Bergit Brunne

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OBJECTIVES For experienced personnel endotracheal intubation (ETI) is the gold standard to secure the airway in prehospital emergency medicine. Nevertheless, substantial procedural difficulties have been reported with a significant potential to compromise patients' outcomes. Systematic evaluation of ETI in paramedic operated emergency medical systems (EMS)(More)
STUDY OBJECTIVE To investigate the incidence and severity of laryngo-pharyngeal complaints following anesthesia with the use of a laryngeal mask airway (LMA) compared with endotracheal intubation in adults. DESIGN Prospective study with randomized patient selection. SETTING University medical center. PATIENTS 202 adult ASA physical status I, II, and(More)
BACKGROUND The laryngeal mask airway (LMA) is a large foreign body that exerts pressure on the pharyngeal mucosa, which may lead to throat discomfort. To determine whether intracuff pressures are associated with such discomfort, a randomized, double-blind study was performed to determine the effect of high versus low intracuff pressures. METHODS Seventy(More)
BACKGROUND Training requirements to perform safe prehospital endotracheal intubation (ETI) are not clearly known. This study aimed to determine differences in ETI performance between 'proficient performers' and 'experts' according to the Dreyfus & Dreyfus framework of expertise. As a model for 'proficient performers' EMS physicians with a clinical(More)
Minor laryngopharyngeal complaints following anaesthesia considerably determine postoperative patient comfort. They cannot be eliminated but reduced by experience and careful preparation and insertion technique. The incidence of minor laryngopharyngeal symptoms following the use of the laryngeal mask airway is similar to that following endotracheal(More)
Adequate control of postoperative pain does not only improve patient satisfaction, but is also indicated from a medical point of view. Besides conventional non-opioid analgesics and opioids, more sophisticated analgesia concepts like intravenous patient-controlled analgesia (PCA) and epidural analgesia may be indicated. Modalities and practical aspects of(More)
OBJECTIVE To investigate a new method for management of massive postpartum hemorrhage in cases of abnormal placenta adhesion. DESIGN Case report. SETTING University hospital. PATIENT(S) An 18-year-old nullipara presented with fulminant postpartum bleeding after cesarean section due to placenta increta. The patient developed hemorrhagic and septic(More)
Funktionelle und strukturelle Störungen bei Anwendung der Kehlkopfmaske sind methodenimmanente Risiken. Sie können nicht eliminiert, durch Erfahrung, umsichtige Technik und Vorbereitung jedoch reduziert werden. Geringfügige Halsbeschwerden („minor laryngeal morbidity”) – eine nicht unwesentliche Determinante des Patientenkomforts – treten nach Einsatz der(More)
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