Anasthesie, Intensivtherapie, Notfallmedizin最新文献_第4页

[Postoperative course and endocrine stress reaction of geriatric patients with para-articular hip fractures. Prospective randomized study comparing spinal anesthesia and halothane intubation narcosis]. 老年髋部关节旁骨折患者的术后病程及内分泌应激反应。前瞻性随机研究比较脊髓麻醉和氟烷插管麻醉[j]。

Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1990-08-01

H A Adams, C Wolf, G Michaelis, G Hempelmann

引用次数: 0

[Unstable blood pressure during anesthesia in diabetic patients with autonomic neuropathy]. 【糖尿病伴自主神经病变患者麻醉期间血压不稳定】。

Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1990-08-01

D Knüttgen, U Büttner-Belz, A Gernot, M Doehn

{"title":"[Unstable blood pressure during anesthesia in diabetic patients with autonomic neuropathy].","authors":"D Knüttgen, U Büttner-Belz, A Gernot, M Doehn","doi":"","DOIUrl":"","url":null,"abstract":"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. Cardiovascular autonomic function was examined preoperatively by a combination of tests (heart rate variations during deep breathing, Valsalva ratio, 30:15 ratio, postural hypotension, sustained hand grip). A scoring system based on these tests provided the staging of the autonomic involvement of the patients (AN score). The anaesthesiological management (thiopentone, N2O, halothane) and the operative procedure (vitrectomy) were uniform. A significant correlation was found between the AN score and the coefficient of variation of the systolic (r = 0.70, p less than 0.001) resp. the diastolic (r = 0.52, p less than 0.01) blood pressure during anaesthesia. No correlation was found between the intraoperative variability of the arterial blood pressure (coefficient of variation) and the age of the patients resp. the preoperative value of the blood pressure. In diabetics with severe autonomic neuropathy (AN score greater than 5) hypotensive reactions were seen very often during the operation. The results demonstrate that the haemodynamic stability in the perioperative period depends on the severity of the autonomic dysfunction. Diabetics with severe autonomic neuropathy have a high risk of blood pressure instability. Non-invasive diagnostic methods allow to identify these patients preoperatively.","PeriodicalId":7813,"journal":{"name":"Anasthesie, Intensivtherapie, Notfallmedizin","volume":"25 4","pages":"256-62"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13374102","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

[Case report: lumen obstruction with a Magill tube]. [病例报告:Magill管梗阻]。

Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1990-08-01

A Deller, T Weichel

引用次数: 0

[Performance of a rescue breathing device with glossopalatinal tube]. [带舌腭管的抢救呼吸装置的性能]。

Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1990-08-01

H Reissmann, H Beck, G Schöntag, P E Reimitz

{"title":"[Performance of a rescue breathing device with glossopalatinal tube].","authors":"H Reissmann, H Beck, G Schöntag, P E Reimitz","doi":"","DOIUrl":"","url":null,"abstract":"The \"Lifeway\" is a device for rescue breathing consisting of a mouthpiece for the rescuer, a non-rebreathing valve, a mouth-sealing cap and a glosso-palatinal tube (GPT) reaching into the patient's mouth. 54 patients--22 toothless and 32 with firm teeth--were ventilated mechanically via the original \"Lifeway\", via a variant with additional side-holes in the GPT, and, for comparison, via anaesthesia mask plus oropharyngeal airway and via endotracheal tube. Ventilation was sufficient: The arterial oxygen saturations, measured by pulse oximetry, and the end-tidal CO2 partial pressures were equal to those during ventilation via mask. Placing the modified \"Lifeway\" in toothless patients was significantly easier than placing the original and as easy as placing the mask; with the patients having firm teeth there were no significant differences. The incidence of obstructions, as registered by impediments to exhalation and by increases in peak inspiratory pressure, was significantly less frequent with the modified device, since the tongue could be \"scooped\" to a ventro-caudal direction if necessary. The modified \"Lifeway\" was as effective as the combination of anaesthesia mask and pharyngeal airway. The problems of the latter are, however, avoided; the use of the device by laymen thus seems feasible.","PeriodicalId":7813,"journal":{"name":"Anasthesie, Intensivtherapie, Notfallmedizin","volume":"25 4","pages":"287-92"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13275359","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

[Propofol infusion for sedation in regional anesthesia. A comparison with midazolam]. 异丙酚输注用于局部麻醉镇静。[与咪达唑仑的比较]。