Publications by authors named "Rolf Schuepbach"
Aim Of The Study: Non-intubated, video-assisted thoracoscopic surgery (NiVATS) has been successfully developed in several centres worldwide. Local anaesthesia techniques and techniques to perform thoracoscopic surgery on a spontaneously breathing lung are the two key elements which must be adopted to establish a NiVATS programme. We established NiVATS by performing bilateral, uniportal sympathectomies, and compared it to classical video-assisted thoracoscopic surgery (VATS) under general anaesthesia with double-lumen intubation.
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- The study tested a new double-lumen endotracheal tube (DLT) called VivaSight, which has a built-in camera for better visibility during intubation, against a conventional DLT in thoracic surgery patients.
- The results showed that the VivaSight DLT allowed for faster intubation times (63 seconds on average) compared to the conventional DLT (97 seconds), and it was successfully inserted in all attempts.
- Although it had a slightly higher incidence of airway injuries, the VivaSight DLT proved to be easier to position and adjust, confirming its potential advantages in surgical settings.
Objective: To evaluate the feasibility, efficacy, safety and side effects of routinely performed continuous venovenous hemofiltration (CVVH) with regional citrate anticoagulation using a citrate-containing substitution solution as compared with conventional systemic low-dose unfractionated heparin-anticoagulation in postoperative cardiac surgery patients.
Design/setting: Database review of all patients on CVVH during a three-year period at a cardiovascular intensive care unit of a tertiary referring university hospital.
Patients: Patients who had undergone cardiac surgery with acute or chronic renal failure were studied.