal blockade, supraclavicular brachial plexus blockade, endotracheal mechanical ventilation or assisted ventilation of the newborn by the "pulmarca" method. The incidence of pneumothorax was investigated over a 2 1/2 years period. Measurements to prevent, reduce and treat this complication are discussed and suggestions on the aetiology of bilateral pneumothorax in the newborn are described.
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145 dental injuries in 83 patients occuring during general anaesthesia are classified on the basis of the material from a liability insurance company. These mainly affected the upper incisors. ⋯ Damage to teeth is the main cause of claims in tort from its total number. Damage of healthy teeth generally is due to carelessness, whereas an injury to teeth damaged by other reasons before administration of general anaesthesia causes liability of the anaesthesiologist because of inadequate examination and exploration.
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Letter Case Reports
[Postoperative respiratory insufficiency in patients after poliomyelitis].