Anästhesie, Intensivtherapie, Notfallmedizin
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Anasth Intensivther Notfallmed · Feb 1985
Clinical Trial Controlled Clinical Trial[EEG parameters in the monitoring of ventilated intensive care patients under various sedation methods].
Visual evaluation of the EEG and spectral analysis of the background activity are useful in monitoring changes of cerebral function caused by sedatives, hypoxia and changes in state of health. Continuous slow changes of the EEG are indicative of critical situations of cerebral blood flow or metabolism. Monitoring cerebral function of 40 sedated and ventilated patients on an intensive care unit, we found typical EEG changes dependent on different regimes of sedation, amount of sedatives and patient condition. ⋯ The EEG was an aid to predicting the outcome of intensive care and to demonstrate the degree of cerebral damage. In patients with septicaemia, cerebral function was more depressed than in patients with cardiac failure. Spectral analysis and computed parameters proved to be valuable in monitoring cerebral changes caused by sedation and state of health in ventilated patients.
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Anasth Intensivther Notfallmed · Feb 1985
[How much labor assistance should the emergency physician render?].
Seven case reports of emergency obstetrics serve to demonstrate to what extent an emergency physician can be of help and where the limits of his field of activities are. The article describes the emergency physician's tasks in general as well as the education and training which may reasonably be expected in young physicians. It is concluded, among other things, that it is not one of the tasks of an emergency physician to supervise or initiate parturition since that is no longer part of the physician's training in the FRG.
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Anasth Intensivther Notfallmed · Feb 1985
Case Reports[Obstruction of bacterial filters in general anesthesia].
3 cases of impaired ventilation during general anaesthesia caused by obstruction of bacterial filters on the expiratory limb of the anaesthesia circuit are reported. For explanation, faulty cleaning procedures or defects by manufacturing of bacterial filters possibly have been responsible for these dangerous complications. Finally, the risks and questionable hygienic efficacy of bacterial filters are discussed.
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Anasth Intensivther Notfallmed · Oct 1984
Randomized Controlled Trial Clinical Trial[Therapeutic use of amezinium methylsulfate--a new, long acting, sympathomimetic--in paraspinal conduction anesthesia].
Cardiovascular effects of the new sympathomimetic ameziniummetilsulphate were investigated in 25 patients compared with a control group (n = 25). During spinal/epidural anaesthesia 5 mg amezinium was given i.v. if blood pressure dropped greater than 20 mmHg. from starting-point. A significant recovery of blood pressure (epidural anaesthesia: syst 21%, diast 9%; spinal anaesthesia: syst 13%, diast 6.6%) and a decrease in heart rate (6.8% resp. 4,5%) were thought due to peripheral vasoconstriction. Amezinium proved a stimulating drug for alpha- and beta 1-receptors by stabilising the systemic blood pressure in spinal/epidural anaesthesia.
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Anasth Intensivther Notfallmed · Oct 1984
Case Reports[Bilateral pneumothorax following laparoscopy].
A case of laparoscopy is presented with postoperative large subcutaneous emphysema and bilateral pneumothorax. As a result of careful control, conservative treatment, and consequent oxygen administration, this life-threatening phenomena disappeared within a short time. Preventive measures for complications of diagnostic laparoscopy are discussed and established to lower the anaesthetic risk of this widely practised procedure.