DerAnaesthesist.40430730.ger.abstr-passage-0
abstract
Zum prospektiv-randomisierten Vergleich der endokrinen Stressreaktion sowie des Kreislauf- und Aufwachverhaltens waehrend und nach totaler intravenoeser Anaesthesie ( TIVA ) mit Propofol und Fentanyl bzw. Inhalationsanaesthesie mit Isofluran und Lachgas nach Thiopentaleinleitung wurden 2 Gruppen zu je 20 chirurgischen bzw. orthopaedischen Patienten untersucht . An 8 Messzeitpunkten vor der Einleitung bis 60 min nach der Extubation wurden die endokrinen Stressparameter und die Kreislaufdaten bestimmt und postoperativ u. a. das Aufwachverhalten bewertet . Die Konzentrationen von Adrenalin , Noradrenalin und Cortisol lagen in der Propofolgruppe im Gruppenmittel jeweils signifikant niedriger als in der Isoflurangruppe ; die Konzentrationen von ADH und ACTH blieben vergleichbar . Bei den Kreislaufparametern war der systolische Blutdruck in beiden Kollektiven vergleichbar ; die Herzfrequenz lag in der Propofolgruppe signifikant niedriger als in der Isoflurangruppe . Im Aufwachverhalten hatte die TIVA gegenueber der Inhalationsanaesthesie nur leichte Vorteile ; das Signifikanzniveau wurde verfehlt . Insgesamt war die TIVA mit Propofol der Inhalationsanaesthesie mit Isofluran in der Moderation der chirurgischen Stressantwort deutlich ueberlegen . Das graduell verbesserte Aufwachverhalten in der Propofolgruppe war nicht mit einer verstaerkten endokrinen Stressreaktion verbunden . Gerade zu diesen Messzeitpunkten wies die TIVA eindeutige Vorteile auf . Im Hinblick auf die signifikant verminderte sympathoadrenerge Reaktion bei vergleichbarem systolischen Blutdruck und reduzierter Herzfrequenz sowie die ueberlegene intra- und postoperative Stressabschirmung scheint eine TIVA mit Propofol bei entsprechend vorsichtiger Einleitung und Narkosefuehrung fuer Patienten mit Stoffwechsel- und Kreislauferkrankungen besonders geeignet . In diesem Sinne gehoert die TIVA mit Propofol zu den sympatholytischen , hypodynamen Narkoseformen .
DerAnaesthesist.40430730.ger.abstr-s1-r1-t3.1-t4.1
interacts_with
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s1-r2-t6.1-t3.1
interacts_with
DerAnaesthesist.40430730.ger.abstr-s9-t6
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s1-r3-t5.1-t3.1
uses
DerAnaesthesist.40430730.ger.abstr-s9-t5
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s1-r4-t4.1-t6.1
interacts_with
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s9-t6
DerAnaesthesist.40430730.ger.abstr-s1-r5-t4.1-t1.1
diagnoses
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s1-r6-t2.1-t1.1
associated_with
DerAnaesthesist.40430730.ger.abstr-s9-t2
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s1-r7-t7.1-t2.1
performs
DerAnaesthesist.40430730.ger.abstr-s1-t7
DerAnaesthesist.40430730.ger.abstr-s9-t2
DerAnaesthesist.40430730.ger.abstr-s1-r8-t8.1-t1.1
associated_with
DerAnaesthesist.40430730.ger.abstr-s1-t8
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s1-r9-t6.1-t1.1
diagnoses
DerAnaesthesist.40430730.ger.abstr-s9-t6
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s1-r10-t2.1-t4.1
uses
DerAnaesthesist.40430730.ger.abstr-s9-t2
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s1-r11-t8.1-t4.1
uses
DerAnaesthesist.40430730.ger.abstr-s1-t8
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s1-r12-t7.1-t8.1
performs
DerAnaesthesist.40430730.ger.abstr-s1-t7
DerAnaesthesist.40430730.ger.abstr-s1-t8
DerAnaesthesist.40430730.ger.abstr-s1-r13-t5.1-t6.1
uses
DerAnaesthesist.40430730.ger.abstr-s9-t5
DerAnaesthesist.40430730.ger.abstr-s9-t6
DerAnaesthesist.40430730.ger.abstr-s1-r14-t6.1-t4.1
interacts_with
DerAnaesthesist.40430730.ger.abstr-s9-t6
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s1-r15-t3.1-t1.1
affects
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s1-r16-t2.1-t7.1
affects
DerAnaesthesist.40430730.ger.abstr-s9-t2
DerAnaesthesist.40430730.ger.abstr-s1-t7
DerAnaesthesist.40430730.ger.abstr-s1-r17-t2.1-t3.1
uses
DerAnaesthesist.40430730.ger.abstr-s9-t2
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s1-r18-t8.1-t3.1
uses
DerAnaesthesist.40430730.ger.abstr-s1-t8
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s1-r19-t3.1-t1.1
diagnoses
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s1-r20-t4.1-t1.1
affects
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s1-r21-t6.1-t1.1
affects
DerAnaesthesist.40430730.ger.abstr-s9-t6
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s1-r22-t5.1-t7.1
affects
DerAnaesthesist.40430730.ger.abstr-s9-t5
DerAnaesthesist.40430730.ger.abstr-s1-t7
DerAnaesthesist.40430730.ger.abstr-s1-r23-t4.1-t3.1
interacts_with
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s1-r24-t5.1-t1.1
associated_with
DerAnaesthesist.40430730.ger.abstr-s9-t5
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s1-r25-t1.1-t7.1
occurs_in
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s1-t7
DerAnaesthesist.40430730.ger.abstr-s1-r26-t7.1-t5.1
performs
DerAnaesthesist.40430730.ger.abstr-s1-t7
DerAnaesthesist.40430730.ger.abstr-s9-t5
DerAnaesthesist.40430730.ger.abstr-s1-r27-t1.1-t8.1
associated_with
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s1-t8
DerAnaesthesist.40430730.ger.abstr-s1-r28-t8.1-t7.1
affects
DerAnaesthesist.40430730.ger.abstr-s1-t8
DerAnaesthesist.40430730.ger.abstr-s1-t7
DerAnaesthesist.40430730.ger.abstr-s1-r29-t5.1-t4.1
uses
DerAnaesthesist.40430730.ger.abstr-s9-t5
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s1-r30-t1.1-t5.1
associated_with
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s9-t5
DerAnaesthesist.40430730.ger.abstr-s1-r31-t3.1-t6.1
interacts_with
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s9-t6
DerAnaesthesist.40430730.ger.abstr-s1-r32-t2.1-t6.1
uses
DerAnaesthesist.40430730.ger.abstr-s9-t2
DerAnaesthesist.40430730.ger.abstr-s9-t6
DerAnaesthesist.40430730.ger.abstr-s1-r33-t8.1-t6.1
uses
DerAnaesthesist.40430730.ger.abstr-s1-t8
DerAnaesthesist.40430730.ger.abstr-s9-t6
DerAnaesthesist.40430730.ger.abstr-s1-r34-t1.1-t2.1
associated_with
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s9-t2
DerAnaesthesist.40430730.ger.abstr-s3-r1-t3.1-t4.1
interacts_with
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s3-r2-t1.1-t5.1
interacts_with
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s9-t5
DerAnaesthesist.40430730.ger.abstr-s3-r3-t1.1-t3.1
interacts_with
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s3-r4-t5.1-t4.1
interacts_with
DerAnaesthesist.40430730.ger.abstr-s9-t5
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s3-r5-t3.1-t5.1
interacts_with
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s9-t5
DerAnaesthesist.40430730.ger.abstr-s3-r6-t3.1-t1.1
affects
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s3-r7-t4.1-t1.1
affects
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s3-r8-t4.1-t5.1
interacts_with
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s9-t5
DerAnaesthesist.40430730.ger.abstr-s3-r9-t5.1-t1.1
affects
DerAnaesthesist.40430730.ger.abstr-s9-t5
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s3-r10-t3.1-t1.1
interacts_with
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s3-r11-t1.1-t4.1
interacts_with
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s3-r12-t4.1-t3.1
interacts_with
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s3-r13-t4.1-t1.1
interacts_with
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s3-r14-t1.1-t5.1
affects
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s9-t5
DerAnaesthesist.40430730.ger.abstr-s3-r15-t5.1-t3.1
interacts_with
DerAnaesthesist.40430730.ger.abstr-s9-t5
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s3-r16-t3.1-t5.1
affects
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s9-t5
DerAnaesthesist.40430730.ger.abstr-s3-r17-t4.1-t5.1
affects
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s9-t5
DerAnaesthesist.40430730.ger.abstr-s3-r18-t5.1-t1.1
interacts_with
DerAnaesthesist.40430730.ger.abstr-s9-t5
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s6-r1-t3.1-t4.1
affects
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s6-r2-t2.1-t4.1
associated_with
DerAnaesthesist.40430730.ger.abstr-s9-t2
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s6-r3-t1.1-t3.1
interacts_with
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s6-r4-t4.1-t2.1
associated_with
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s9-t2
DerAnaesthesist.40430730.ger.abstr-s6-r5-t1.1-t4.1
diagnoses
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s6-r6-t2.1-t3.1
uses
DerAnaesthesist.40430730.ger.abstr-s9-t2
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s6-r7-t3.1-t1.1
interacts_with
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s6-r8-t3.1-t4.1
diagnoses
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s6-r9-t2.1-t1.1
uses
DerAnaesthesist.40430730.ger.abstr-s9-t2
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s6-r10-t1.1-t4.1
affects
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s9-r1-t2.1-t4.1
result_of
DerAnaesthesist.40430730.ger.abstr-s9-t2
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s9-r2-t2.1-t1.1
evaluation_of
DerAnaesthesist.40430730.ger.abstr-s9-t2
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s9-r3-t2.1-t6.1
evaluation_of
DerAnaesthesist.40430730.ger.abstr-s9-t2
DerAnaesthesist.40430730.ger.abstr-s9-t6
DerAnaesthesist.40430730.ger.abstr-s9-r4-t3.1-t2.1
affects
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s9-t2
DerAnaesthesist.40430730.ger.abstr-s9-r5-t4.1-t5.1
associated_with
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s9-t5
DerAnaesthesist.40430730.ger.abstr-s9-r6-t3.1-t1.1
affects
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s9-r7-t6.1-t2.1
result_of
DerAnaesthesist.40430730.ger.abstr-s9-t6
DerAnaesthesist.40430730.ger.abstr-s9-t2
DerAnaesthesist.40430730.ger.abstr-s9-r8-t2.1-t5.1
occurs_in
DerAnaesthesist.40430730.ger.abstr-s9-t2
DerAnaesthesist.40430730.ger.abstr-s9-t5
DerAnaesthesist.40430730.ger.abstr-s9-r9-t1.1-t2.1
result_of
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s9-t2
DerAnaesthesist.40430730.ger.abstr-s9-r10-t3.1-t6.1
affects
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s9-t6
DerAnaesthesist.40430730.ger.abstr-s9-r11-t2.1-t6.1
result_of
DerAnaesthesist.40430730.ger.abstr-s9-t2
DerAnaesthesist.40430730.ger.abstr-s9-t6
DerAnaesthesist.40430730.ger.abstr-s9-r12-t5.1-t4.1
performs
DerAnaesthesist.40430730.ger.abstr-s9-t5
DerAnaesthesist.40430730.ger.abstr-s9-t4
DerAnaesthesist.40430730.ger.abstr-s9-r13-t2.1-t1.1
result_of
DerAnaesthesist.40430730.ger.abstr-s9-t2
DerAnaesthesist.40430730.ger.abstr-s10-t1
DerAnaesthesist.40430730.ger.abstr-s9-r14-t3.1-t2.1
diagnoses
DerAnaesthesist.40430730.ger.abstr-s9-t3
DerAnaesthesist.40430730.ger.abstr-s9-t2