686 results match your criteria Anasthesie Intensivtherapie Notfallmedizin[Journal]


[Hypothermia and polytrauma. A case report (28 degrees C)].

Anasth Intensivther Notfallmed 1990 Dec;25(6):436-7

Chirurgische Klinik des Klinikums der RWTH Aachen.

In a 29-year-old polytraumatised motorbike driver, massive blood transfusion led to a decrease of the body temperature to 28.1 degrees C rectal on the second day after admission. We could rewarm the patient using only a Clinitron bed, although he had persisting blood loss due to an intravasal coagulopathy. Read More

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December 1990

[A modified Macintosh blade with an angulated tip for difficult intubations].

Authors:
R Scherer G Habel

Anasth Intensivther Notfallmed 1990 Dec;25(6):432-5

Abteilung für Anaesthesiologie und operative Intensivmedizin, Clemenshospital, Münster.

The depth of the proximal part of a normal Macintosh blade was carved more shallow and the tip of the blade was made adjustable in its angle by means of a joint controlled by a screw-lock fixation via a small wire parallel to the blade. Clinical experience with this modified blade in 33 patients is reported. In 10 of 13 patients with severely reduced mouth opening less than or equal to 25 mm and 19 of 20 patients with a mouth opening greater than 25 mm, visibility during laryngoscopy with the modified blade was improved, compared to the normal Macintosh blade. Read More

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December 1990

[Electrophysiologic studies in polyneuropathy of intensive care patients].

Anasth Intensivther Notfallmed 1990 Dec;25(6):424-7

Institut für Anästhesiologie, Rheinische Friedrich-Wilhelms-Universität Bonn.

Polyneuropathy of the critically ill patient has gained attention in recent years. The symptoms of muscle weakness and impaired somatosensory perception are more obvious for the observer and recognizable for the conscious patient, if heavy long-term sedation is avoided. The cause of polyneuropathy remains unclear and diagnostic findings are still rare and partly controversial. Read More

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December 1990

[The modification of the potassium concentration in blood by catecholamines. A literature review].

Anasth Intensivther Notfallmed 1990 Dec;25(6):405-10

Universitätsklinik für Anästhesiologie--Klinikum der Universität Ulm.

After intravenous administration of epinephrine, serum potassium level shows a typically biphasic course. The initial rise is followed by a persistent fall to a lower level than the starting-concentration. The initially observed hyperkalemia is supposed to be caused by a potassium release from hepatocytes, mediated by an alpha 1-adrenoreceptor stimulation. Read More

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December 1990

[Catabolism of high-energy phosphates during the long-term preservation of explanted donor hearts in a dog model].

Anasth Intensivther Notfallmed 1990 Dec;25(6):399-404

Departement Anaesthesiologie, Universitaire Ziekenhuizen Katholieke Universiteit Leuven, Belgie.

The catabolism of high-energy phosphates (HEP) during long-term preservation of donor hearts was investigated in mongrel dogs. Hearts were explanted after being randomly assigned to one of the following groups. Group I: normothermic ischaemic arrest (n = 6), group II: hypothermic ischaemic arrest (n = 6), group III: cardioplegic arrest with NIH cardioplegia (n = 6) and group IV: cardioplegic arrest with UW solution (n = 6). Read More

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December 1990

[Postoperative apnea--a special risk for former preterm infants].

Authors:
M Abel

Anasth Intensivther Notfallmed 1990 Dec;25(6):396-8

Kinderkrankenhaus der Stadt Köln, Abteilung für Kinderanästhesie und operative Kinderintensivmedizin.

Infants who had been originally preterm are subject to a particularly high risk after surgical interventions involving anaesthesia, due to a tendency to experience disturbance of respiratory regulation. Of a total of 130 originally preterm infants who had to undergo anaesthesia for so-called minor surgery, respiratory anomalies were seen in 66%, 48%, 10% and 7% of the infants in the age groups of 40, 50, 60 and 80 weeks after conception, respectively. Therapeutic measures were necessary only in patients up to a post-conceptional age of 40 to 50 weeks, the respective incidences being 24% and 20%. Read More

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December 1990

[Epidural conduction anesthesia versus general anesthesia. A critical evaluation of outcome studies using as examples cesarean section and patients with hip fractures].

Anasth Intensivther Notfallmed 1990 Dec;25(6):391-5

Abteilung für Anästhesiologie, Justus-Liebig-Universität Giessen.

In the field of anaesthesiology, outcome studies are undertaken to investigate the influence of different anaesthetic techniques on the intra- and postoperative course of patients in special clinical situations. The design of these studies should follow high methodological standards. In the past, most studies were undertaken in patients during Caesarean section and in the treatment of hip fractures in the elderly. Read More

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December 1990

[Mid-latency auditory evoked potentials during induction of intravenous anesthesia using midazolam, diazepam and flunitrazepam].

Anasth Intensivther Notfallmed 1990 Dec;25(6):383-90

Institut für Anästhesiologie, Ludwig-Maximilians-Universität München.

Since intraoperative awareness is not infrequently observed under balanced anaesthetic regimens employing benzodiazepines for suppression of consciousness, we studied the effect of intravenous induction of general anaesthesia using the benzodiazepines midazolam, diazepam and flunitrazepam on mid-latency auditory evoked potentials and auditory evoked neuronal 30-40 Hz oscillation. Following informed consent in 30 patients scheduled for minor gynaecological procedures, anaesthesia was induced with midazolam (0.2-0. Read More

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December 1990

[The effect of selective decontamination on nosocomial infections, their causative agents and antibiotic resistance in long-term intubated intensive care patients].

Anasth Intensivther Notfallmed 1990 Dec;25(6):416-23

Zentrum für Anästhesiologie, Georg-August-Universität Göttingen.

During a 12-month period 45 long-term intubated patients were treated by topical application of non-absorbable antibiotics (tobramycin, polymyxin, amphotericin B) together with an initial short-term intravenous application of an antibiotic with only minimal activity against anaerobic intestinal flora. These patients were compared to 48 patients in the previous 12-month period who had only interventional antibiotic therapy in case of established infections. This selective decontamination of the digestive tract (SDD) reduced the colonisation of the respiratory tract, thus also decreasing incidence of nosocomial pneumonia. Read More

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December 1990

[Fat emulsions in parenteral feeding following liver transplantation. I. Effect on the recovery of RES function in the transplant].

Anasth Intensivther Notfallmed 1990 Dec;25(6):428-31

Zentrum Anästhesiologie, Abt. IV, Medizinische Hochschule Hannover.

Following liver transplantation, the effect of postoperative parenteral nutrition with MCT/LCT fatty emulsions on the recovery of RES function in the allograft was investigated in a randomised prospective study of three groups of patients (group I: 50 g MCT/LCT fats twice weekly, group II: 0.7 g/kg body weight per day MCT/LCT fats, group III: 1.5 g/kg body weight per day MCT/LCT fats). Read More

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December 1990

[The measurement of extravascular lung water--significant in the follow-up of ARDS?].

Anasth Intensivther Notfallmed 1990 Dec;25(6):411-5

Abteilung für Anästhesie und Intensivtherapie, Philipps Universität.

In 40 adult patients suffering from severe ARDS stage III and IV (Morel) we examined the course of the extravascular lung water (EVLW) measured by the double indicator dilution method with 858 single measurements, during mechanical ventilation with PEEP, or extracorporeal CO2 elimination (ECCO2 R). No correlation could be found between EVLW and the values of alveolar arterial oxygen difference (AaDO2) and intrapulmonary right-left shunt (Qs/Qt) or haemodynamic values such as CVP, PCWP, mean pulmonary arterial pressure, or the 24 h fluid balance. It was, therefore, not possible to estimate a prognostic trend based on a single measurement of EVLW. Read More

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December 1990

[Anesthesiologic implications in the Shy-Drager syndrome--a case report].

Anasth Intensivther Notfallmed 1990 Oct;25(5):362-6

Institut für Anaesthesiologie, Städt. Krankenhaus Singen.

Based on a case report with vaginal hysterectomy, the anaesthetic implications are discussed in a patient with Shy-Drager syndrome, which is a degenerative disease in middle-aged to elderly patients, resulting in autonomic dysfunction. The syndrome is reviewed and the anaesthetic management is described. Adequate cardiovascular monitoring and maintenance of haemodynamic stability are important. Read More

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October 1990

[The effects of midazolam on the mechanical and electrical properties of the isolated ventricular myocardium].

Anasth Intensivther Notfallmed 1990 Oct;25(5):354-61

Abteilung für Anästhesiologie, Universitäts-Krankenhaus Eppendorf, Hamburg.

The direct effects of midazolam on isometric force of contraction (Fc) and on transmembrane action potential (AP) in electrically driven right ventricular papillary muscles were investigated. The results were compared with the effects of thiopental. Midazolam (0. Read More

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October 1990

[Characteristics of cerebral blood flow and the electroencephalogram during experimental malignant hyperthermia].

Anasth Intensivther Notfallmed 1990 Oct;25(5):348-53

Abteilung für Anästhesiologie, Universitäts-Krankenhaus Eppendorf.

It is generally assumed that the brain is not primarily involved in the development of a malignant hyperthermia syndrome (MH). However, spontaneous brain electrical activity (EEG) has not been related temporally to the development of haemodynamic, respiratory and metabolic changes during a fulminant MH crisis. In the present study cerebral blood flow (CBF) and spontaneous electroencephalogram (EEG) were recorded in 8 pigs susceptible (MHS) for the development of malignant hyperthermia and 8 non-susceptible pigs (nMHS) after exposure to 1% halothane. Read More

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October 1990

[The efficiency of prehospital cardiopulmonary resuscitation. Which factors determine the outcome?].

Anasth Intensivther Notfallmed 1990 Oct;25(5):340-7

Institut für Anästhesiologie, Rheinische Friedrich-Wilhelms-Universität Bonn.

Survival rates following cardiopulmonary resuscitation differ widely with regard to the diverse rescue systems where the investigations were performed, and also with regard to the different patient populations. From 1981 to 1986, 1037 patients with out-of-hospital cardiac arrest were investigated in the city of Bonn. It was the purpose of this study to differentiate between various patient populations and to analyze factors which are responsible for CPR success. Read More

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October 1990

[How safe is isovolemic hemodilution in elderly patients at risk? Clinical studies of geriatric heart surgery].

Anasth Intensivther Notfallmed 1990 Oct;25(5):335-9

Institut für Anästhesiologie, Rheinische Friedrich-Wilhelms-Universität Bonn.

The aim of this study was to evaluate isovolaemic haemodilution (IHD) as a method to reduce the use of homologous blood in high-risk geriatric patients undergoing cardiac surgery. Haemodynamics were continuously assessed in both the systemic and the pulmonary circulation, and, in addition, the EEG was continuously analysed by on-line power spectrum analysis. The mean blood use in this series could be reduced from 4. Read More

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October 1990

[The effect of positive end expiratory pressure on the blood flow velocity in the basal cerebral arteries during general anesthesia].

Anasth Intensivther Notfallmed 1990 Oct;25(5):331-4

Abteilung für Anästhesiologie, Universitäts-Krankenhaus Eppendorf, Hamburg.

The effects of incremental positive end-expiratory pressure (PEEP) on middle cerebral artery (MCA) blood flow velocity and pulsatility index were studied in 20 patients scheduled for minor elective surgery. Transcranial Doppler sonography (TCD) was used to measure systolic (Vsyst) and mean flow velocity (Vmean) and the pulsatility index (PI). Heart rate (HR), mean arterial blood pressure (MAP), end-tidal CO2(PetCO2) and TCD parameters were recorded at control (PEEP = O) and following PEEP of 5 cm H2O, 10 cm H2O and 15 cm H2O for a period of 5 minutes for each PEEP level. Read More

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October 1990

[Oxygen uptake and blood circulation parameters during anesthesia using EEG-assisted determination of anesthetic dosages].

Anasth Intensivther Notfallmed 1990 Oct;25(5):327-30

Institut für Anästhesiologie, Rheinische Friedrich-Wilhelms-Universität Bonn.

Anaesthesia has significant effects on circulation and oxidative metabolism which are closely related to each other. Usually there is a marked reduction of oxygen uptake (VO2) and energy expenditure. A controversial discussion on the effects of the drugs administered and the degree of metabolic depression has continued in the literature fuelled by a lack of studies in patients under standardized conditions. Read More

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October 1990

[The recovery period following total intravenous anesthesia using propofol and alfentanil versus inhalation anesthesia using nitrous oxide and enflurane at 1.3 MAC].

Anasth Intensivther Notfallmed 1990 Oct;25(5):322-6

Institut für Anästhesiologie, Rheinische Friedrich-Wilhelms-Universität Bonn.

Recovery of motor and mental functions were investigated in two groups with 20 young patients each. One group received total intravenous anaesthesia (TIVA) with propofol and alfentanil for urological surgery and the other group received nitrous oxide-oxygen anaesthesia in combination with 1.3 MAC of enflurane for lumbar nucleotomy. Read More

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October 1990

[The predictability of inspiratory and endexpiratory concentrations of isoflurane and enflurane using pharmacokinetic models and interindividual variability].

Anasth Intensivther Notfallmed 1990 Oct;25(5):317-21

Institut für Anästhesiologie, Rheinische Friedrich-Wilhelms-Universität Bonn.

The predictability of the inspiratory and endexpiratory concentrations of the volatile anaesthetics isoflurane and enflurane by pharmacokinetic models was investigated. 67 patients of ASA-classes 1-2 that underwent minor surgical procedures were studied. The pharmacokinetic model consisted of two parts, a model of the anaesthesia machine and a model of the patient. Read More

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October 1990

[An infusion model for intraoperative peridural anesthesia by catheter using mepivacaine].

Anasth Intensivther Notfallmed 1990 Oct;25(5):313-6

Institut für Anästhesiologie der Rheinischen-Friedrich-Wilhelms-Universität Bonn.

With the introduction of repetitive or continuous catheter techniques in regional anaesthesia, potential systemic intoxication hazards have increased. Especially high dose techniques such as peridural anaesthesia or plexus brachialis blockade consecutively generate high blood levels. In this study, blood levels collected from 20 patients (36 +/- 19 y, 173 +/- 9 cm, 73 +/- 15 kg) after lumbar epidural anaesthesia with mepivacaine led to the development of a linear open one-compartment-model (VD,ss: 109 l, Cltot: 594 ml/min, t1/2abs: 13 min, t1/2 beta: 149 min). Read More

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October 1990

[Horst Stoeckel 60 years].

Authors:

Anasth Intensivther Notfallmed 1990 Oct;25(5):311-66

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October 1990

[Lung edema following intestinal irrigation with golytely solution].

Anasth Intensivther Notfallmed 1990 Aug;25(4):295-6

Institut für Anästhesiologie, Technischen Universität München.

A case of pulmonary edema following whole gut lavage with Golytely's solution is reported. The patient did not suffer from gastrointestinal obstruction, renal dysfunction or cardiac congestion. Read More

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[Case report: lumen obstruction with a Magill tube].

Authors:
A Deller T Weichel

Anasth Intensivther Notfallmed 1990 Aug;25(4):293-4

Universitätsklinik für Anästhesiologie-Klinikum, Universität Ulm.

A case is reported where a reusable red rubber tube was obstructed by a plastic capsule. This capsule was part of a washing machine for cleaning of reusable anaesthetic equipment. As a consequence we recommend the examination for free passage of each endotracheal tube before use. Read More

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[Analgesia and sedation in neurosurgical intensive care patients].

Anasth Intensivther Notfallmed 1990 Aug;25(4):281-6

Klinik für Anästhesiologie Johannes Gutenberg-Universität Mainz.

Different concepts for analgosedation of neurosurgical patients are recommended during postoperative ventilation. In 30 neurosurgical patients (2 groups of 15 patients), we studied a continuous i.v. Read More

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[Clonidine supplemented analgesia and sedation in prevention of postoperative delirium].

Anasth Intensivther Notfallmed 1990 Aug;25(4):274-80

Zentrum Anästhesiologie, Abt. 1, Medizinische Hochschule Hannover.

In an open prospective study we investigated the efficacy of the supplementation of analgosedation by clonidine. 40 patients with oesophagus malignancy and definite alcohol abuse were on respiration therapy postoperatively after having been treated with oesophago-gastro anastomoses. With regard to manifestation intensity and development of withdrawal symptoms we found that during basic medication with piritramid-diazepam continuously i. Read More

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[Anaphylactoid reaction to a non-ionic roentgen contrast medium in general anesthesia].

Anasth Intensivther Notfallmed 1990 Aug;25(4):271-3

Klinik für Anästhesiologie, Johannes Gutenberg-Universität Mainz.

The occurrence of adverse reactions is decreasing since the introduction of non-ionic contrast media. Anaphylactoid reactions during general anaesthesia are rare and hitherto only documented with the administration of ionic compounds. We report an episode of hypotension, tachycardia, bronchospasm and urticaria following application of a non-ionic contrast medium (Iopamidol) during isoflurane anaesthesia. Read More

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[Unstable blood pressure during anesthesia in diabetic patients with autonomic neuropathy].

Anasth Intensivther Notfallmed 1990 Aug;25(4):256-62

Abteilung für Anästhesiologie, Städtischen Krankenanstalten Köln-Merheim.

Diabetic autonomic neuropathy (AN) as a risk factor of surgical procedures has so far been described in case reports, but no controlled clinical studies are known. Therefore, we intended to study systematically the perioperative relevance of the autonomic dysfunction. 32 ophthalmosurgical patients (20 diabetics, 12 non-diabetics) were investigated. Read More

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