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20 Jahre Fluothane pp 257–262Cite as

Änderungen Des Augeninnendrucks Unter Halothan- Und Enfluran-Anaesthesie Am Versuchstier

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Zusammenfassung

Bei allen intraokulären Operationen ist es erstrebenswert, zu Beginn des chirurgischen Eingriffs eine Verminderung des Augeninnendrucks (AID) zu erreichen, da bei hohem Druck im Moment des Einschnitts der Augeninnenhalt vorfallen kann. Außerdem wird dadurch ein Bruch der Arteriae ciliares posteriores mit nachfolgender austoßender Blutung begünstigt. Die konstante Kontrolle des AID ist deshalb eines der wichtigsten Ziele bei der Durchführung der Anaesthesie. Sämtliche Anaesthetica - die Muskelrelaxantien einbegriffen - können sowohl direkte als auch indirekte Auswirkungen auf den AID haben. Das d-Tubocurarin z. B. hat eine direkte Wirkung auf den AID und zwar durch Lähmung der Musculi bulbi (1, 2 ). Da aber in diesem Fall durch die allgemeine Muskellähmung eine Hypoventilation erzeugt wird, steigt auf Grund der dadurch entstehenden Hypoxie und Hyperkapnie der AID ( 3 ).

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Authors
  1. G. Varassi
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  2. P. Böhmig
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  3. M. G. Pignatelli
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  4. V. Vilardi
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  5. L. F. Comelli
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  6. G. Pinto
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Editor information

Editors and Affiliations

  1. Direktor des Instituts Für, Anaesthesiologie der Med. Hochschule Zentralklinikum Roderbruch, Karl-Wiechert-Alee 9, 3000, Hannover, Germany

    Erich Kirchner

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© 1978 Springer-Verlag Berlin Heidelberg

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Varassi, G., Böhmig, P., Pignatelli, M.G., Vilardi, V., Comelli, L.F., Pinto, G. (1978). Änderungen Des Augeninnendrucks Unter Halothan- Und Enfluran-Anaesthesie Am Versuchstier. In: Kirchner, E. (eds) 20 Jahre Fluothane. Anaesthesiologie und Intensivmedizin / Anaesthesiology and Intensive Care Medicine, vol 109. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-66862-3_35

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  • DOI: https://doi.org/10.1007/978-3-642-66862-3_35

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-08602-4

  • Online ISBN: 978-3-642-66862-3

  • eBook Packages: Springer Book Archive

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