Publications by authors named "T Metterlein"

Background: Sepsis is a leading cause of morbidity and mortality worldwide. Many patients suffering from sepsis are treated on intensive care units and many of them require mechanical ventilation under sedation or general anesthesia. Propofol, a drug used for these purposes, is known to interact with polymorphonuclear granulocytes (PMNs).

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Background: Adequate preoperative information can lessen patient anxiety. Delivering sufficient information during a personal interview, however, is time consuming, and therefore a relevant economical aspect. We investigated whether video information given to the patient before the pre-anesthetic interview has an influence on the patient's anxiety and the duration of the interview.

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Background: Anesthesia has an influence on early postoperative cognitive function. This is specifically relevant in ambulatory surgery. At discharge, patients must return to their normal life and manage simple tasks.

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Introduction: Local anesthetics (LAs) are frequently used during anesthesia; however, they may influence granulocyte function which in turn could modify immune responses in the perioperative period. Therefore, the aim of this study was to investigate the impact of clinically used doses of bupivacaine and lidocaine on granulocyte function with regard to migration, reactive oxygen species (ROS) production, neutrophil extracellular traps (NETosis) formation, and viability.

Methods: A total of 38 granulocyte-enriched samples from healthy subjects were obtained by whole blood lysis.

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Article Synopsis
  • Acceleromyography is a monitoring technique that shows increased twitch response known as the staircase phenomenon, which occurs during the first 30 minutes of muscle response assessment.
  • This study investigated whether tetanic prestimulation could prevent the staircase phenomenon in children, where muscle responses were measured in 80 children across different age groups.
  • Results indicated that tetanic prestimulation effectively eliminated the staircase phenomenon in children, with stable TOF ratios observed, confirming its usefulness for consistent neuromuscular monitoring.
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