3 research outputs found

    Inzidenz von Rebound-Pain bei der distalen N. ischiadicus-Blockade im Rahmen der multimodalen Analgesie bei aseptischen Fuß- und Sprunggelenksoperationen

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    Fuß- und Sprunggelenkoperationen sind schmerzhafte Eingriffe, die eine wirksame prä- und postoperative Schmerzlinderung erfordern. Die distale N. ischiadicus-Blockade hat sich als eine sichere und effiziente periphere Nervenblockadetechnik etabliert. Der Übergang von gut kontrollierten postoperativen Schmerzen (NRS ≤ 3) bei manifester Nerven-Blockade hin zu starken Schmerzen (NRS > 7) innerhalb von 24 Stunden bei nachlassender Nerven-Blockade wird als Rebound-Pain definiert. Bei ambulanten Eingriffen kann dieses Phänomen von besonderer Bedeutung sein, da es zu unerwünschten nächtlichen Notaufnahmebesuchen führen kann. Bisherige Studien zeigen eine Inzidenz von bis zu 50%. Ziel dieser Studie war es, die Inzidenz und Relevanz von Rebound-Pain nach einer distalen N. ischiadicus- Blockade bei Fuß- und Sprunggelenkoperationen zu untersuchen.Foot and ankle surgeries are known to be painful procedures, requiring effective pre- and postoperative pain management. The distal sciatic nerve block has become a well-established and effective peripheral nerve block technique. The transition from well-controlled postoperative pain (NRS ≤ 3) with a successful nerve block to severe pain (NRS > 7) within 24 hours as the block wears off is known as rebound pain. This phenomenon may be especially relevant for outpatient procedures, as it can lead to unwanted emergency room visits during the night. Previous studies have shown an incidence of up to 50%. The aim of this study was to investigate the incidence and significance of rebound pain following distal sciatic nerve block in foot and ankle surgeries

    Potentiality of graphene as a base material for impact ionization avalanche transit time diode in high-frequency applications

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    In this paper, the microwave application potential of graphene is studied using a double-drift-region (DDR) impact ionization avalanche transit time (IMPATT) diode. The simulation of this diode is carried out for the very first time at several different atmospheric window frequencies. Because graphene has unique and special properties, it could be used to make electronic gadgets for the next generation. The device is simulated at a variety of millimeter and sub-millimeter wave frequencies using a model called self-consistent drift diffusion (SCDD), which was developed by the author based on current continuity, Poisson’s equation and space charge equation. When compared to traditional IMPATT devices such as Si, GaAs, InP and GaP, the results demonstrate superior performance in terms of efficiency, and RF power across a wide range of operating conditions. Again, the behavior of noise in graphene IMPATT is studied, and it is found that it makes less noise than Si and GaAs IMPATT. The simulation results open up new avenues for IMPATT diode manufacture and design
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