Anaesthesiologie und Reanimation
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Anaesthesiol Reanim · Jan 1991
Historical Article[Anesthesiology and intensive therapy 25 years ago--reflections of a new specialty in medical periodicals].
In the search for scientific publications on anaesthesiology and intensive therapy in the year the medical scientific association in the GDR was founded, four periodicals from 1964 were analysed: Das Deutsche Gesundheitswesen, Zeitschrift für Arztliche Fortbildung, Zentralblatt für Gynäkologie and Zentralblatt für Chirurgie. Fifty-six articles were found, half of them written by full-time anaesthetists. These articles give an impression of aspects of pain relief, intensive care and emergency medicine under conditions 25 years ago.
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Anaesthesiol Reanim · Jan 1991
Historical Article[The history of the Society for Anesthesiology and Intensive Therapy of the DDR].
In 1960 the first joined meeting of East German anaesthetists took place and in 1964 the "Society of Anaesthesiology and Intensive Therapy of the German Democratic Republic" was founded. Up to its dissolution 26 years later and the 23rd of October 1990, ten congresses with international participation, 10 workshops an 5 bilateral symposia were held. The activities of the board were supplemented by 11 special working-groups. ⋯ In 1989 the "Society of Anaesthesiology and Intensive Therapy of the German Democratic Republic" hat 2,201 members including 1,327 anaesthetists. The former members of the "Society of Anaesthesiology and Intensive Therapy of the German Democratic Republic" are now joining the "German Society of Anaesthesiology and Intensive Medicine". As far as future activities are concerned, the traditional relations with the East European neighbour societies should be given special attention.
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Anaesthesiol Reanim · Jan 1991
[A computer-controlled closed circle system for ventilation during anesthesia and intensive care and its possibilities for patient monitoring].
A computer feed back controlled anaesthesia- and intensive care ventilator has been developed with on-line and separate lung function measurement. The system design is built on the principle of a totally closed circuit (closed rebreathing respirometer) and an inspiratory "high flow", the gas being rotated through the closed circuit unidirectionally by a blower with 70 l/min. Ventilation is performed by metal membranes freely movable in membrane chambers with an internal part included into the closed circuit and an external part connected to pressurized air controlling inspiratory valves expiratory valves. ⋯ Ergonometric aspects led to the triangular from of the new anaesthesia and intensive care ventilator with the controlling service screen turnable to all three sides of the ventilator (high flexibility of the user) and all necessary equipment and material included into the "Anaesthesia workstation". All measured and present parameters are continuously displayed on the service (computer) screen and entered into the computer-memory in minute cycles with a memory capacity of 75 h anaesthesia. At any desired moment the memorized values can be transferred to IBM-compatible disc systems for storage or into the respective data management systems, thus at the end of anaesthesia, at the end of the working day or at the end of the week.
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Anaesthesiol Reanim · Jan 1991
[Reasons for the persistent lethality of malignant hyperthermia and recommendations for its reduction].
Dantrolene is the only known specific treatment of malignant hyperthermia (MH). Following official approval an intravenous formulation of dantrolene became clinically available for emergency treatment of MH. At that time it had been anticipated, that with dantrolene therapy combined with constant vigilance each case of MH could be treated successfully and the mortality rate should be close to zero. ⋯ Administration of an insufficient amount of dantrolene and delayed start of specific therapy due to failure to have immediate access to intravenous dantrolene. 4. Failure to increase minute ventilation immediately after making the diagnosis to meet elevated metabolic demands. A recommendation is presented how to diagnose, to treat and prevent MH, considering present day diagnostic and therapeutic measures in the presence of the presumptive diagnosis of MH.
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Anaesthesiol Reanim · Jan 1990
[Rectal premedication using ketamine-dehydrobenzperidol-atropine in childhood].
In 60 children aged between two and 12 years the effect of rectal application of ketamine, dehydrobenzperiodol and atropine was investigated. The children were divided into two groups. Applying equal doses of dehydrobenzperidol and atropine, group B (30 children) received the half dose of ketamine which group A (30 children) received. ⋯ Sedation was satisfactory although especially the children in group B remained responsive, but were in a state of psychic indifference and motoric sedation. The applied combination of drugs effected a moderate reduction of heart rate. In general, we found that rectal application of 1 mg/kg ketamine, 0.15 mg/kg dehydrobenzperidol and 0.01 mg/kg atropine in children resulted in good preoperative sedation and exhibited relatively few side-effects.