Beeinflussung der postoperativen Somnolenz nach Halothananästhesie durch Physostigmin

Hartung, H.-J.; Osswald, Peter Michael; Puhl, Rafael Cordeiro; Rp, Jacoby

doi:10.1055/s-2007-1002452

Cited by 3 publications

(1 citation statement)

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“…The SST system was primary developed to test memory and attentiveness in elderly patients to detect dementia [22]; later on the test system was also used to describe the conditions of recovery after anaesthesia [23,24]. The use of the SST as the best suitable test system was carefully selected between other test systems in this study to investigate the early cognitive recovery, especially memory and attentiveness after general anaesthesia at the day of the operation [11,25,26].…”

Section: Discussionmentioning

confidence: 99%

Recovery index, attentiveness and state of memory after xenon or isoflurane anaesthesia: a randomized controlled trial

et al. 2010

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BackgroundPerformance of patients immediately after anaesthesia is an area of special interest and so a clinical trial was conducted to compare Xenon with Isoflurane anaesthesia. In order to assess the early cognitive recovery the syndrome short test (SST) according to Erzigkeit (Geromed GmbH) was applied.MethodsASA I and II patients undergoing long and short surgical interventions were randomised to receive either general anaesthesia with Xenon or Isoflurane. The primary endpoint was the validated SST which covering memory disturbances and attentiveness. The test was used on the day prior to intervention, one and three hours post extubation. The secondary endpoint was the recovery index (RI) measured after the end of the inhalation of Xenon or Isoflurane. In addition the Aldrete score was evaluated up to 180 min. On the first post-operative day the patients rated the quality of the anaesthetic using a scoring system from 1-6.ResultsThe demographics of the groups were similar. The sum score of the SST delivered a clear trend one hour post extubation and a statistically significant superiority for Xenon three hours post extubation (p < 0.01). The RI likewise revealed a statistically significant superiority of Xenon 5 minutes post extubation (p < 0.01). The Aldrete score was significantly higher for 45 min. The scoring system results were also better after Xenon anaesthesia (p < 0.001).ConclusionsThe results show that recovery from anaesthesia and the early return of post-operative cognitive functions are significantly better after Xenon anaesthesia compared to Isoflurane. The results of the RI for Xenon are similar with the previously published results.Trial RegistrationThe trial was registered with the number ISRCTN01110844 http://www.controlled-trials.com/isrctn/pf/01110844.

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Section: Discussionmentioning

confidence: 99%

Recovery index, attentiveness and state of memory after xenon or isoflurane anaesthesia: a randomized controlled trial

et al. 2010

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Anaesthetic interventions for prevention of awareness during surgery

Messina

Wang

Ward

et al. 2016

Cochrane Database of Systematic Reviews

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Die Störungsgradsensitivität des SKT

Lehfeld

Erzigkeit

2005

Zeitschrift für Gerontopsychologie & -psychiatrie

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Zusammenfassung: Der SKT nach Erzigkeit ist ein 1977 publizierter, seitdem zweimal überarbeiteter Kurztest zur Erfassung von Störungen des Gedächtnisses und der Aufmerksamkeit. Der Test wird hauptsächlich bei Patienten mit leichten kognitiven Beeinträchtigungen oder mit leichter bis mittelgradiger demenzieller Symptomatik eingesetzt. Der vorliegende Literaturüberblick informiert über quer- und längsschnittliche Studien, in denen sich der SKT als störungsgradsensitives Untersuchungsverfahren bewährt hat. Auch wenn der Schwerpunkt des Testeinsatzes im Bereich demenzieller Alterserkrankungen liegt - hier insbesondere auf dem Wirksamkeitsnachweis therapeutischer Maßnahmen -, belegen zahlreiche Untersuchungen beispielsweise aus der Chirurgie und Anästhesie seine Verwendbarkeit auch bei anderen Diagnosegruppen. Als besonderer Vorteil des SKT erwies sich hierbei das Vorliegen von fünf Parallelformen für Wiederholungstestungen innerhalb kurzer Zeitabstände. Die differenzierte Altersnormierung, die auch das prämorbide Ausgangsniveau des Patienten berücksichtigt, macht den SKT zu einem Verfahren mit einem breiten Einsatzbereich.

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Beeinflussung der postoperativen Somnolenz nach Halothananästhesie durch Physostigmin

Cited by 3 publications

References 0 publications

Recovery index, attentiveness and state of memory after xenon or isoflurane anaesthesia: a randomized controlled trial

Recovery index, attentiveness and state of memory after xenon or isoflurane anaesthesia: a randomized controlled trial

Anaesthetic interventions for prevention of awareness during surgery

Die Störungsgradsensitivität des SKT

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