Anästhesie Intensivmedizin Notfallmedizin

Autoerotic accident associated with self-applied ketamine

“…The result of anaesthetic doses is complete analgesia with superficial unconciousness ("trance-like state") and amnesia [37,40] and protective reflexes are maintained [37,40,41]. The hypnotic effect is minimal.…”

“…The hypnotic effect is minimal. Since ketamine is the only anaesthetic combining a stimulatory cardiovascular effect (tachycardia, rise in blood pressure, increasing of myocardial oxygen consumption) with a low level of respiratory depression, while respiratory depression will be increased by overdosing and rapid intravenous injection [40,41]. Ketamine induces characteristic changes in breathing patterns, causing both phases of deep, less frequent breaths with brief apnoeic episodes as well as phases of sighing inspirations with high tidal volumes and an end-inspiratory plateau.…”

“…Ketamine is also associated with increased salivary and bronchial secretion, coughing and laryngospasms combined with raised laryngopharyngeal reflex and there can be a danger of aspiration in patients who do not have an empty stomach. Its effect of increasing intracranial pressure makes ketamine less suitable for use in patients with neurosurgical intervention [40,41]. The drug is seldom used in the psychiatric patient because of its tendency to cause hallucinations and bizarre nightmares [41] and because of its hallucinogenic effects ketamine became a known drug of abuse at the end of the 1970s [42].…”

Fokus – NarCO2se und Umwelt

“…Volatile Anästhetika weisen unterschiedliche Potenzen auf, was mit unterschiedlichen Dosen für eine vergleichbare Anästhe-▶ Tab. 1 Inhalationsanästhetika: Synopsis physikochemischer Eigenschaften [10,11]. Wirkstärke des volatilen Anästhetikums in die Kalkulation einbezogen werden.…”

Perioperative Anaphylaxie aufgrund einer Rocuroniumallergie bei einem Kind

“…B. Opiate oder Muskelrelaxanzien, wie z. B. Tubocurarin, Alcuronium, Atracurium, Mivacurium, Rapacuronium [7,10].…”