{"title":"[Transcutaneous measurement of PaO2 by the \"TCM 1\" electrode (author's transl)].","authors":"P Carthaus, I Podlesch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Arterial oxygen pressures were compared with oxygen pressures measured transcutaneously with the aid of \"TCM 1\", an apparatus manufactured by Radiometer. At normal oxygen partial pressures the transcutaneously determined values for pO2 ran parallel with those measured intraarterially, but were on average 10.7% lower than the latter. In cases where oxygen partial pressures were above or below normal the figures did not agree. In these conditions, therefore, determinations in the arterial blood cannot be dispensed with. Halothane in concentrations of 0.3-0.5% and nitrous oxide (66%) in the inspired air did not affect the transcutaneous determination of pO2, but the method failed during surgical electrocoagulation.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"14 4","pages":"345-7"},"PeriodicalIF":0.0,"publicationDate":"1979-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11698207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Operability and fitness for anesthesia (author's transl)].","authors":"K Horatz, G Schöntag","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The decision as to operability and fitness for anaesthesia must be made jointly by the surgeon and the anaesthesiologist and only by them. They arrange for the required diagnostic and therapeutic measures to be taken to assure the success of the operation. The advice of other specialists as to the treatment of disorders unconnected with the primary disease does not extend to questions regarding operability and fitness for anaesthesia. The preparation of out-patients for surgery requires particular care on the part of the anaesthesiologist. A detailed pre-operative explanation to the patient of what is involved will greatly help to relieve the patient's anxiety.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"14 4","pages":"283-7"},"PeriodicalIF":0.0,"publicationDate":"1979-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11695860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Indications for surgery and operability from the point of view of the surgeon (author's transl)].","authors":"H W Schreiber, G Koch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The decision as to surgical intervention and operability must also take into account somatic, personal, psychosomatic and social factors. The advances made in medical science have added to rather than detracted from the difficulties of the problem. Although the final decision rests with the surgeon the indications as to surgical intervention and operability present problems which demand interdisciplinary co-operation, first with the general practitioner, then, after admission to hospital, with the various specialists and subsequently again with the general practitioner.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"14 4","pages":"288-92"},"PeriodicalIF":0.0,"publicationDate":"1979-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11695861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Tetanus-Myomechanographic measurement of receptor liberation by pyridostigmine in neuromuscular block produced by d-tubocurarine, gallamine, pancuronium or alcuronium (author's transl)].","authors":"L Barth, R Dannhorn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 48 patients anaesthetized with nitrous oxide-oxygen and hexobarbitone the neuromuscular (n-m) block (greater than or equal to 95% depression) produced by roughly equipotent doses of d-tubocurarine (dTC), gallamine (GALL), pancuronium (PANC) or alcuronium (ALC), respectively, was antagonized by 10 mg of pyridostigmine (P) applied intravenously 35-460 min after the relaxant at variable levels of spontaneous recovery from n-m block. Muscular reactions to tetanic stimulation (30 to 400 Hz, 4-5 s each) of the ulnar nerve transmitted by a force-displacement system served as a measure for calculating the relative amount of n-m receptors liberated from relaxant molecules. Within 3-10 min after its injection P increased the number of relaxant-free n-m receptors by 16 +/- 6% (M +/- SD). Thereafter recovery progressed at similar speed as before. Reinjections of 5-10 mg P were comparably as effective as the first injection. No correlations were to be found between the effectiveness of P and the dose of relaxant applied (r = 0,12 to 0,27), the level of recovery reached before P (r = 0,32), or the time at which P was injected after the relaxant (r = -0,39), respectively. However, the amount of receptors liberated by P decreased with increasing recovery from n-m block and with increasing time interval between the relaxant and the antidote injection. P was significantly more effective (P less than 0,01), when applied within 150 min after the relaxant than at applications after that time. The relative number of receptors liberated by this drug was insignificantly larger in the PANC-and GALL-block than in the ALC-and dTC-block.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"14 4","pages":"303-12"},"PeriodicalIF":0.0,"publicationDate":"1979-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11695863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Enflurane anaesthesia in a \"clinically closed\" system (author's transl)].","authors":"R Clasen, R Knitza, U Steingass, H Vonderschmitt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The following report will deal with the application of \"Enflurance\" in the clinically closed (rebreathing) system. The term clinically closed system defines a procedure where the phase of approach up to MAC and the phase of subsidence is pursued in a half-closed system and the maintenance in a closed system. Enflurane was chosen as volatile anaesthetic, because it has been increasingly applied world-wide on account of its convenient qualities. Besides enormous savings by way of a low consumption of narcotics, this method offers a reduced environmental pollution. In case of sufficient monitoring, this technique proves attractive to smaller hospitals, disaster medicine and central hospitals likewise.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"14 4","pages":"313-9"},"PeriodicalIF":0.0,"publicationDate":"1979-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11698203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Waste gas removal from the Digby Leigh valve (author's transl)].","authors":"H D Dahl","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"14 4","pages":"348-51"},"PeriodicalIF":0.0,"publicationDate":"1979-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11698208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H Stoeckel, H Lange, W Burr, J H Hengstmann, J Schüttler
{"title":"[EEG-spectrum analysis for documentation of depth of anaesthesia. Correlation with pharmacokinetic data of fentanyl (author's transl)].","authors":"H Stoeckel, H Lange, W Burr, J H Hengstmann, J Schüttler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The article reports on a study regarding the posibility of monitoring anaesthesia via EEG characteristics when using fentanyl-nitrous oxide. An alpha-delta index correlated sufficiently accurately with the plasma levels of fentanyl administered via continuous infusion.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"14 3","pages":"227-32"},"PeriodicalIF":0.0,"publicationDate":"1979-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11667264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[German interdisciplinary society of critical care medicine. I. Staffing of intensive care units with nursing personnel].","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"14 3","pages":"271-3"},"PeriodicalIF":0.0,"publicationDate":"1979-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11667268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[A retrospective study of the impressions and psychic reactions experienced by patients in a traumatological intensive care unit (author's transl)].","authors":"S Jelen, W Langen, G Tempel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>30 persons who had been treated for an average of 22 days on a traumatological intensive care unit were asked to comment on their impressions and experiences. 80% of the patients had been in need of artificial respiration; but this had not unduly distressed them and they remembered it only vaguely. The major worry in 30% of the cases was awareness of their condition and the fear of permanent physical and mental disablement. 25% had greatly suffered from thirst. There was no mention that finding themselves in an intensive care ward, being dependent on a respirator or monitoring equipment or being disorientated had caused distress. None of them had seriously contemplated the possibility of his own death. The frequent visits by relatives were regarded as great comfort and help towards achieving mental equilibrium. All these critically ill persons were highly impressed by the constant and dedicated medical and nursing care they had received.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"14 3","pages":"210-6"},"PeriodicalIF":0.0,"publicationDate":"1979-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11667261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[\"Locked-in\" syndrome in intensive care patients (author's transl)].","authors":"H Stefan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The \"locked-in\" syndrome constitutes a potential source of diagnostic and prognostic errors, especially in intensive care patients. The pathologicoanatomical, pathophysiological and clinical features of the syndrome are described and differentiated from other syndromes. Means of establishing contact are reviewed which would allow simple wishes on the part of the patient to be satisfied and thus prevent the psychic isolation of the (conscious) patient.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"14 3","pages":"217-20"},"PeriodicalIF":0.0,"publicationDate":"1979-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11667262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}