Regional-Anaesthesie
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Regional-Anaesthesie · Oct 1984
Case Reports[Pneumocephalus permangnus. An unusual complication following lumbar anesthesia].
A case is presented of a 53 year old patient who developed pneumocephalus three days after lumbar anaesthesia. Symptoms and neurosurgical treatment are described. Liquor leakage and lowered intracranial pressure as are discussed as possible mechanisms.
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Regional-Anaesthesie · Oct 1984
Comparative Study[Thoracic peridural anesthesia for intra- and postoperative analgesia in lung resections. A comparison of stress reactions and postoperative lung function].
47 patients who were scheduled for lung resection were assigned to two groups. 23 patients had a neurolept analgesia and postoperatively parenteral analgetics. 24 patients received a combination of thoracic peridural anaesthesia and nitrous oxide-oxygen anaesthesia for surgery. The peridural analgesia was continued for 2-3 days for postoperative pain control. Heart rate and mean arterial pressure were recorded. ⋯ No obstruction was observed. PaO2 and paCO2 showed no clinically relevant differences. During surgery the combination of general and regional anaesthesia results in a lower stress response of the heart and postoperatively it improves lung function which is an important advantage in comparison with systemic analgetics.