{"title":"[Radiological changes of the lungs induced by inhalation of irritating gases (author's transl)].","authors":"D Novak, W Rothenberger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The radiological changes and clinical symptoms induced by in 109 persons by inhalation of irritant gases are described. Seven persons developed pulmonary oedema, abnormal radiological manifestations were observed in 19 while 81 persons there were no detectable radiological changes. Toxic pulmonary oedema is frequently detected earlier by roentgenologic means than clinically. The length of the radiological latent period depends not only on the concentration of the irritant but also on the type of the gaseous substance. The first roentgenologic signs of toxic pulmonary oedema are broadening and blurring of the outline of the hilar vessels. The pulmonary changes are characterized initially by disseminated small to medium sized shadows in the central portion and base of the lungs; later they tend to spread and merge.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"14 2","pages":"162-73"},"PeriodicalIF":0.0,"publicationDate":"1979-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11657342","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":"[Interpretation of chest roentgenograms of intensive care patients. A comparison of pathoanatomical and roentgenographic findings (author's transl)].","authors":"P E Peters, B Walther, V Brand, G Bürk, M Wendt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chest roentgenograms made within 24 hours of death were compared to the autopsy findings. Out of 150 unselected autopsy records of the years 1973/74 and 1976/77 50 and 91 cases respectively were suitable for evaluation. Since 1973/74 the radiographic technique has been considerably changed by the introduction of powerful condenser discharge equipment and the use of highly intensifying screens. Daily discussions with the physicians in charge of the intensive care unit and routine comparison of the pathological and radiological findings were also introduced. The success of these measures is reflected in the greater diagnostic accuracy in respect of the case material for the 1976/77 period. Comparison of the findings in cases of pulmonary embolism exposed the limitation of diagnostic radiology.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"14 2","pages":"111-5"},"PeriodicalIF":0.0,"publicationDate":"1979-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11657337","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":"[Pneumoperitoneum induced by artificial respiration and its diagnosis by peritonel lavage (author's transl)].","authors":"K Rommelsheim, E Kalbhenn, T Franken","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ventilation with increased end-exspiratory pressure may, especially in cases of blunt chest trauma, result in pneumoperitoneum although there are no intestinal injuries. The case histories of four persons who developed this complication are reviewed. Differentiation between such a complication and a condition requiring laparotomy is often difficult because other injuries, particularly a cerebrocranial trauma, may obscure the clinical symptoms. Diagnostic peritoneal lavage may help towards differentiating between a ventilation-induced pneumoperitoneum and an \"acute abdomen\" caused by perforation or rupture of an intra-abdominal hallow organ.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"14 2","pages":"174-81"},"PeriodicalIF":0.0,"publicationDate":"1979-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11657343","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 and value of chest radiography in patients with respiratory insufficiency (author's transl)].","authors":"K Rommelsheim, H Stoeckel, M Thelen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chest X-rays of patients with respiratory insufficiency provide different information depending on the stage of the disease. The indications for chest radiography should, therefore, be determined by whether the examination is intended to establish the diagnosis and causes of the respiratory disease, to arrive at the differential diagnosis or test the efficacy of treatment.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"14 2","pages":"102-10"},"PeriodicalIF":0.0,"publicationDate":"1979-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11654716","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":"[Chest radiography for the detection of accidents during intensive care procedures (author's transl)].","authors":"W Erbe, E Bücheler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>One of the indications for chest radiography in intensive care units is the diagnosis for mishaps or sequelae arising, e.g., from failure to insert a central venous catheter, wrong position of the catheter, a too deeply inserted tracheal tube, a wrongly sited gastric catheter; also to find the causes of, e.g., lack of stimulation by a pacemaker or ineffective thorax drainage. Success in this type of diagnostic radiography presupposes a competent technique, radiopaque catheter material and a thorough acquaintance on the part of the radiologist with the procedures employed in intensive care. Abb. 7 a.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"14 2","pages":"148-53"},"PeriodicalIF":0.0,"publicationDate":"1979-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11657340","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":"[Misinterpretation of chest roentgenogram in intensive care patients (author's transl)].","authors":"H St Stender, J Mellmann, O A Trentz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Misinterpretation of chest roentgenograms in intensive care patients can be largely obviated by a skilled technique and a thorough knowledge on the part of the radiologist of the structural changes in the lungs and their differential diagnostic significance. Correct interpretation is facilitated by relating the observed changes to the pathophysiological clinical findings.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"14 2","pages":"154-61"},"PeriodicalIF":0.0,"publicationDate":"1979-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11657341","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":"Long duration subarachnoid anaesthesia with continuous epidural block.","authors":"I Curelaru","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Unlabelled: </strong>A method of spinal anaesthesia with Dixidextracaine-70 (a mixture of xylocaine 40.0 mg + percaine, 10.0 mg+ Dextran-70, 60,0 mg+ distiled water ad 2.0 ml) with continuous epidural block has been tested in 150 patients. The advantages of this association are: the possibility of obtaining a high quality conduction anaesthesia, virtually unlimited in time, the ability to extend over several anatomical regions the surgical field, minimal toxicity, the absence of postoperative pulmonary complications, and the economy. Drawbacks are: the need for two vertebral punctures, the longer induction time of anaesthesia and some difficulty in finding the subarachnoid space after catheterisation of the epidural space. The indications of the method include subdiaphragmatic surgery, interventions on more than one anatomical region, surgery in aging patients, patients with full stomach, and those with anaesthetic and surgical risk, as well as socioeconomic factors which may prevent application of a differentiated and safe narcosis.</p><p><strong>Contraindications: </strong>those of subarachnoid and epidural block. The incidents and accidents are minimal and specific to both techniques. The fear of producing total subarachnoid anaesthesia by injection of the anaesthetic solution in the epidural space after puncture of the subarachnoid space is virtually unfounded.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"14 1","pages":"71-8"},"PeriodicalIF":0.0,"publicationDate":"1979-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11625867","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}
W Tolksdorf, G Ditterich, H J Hartung, R Klose, H Lutz
{"title":"[The effects of various anaesthetic techniques on central venous pressure during transurethral prostatectomy (author's transl)].","authors":"W Tolksdorf, G Ditterich, H J Hartung, R Klose, H Lutz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Central venous pressure was measured in 34 persons who had transurethral prostatectomy in general or regional anaesthesia. The aim of the investigation was to ascertain to what extent measurement of the central venous pressure as a parameter of blood volume can help towards the early diagnosis of hypervolaemia caused by the leakage of irrigation fluid into the patient's circulation. During general anaesthesia blood pressure and central venous pressure reached their maximum 10 minutes later and were significantly higher than was the case in regional anaesthesia. For detecting and preventing dangerous hypervolaemia during transurethral prostatectomy in general anaesthesia routine recording of the central venous pressure is recommended. The less severe reaction during regional anaesthesia on the circulation is probably attributable to a sympathicolytic effect and peripheral pooling. The early detection of the leakage syndrome is easier in the conscious patient.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"14 1","pages":"35-41"},"PeriodicalIF":0.0,"publicationDate":"1979-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11305632","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":"[Electrostimulation anaesthesia for surgery of the limbs (author's transl)].","authors":"M Fischer, O H Just, D Maric","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In Germany electrostimulation anaesthesia (ESA) has, so far, not been considered suitable for surgical operations on the extremities. An attempt was made to develop a combination of acupuncture points that would allow the use of ESA for this type of surgery. Based on the experience gained with ESA in abdominal surgery the suitability of paravertebral contact electrodes for operations on the limb was studied. Because of its simplicity and efficacy this technique of ESA is highly recommended.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"14 1","pages":"8-13"},"PeriodicalIF":0.0,"publicationDate":"1979-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11624719","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":"[Characteristics of electrostimulation with the multi-purpose therapy apparatus 71-3 for electroacupuncture analgesia].","authors":"J Baum","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The stimulating impulses employed in electroacupuncture analgesia are of widely differing character and strength. Experiences with the Chinese impulse generator MPTA 71-3 clearly show the necessity to determine the performance of the generator and to measure and record the strength, configuration and frequency of the electrical impulses employed. A simple equipment for measuring these factors is described. The apparatus makes it possible to record the character and type of the stimuli and to compare different techniques of stimulation.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"14 1","pages":"14-22"},"PeriodicalIF":0.0,"publicationDate":"1979-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11625863","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}