[Risk of anaesthesia in geriatric urology (author's transl)].
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Biomedical subjects
E Salehi
Publications and source records attributed to E Salehi.
[Experiences with ambulatory anesthesia in urology].
On the basis of more than 6000 cases is reported on the daily ambulatory practice in anaesthesia carried out on urological patients for several years. The problems and the necessity of the ambulatory anaesthesia, methods and experiences are discussed and it is referred to the errors and danger sources. Exact indication, better instruction of the patients and the parents (in children) on the consequence of the ambulatory anaesthesia, exact observation of the pre- and postoperative precautionary measures, strict organisation, choice of a suitable anaesthetic and adequate methods of anaesthesia are according to our experiences the most important prerequisites for a smooth course and an anaesthesia without complications in ambulatory surgical interventions.
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[The current state of spinal anesthesia in urologic interventions].
It is reported on the experiences of several years in 9,400 spinal anaesthesias in the urology in patients at an advanced age. Still at present the spinal anaesthesia has a dominating position in the urological intervention. Despite modern and differenciated anaesthetic methods the importance of the spinal anaesthesia is by no means reduced for most urological interventions, particularly for the transurethral operation technique, but it rather increased during the last years by the new local anaesthetics, by the development of thinnest spinal needles, but also the increased knowledge of the dangers of general anaesthesia. In urological diagnostics and therapy the spinal anaesthesia has still its full right and is less toxic for the patient and has less severe complications than the general anaesthesia. However, prerequisites for its use are: a) mastery of technique b) full assent of the patient c) psychic guidance of the patient during the whole duration of the intervention and d) balanced pre-, intra- and postoperative substitution of the volume e) overcoming of the established opinion that the spinal anaesthesia has a particular depressing effect on circulation and frequently causes post-spinal headache.
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