Christian Breschan

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BACKGROUND During ultrasound (US)-guided cannulation of the subclavian vein (SCV) via an infraclavicular route, the view of the needle behind the clavicle may be obscured. This study describes the US-guided supraclavicular cannulation of the brachiocephalic vein (BCV). METHODS The 25 mm broadband linear array US probe was placed in the supraclavicular(More)
A case of multiple life-threatening postoperative apnoeas in a term neonate undergoing inguinal herniorrhaphy and orchidopexy who received light inhalation anaesthesia combined with caudal block with 1 ml.kg-1 ropivacaine 0.2% plus 2 microg.kg-1 clonidine is reported. The patient showed no apparent risk factors for postanaesthetic apnoea.(More)
OBJECTIVES To compare the efficacy and tolerability of transdermal buprenorphine in elderly patients and 2 younger populations, all requiring analgesic treatment for moderate-to-severe chronic pain. METHODS Three equally sized age-groups (A>/=65, n=30; B=51 to 64, n=27; C</=50 y, n=25) were examined during 28-day treatment periods to detect potential(More)
Severe limb ischemia after arterial catheterization in neonates and premature infants is a well-recognized problem. The usual treatment of ischemic injuries includes removal of the catheter and elevation of the effected limb. If unsuccessful, tissue necrosis and loss may follow. We report the case of a 700 g infant with severe distal forearm ischemia after(More)
BACKGROUND The primary aim of this study was to compare catheter-associated infections and tip contaminations between percutaneously placed central venous catheters in the internal jugular and subclavian veins in surgical neonates undergoing major noncardiac surgery. METHODS The prospectively computerized protocols of 295 procedures were analyzed(More)
Das Auftreten früher zentralnervöser Symptome bei einem Kaudalblock mit 3,1 mg/kg Bupivacain bei wachen Säuglingen wurde untersucht. Methodik: 7 wache Babys erhielten einen Kaudalblock mit 3,1 mg/kg Bupivacain mit 5 ug/ml Adrenalin. Eine EEG-Ableitung und Feststellung des klinischen Status wurden vor und 20 min nach dem Kaudalblock durchgeführt.(More)
A neonate with chromosomal 9 abnormality and omphalocele received a lumbar epidural catheter after laparotomy. Several attempts were needed to establish this catheter. Bleeding occurred from the operative wound after surgery. Using an epidural infusion with ropivacaine 0.1% for 48 h postoperative pain relief was sufficient. Four days after epidural catheter(More)
BACKGROUND The primary goal of this study was to compare the size and depth of the internal jugular vein (IJV) and the subclavian vein (SCV) in infants under general anaesthesia. A secondary goal was to determine the correlation of weight, height, head circumference, and age to the size and depth of these veins. METHODS Sixty small infants weighing from(More)
STUDY OBJECTIVE Ketoprofen exerts its clinical effect by inhibition of prostaglandin synthesis, but also acts as an NMDA-receptor antagonist by means of the kynurenic acid. Based on ketoprofen's supposed central mechanism of analgesia, we expected a preemptive effect, which was assessed by the present study. METHODS In a prospective, randomised,(More)
BACKGROUND Behavioral disturbance in children following sevoflurane anesthesia is a relatively frequent event. The aim of this study was to evaluate whether a higher dose of preoperatively administered rectal midazolam compared with a lower would alleviate this phenomenon. Furthermore the impact of these two doses of midazolam on sedation at induction of(More)