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R Gottschall

Publications and source records attributed to R Gottschall.

23 records · Page 2Linked to original sources
PubMed1989

[Building and performance of the Jena system for normal frequency injector (jet) ventilation in endoscopic treatments].

Experiences with three variants of use of normofrequency injector (jet)-ventilation during endoscopic procedures in laryngo-tracheobronchial area are reported. The used simple instruments and the efficiency of the method with regard to the gas exchange of the patients are described. Moreover, experimental investigations of the Kleinsasser laryngoscopic equipment at the lung model were performed. Problems of the supervision and non-endoscopic applications of the method are mentioned.

Anesthesia↗
PubMed1989

[The use of the jet ventilation technic in surgical interventions on the trachea].

Based on our own experiences and on comparisons with the literature, we demonstrated the possibilities and problems of jet ventilation technique during surgical interventions at the trachea. This method has been applied 28 times and in two cases surgical manipulations caused complications in the form of bronchial bleedings, with the occurrence of hypoventilation in one case. Due to the essentially improved prerequisites for the surgeon and optimal ventilation, the procedure of jet ventilation presents a true enrichment of the anaesthesiological repertoire, provided the indications are well established and the cooperation between surgeon and anaesthetist is good. On the other hand, however, owing to insufficiencies in the adequate monitoring if this form of ventilation, a comparably higher risk for the patient has to be taken into account.

Adult↗
PubMed1988

[Behavior of respiratory tract, esophagus and pulmonary artery pressure in bronchoscopies in normofrequent jet ventilation in comparison with Friedel's ventilation technics].

The dynamics of selected physiological respiratory parameters were studied in a total of 29 patients. During slight hyperventilation and good oxygenation by both Friedel's and jet ventilation (driving pressure 0.3 and 0.4 MPa, respectively), comparably low respiratory tract pressures were observed. Transmission to intrathoracic (44-46%) and mean pulmonary artery pressure (11-13%) indicates only a low-grade ventilation-induced hemodynamic influence. By contrast, clear increases in pulmonary artery pressure due to intubation were recorded. Thus, the employed normofrequent jet ventilation with its continuous open-tube ventilation which is independent of the undisturbed bronchological examination possesses beneficial properties from a cardiorespiratory view.

Adult↗