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Praktische Anasthesie, Wiederbelebung und Intensivtherapie最新文献

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[Comparison of cardiac and vascular effects of sulfentanil (R 30730), a new analgetic, and fentanyl (author's transl)]. [一种新的镇痛药——舒芬太尼(r30730)和芬太尼(作者简介)对心脏和血管的作用比较]。
Praktische Anasthesie, Wiederbelebung und Intensivtherapie Pub Date : 1978-10-01
G Hempelmann, W Seitz, S Piepenbrock, E Schleussner
{"title":"[Comparison of cardiac and vascular effects of sulfentanil (R 30730), a new analgetic, and fentanyl (author's transl)].","authors":"G Hempelmann,&nbsp;W Seitz,&nbsp;S Piepenbrock,&nbsp;E Schleussner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 31 patients with congenital or acquired heart disease, functional class III NYHAC, effects of Sulfentanil (R 30730)--a new analgetic--on hemodynamics, inotropic state and myocardial oxygen consumption have been investigated intraoperatively, during extracorporeal circulation and postoperatively. Results are compared to a fentanyl-group and control-group. There was almost no change in cardiac index and stroke index. In comparison to fentanyl (dose relation fentanyl: sulfentanil = 10:1) there was a more pronounced decrease in aterial pressure, left ventricular pressure, peak dp/dt and myocardial oxygen consumption (-20%) in the sulfentanil-group. In contrast to the fentanyl-group there was, however, no increase in total pulmonary resistance with sulfentanil.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"13 5","pages":"429-37"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11572427","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}
引用次数: 0
[Risks associated with regional anaesthesia (author's transl)]. [与区域麻醉相关的风险(作者简介)]。
Praktische Anasthesie, Wiederbelebung und Intensivtherapie Pub Date : 1978-10-01
H Nolte
{"title":"[Risks associated with regional anaesthesia (author's transl)].","authors":"H Nolte","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The risks attendant on regional anaesthesia derive from the condition of the patient, the technique employed and the skill, or lack of skill, on the part of the anaesthetist. Patient-determined risk factors are: existent diseases and pathological conditions which in many cases cannot be rectified pre-operatively. The main difficulties and complications of regional anaesthesia arise from mechanical, pharmacodynamic and toxic factors and infection. Each technique carries its own specific risk. With due care many of the complications can be prevented.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"13 5","pages":"351-5"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11915194","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}
引用次数: 0
[Air embolism; a complication during neurosurgery in the sitting position (author's transl)]. (空气栓塞;坐位神经外科手术中的并发症[作者简介]。
Praktische Anasthesie, Wiederbelebung und Intensivtherapie Pub Date : 1978-10-01
C Krier, K Wiedemann
{"title":"[Air embolism; a complication during neurosurgery in the sitting position (author's transl)].","authors":"C Krier,&nbsp;K Wiedemann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Neurosurgery in the sitting position not only puts a strain on the cardiopulmonary system, but also carries the risk of venous air embolism. Special monitoring procedures as well as prophylactic measures greatly contribute towards the safety of the patient. The pathogenesis, pathophysiology and the symptoms of venous air embolism are reviewed, and various monitoring methods are discussed, with special reference to their reliability, sensitivity and practicability. The analysis shows that the Doppler ultrasound method, continuous capnography during the duration of the operation, intra-arterial measurement of blood pressure, recording of the central venous pressure and of electrocardiographic changes are essential means of routine monitoring. Suspected air embolism must be promptly dealt with not only by ligation of the severed vein but also by attempts at aspiration of the air bubbles via the atrial catheter. The latter, therefore, plays an important role both as a diagnostic parameter and a therapeutic agent. Although the suggested prophylactic measures do not absolutely protect against complications they will markedly reduce the incidence of venous air embolism.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"13 5","pages":"386-97"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11916291","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}
引用次数: 0
[Antacids for preventing aspiration pneumonia (Mendelson syndrome) in obstetric anaesthesia (author's transl)]. [产科麻醉中预防吸入性肺炎(门德尔松综合征)的抗酸剂[作者简介]。
Praktische Anasthesie, Wiederbelebung und Intensivtherapie Pub Date : 1978-10-01
K U Josten
{"title":"[Antacids for preventing aspiration pneumonia (Mendelson syndrome) in obstetric anaesthesia (author's transl)].","authors":"K U Josten","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The risk of aspiration pneumonia attendant on obstetric anaesthesia and the importance of the pH value of the aspirated gastric juice in the development of aspiration pneumonia are emphasized. The use of antacids and other agents as a preventive measure is reviewed.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"13 5","pages":"405-8"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11916294","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}
引用次数: 0
[Cardiac arrest and hydrothorax as a complication of anaesthesia following subclavian catheter (author's transl)]. [心脏骤停和胸腔积液作为锁骨下导管麻醉的并发症[作者简介]。
Praktische Anasthesie, Wiederbelebung und Intensivtherapie Pub Date : 1978-10-01
A Crnogorac, K F Rothe, R Schorer
{"title":"[Cardiac arrest and hydrothorax as a complication of anaesthesia following subclavian catheter (author's transl)].","authors":"A Crnogorac,&nbsp;K F Rothe,&nbsp;R Schorer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The present case report describes a case of intrapleural infusion by means of a subclavian catheter. The clinical situation together with the signs of posteroinferior infarction in ECG led to a wrong diagnosis. During an emergency oepration the intrapleural infusion caused cardiac arrest which could be mastered by successful reanimation. After drainage of the intrapleural infusion the patient recovers without further complications. Prior to every infusion subclavicular catheters should be tested by blood aspiration.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"13 5","pages":"449-52"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11916297","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}
引用次数: 0
[Temporary paresis of the phrenic nerve as a complication of subclavian vein puncture (author's transl)]. [锁骨下静脉穿刺引起的膈神经暂时性麻痹[作者简介]]。
Praktische Anasthesie, Wiederbelebung und Intensivtherapie Pub Date : 1978-10-01
C Axhausen
{"title":"[Temporary paresis of the phrenic nerve as a complication of subclavian vein puncture (author's transl)].","authors":"C Axhausen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case of phrenic nerve paresis as a complication of puncture of the right subclavian vein in local anesthesia is reported. The paresis and phrenoparalysis disappeared after 90 minutes. Possible reasons are discussed.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"13 5","pages":"452-4"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11916298","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}
引用次数: 0
[The role of the physician in assessing fitness for surgery (author's transl)]. [医生在评估手术适应度中的作用(作者译)]。
Praktische Anasthesie, Wiederbelebung und Intensivtherapie Pub Date : 1978-10-01
T Brecht
{"title":"[The role of the physician in assessing fitness for surgery (author's transl)].","authors":"T Brecht","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The decision regarding fitness of a person to undergo surgery and anaesthesia is made by the surgeon and anaesthetist according to agreed criteria. The physician takes part in the decision only in those cases where additional information regarding the type and extent of the disorder is required or when doubtful findings need further clarification. Closer co-operation between anaesthetist and physician regarding the indications for pre-operative tests and investigations is desirable.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"13 5","pages":"364-7"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11915196","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}
引用次数: 0
[Cardiovascular effects produced by prophylactic digitalization during introduction of anaesthesia (author's transl)]. [麻醉引入期间预防性数字化对心血管的影响(作者简介)]。
Praktische Anasthesie, Wiederbelebung und Intensivtherapie Pub Date : 1978-10-01
R Köppen, K Köhne, J Busse, I Hosselmann, E Klaschik, F Simons
{"title":"[Cardiovascular effects produced by prophylactic digitalization during introduction of anaesthesia (author's transl)].","authors":"R Köppen,&nbsp;K Köhne,&nbsp;J Busse,&nbsp;I Hosselmann,&nbsp;E Klaschik,&nbsp;F Simons","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The narrow field of non-controversial indications concerning the application of digitalis glycosides is pointed out. Problems of routine digitalization of older patients not suffering from cardiac insuffiency are discussed with special regard to preparing them for operations. Up to now, from the viewpoint of anaesthesiologists no benefits of prophylactic digitalization have been found. In a retrospective computerized study, clinical hemodynamic parameters during introduction of anaesthesia have been investigated by means of anaesthetic data recorded during three years. Nondigitalized patients older than fifty years showed satisfactory cardiac functions, whereas prophylactically digitalized patients--compared with the control group--have been treated with plasma expanders earlier and at a double rate. Furthermore, higher heart frequencies and greater tendency to arrythmias were observed. Consequently, prophylactic digitalization cannot be recommended in general.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"13 5","pages":"409-15"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11916295","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}
引用次数: 0
[Anaesthesia and immunology (author's transl)]. 麻醉与免疫学(作者译)。
Praktische Anasthesie, Wiederbelebung und Intensivtherapie Pub Date : 1978-10-01
A Koenig, U D Koenig, H Stoeckel
{"title":"[Anaesthesia and immunology (author's transl)].","authors":"A Koenig,&nbsp;U D Koenig,&nbsp;H Stoeckel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There is evidence of immunosuppressive influence of trauma/operation and anesthesia. The human immunological system is outlined as a complex functioning apparatus with humoral and cellular factors. The influence of operation and/or anesthesia on immunocompetence has been demonstrated by animal studies, in vitro examinations and clinical investigations. The analysis of these results and their significance for an impairment of the immunological surveillance of the patient is tried to be elucidated. There should be payed attention to the clinical consequences, especially in patients on high risk.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"13 5","pages":"415-29"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11570332","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}
引用次数: 0
[Cardio-circulatory effects of aminophylline (Euphyllin) (author's transl)]. [氨基茶碱(Euphyllin)的心血管作用(作者译)]。
Praktische Anasthesie, Wiederbelebung und Intensivtherapie Pub Date : 1978-10-01
G Hempelmann, C Frerk, S Piepenbrock, E Schleussner
{"title":"[Cardio-circulatory effects of aminophylline (Euphyllin) (author's transl)].","authors":"G Hempelmann,&nbsp;C Frerk,&nbsp;S Piepenbrock,&nbsp;E Schleussner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 24 patients with congenital or acquired heart disease, functional class II--IV New York Heart Association Classification, effects of aminophylline on hemodynamics have been investigated intraoperatively, during extracorporeal circulation and postoperatively. Aminophylline caused a decrease in arterial pressure, left ventricular pressure, right and left atrial pressure, total systemic resistance and total pulmonary resistance. At the same time there was an increase in heart peak, peak dp/dt, cardiac index and stroke index. Our results demonstrate beneficial cardiac and extracardiac effects of aminophylline in man.</p>","PeriodicalId":76342,"journal":{"name":"Praktische Anasthesie, Wiederbelebung und Intensivtherapie","volume":"13 5","pages":"437-45"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11572428","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}
引用次数: 0
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