Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2015
[EnglischerTitel: Epidural anesthesia - complications and side effects].
Thoracic epidural anesthesia remains the gold standard of intra- and postoperative analgesia for a multitude of surgical procedures as a reliable and relatively safe procedure with a low rate of complications as long as contraindications are respected. However, if complications do occur they often result in catastrophic sequelae for the patient. ⋯ Procedural complications often result in additionally required procedures and treatments, hence increasing morbidity of the affected patient. The aim of this review is to provide the reader with a current overview of the available literature with regards to classical and procedural complications.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2015
Historical Article[History and Technique of Epidural Anaesthesia].
In 1901, the first Epidural anesthesia via a caudal approach was independently described by two FrenchmanJean-Anthanase Sicard and Fernand Cathelin.. The Spanish military surgeon, Fidel Pagés Miravé, completed the lumbar approach successfully in 1921. The two possibilities for identification of the epidural space the "loss of resistance" technique and the technique of the "hanging drop" were developed by Achille Mario Dogliotti, an Italian, and Alberto Gutierrez, an Argentinean physician, at the same time. ⋯ In 1949 the first successful continuous lumbar Epidural anaesthesia was reported by Manuel Martinez Curbelo, a Cuban. Epidural anaesthesia can be performed in sitting or lateral position in all segments of the spinal column via the median or paramedian approach. Different off-axis angles pose the challenge in learning the technique.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2015
Review[Drowning - An update on prehospital and intrahospital treatment strategies].
500000 people die from unintentional drowning each year worldwide. Drowning accidents occur to humans of every age, while fatal drowning is the leading cause of death among boys 5 to 14 years of age. ⋯ Considering the multitude of accident settings, ranging from bathing accidents in lakes to shipwrecks at sea, professional first responders need to adapt to various scenarios. This article summarizes the pathophysiology of drowning, particular features of prehospital life support and current knowledge on the further therapy of victims of near fatal drowning accidents.