Der anaesthesist zeitschrift

Die Hypnotika haben keinen wesentlichen schmerzlindernden und nur einen geringen muskelerschlaffenden Effekt. Eine Muskelerschlaffung entsteht durch Muskelrelaxanzien wie Rocuroniumcis- AtracuriumMivacuriumVecuronium oder Succinylcholin. Lachgas hingegen wirkt stark analgetisch, hat jedoch nur einen geringen hypnotischen und keinen muskelrelaxierenden Effekt. Das Einsatzspektrum dieser Methoden ist allerdings begrenzt.

Der anaesthesist zeitschrift

As a form of neuraxial blockade local anesthetics are injected in the subarachnoid space of the lumbar spine. SPA can be used in surgery of lower limb, anorectal surgery and provide an excellent and favorable alternative to general anesthesia in cesarean section.

Onset and duration of action as well as adverse effects such as cardiotoxicity are directly related to pharmacological and —kinetic characteristics of local anesthetics.

Hyperbaric solutions show faster time to achieve sensory blockade compared to isobaric. Opioids or other drugs like clonidine can be successfully used to prolong duration of blockade. Old drugs such as prilocaine open up new ways in ambulatory surgery.

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When performing SPA, it is important to be aware of complication, their prevention and treatment. Systemic toxicity due to high intravascular concentration of LA is a rare, but life-threatening complication requiring immediate treatment. In contrast, hypotension due to sympathetic blockade and consecutive vasodilation is common and related to severe effects e.

Fluid management and vasopressor therapy are controversially discussed in current literature. Neurological complication such as spinal epidural hematoma or abscess often require neurosurgical therapy, while other such as transient neurological symptoms or post-dural puncture headache can be treated conservatively.

It seems favorably to implement a hospital wide acknowledge standard how to perform SPA in different patient collectives. Continuous training and education for medical staff performing SPA on a regular basis in order to be able to deal confidently with adverse effects e.

Keywords spinal anesthesia; local anesthetics; adverse effects; hypotension Full Text: Subscribers Only References Abouleish, E. Long-term follow-up of epidural blood patch. Anesthesia and analgesia, 54 4— Treatment of post-dural puncture headache with bilateral greater occipital nerve block.

Headache, 50 5— Auf Grundlage der 9. Efficacy of low-dose bupivacaine in spinal anaesthesia for Caesarean delivery: British journal of anaesthesia, 67 136— Current opinion in anaesthesiology, 22 5— Randomised comparison of hyperbaric articaine and hyperbaric low-dose bupivacaine along with fentanyl in spinal anaesthesia for day-case inguinal herniorrhaphy.

European journal of anaesthesiology, 29 122— Drug therapy for treating post-dural puncture headache.

Der anaesthesist zeitschrift

The Cochrane database of systematic reviews. Prevention de l'hypotension induite par la rachianesthesie au cours de la cesarienne programmee: Annales francaises d'anesthesie et de reanimation, 33 12— Current pharmaceutical biotechnology, 12 2— Headache, 50 7— Comparison of intrathecal bupivacaine and levobupivacaine combined with opioids for Caesarean section.

Publikationen von Mitarbeitern der Klinik

Current medical research and opinion, 23 12— Regional anesthesia and obesity. Obesity surgery, 17 9— Iatrogenic spinal hematoma as a complication of lumbar puncture: What is the risk and best management plan?

Surgical neurology international, 7 Suppl 22S Pharmacokinetics of Local Anesthetics. Basic science and practical applications pp. Molecular mechanisms of local anesthesia: Anesthesiology, 72 4— Unexpected cardiac arrest during spinal anesthesia:Die Tabelle stellt die Diagnosen Somatisierungstörung und Fibromyalgie gegenüber, Hauptunterscheidungsmerkmal sind die tender points, sie sollten deshalb auch für die Stellung der Diagnose Fibromyalgie das entscheidende Kriterium sein.

Therapeutische Konsequenzen ergeben sich bisher aus der Unterscheidung nicht, ebenso wenig sozialmedizinische. Zeitschrift für Palliativmedizin , vol. 13, no5, pp. Langwieler S, Smektala E, Waldburg N, Hachenberg T, Küster D, Schreiber J: [year old patient with . The Health Sciences and Human Services Library is a dynamic institution providing access to digital and print information, and fostering the life-long learning skills essential for health and human services professionals to succeed in the information intense environment of the 21st century.

Conclusion: DTI with MR tractography has important total direct costs with variable costs higher than the fixed costs. The post processing variable cost is the most expensive component. Developing more accurate automated post-processing software for DTI and MR tractography is important to decrease this variable labor cost.

Ärztliche Dokumentation von Gesundheitschäden durch EM Hochfrequenzfelder Ärztlicher Qualitätszirkel Elektromagnetische Felder in der Medizin -Diagnostik, Therapie, Umwelt. Objective Personality influences behaviour and decision-making.

This may play a particular role in emergency medical personnel (EMP) dealing with critical situations. So far very little is known about personality traits that distinguish paramedics (PM) and emergency physicians (EP) .

Cost Analysis of Diffusion Tensor Imaging and MR Tractography of the Brain