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Biomedical subjects

P Rheindorf

Publications and source records attributed to P Rheindorf.

7 recordsLinked to original sources
PubMed1976

Management of potentially fatal alcohol intoxication.

Severely alcohol intoxicated patients pass through all stages of anesthesia according to the Guedel classification. Additional illnesses or injuries might be present, however. These require careful investigation. Blood alcohol levels are no criterion for the degree of intoxication. The treatment varies and is based on clinical symptoms. In our series of more than 100 alcohol intoxicated patients the treatment generally consisted o Apomorphine, unless unconsciousness was present, and peripheral vasopressors, if necessary. Occasionally endotracheal intubation was required. On gastric aspiration via nasogastric tube only minimal amounts of alcohol could be recovered. With correct diagnosis and effective treatment the cure rate of acute alcohol intoxication should be as high as that of other intoxications.

Adolescent↗
PubMed1976

[Narcosis as anesthesia in middle ear surgery (author's transl)].

Four essential points exist in the use of narcosis for surgery of the middle ear: 1. In addition to local anesthesia, any method of narcosis for anesthesia with endotracheal intubation is suitable for surgery. 2. Surgical procedures utilizing the operating microscope make immobility of the patient mandatory. 3. Establishment of a relatively bloodless surgical field by special techniques (such as use of local vasoconstrictors or controlled hypotension with ganglionic blocking agents or halothane) can be employed. 4. Altered middle ear pressure by nitrous oxide (causing a rise in pressure by 3-4 cm H20) can impede operative procedures.

Anesthesia↗
PubMed1976

[Intensive care in ENT medicine, head and neck surgery (author's transl)].

In intensive medicine we distinguish between intensive care units which have mostly observatory and monitoring functions and intensive therapy units. For the surgical patients of the ear, nose, and throat department the intensive care units are probably of greater significance. The following play an important role: Preoperative work-up including laboratory fluoroscopy and x-rays, pulmonary function tests and blood gas analysis; induction of anesthesia, access to good veins, gastric intubation, urinary bladder catheterization; maintenance of anesthesia and postoperative observation, fluid balance, oral and parenteral feeding, tracheostomy care, bronchial toilet; inhalation therapy. The last receives an extensive discussion.

Acid-Base Equilibrium↗