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Biomedical subjects

O Schulte-Steinberg

Publications and source records attributed to O Schulte-Steinberg.

At least 19 recordsLinked to original sources
PubMed1990

[The use of regional blocks in children].

Following a short review of the history of regional anaesthesia in children the anatomical and physiological differences to the adult are discussed. The procedure used for instituting a regional block in combination with light general anaesthesia is described. Basically all blocks used in the adult can be performed in children as well. However, it is necessary to consider the anatomical situation in the child as well as the appropriate dosages. With the aid of an electric nerve stimulator it is possible to perform peripheral nerve blocks without the need for child cooperation. The continuous caudal technique in which catheters can be advanced to upper thoracic levels in neonates and young infants, in contrast to adults, is discussed in detail.

Adolescent↗
PubMed1989

[The history of local anesthesia].

Based on early references a survey on old local anaesthetic drugs and their present position is given: procaine, chloroprocaine, tetracaine, amylocaine, stovaine and dibucaine. Furthermore, the historical development of various local anaesthetic methods as well as their influence by modern technical advances and by modern local anaesthetic drugs is pointed out. Finally an outlook on the present position of regional anaesthetic procedures in newborns, infants and children is given.

Anesthesia, Local↗
PubMed1982

[Pelviscopy under epidural and general anaesthesia. Comparison of two methods].

The effects of 2 methods of anaesthesia for gynaecological pelviscopic examinations were compared. For this purpose 28 patients were divided into 2 equal groups (A and B). The patients of group A received a general anaesthetic with intubation, relaxation tic was administered. The patients of group B received an epidural anaesthetic block and were allowed to breathe room air spontaneously. During the procedure the cardiovascular system and changes of blood-gases were observed and recorded. No statistically significant differences in pulse rate and blood pressure between the two groups were found. Blood gases taken prior to anaesthesia and at the end of the procedure revealed a statistically significant decline of the pH. The increase in pCO2 in both groups as well as the rise in base excess in group A were significant. There was no significant difference between both groups. Because of the limited number of cases the statistical results have to be regarded with reservation. No anaesthetic complications occurred. The results show that epidural anaesthesia represents a true alternative to general anaesthesia.

Adult↗
PubMed1977

[New aspects of field blocks and peripheral nerve blocks (author's transl)].

There have been no new developments concerning field blocks. The need for limiting the dosage of local anesthetic agents is stressed. Two methods for perivascular block are described and the use of CO2 containing local anesthetic solutions is discussed as well as the employment of peripheral nerve stimulators.

Bupivacaine↗
PubMed1977

Spread of extradural analgesia following caudal injection in children. A statistical study.

Data on the segmental spread of analgesia from three independent studies of caudal extradural blocks in children with three different local anaesthetic agents were examined with multiple regression techniques to find the effects of age on dose requirements. All three studies confirmed the existence of a linear relationship between the spread of analgesia and age. As there were no significant differences between the three regression lines a common regression line was calculated. This may be used as a guideline for predicting dose requirements in the daily routine of anaesthesia. By injecting a mixture of a radio-opaque substance and 4% lignocaine it was shown by comparison of the radiological spread of the solution and the distribution of clinical analgesia that the latter always exceeded the former by four to six segments. This may indicate the occurrence of diffusion.

Age Factors↗