Research Topics
| J MotschSummaryAffiliation: University of Heidelberg Country: Germany Publications
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Detail Information
Publications
[Desflurane versus isoflurane in geriatric patients. A comparison of psychomotor and postoperative well-being following abdominal surgical procedures]J Motsch
Klinik fur Anaesthesiologie, Ruprecht Karls Universitat Heidelberg
Anasthesiol Intensivmed Notfallmed Schmerzther 33:313-20. 1998..4), suggesting excellent intraoperative control of anaesthesia and rapid emergence and recovery from anaesthesia. However, only limited experience is available in geriatric patients undergoing major abdominal surgery...- [Development of a questionnaire to assess the quality of the preanesthetic visit]S A Snyder-Ramos
Klinik fur Anaesthesiologie, Universitatsklinikum Heidelberg, Germany
Anaesthesist 52:818-29. 2003..Such a questionnaire can be used to compare different premedication techniques and, thus, might contribute to improve the quality of health care... - [Drug interactions and the anesthesiologist]A S Milde
Klinik für Anaesthesiologie Universitätsklinikum Heidelberg, Germany
Anaesthesist 52:839-59. 2003..Besides recognizing the general risk factors, fundamental knowledge of basic and clinical pharmacology is important to prevent serious or fatal drug interactions before they occur... - Real-time ultrasonic observation of combined spinal-epidural anaesthesiaT Grau
University of Heidelberg, Department of Anaesthesiology, Heidelberg, Germany
Eur J Anaesthesiol 21:25-31. 2004..The quality of combined spinal-epidural anaesthesia mainly depends on accurate identification of the epidural space. The real-time ultrasound control of the procedure for puncture was therefore evaluated... - Cost-effectiveness and high patient satisfaction in the elderly: sevoflurane versus propofol anaesthesiaS P Luntz
University of Heidelberg, Department of Anaesthesiology, Heidelberg, Germany
Eur J Anaesthesiol 21:115-22. 2004..Cost analysis revealed that it was less expensive to use propofol for induction and sevoflurane for maintenance than to use either propofol or sevoflurane as sole agents for anaesthesia... - Cerebral and extracerebral release of protein S100B in cardiac surgical patientsS A Snyder-Ramos
Department of Anaesthesiology, University of Heidelberg, Heidelberg, Germany
Anaesthesia 59:344-9. 2004..In contrast, the early postoperative increased levels of protein S100B derive from cardiac tissue, as shown by the positive correlation between S100B and cardiac troponin I levels... - [Survey on practice of regional anaesthesia in Germany, Austria, and Switzerland. Part 1: Quality assurance and training concepts]E Bartusseck
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Anaesthesist 53:836-46. 2004..Regional anaesthesia plays a highly important role. Concepts of training and quality assurance that are backed up by evidence-based medicine should be worked out to improve the training and further education in regional anaesthesia... - [Survey on practice of regional anaesthesia in Germany, Austria, and Switzerland. Part 3: Methods in obstetric anaesthesia]E Bartusseck
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Anaesthesist 53:993-1000. 2004..The trend from general to regional anaesthesia for caesarean section is continued, as is the trend from local infiltrative techniques to epidural anaesthesia for vaginal delivery. Switzerland was in the forefront for these developments... - [Survey on current practice of regional anaesthesia in Germany, Austria, and Switzerland. Part 2: Use, success rates and techniques]T Grau
Klinik fur Anaesthesiologie, Ruprecht Karls Universität Heidelberg de
Anaesthesist 53:847-55. 2004..In neuroaxial anaesthesia satisfying success rates were reached in German-speaking countries. In paediatric anaesthesia its use still has many opponents... - [Propofol infusion syndrome]J Motsch
Klinik fur Anasthesiologie, Universitatsklinikum Heidelberg
Anaesthesist 53:1009-22; quiz 1023-4. 2004..In cases of unexplained lactate acidosis occurring during continuous propofol infusion, propofol infusion syndrome must be taken into consideration... - Postoperative 12-lead ECG predicts peri-operative myocardial ischaemia associated with myocardial cell damageB W Böttiger
Department of Anaesthesiology, University of Heidelber, D 69120 Heidelberg, Germany
Anaesthesia 59:1083-90. 2004..The postoperative 12-lead ECG identified peri-operative myocardial ischaemia associated with subsequent myocardial cell damage in most patients undergoing vascular surgery... - Association between early postoperative coagulation activation and peri-operative myocardial ischaemia in patients undergoing vascular surgeryB W Böttiger
Department of Anaesthesiology, University of Heidelberg, Germany
Anaesthesia 60:1162-7. 2005.... - [Dolasetron and shivering. A prospective randomized placebo-controlled pharmaco-economic evaluation]M Bock
Abteilung 1 für Anästhesie und Intensivmedizin, Zentralkrankenhaus, Lorenz Böhler Strasse 5, 39100 Bozen
Anaesthesist 56:63-6, 68-70. 2007..We therefore investigated the clinical pathway prevention of shivering with dolasetron in a prospective, randomized, placebo-controlled analysis of cost-effectiveness... - [Laryngeal masks. Possibilities and limits]H Hillebrand
Klinik fur Anasthesiologie, Universitatsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg
Anaesthesist 56:617-30. 2007..This contribution provides an overview of the basics as well as practical aspects of LMA use, and discusses the possibilities and limitations of the laryngeal mask in daily practice... - [Anaesthetic concepts in vascular surgery. The value of local anaesthetic procedures]U Haas
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Anaesthesist 52:173-90; quiz 190-1. 2003 - [Accessible price lists at the anaesthesiologist's workplace enhance cost consciousness as a part of process and cost optimization]S A Snyder-Ramos
Klinik fur Anaesthesiologie, Universitatsklinikum Heidelberg
Anaesthesist 52:154-61. 2003..Although the ABC analyses demonstrate no long-term effect of the price-transparency on the cost structures, the staff showed increased cost-consciousness and individual motivation for economic tasks... - [Emergency from anesthesia in small children. From laryngospasm to prolonged apnea]A Gries
Klinik für Anaesthesiologie der Universität Heidelberg
Anaesthesist 52:127-31. 2003..risk factors and treatment of perioperative airway obstruction 2. factors and treatment of prolonged apnea, and 3. delayed arousal reactions and their management in an outpatient setting... - [Computer simulation and pharmacoeconomics. Computer simulation as an aid for the analysis of operating room efficiency: an example]J Kubitz
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Anaesthesist 50:122-7. 2001..TIVA with remifentanil and propofol was associated with more OR efficiency than balanced anaesthesia with fentanyl and isoflurane when given for cataract surgery... - Comparative analysis of costs of total intravenous anaesthesia with propofol and remifentanil vs. balanced anaesthesia with isoflurane and fentanylJ Epple
Department of Anaesthesiology, University of Heidelberg, Heidelberg, Germany
Eur J Anaesthesiol 18:20-8. 2001..CONCLUSION: We conclude that propofol and remifentanil is more cost-effective than isoflurane/fentanyl due to its better recovery profile, reduced total direct costs and higher patient satisfaction... - Astroglial protein S-100 is an early and sensitive marker of hypoxic brain damage and outcome after cardiac arrest in humansB W Böttiger
Department of Anesthesiology, University of Heidelberg, Heidelberg, Germany
Circulation 103:2694-8. 2001..The results of early conventional tests do not correlate with cerebral outcome after cardiac arrest. We investigated the serum levels of astroglial protein S-100 as an early marker of brain damage and outcome after cardiac arrest... - The lumbar epidural space in pregnancy: visualization by ultrasonographyT Grau
Department of Anaesthesiology, University of Heidelberg, Germany
Br J Anaesth 86:798-804. 2001..Thus far, palpation has been the only available technique to facilitate epidural puncture. Ultrasound imaging enabled us to assess the structures to be perforated. We anticipate that this technique will become valuable clinically... - Psychomotor recovery in very old patients after total intravenous or balanced anaesthesia for cataract surgeryJ Kubitz
Department of Anesthesiology, University of Heidelberg, Germany
Br J Anaesth 86:203-8. 2001..We conclude that there is only a minor deficit in psychomotor function in elderly patients 2 h after cataract surgery under general anaesthesia and that psychomotor function recovers completely by 24 h after surgery... - [The visualisation of dura perforation and blood patches with ultrasound]T Grau
Abteilung für Anästhesiologie, Universitatsklinikum Heidelberg, Germany
Anasthesiol Intensivmed Notfallmed Schmerzther 37:149-53. 2002..Since these informations are relevant for further clinical practice further investigations are warranted... - [Contribution of anesthesia to workflow operation]J Motsch
Anaesthesiologische Klinik, Universitatsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg
Chirurg 73:118-21. 2002..Routine controls and analysis of the required teamwork reveal improvement potential and enable us to use the necessary control elements effectively... - [Ultrasound and local anaesthesia. Part III: ultrasound and neuroaxial local anaesthesia]T Grau
Klinik fur Anaesthesiologie, Universitatsklinikum Heidelberg
Anaesthesist 52:68-73. 2003..035) and patient satisfaction ( p<0.006) could be achieved. The metaanalysis of the different studies regarding puncture quality by ultrasound-guided peridural anaesthesia showed a clear advantage for the use of imaging techniques... - Complete recovery after 2 h of cardiopulmonary resuscitation following high-dose prostaglandin treatment for atonic uterine haemorrhageJ J Krumnikl
Departments of Anaesthesiology and Gynaecology, University of Heidelberg, Heidelberg, Germany
Acta Anaesthesiol Scand 46:1168-70. 2002..Despite 2h of CPR, the patient was discharged from hospital 3 months later without any major physical or neurocognitive deficit... - Ultrasound imaging of the thoracic epidural spaceT Grau
Department of Anesthesiology, University Clinic of Heidelberg, Im Neuenheimer Feld 110, D 69120 Heidelberg, Germany
Reg Anesth Pain Med 27:200-6. 2002..Our aim was to establish ultrasonography for the prepuncture demonstration of the anatomic structures surrounding the thoracic EDS and to evaluate its precision and imaging quality... 
The Heidelberg Peri-anaesthetic Questionnaire--development of a new refined psychometric questionnaireJ H Schiff
Department of Anaesthesiology, University of Heidelberg, Heidbelberg, Germany
Anaesthesia 63:1096-104. 2008..The Heidelberg Peri-anaesthetic Questionnaire offers a valid and reliable way to identify dissatisfied patients and generate quality improvement and also has use as a benchmark tool...- Levobupivacaine for epidural anaesthesia and postoperative analgesia in hip surgery: a multi-center efficacy and safety equivalence study with bupivacaine and ropivacaineT Koch
Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitatsklinikum Carl Gustav Carus, Technische Universitat Dresden, Fetscherstrasse 74, 01307 Dresden
Anaesthesist 57:475-82. 2008..2% ropivacaine for postoperative analgesia. The study was designed to test the equivalence of the overall profile of levobupivacaine against bupivacaine and ropivacaine. In addition, parameters of clinical safety were assessed... - [Non-invasive extended hemodynamic monitoring. Reduction of circulatory risk situations]M Bock
Anästhesieabteilung I, Zentralkrankenhaus Bozen, Bozen, Italien
Anaesthesist 56:656-64. 2007..In this prospective randomized study we investigated the impact of a non-invasive monitoring of CI on the incidence of hemodynamic instability and interventions by the attending anesthesiologist during major abdominal surgery... - [Thrombolysis during cardiopulmonary resuscitation]S A Padosch
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Anaesthesist 51:516-32. 2002.... - [Airway management for one-lung ventilation]J Motsch
Klinik fur Anaesthesiologie, Universitatsklinikum Heidelberg
Anaesthesist 54:601-22; quiz 623-4. 2005..The pathophysiological changes during one-lung ventilation and strategies to avoid hypoxemia and to preserve adequate oxygenation are discussed... - [A factorial trial of six interventions for the prevention of postoperative nausea and vomiting]C C Apfel
Klinik und Poliklinik für Anaesthesiologie, Julius Maximilians Universitat, Wurzburg
Anaesthesist 54:201-9. 2005..Although many trials have been conducted, the relative benefits of prophylactic antiemetic interventions given alone or in combination remain unknown... - Comparison of caudal and intravenous clonidine in the prevention of agitation after sevoflurane in childrenM Bock
Department of Anaesthesiology, University of Heidelberg, Im Neuenheimer Feld 110, D-69120 Heidelberg, Germany
Br J Anaesth 88:790-6. 2002..The effect of clonidine appears to be dose-dependent, as an epidural dose of 1 microgram kg-1 failed to reduce it... - Thrombolytic therapy during cardiopulmonary resuscitationS A Snyder-Ramos
Department of Anaesthesiology, University of Heidelberg, Heidelberg, Germany
Minerva Anestesiol 68:186-91. 2002..It may become a routine measure if positive results of randomised, controlled clinical trials will be available in the future... - Pulse pressure and risk of adverse outcome in coronary bypass surgeryManuel L Fontes
Weill Medical College of Cornell University, Ischemia Research and Education Foundation 1111 Bayhill Dr, Suite 480, San Bruno, CA 94066, USA
Anesth Analg 107:1122-9. 2008..The relationship of PP and acute perioperative vascular outcome among patients having coronary artery bypass graft (CABG) surgery is less well known...