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R. Droh Ladies and gentlemen. dear friends and colleagues. we welcome you very cordially to our symposium ’Innovations in Management and Technic and Pharmacol ogy’. We are very glad that you have come to Liidenscheid and we do hope that our programme will fulfil your expectations. We decided to hold this symposium, because it is getting more and more dif ficult to select innovations at international congresses around the world which are important for our clinical work. Now and in the future our intention is to present the actual state of technology. management and pharmacology. We would be very glad to receive your suggestions for further symposia. The industry has the same problems as we have. They do not only have to search for those things which can be realized and which are desirable, but also for those things which can be sold. But the industry must also be stimulated by the inventors and by the users, so we want to bring together the industry, the physicians and the inventors for fruitful discussions. And we hope that in the fu ture the industry will provide us more quickly with those technical and organiz ational aids that we need. We want the indu~try no longer running behind the market but heading the market. At present too many interesting developments are killed by so-called market analysis, in the beliefing that such analysis can always prove what cannot be sold. In anaesthesia many companies are always busy with the same product.
The Closed-Circuit Anaesthesia System.- Principles of Low Gas Flow Measurement for Closed-Circuit Systems.- The Biological Importance of Adequate Oxygen Supply: On-line Measurement of Oxygen and Carbon Dioxide.- Principles of Measurement of Anaesthetic Agent Concentrations in Closed-Circuit Systems.- The Present Status of Nitrous Oxide in Clinical Anaesthesia.- Measurements of Volatile Gases.- The Absolutely Tight Circuit System and the Problem of Excess Humidity.- Automatic Ventilation in Minimal Flow Anaesthesia.- A Closed Circuit.- Automatic Ventilation During Closed-Circuit Anaesthesia.- Discussion I.- Structure and Effectiveness of the Dräger Microbe Filter 644 St.- Discussion II.- Comments on the Environmental Relevance of Commonly Used Inhalation Anaesthetics.- Discussion III.- Two Applications of a Differential Pressure Valve in Anaesthesia.- Measurement and Control of Air Pollution by Anaesthetic Gases and Vapours.- Measurement of Pulmonary Capillary Perfusion in Intubated Patients with a Non-invasive N2O-Rebreathing Method.- Discussion IV.- A Standardized Anaesthesia Machine.- Ergonomics and Anaesthesia: Autitory Alarm Signals in the Operating Room.- Rapid Setting of Intravenous Infusion Rates.- Presentation of an Ergnomically Designed Work Place for Anaesthesia.- Discussion V.- A Newly Designed Unit for the Recording of ECG, Temperature, Pulse Plethysmography, and Other Body-Surface Parameters.- Discussion VI.- The Organization of the Secretariat.- Discussion VII.- The Induction and Recovery Period of Inhalation Anaesthesia: A Considerable Improvement with Isoflurane.- Isoflurane.- Discussion VIII.- Quantitative Studies of Oxygen Exchange in Blood Substitution by Polymeric Stroma-free Haemoglobulin Solution.- Experiments with Haemoglobin Solutions as Perfusion and Infusion Solution.- The Technical and Physiological Aspects of Surgery and Anaesthesia Without Homologous Blood.- The Ability of Perfluorochemicals to Provide Microcirculatory Oxygenation.- Discussion IX.- Analytical Aspects of Some Anaesthesiologically Important Peptide Hormones.- Discussion X.- ?-Endorphin for Treatment of Pain.- Discussion XI.- Involvement of Pituitary Endorphins in Pain Perception and Their Importance in Pituitary-Stimulation-Induced Analgesia in Animals and Man.- Sufentanil: A Synthetic Narcotic for Total Intravenous Anaesthesia?.- Discussion XII.- On a New Topical Anaesthesia for Intra-uterine Manipulations.- Discussion XIII.- Frontal EEG/EMG Analysis: A Method of Assessing Depth of Anaesthesia. First Experience with an “Anaesthesia and Brain Activity Monitor”.- Pneumatic Controlled Circulation.- Discussion XIV.- Heart-Cycle-Synchronized Jet Ventilation.- High-Frequency Ventilation for Laser Surgery of the Larynx.- Discussion XV.- The Pre-, Intra- and Postoperative Organization of Anaesthesia.- Development and Practical Use of a Computerized Anaesthesia Protocol.- Discussion XVI.- On-Line Graphic Presentation of Lung Mechanics During Mechanical Ventilation.- Check-List for the Dräger Narkosespiromat 650.- Closing Statement.
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