Anasthesie, Intensivtherapie, Notfallmedizin最新文献_第7页

[Organ failure in patients with multiple trauma. The effect of early osteosynthesis of fractures on complications]. 多发创伤患者的器官衰竭。骨折早期植骨对并发症的影响[j]。

Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1990-02-01

H Burchardi, M Sydow, T A Crozier, J Burgdorff

引用次数: 0

[Mixed venous versus central venous oxygen saturation in intensive medicine]. [重症医学中混合静脉与中心静脉血氧饱和度]。

Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1990-02-01

M Wendt, T Hachenberg, A Albert, R Janzen

引用次数: 0

[Characteristics of the relative humidity and temperature in the inspiratory part of the Dräger circle system and their influence on the function of the ciliary epithelium]. [Dräger循环系统吸气部相对湿度和温度的特点及其对纤毛上皮功能的影响]。

Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1990-02-01

C Anger, T van Bömmel, S Phadana-anek, A Reich, J Büter, H Stahl, T Deitmer

{"title":"[Characteristics of the relative humidity and temperature in the inspiratory part of the Dräger circle system and their influence on the function of the ciliary epithelium].","authors":"C Anger, T van Bömmel, S Phadana-anek, A Reich, J Büter, H Stahl, T Deitmer","doi":"","DOIUrl":"","url":null,"abstract":"Changes in relative humidity and temperature of the anaesthetic gases were measured in the inspiratory limb of the Dräger circle system next to the carbon dioxide absorber in 29 patients requiring ENT surgery under general anaesthesia. Immediately following intubation and prior to extubation, nasal and tracheal cytologic samples were taken with a brush technique and ciliary beat frequency was determined. At a fresh gas flow of 6 l/min, relative humidity increased from 57.6 +/- 1.5 to 62.5 +/- 1.8% (p less than 0.05) after 110 minutes. Temperature increased continuously from 21.96 +/- 0.97 degrees C to 23.83 +/- 0.48 degrees C after 200 minutes. The number of vital ciliated cells in the tracheal samples decreased from 24.4% following induction of anaesthesia to 6% at the end of anaesthesia (p less than 0.05), and from 35.7% to 26.8% (p less than 0.05) in the nasal samples. Ciliary beat frequency remained unchanged at the end of anaesthesia as compared to control in tracheal as well as in nasal samples. It is concluded that the output of relative humidity and temperature in the circle system is not sufficient to prevent broncho-epithelial damage. Ciliary beat automaticity appears to behave according to an all or nothing principle.","PeriodicalId":7813,"journal":{"name":"Anasthesie, Intensivtherapie, Notfallmedizin","volume":"25 1","pages":"107-11"},"PeriodicalIF":0.0,"publicationDate":"1990-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13460158","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

[Total intravenous anesthesia using propofol and alfentanil in comparison with balanced anesthesia in neurosurgery]. [异丙酚和阿芬太尼全静脉麻醉与神经外科平衡麻醉的比较]。

Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1990-02-01

H Van Aken, J Van Hemelrijck, L Merckx, T Möllhoff, J Mulier, H J Lübbesmeyer

{"title":"[Total intravenous anesthesia using propofol and alfentanil in comparison with balanced anesthesia in neurosurgery].","authors":"H Van Aken, J Van Hemelrijck, L Merckx, T Möllhoff, J Mulier, H J Lübbesmeyer","doi":"","DOIUrl":"","url":null,"abstract":"Anaesthesia for neurosurgical patients should provide haemodynamic stability, reduce cerebral metabolism, preserve cerebral autoregulation, avoid increases of intracranial pressure and guarantee rapid recovery without respiratory depression. A commonly used Balanced Anaesthesia (BA, n = 20) (thiopental and fentanyl bolus induction and maintenance with repetition boluses of fentanyl and droperidol, thiopental infusion, and isoflurane in N2O/O2) was compared to Total Intravenous Anaesthesia (TIVA, n = 20) with propofol and alfentanil infusion. Pancuronium was employed for muscle relaxation in both groups. The TIVA evinced more haemodynamic stability during induction; notably, there was no increase in blood pressure after intubation, as seen in the BA group. Another advantage of TIVA is that it obviates the use of N2O. Quality of recovery after the procedure was determined by standardised psychometric tests. The time span between awakening of patients to orientation and concentration was significantly shorter in the TIVA group compared to the BA group. There was also a smaller deviation of these parameters in the TIVA group indicating a more predictable recovery.","PeriodicalId":7813,"journal":{"name":"Anasthesie, Intensivtherapie, Notfallmedizin","volume":"25 1","pages":"54-8"},"PeriodicalIF":0.0,"publicationDate":"1990-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13460159","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 effect of staged lavages in peritonitis on the vital functions]. [腹膜炎分期灌洗对肺脏功能的影响]。

Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1990-02-01

E Götz, S Bogosyan, D Loose

引用次数: 0

[Fresh gas flow and artificial respiration in anesthesia. Technical requirements for the adequate use of rebreathing systems]. 麻醉中的新鲜气流和人工呼吸。充分使用再呼吸系统的技术要求]。

Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1990-02-01

J Baum, G Sachs

{"title":"[Fresh gas flow and artificial respiration in anesthesia. Technical requirements for the adequate use of rebreathing systems].","authors":"J Baum, G Sachs","doi":"","DOIUrl":"","url":null,"abstract":"The majority of modern anaesthetic machines is designed for the rebreathing method. But frequently high fresh gas flows are employed, thus minimising the rebreathing fraction of expiratory gases. However, only by reducing the fresh gas flow substantially, the advantages of the rebreathing technique can be obtained. To evaluate the practicability of flow reduction, minimal flow anaesthesia was carried out with four different anaesthetic machines: AV 1 (Drägerwerk AG, Lübeck), ELSA (Gambro Engström AB, Bromma, Sweden), SULLA 808 V (Drägerwerk AG, Lübeck) und VIVOLEC (Hoyer Medizintechnik, Bremen). Fresh gas flow was reduced to 0.5 l/min after an initial phase of 15-20 min, during which the fresh gas flow was kept at a high level of 4.4 l/min. The minute volumes before and after fresh gas flow reduction were compared. The minute volume decreased markedly and significantly in the SULLA 808 group, whereas it remained nearly unchanged in the AV 1, the ELSA, and the VIVOLEC groups. The differences result from different modes of fresh gas delivery into the breathing circuit. If anaesthetic apparatus that maintain their tidal volume with different fresh gas flow rates are employed, rebreathing systems may be used judiciously by changing the fresh gas flow according to the individual uptake or any particular clinical requirement.","PeriodicalId":7813,"journal":{"name":"Anasthesie, Intensivtherapie, Notfallmedizin","volume":"25 1","pages":"72-8"},"PeriodicalIF":0.0,"publicationDate":"1990-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13460161","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

[Computer-assisted documentation and performance data processing in the intensive care unit. Description of a custom development]. 重症监护病房的计算机辅助文件和性能数据处理。自定义开发的描述]。

Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1990-02-01

H N Herden, A Tecklenburg

引用次数: 0

[High-frequency ventilation: side effects and dangers]. 【高频通气:副作用和危险】。

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

J L Theissen, K Redmann, P P Lunkenheimer, G Grosskopff, R E Zimmermann, P Lawin

引用次数: 0

[Continuous intragastric pH measurement in intensive care patients treated with ranitidine and tube feeding]. [雷尼替丁加管饲重症患者连续胃内pH测定]。

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

C Krier, H Böhrer, G Jürs, S Warth, O H Just

{"title":"[Continuous intragastric pH measurement in intensive care patients treated with ranitidine and tube feeding].","authors":"C Krier, H Böhrer, G Jürs, S Warth, O H Just","doi":"","DOIUrl":"","url":null,"abstract":"We studied 22 critically ill patients on long-term mechanical ventilation using continuous intragastric pH monitoring with an antimony electrode. Intragastric pH profiles were established for the duration of mechanical ventilation (mean: 7 days). The aim of our study was to achieve a gastric pH between 3.0 and 4.5 utilizing the H2-receptor antagonist ranitidine and nasogastric feeding with Nutricomp F. Patients were divided into three groups which were given (A) ranitidine boluses, (B) continuous ranitidine infusions, or (C) continuous ranitidine infusions together with enteral nutrition via the nasogastric tube. In group B we were able to obtain a pH value between 3.0 and 4.5 only in 11.6% of the observation period. With ranitidine boluses, there were even less measurements (9.3%) in the \"optimal\" pH range. The combination of continuous ranitidine application together with enteral alimentation made our attempts slightly more successful (20.0%). This failure to achieve the desired pH range encourages airway colonisation and nosocomial pneumonia at gastric pH greater than 4.5. At pH less than 3.0 there is a significantly higher incidence of acute stress ulcerations. Other therapeutic regimens e.g. the application of pirenzepine and sucralfate offer adequate protection of the gastric mucosa without raising the pH level.","PeriodicalId":7813,"journal":{"name":"Anasthesie, Intensivtherapie, Notfallmedizin","volume":"25 Suppl 1 ","pages":"10-3"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13262155","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 effects of incremental PEEP on atrial natriuretic peptide, right atrial pressure and the size of the right atrium in anesthetized patients]. [增加PEEP对麻醉患者心房钠素肽、右心房压及右心房大小的影响]。

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

J Scholz, F Bednarz, N Roewer, R Schmidt, J Schulte am Esch

{"title":"[The effects of incremental PEEP on atrial natriuretic peptide, right atrial pressure and the size of the right atrium in anesthetized patients].","authors":"J Scholz, F Bednarz, N Roewer, R Schmidt, J Schulte am Esch","doi":"","DOIUrl":"","url":null,"abstract":"8 ASA class II-III patients (50-67 years) undergoing traumatic-surgical procedures were studied. Since the release of atrial natriuretic peptide (ANP) is stimulated by volume loading and increased right atrial pressure (RAP), the effects of incremental positive end-expiratory pressure (PEEP) on ANP-concentration, RAP and right atrial dimensions were investigated. Anaesthesia was induced with intravenous etomidate and vecuronium and maintained after endotracheal intubation with 66% N2O in O2 and ethrane (0.4-0.6 Vol.-%). A catheter was inserted into the A. radialis for blood sampling and determination of mean arterial pressure (MAP). For determining endsystolic (RAESA) and end-diastolic (RAEDA) areas of the right atrium a 5 MHz transoesophageal echocardiographic (TEE)-probe was positioned at the level of the foramen ovale. Under TEE-control a catheter was placed into the right atrium for measurement of RAP. The method for ANP determination was based on a direct radioimmunoassay that is specific for human ANP (ANP-J125). PEEP was incrementally raised from 0 to 16 mbar in 4 mbar steps each for 5 min and thereafter reduced to 0 mbar. During the investigation no significant differences were detectable for MAP, heart rate, end-expiratory CO2 partial pressure and the arterial O2 saturation. However, 16 mbar PEEP ventilation increased plasma ANP concentrations (from 44.3 +/- 9.7 to 58.1 +/- 8.7 pg/ml) and RAP (from 4.4 +/- 0.9 to 10.7 +/- 0.9 mmHg) whereas the right atrial dimensions RAESA (from 9.4 +/- 1.0 to 4.6 +/- 0.6 cm2) and RAEDA (from 5.9 +/- 1.2 to 3.2 +/- 0.4 cm2) decreased.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":7813,"journal":{"name":"Anasthesie, Intensivtherapie, Notfallmedizin","volume":"25 Suppl 1 ","pages":"20-4"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13293070","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