DerAnaesthesist.50440687.ger.abstr-passage-0
abstract
Bei 1318 Patienten wurden Narkosesicherheit Vertraeglichkeit und Vigilanz , nach Neurolept - ( NLA ) , balancierter - ( BAL ) - und intravenoeser Propofolanaesthesie ( IVA ) anhand von DGAI-ZEKListe und -Fragebogen sowie spezieller Vigilanztests analysiert . Praemedikation und Narkosefuehrung waren standardisiert . Als Ausdruck unterschiedlicher Narkosesicherheit wurden nach NLA bei 45% , nach BAL und IVA bei 35% bzw. 36% der Patienten therapiebeduerftige Ereignisse registriert ( p=0,004). Im einzelnen zeigten NLA-Patienten gehaeuft Tachykardien , Arrhythmien und Hypertonien ( p=0,05), waehrend bei IVA Hypotensionen vermehrt beobachtet wurden ( p 0,001 ) . Schwere kardiohaemodynamische Ereignisse waren bei lediglich 6,6% aller Patienten zu verzeichnen , wobei 5% der IVA-Patienten im Vergleich zu 6,3% bzw. 8,3% nach BAL und NLA intensivtherapiepflichtige Interventionen am seltensten noetig hatten . Hinsichtlich ihrer Ansprechbarkeit , Konzentrations- und Sprachfaehigkeit wurden IVA- und NLA-Patienten ungleich besser bewertet als die verzoegert erwachenden BAL-Patienten ( p 0,05 ) . Da zudem Uebelkeit und Erbrechen nach IVA signifikant geringer ausgepraegt waren ( p 0,05 ) , wurde diese Narkose aus Patientensicht hoch favorisiert ( p 0,01 ) . Insgesamt ging daher die IVA aufgrund der geringen Zahl gravierender kardiohaemodynamischer Komplikationen ( ZEK ) , einer kurzen Aufwachphase und fehlender Nebenwirkungen als das beste Verfahren aus diesem Vergleich hervor .
DerAnaesthesist.50440687.ger.abstr-s1-r1-t1.1-t4.1
uses
DerAnaesthesist.50440687.ger.abstr-s7-t1
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-r1-t4.2-t6.1
associated_with
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-t6
DerAnaesthesist.50440687.ger.abstr-s3-r2-t8.1-t7.1
associated_with
DerAnaesthesist.50440687.ger.abstr-s3-t8
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-r3-t4.2-t3.1
occurs_in
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s6-t3
DerAnaesthesist.50440687.ger.abstr-s3-r4-t8.1-t6.1
associated_with
DerAnaesthesist.50440687.ger.abstr-s3-t8
DerAnaesthesist.50440687.ger.abstr-s3-t6
DerAnaesthesist.50440687.ger.abstr-s3-r5-t6.1-t7.1
co-occurs_with
DerAnaesthesist.50440687.ger.abstr-s3-t6
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-r7-t4.2-t1.1
result_of
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s7-t1
DerAnaesthesist.50440687.ger.abstr-s3-r8-t8.1-t4.1
associated_with
DerAnaesthesist.50440687.ger.abstr-s3-t8
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-r9-t6.1-t3.1
occurs_in
DerAnaesthesist.50440687.ger.abstr-s3-t6
DerAnaesthesist.50440687.ger.abstr-s6-t3
DerAnaesthesist.50440687.ger.abstr-s3-r10-t1.1-t6.1
result_of
DerAnaesthesist.50440687.ger.abstr-s7-t1
DerAnaesthesist.50440687.ger.abstr-s3-t6
DerAnaesthesist.50440687.ger.abstr-s3-r11-t6.1-t1.1
result_of
DerAnaesthesist.50440687.ger.abstr-s3-t6
DerAnaesthesist.50440687.ger.abstr-s7-t1
DerAnaesthesist.50440687.ger.abstr-s3-r12-t2.1-t7.1
diagnoses
DerAnaesthesist.50440687.ger.abstr-s6-t2
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-r13-t6.1-t4.2
associated_with
DerAnaesthesist.50440687.ger.abstr-s3-t6
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-r14-t4.1-t3.1
affects
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s6-t3
DerAnaesthesist.50440687.ger.abstr-s3-r15-t2.1-t7.1
treats
DerAnaesthesist.50440687.ger.abstr-s6-t2
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-r16-t1.1-t4.2
result_of
DerAnaesthesist.50440687.ger.abstr-s7-t1
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-r17-t2.1-t4.2
affects
DerAnaesthesist.50440687.ger.abstr-s6-t2
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-r18-t8.1-t3.1
occurs_in
DerAnaesthesist.50440687.ger.abstr-s3-t8
DerAnaesthesist.50440687.ger.abstr-s6-t3
DerAnaesthesist.50440687.ger.abstr-s3-r19-t4.1-t8.1
associated_with
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-t8
DerAnaesthesist.50440687.ger.abstr-s3-r20-t4.1-t7.1
treats
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-r21-t4.1-t7.1
associated_with
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-r22-t8.1-t1.1
result_of
DerAnaesthesist.50440687.ger.abstr-s3-t8
DerAnaesthesist.50440687.ger.abstr-s7-t1
DerAnaesthesist.50440687.ger.abstr-s3-r23-t2.1-t8.1
affects
DerAnaesthesist.50440687.ger.abstr-s6-t2
DerAnaesthesist.50440687.ger.abstr-s3-t8
DerAnaesthesist.50440687.ger.abstr-s3-r24-t4.1-t6.1
associated_with
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-t6
DerAnaesthesist.50440687.ger.abstr-s3-r25-t8.1-t7.1
co-occurs_with
DerAnaesthesist.50440687.ger.abstr-s3-t8
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-r26-t4.2-t7.1
co-occurs_with
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-r27-t7.1-t4.2
associated_with
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-r28-t4.2-t7.1
degree_of
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-r29-t2.1-t7.1
affects
DerAnaesthesist.50440687.ger.abstr-s6-t2
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-r30-t7.1-t8.1
degree_of
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-t8
DerAnaesthesist.50440687.ger.abstr-s3-r31-t1.1-t7.1
result_of
DerAnaesthesist.50440687.ger.abstr-s7-t1
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-r32-t8.1-t4.2
associated_with
DerAnaesthesist.50440687.ger.abstr-s3-t8
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-r33-t6.1-t7.1
degree_of
DerAnaesthesist.50440687.ger.abstr-s3-t6
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-r34-t2.1-t8.1
diagnoses
DerAnaesthesist.50440687.ger.abstr-s6-t2
DerAnaesthesist.50440687.ger.abstr-s3-t8
DerAnaesthesist.50440687.ger.abstr-s3-r35-t6.1-t8.1
associated_with
DerAnaesthesist.50440687.ger.abstr-s3-t6
DerAnaesthesist.50440687.ger.abstr-s3-t8
DerAnaesthesist.50440687.ger.abstr-s3-r36-t3.1-t4.1
performs
DerAnaesthesist.50440687.ger.abstr-s6-t3
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-r37-t2.1-t6.1
affects
DerAnaesthesist.50440687.ger.abstr-s6-t2
DerAnaesthesist.50440687.ger.abstr-s3-t6
DerAnaesthesist.50440687.ger.abstr-s3-r38-t6.1-t7.1
associated_with
DerAnaesthesist.50440687.ger.abstr-s3-t6
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-r39-t7.1-t8.1
co-occurs_with
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-t8
DerAnaesthesist.50440687.ger.abstr-s3-r40-t4.1-t2.1
uses
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s6-t2
DerAnaesthesist.50440687.ger.abstr-s3-r41-t7.1-t3.1
occurs_in
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s6-t3
DerAnaesthesist.50440687.ger.abstr-s3-r42-t8.1-t7.1
degree_of
DerAnaesthesist.50440687.ger.abstr-s3-t8
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-r43-t7.1-t1.1
result_of
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s7-t1
DerAnaesthesist.50440687.ger.abstr-s3-r44-t7.1-t6.1
co-occurs_with
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-t6
DerAnaesthesist.50440687.ger.abstr-s3-r45-t6.1-t4.1
associated_with
DerAnaesthesist.50440687.ger.abstr-s3-t6
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-r46-t7.1-t6.1
degree_of
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-t6
DerAnaesthesist.50440687.ger.abstr-s3-r47-t7.1-t4.2
co-occurs_with
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-r48-t7.1-t8.1
associated_with
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-t8
DerAnaesthesist.50440687.ger.abstr-s3-r49-t2.1-t6.1
diagnoses
DerAnaesthesist.50440687.ger.abstr-s6-t2
DerAnaesthesist.50440687.ger.abstr-s3-t6
DerAnaesthesist.50440687.ger.abstr-s3-r51-t7.1-t4.2
degree_of
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-r52-t7.1-t6.1
associated_with
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-t6
DerAnaesthesist.50440687.ger.abstr-s3-r53-t1.1-t8.1
result_of
DerAnaesthesist.50440687.ger.abstr-s7-t1
DerAnaesthesist.50440687.ger.abstr-s3-t8
DerAnaesthesist.50440687.ger.abstr-s3-r54-t2.1-t4.2
diagnoses
DerAnaesthesist.50440687.ger.abstr-s6-t2
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-r55-t7.1-t4.1
associated_with
DerAnaesthesist.50440687.ger.abstr-s3-t7
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-r56-t4.2-t8.1
associated_with
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-t8
DerAnaesthesist.50440687.ger.abstr-s3-r57-t4.2-t7.1
associated_with
DerAnaesthesist.50440687.ger.abstr-s3-t4
DerAnaesthesist.50440687.ger.abstr-s3-t7