Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 1993
Review[Infections caused by intravascular catheters. Etiopathogenesis--diagnosis--therapy--prevention].
Despite improvements in infection control measures, catheter-related infections represent a challenging problem in modern medicine. The difficulties in correctly diagnosing catheter-related infections and the necessity to remove the device in case of suspected infection require preventive measures in the first place. Most authors stress the importance of strict aseptic catheter management. ⋯ Newer studies show that impregnation of catheters with the antiseptic substances silver-sulphadiazine and chlorhexidine is effective in reducing bacterial colonisation of the catheters. A pilot study on intensive-care patients demonstrated a significant reduction in catheter-related infections and bacteraemia by impregnated catheters. This novel approach may reduce the incidence of catheter-related infections below the level which could be achieved by employing all current preventive measures.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 1993
[Neurolytic block of the lumbar sympathetic trunk in advanced stages of peripheral arterial occlusive disease].
Neurolytic blocks of the lumbar sympathetic trunk enable a less invasive sympathetic denervation if compared to standard surgical procedures. ⋯ Considering the relatively short follow-up period, the results of this study support evidence of the therapeutic efficacy of CLS for rest pain and ischaemic ulcers in patients with advanced arterial disease. The prognostic value of standard variables for estimation of sympathetic reactivity and skin blood flow, however, could not be confirmed.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 1993
Biography Historical Article[Heinrich Braun (1862-1934)--a pioneer in anesthesiology in Germany].
Heinrich Braun was born on January, 1, 1862. He attended school in Dresden and was a student of Medicine at the Universities of Strassburg, Greifswald and Leipzig between 1881 and 1887. In 1887 he acquired his doctorate degree. ⋯ Famous representatives of his school are Läwen, Peuckert, Kulenkampff, Härtel and Kappis. In Zwickau he extensively dealt with problems of hospital organisation and -construction. In 1921 the new "Krankenstift Zwickau" constructed on the basis of his plans and recommendations was inaugurated.(ABSTRACT TRUNCATED AT 250 WORDS)