Untersuchung zur Häufigkeit von Luftembolien bei der Implantation von Hüftprothesen*

Autor:	W. Krumholz, B. Bachmann, G. Hempelmann, J. Biscoping, K. Ratthey
Rok vydání:	2008
Předmět:	musculoskeletal diseases Lung embolism medicine.medical_specialty business.industry Incidence (epidemiology) Total hip replacement Venous air embolism medicine.disease Air embolism Surgery Embolism medicine Orthopedics and Sports Medicine General anaesthesia business Venous Embolism
Zdroj:	Zeitschrift für Orthopädie und ihre Grenzgebiete. 125:369-374
ISSN:	1438-941X 0044-3220
DOI:	10.1055/s-2008-1044926
Popis:	The prosthetic supply of the hip-joint may be accompanied by the problem of venous air embolism. By including 53 orthopaedic patients having undergone total hip replacement, the influence of bone-cement as well as of the different anaesthetic techniques on the frequency of embolic phenomenons was investigated. Embolism was determined as an abrupt decrease (greater than 5 mmHg) in the end-tidal pCO2. Venous embolism often occurred with cemented endoprostheses in contrast to non-cement implantations. Patients with general anaesthesia presented more often with venous air embolism than patients with epidural anaesthesia. This might be explained by an expanding effect of nitrous oxide on air bubbles entering the vascular bed under the implantation of the shaft-prostheses. Our data stress the importance of continuous monitoring of end-tidal pCO2 for early discovery of lung embolism.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::1c9201ad5538b9be392dc5e30cc7ee06 https://doi.org/10.1055/s-2008-1044926 Zobrazit plný text záznamu