DerAnaesthesist.40430594.ger.abstr-passage-0
abstract
Die totale intravenoese Anaesthesie ( TIVA ) gewinnt zunehmend an Popularitaet als Narkoseverfahren auch fuer abdominalchirurgische Eingriffe . Bei weniger traumatisierenden Eingriffen , bei denen eine absichtlich verzoegerte Aufwachphase nicht erforderlich ist , bieten sich Methohexital und Propofol aufgrund ihrer Pharmakokinetik als hypnotischer Bestandteil eines solchen Anaesthesieverfahrens an . In der vorliegenden randomisierten und kontrollierten Studie an 27 gesunden Frauen , bei denen eine Hysterektomie durchgefuehrt wurde , wurden beide Hypnotika in Kombination mit Alfentanil als Analgetikum miteinander und mit einer balanzierten Anaesthesie ( Isofluran-Lachgas , Fentanyl ) verglichen . Als Zielparameter dienten Haemodynamik ( arterieller Blutdruck , Herzfrequenz ) , postoperative Befindlichkeit ( Uebelkeit-Erbrechen Zittern , Schmerzmittelbedarf ) sowie endokrine und metabolische Stressreaktionen ( , Katecholamine Kortisol , Prolaktin , Glukose , , freie Fettsaeuren , Laktat ) . Es fanden sich kaum nennenswerte Unterschiede zwischen den beiden TIVA-Verfahren , wohl aber zwischen den TIVA-Verfahren und der balanzierten Anaesthesie . Der haemodynamische Verlauf war in allen Gruppen im wesentlichen gleich , aber die intraoperativen Stressreaktionen wurden durch die TIVA effektiver gedaempft . Die Aufwachzeit war nach der balanzierten Anaesthesie , die Inzidenz des postoperativen Zitterns nach der Propofol-Alfentanil TIVA am geringsten . Die Haeufigkeit postoperativen Erbrechens war in allen Gruppen gleich . Die Ergebnisse der Studie belegen einige Vorteile der TIVA gegenueber der balanzierten Anaesthesie . Sie geben jedoch keine eindeutige Entscheidungsgrundlage fuer oder gegen eines der untersuchten Hypnotika .
DerAnaesthesist.40430594.ger.abstr-s2-r1-t2.1-t3.1
affects
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s4-t3
DerAnaesthesist.40430594.ger.abstr-s2-r2-t1.1-t2.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s9-t1
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s2-r3-t3.2-t1.1
uses
DerAnaesthesist.40430594.ger.abstr-s2-t3
DerAnaesthesist.40430594.ger.abstr-s9-t1
DerAnaesthesist.40430594.ger.abstr-s2-r4-t3.2-t2.1
uses
DerAnaesthesist.40430594.ger.abstr-s2-t3
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s2-r5-t3.2-t3.1
affects
DerAnaesthesist.40430594.ger.abstr-s2-t3
DerAnaesthesist.40430594.ger.abstr-s4-t3
DerAnaesthesist.40430594.ger.abstr-s2-r6-t1.1-t3.1
affects
DerAnaesthesist.40430594.ger.abstr-s9-t1
DerAnaesthesist.40430594.ger.abstr-s4-t3
DerAnaesthesist.40430594.ger.abstr-s2-r7-t2.1-t1.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s9-t1
DerAnaesthesist.40430594.ger.abstr-s3-r1-t1.1-t4.1
performs
DerAnaesthesist.40430594.ger.abstr-s9-t1
DerAnaesthesist.40430594.ger.abstr-s4-t4
DerAnaesthesist.40430594.ger.abstr-s3-r2-t4.1-t3.1
uses
DerAnaesthesist.40430594.ger.abstr-s4-t4
DerAnaesthesist.40430594.ger.abstr-s4-t3
DerAnaesthesist.40430594.ger.abstr-s3-r3-t2.1-t3.1
uses
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s4-t3
DerAnaesthesist.40430594.ger.abstr-s3-r4-t1.1-t2.1
performs
DerAnaesthesist.40430594.ger.abstr-s9-t1
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s3-r5-t5.1-t3.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t5
DerAnaesthesist.40430594.ger.abstr-s4-t3
DerAnaesthesist.40430594.ger.abstr-s3-r6-t2.1-t5.1
uses
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s4-t5
DerAnaesthesist.40430594.ger.abstr-s3-r7-t4.1-t5.1
uses
DerAnaesthesist.40430594.ger.abstr-s4-t4
DerAnaesthesist.40430594.ger.abstr-s4-t5
DerAnaesthesist.40430594.ger.abstr-s3-r8-t3.1-t5.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t3
DerAnaesthesist.40430594.ger.abstr-s4-t5
DerAnaesthesist.40430594.ger.abstr-s4-r1-t12.1-t9.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t12
DerAnaesthesist.40430594.ger.abstr-s4-t9
DerAnaesthesist.40430594.ger.abstr-s4-r2-t8.1-t9.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t8
DerAnaesthesist.40430594.ger.abstr-s4-t9
DerAnaesthesist.40430594.ger.abstr-s4-r3-t7.1-t8.1
produces
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s4-t8
DerAnaesthesist.40430594.ger.abstr-s4-r4-t2.1-t7.1
result_of
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s4-r5-t7.1-t2.1
result_of
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s4-r6-t11.1-t10.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t11
DerAnaesthesist.40430594.ger.abstr-s4-t10
DerAnaesthesist.40430594.ger.abstr-s4-r7-t10.1-t8.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t10
DerAnaesthesist.40430594.ger.abstr-s4-t8
DerAnaesthesist.40430594.ger.abstr-s4-r8-t8.1-t10.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t8
DerAnaesthesist.40430594.ger.abstr-s4-t10
DerAnaesthesist.40430594.ger.abstr-s4-r9-t9.1-t7.1
diagnoses
DerAnaesthesist.40430594.ger.abstr-s4-t9
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s4-r10-t2.1-t8.1
produces
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s4-t8
DerAnaesthesist.40430594.ger.abstr-s4-r11-t12.1-t10.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t12
DerAnaesthesist.40430594.ger.abstr-s4-t10
DerAnaesthesist.40430594.ger.abstr-s4-r12-t7.1-t10.1
produces
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s4-t10
DerAnaesthesist.40430594.ger.abstr-s4-r13-t7.1-t3.1
co-occurs_with
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s4-t3
DerAnaesthesist.40430594.ger.abstr-s4-r14-t9.1-t10.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t9
DerAnaesthesist.40430594.ger.abstr-s4-t10
DerAnaesthesist.40430594.ger.abstr-s4-r15-t10.1-t7.1
affects
DerAnaesthesist.40430594.ger.abstr-s4-t10
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s4-r16-t11.1-t7.1
affects
DerAnaesthesist.40430594.ger.abstr-s4-t11
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s4-r17-t2.1-t10.1
produces
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s4-t10
DerAnaesthesist.40430594.ger.abstr-s4-r18-t9.1-t4.1
treats
DerAnaesthesist.40430594.ger.abstr-s4-t9
DerAnaesthesist.40430594.ger.abstr-s4-t4
DerAnaesthesist.40430594.ger.abstr-s4-r19-t12.1-t7.1
affects
DerAnaesthesist.40430594.ger.abstr-s4-t12
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s4-r20-t12.1-t8.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t12
DerAnaesthesist.40430594.ger.abstr-s4-t8
DerAnaesthesist.40430594.ger.abstr-s4-r21-t1.1-t7.1
result_of
DerAnaesthesist.40430594.ger.abstr-s9-t1
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s4-r22-t8.1-t2.1
affects
DerAnaesthesist.40430594.ger.abstr-s4-t8
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s4-r23-t9.1-t2.1
affects
DerAnaesthesist.40430594.ger.abstr-s4-t9
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s4-r24-t1.1-t2.1
result_of
DerAnaesthesist.40430594.ger.abstr-s9-t1
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s4-r25-t7.1-t2.1
evaluation_of
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s4-r26-t1.1-t8.1
produces
DerAnaesthesist.40430594.ger.abstr-s9-t1
DerAnaesthesist.40430594.ger.abstr-s4-t8
DerAnaesthesist.40430594.ger.abstr-s4-r27-t8.1-t1.1
affects
DerAnaesthesist.40430594.ger.abstr-s4-t8
DerAnaesthesist.40430594.ger.abstr-s9-t1
DerAnaesthesist.40430594.ger.abstr-s4-r28-t7.1-t6.1
co-occurs_with
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s4-t6
DerAnaesthesist.40430594.ger.abstr-s4-r29-t9.1-t1.1
affects
DerAnaesthesist.40430594.ger.abstr-s4-t9
DerAnaesthesist.40430594.ger.abstr-s9-t1
DerAnaesthesist.40430594.ger.abstr-s4-r30-t11.1-t9.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t11
DerAnaesthesist.40430594.ger.abstr-s4-t9
DerAnaesthesist.40430594.ger.abstr-s4-r31-t7.1-t6.1
associated_with
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s4-t6
DerAnaesthesist.40430594.ger.abstr-s4-r32-t1.1-t10.1
produces
DerAnaesthesist.40430594.ger.abstr-s9-t1
DerAnaesthesist.40430594.ger.abstr-s4-t10
DerAnaesthesist.40430594.ger.abstr-s4-r33-t10.1-t12.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t10
DerAnaesthesist.40430594.ger.abstr-s4-t12
DerAnaesthesist.40430594.ger.abstr-s4-r34-t7.1-t5.1
associated_with
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s4-t5
DerAnaesthesist.40430594.ger.abstr-s4-r35-t7.1-t4.1
associated_with
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s4-t4
DerAnaesthesist.40430594.ger.abstr-s4-r36-t7.1-t9.1
produces
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s4-t9
DerAnaesthesist.40430594.ger.abstr-s4-r37-t7.1-t3.1
associated_with
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s4-t3
DerAnaesthesist.40430594.ger.abstr-s4-r38-t11.1-t12.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t11
DerAnaesthesist.40430594.ger.abstr-s4-t12
DerAnaesthesist.40430594.ger.abstr-s4-r39-t2.1-t9.1
produces
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s4-t9
DerAnaesthesist.40430594.ger.abstr-s4-r40-t8.1-t12.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t8
DerAnaesthesist.40430594.ger.abstr-s4-t12
DerAnaesthesist.40430594.ger.abstr-s4-r41-t9.1-t6.1
treats
DerAnaesthesist.40430594.ger.abstr-s4-t9
DerAnaesthesist.40430594.ger.abstr-s4-t6
DerAnaesthesist.40430594.ger.abstr-s4-r42-t9.1-t3.1
treats
DerAnaesthesist.40430594.ger.abstr-s4-t9
DerAnaesthesist.40430594.ger.abstr-s4-t3
DerAnaesthesist.40430594.ger.abstr-s4-r43-t10.1-t2.1
affects
DerAnaesthesist.40430594.ger.abstr-s4-t10
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s4-r44-t7.1-t11.1
produces
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s4-t11
DerAnaesthesist.40430594.ger.abstr-s4-r45-t7.1-t1.1
evaluation_of
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s9-t1
DerAnaesthesist.40430594.ger.abstr-s4-r46-t11.1-t2.1
affects
DerAnaesthesist.40430594.ger.abstr-s4-t11
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s4-r47-t7.1-t5.1
co-occurs_with
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s4-t5
DerAnaesthesist.40430594.ger.abstr-s4-r48-t9.1-t12.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t9
DerAnaesthesist.40430594.ger.abstr-s4-t12
DerAnaesthesist.40430594.ger.abstr-s4-r49-t2.1-t11.1
produces
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s4-t11
DerAnaesthesist.40430594.ger.abstr-s4-r50-t11.1-t8.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t11
DerAnaesthesist.40430594.ger.abstr-s4-t8
DerAnaesthesist.40430594.ger.abstr-s4-r51-t10.1-t1.1
affects
DerAnaesthesist.40430594.ger.abstr-s4-t10
DerAnaesthesist.40430594.ger.abstr-s9-t1
DerAnaesthesist.40430594.ger.abstr-s4-r52-t10.1-t11.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t10
DerAnaesthesist.40430594.ger.abstr-s4-t11
DerAnaesthesist.40430594.ger.abstr-s4-r53-t12.1-t1.1
affects
DerAnaesthesist.40430594.ger.abstr-s4-t12
DerAnaesthesist.40430594.ger.abstr-s9-t1
DerAnaesthesist.40430594.ger.abstr-s4-r54-t1.1-t9.1
produces
DerAnaesthesist.40430594.ger.abstr-s9-t1
DerAnaesthesist.40430594.ger.abstr-s4-t9
DerAnaesthesist.40430594.ger.abstr-s4-r55-t10.1-t9.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t10
DerAnaesthesist.40430594.ger.abstr-s4-t9
DerAnaesthesist.40430594.ger.abstr-s4-r56-t8.1-t11.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t8
DerAnaesthesist.40430594.ger.abstr-s4-t11
DerAnaesthesist.40430594.ger.abstr-s4-r57-t9.1-t8.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t9
DerAnaesthesist.40430594.ger.abstr-s4-t8
DerAnaesthesist.40430594.ger.abstr-s4-r58-t7.1-t1.1
result_of
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s9-t1
DerAnaesthesist.40430594.ger.abstr-s4-r59-t1.1-t11.1
produces
DerAnaesthesist.40430594.ger.abstr-s9-t1
DerAnaesthesist.40430594.ger.abstr-s4-t11
DerAnaesthesist.40430594.ger.abstr-s4-r60-t12.1-t11.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t12
DerAnaesthesist.40430594.ger.abstr-s4-t11
DerAnaesthesist.40430594.ger.abstr-s4-r61-t8.1-t7.1
affects
DerAnaesthesist.40430594.ger.abstr-s4-t8
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s4-r62-t9.1-t5.1
treats
DerAnaesthesist.40430594.ger.abstr-s4-t9
DerAnaesthesist.40430594.ger.abstr-s4-t5
DerAnaesthesist.40430594.ger.abstr-s4-r63-t9.1-t7.1
affects
DerAnaesthesist.40430594.ger.abstr-s4-t9
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s4-r64-t7.1-t4.1
co-occurs_with
DerAnaesthesist.40430594.ger.abstr-s4-t7
DerAnaesthesist.40430594.ger.abstr-s4-t4
DerAnaesthesist.40430594.ger.abstr-s4-r65-t9.1-t11.1
interacts_with
DerAnaesthesist.40430594.ger.abstr-s4-t9
DerAnaesthesist.40430594.ger.abstr-s4-t11
DerAnaesthesist.40430594.ger.abstr-s4-r66-t2.1-t1.1
result_of
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s9-t1
DerAnaesthesist.40430594.ger.abstr-s7-r1-t2.1-t1.1
conceptual_part_of
DerAnaesthesist.40430594.ger.abstr-s7-t2
DerAnaesthesist.40430594.ger.abstr-s9-t1