Hirnprotektion unter Notfallbedingungen: Sind Anästhetika neuroprotektiv?

Anaphylaktoide Reaktion auf ein nichtionisches Röntgenkontrastmittel in Allgemeinanästhesie

The occurrence of adverse reactions is decreasing since the introduction of non-ionic contrast media. Anaphylactoid reactions during general anaesthesia are rare and hitherto only documented with the administration of ionic compounds. We report an episode of hypotension, tachycardia, bronchospasm and urticaria following application of a non-ionic contrast medium (Iopamidol) during isoflurane anaesthesia. We conclude that a combinent use of anaesthesia and non-ionic contrast media does not guaranty protection from anaphylactoid reactions to iodinated radiopaque compounds.

Die fiberoptische Intubation neurochirurgischer Patienten*

Patients with cervical spine injury presenting with respiratory distress require airway management that does not compromise integrity of the atlanto-occipital joint. Endotracheal intubation by means of direct laryngoscopy is not suitable. The method of choice is nasotracheal intubation of the awake patient, using a flexible fibre bronchoscope. If anatomy or surgical access render the nasal approach impossible, fibre optic intubation can be performed orotracheally, utilising specific technical aids. Flexible fibrescopes are available in different sizes (length and diameter): selection is base on the patient's anatomical requirements. Aids to orotracheal intubation are constructed with a bore…

Stellenwert der Inhalationsanästhetika in der Neuroanästhesie - Eine Betrachtung der „Nebenwirkungen”

Spezifische Anforderungen an das Monitoring bei Low-flow-Anästhesie