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[Anesthesia and intensive care in thoracic surgery]. 胸外科的麻醉与重症监护。
Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1989-12-01
K Wiedemann
{"title":"[Anesthesia and intensive care in thoracic surgery].","authors":"K Wiedemann","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":7813,"journal":{"name":"Anasthesie, Intensivtherapie, Notfallmedizin","volume":"24 6","pages":"319-20"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13761238","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 incidence of tuberculosis at an intensive care unit]. [重症监护病房的肺结核发病率]。
Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1989-12-01
C Männle, K Wiedemann, E Ruchalla
{"title":"[The incidence of tuberculosis at an intensive care unit].","authors":"C Männle,&nbsp;K Wiedemann,&nbsp;E Ruchalla","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>From 1986 to 1988 84 patients with tuberculosis were treated in the Intensive Care Unit of the Thorax Clinic Heidelberg (2.8% of total admissions). Only 18% (n = 15) of the cases were referred in the course of conservative treatment while 82% (n = 69) were admitted after thoracic surgery. In 49 of these patients (71%) the diagnosis of tuberculosis could be confirmed only postoperatively by histological examination. This diagnosis should be considered in any ICU patient belonging to the typical groups at risk or showing clinical signs of tuberculosis, e.g. weight loss, chronic productive cough and fever. For the confirmation of the diagnosis both microscopic examination and mycobacterial cultures are necessary. In cases of open tuberculosis in which mycobacteria are identified in sputum, urine or fistula secretion, the most important step of infection prophylaxis is the isolation of these patients (single rooms) and the prevention of airborne transmission by using face masks and protective gowns.</p>","PeriodicalId":7813,"journal":{"name":"Anasthesie, Intensivtherapie, Notfallmedizin","volume":"24 6","pages":"334-40"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13761869","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 postoperative treatment of hypertension with urapidil in patients with cerebrovascular aneurysms]. 【乌拉地尔治疗脑血管动脉瘤患者术后高血压】。
Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1989-12-01
S Hussein, V Seifert
{"title":"[The postoperative treatment of hypertension with urapidil in patients with cerebrovascular aneurysms].","authors":"S Hussein,&nbsp;V Seifert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 10 patients with subarachnoidal haemorrhage and an identified aneurysm the blood pressure was reduced intraoperatively by means of sodium nitroprusside. Arterial and intracranial pressures were continuously recorded in all patients. In 9 patients a rebound phenomenon occurred as manifested by an increase in blood pressure during the postoperative phase after sodium nitroprusside infusion. Rapid reduction of blood pressure was achieved in all patients by a bolus injection of initially 25 mg Urapidil. Undesirably low blood pressure values were seen in a patient. The continuously recorded intracranial pressure remained in the normal range in all patients. Blood pressure reduction by means of Urapidil does not exercise any influence on intracranial pressure, in contrast to blood pressure reduction via nitroglycerin, sodium nitroprusside, dihydroalacin and diazoxide.</p>","PeriodicalId":7813,"journal":{"name":"Anasthesie, Intensivtherapie, Notfallmedizin","volume":"24 6","pages":"373-6"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13762502","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
[Selective decontamination of the intestine--a principle of infection prevention on its way to becoming an established method?]. [选择性去污肠道——一种预防感染的原则正在成为一种既定方法?]。
Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1989-12-01
C P Stoutenbeek, H K van Saene, C Krier
{"title":"[Selective decontamination of the intestine--a principle of infection prevention on its way to becoming an established method?].","authors":"C P Stoutenbeek,&nbsp;H K van Saene,&nbsp;C Krier","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":7813,"journal":{"name":"Anasthesie, Intensivtherapie, Notfallmedizin","volume":"24 6","pages":"321-2"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13761239","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
[Anesthesia and intensive care in thoracic surgery]. 胸外科的麻醉与重症监护。
Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1989-12-01 DOI: 10.1055/S-2007-1001570
K. Wiedemann
{"title":"[Anesthesia and intensive care in thoracic surgery].","authors":"K. Wiedemann","doi":"10.1055/S-2007-1001570","DOIUrl":"https://doi.org/10.1055/S-2007-1001570","url":null,"abstract":"Bearbeitet von Stefan Fischer, Thomas Hachenberg, Tobias Welte, Gerhard Brodner, Christian Byhahn, Nicolas J. Dickgreber, Ralf Eberhardt, Axel Ekkernkamp, Stephanie Fresenius, Sylvia Gluer, Wilhelm Haverkamp, Goran Hedenstierna, Felix Herth, Marius M. Hoeper, Waheedullah Karzai, Martin Kleen, Uwe Klein, Alf Kozian, Christiane Kreuter, Michael Kreuter, Gerrit Matthes, Anna Lassia Meyer, Wolfgang Petermann, Siegfried Piepenbrock, Jens Ricke, Walter Schaffartzik, Jan-Peter Schenkengel, Ralf Scherer, Thomas Schilling, Michael Schmidt, Jens Schreiber, Sandra Schulte Tomaszek, Evren Senturk, Mert Senturk, Martin Struber, Klaus Wiedemann, Michael Winterhalter, Patrick Zardo, Bernhard Zwisler","PeriodicalId":7813,"journal":{"name":"Anasthesie, Intensivtherapie, Notfallmedizin","volume":"26 1","pages":"319-20"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75100984","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
[Bilateral giant distended cysts in lymphangioleiomyomatosis of the lung as a rare cause of inflow obstruction]. [肺淋巴管平滑肌瘤病的双侧巨大膨大囊肿作为流入阻塞的罕见原因]。
Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1989-12-01
H G Bischoff, C Männle, K Wiedemann, I Vogt-Moykopf
{"title":"[Bilateral giant distended cysts in lymphangioleiomyomatosis of the lung as a rare cause of inflow obstruction].","authors":"H G Bischoff,&nbsp;C Männle,&nbsp;K Wiedemann,&nbsp;I Vogt-Moykopf","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report on a 27-year-old female developing acute thoracic inlet obstruction by bilateral pulmonary cysts which arose from pulmonary lymphangioleiomyomatosis and increased with respiratory treatment. Bilateral synchronous bullectomy via median sternotomy was necessary to resolve the life-threatening condition. The most frequent differential diagnoses are tension pneumothorax and pericardial tamponade. Although this case of thoracic inlet obstruction was caused by a rare disease it may serve to recall the therapeutic problems encountered in bullous pulmonary lesions under tension, especially regarding acute volume expansion due to one-way valve mechanism during respiratory treatment or general anaesthesia.</p>","PeriodicalId":7813,"journal":{"name":"Anasthesie, Intensivtherapie, Notfallmedizin","volume":"24 6","pages":"341-4"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13761870","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
[Alfentanil combination anesthesia in adeno-tonsillectomy in children--a comparison with ethrane inhalation anesthesia]. [阿芬太尼联合麻醉在儿童腺扁桃体切除术中的应用——与乙烷吸入麻醉的比较]。
Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1989-12-01
U Skubella, H Hucke
{"title":"[Alfentanil combination anesthesia in adeno-tonsillectomy in children--a comparison with ethrane inhalation anesthesia].","authors":"U Skubella,&nbsp;H Hucke","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In two groups, each comprising 25 children undergoing adenotonsillectomy, two different methods of anaesthesia were used. Group I received ethrane inhalations, group II an alfentanil combination anaesthesia. The objective was to find out, whether or not the two methods differed in respect of haemodynamics, side-effects and practicability. In the patients of group II more haemodynamic stability, less ethrane consumption and faster postanaesthetic recovery was observed. The incidence of vomiting was equally low in both groups. Other side-effects ascribable to alfentanil, such as respiratory depression, chest rigidity and bradycardia, had no clinical significance. One may conclude from the results, that on account of the advantages described an alfentanil combination anaesthesia represents a true alternative to the routinely used \"pure\" inhalation anaesthesia in children undergoing adenotonsillectomy.</p>","PeriodicalId":7813,"journal":{"name":"Anasthesie, Intensivtherapie, Notfallmedizin","volume":"24 6","pages":"362-7"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13835480","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
[Midazolam for premedication of infants. A comparison of the effect between oral and rectal administration]. 咪达唑仑用于婴儿用药前。口服和直肠给药效果的比较[j]。
Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1989-12-01
W Tolksdorf, D Bremerich, U Nordmeyer
{"title":"[Midazolam for premedication of infants. A comparison of the effect between oral and rectal administration].","authors":"W Tolksdorf,&nbsp;D Bremerich,&nbsp;U Nordmeyer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Midazolam (M) has been successfully used in oral and rectal premedication of children of one to six years of age. The following study was designed to investigate the efficacy of both methods when used as premedication \"on demand\". 60 children (1-6 years) were randomly assigned to 0.3 mg/kg bw M orally and 0.5 mg/kg bw M rectally. Psychological, behavioural and physiological parameters were measured at special time intervals and special stressful events (separation from the mother or father, induction of anaesthesia). Rectally premedicated children were found to be better prepared concerning psychological and behavioural parameters. This can be due to the dosage as well as the faster absorption of M. In the postoperative period orally premedicated children experienced significantly more nausea and vomiting. This might be due to the preparation with saccharin, peppermint oil and ethanol. - In \"premedication on demand\" rectal Midazolam must be preferred to orally administered Midazolam in the preparation mentioned above.</p>","PeriodicalId":7813,"journal":{"name":"Anasthesie, Intensivtherapie, Notfallmedizin","volume":"24 6","pages":"355-61"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13835479","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
[Selective decontamination of the intestine--a principle of infection prevention on its way to becoming an established method?]. [选择性去污肠道——一种预防感染的原则正在成为一种既定方法?]。
Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1989-12-01 DOI: 10.1055/s-2007-1001571
C. Stoutenbeek, H. V. van Saene, C. Krier
{"title":"[Selective decontamination of the intestine--a principle of infection prevention on its way to becoming an established method?].","authors":"C. Stoutenbeek, H. V. van Saene, C. Krier","doi":"10.1055/s-2007-1001571","DOIUrl":"https://doi.org/10.1055/s-2007-1001571","url":null,"abstract":"","PeriodicalId":7813,"journal":{"name":"Anasthesie, Intensivtherapie, Notfallmedizin","volume":"26 1","pages":"321-2"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77786622","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
[Pulse oximetry monitoring of single lung anesthesia in non-cardiac thoracic surgery]. [非心脏胸外科手术单肺麻醉的脉搏血氧监测]。
Anasthesie, Intensivtherapie, Notfallmedizin Pub Date : 1989-12-01
B C Brendle, H Reus, J A Morgan
{"title":"[Pulse oximetry monitoring of single lung anesthesia in non-cardiac thoracic surgery].","authors":"B C Brendle,&nbsp;H Reus,&nbsp;J A Morgan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The pulse oximeter provides continuous and non-invasive measurement of the arterial oxygen saturation. Pulse oximetry contributes to safer patient management because of the immediate availability of oxygen saturation values. This is particularly important in high-risk anaesthesia such as one-lung anaesthesia. Pulse oximetry is as important as ECG monitoring and invasive blood pressure monitoring and should therefore be a standard monitoring technique in thoracic surgery. With a pulse oximeter it is possible to efficiently monitor anaesthesia during one lung ventilation thereby avoid hypoxia with its life-threatening complications.</p>","PeriodicalId":7813,"journal":{"name":"Anasthesie, Intensivtherapie, Notfallmedizin","volume":"24 6","pages":"323-6"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13761240","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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