10.12.2012 Aufrufe

Blutalkohol 2005 - BADS (Bund gegen Alkohol und Drogen im ...

Blutalkohol 2005 - BADS (Bund gegen Alkohol und Drogen im ...

Blutalkohol 2005 - BADS (Bund gegen Alkohol und Drogen im ...

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Breitmeier/Besch/Gebel/Panning,<br />

Measuring of end-expired breath ethanol concentration following percutaneous ethanol injections<br />

(PEI) carried out on patients suffering from hepatocellular Carcinoma<br />

diameter (arterial extension tube, length 15 cent<strong>im</strong>etre, Angiokard ® ) resulted in significantly<br />

increased values compared to the use of original tubes (length 100 cent<strong>im</strong>etre).<br />

Examination of original tubes from laboratory trials showed also that positive values<br />

could be achieved when air uncontaminated by alcohol was pumped through the tubes<br />

afterwards. On average 4 measurings were needed after an initial measuring of an alcoholic<br />

gas-sample until the display was down to zero. Further measurings demonstrated that<br />

measuring behind the airway filter yielded significantly lower concentrations (before:<br />

0,77 ‰ ± 0,27 ‰; behind: 0,46 ‰ ± 0,14 ‰, n = 8).<br />

The mean amount of instilled ethanol was 58,5 ml ± 31,3 ml in the Envitec group and<br />

52,3ml ± 27,8 ml in the Dräger group. The max<strong>im</strong>um amount of alcohol concentration to<br />

be fo<strong>und</strong> in the Envitec group was 1,72 ‰ (venous) and 1,88 ‰ (arterial), and in endexpired<br />

breath 1,49 ‰. In the Dräger group a max<strong>im</strong>um of 1,51 ‰ (venous) and 1,66 ‰<br />

(arterial), as well as 1,26 ‰ in end-expired breath was to be fo<strong>und</strong>.<br />

In both groups BrAC values correlated significantly with venous and arterial BAC values,<br />

whereby BrAC in total correlated better with arterial than with venous BAC. The<br />

results for r reached from 0,90 (P < 0,001, 95 %-confidence intervall 0,84–0,94) for the<br />

Alcomed 3011 (BrAC/venous BAC) until 0,95 (P < 0,001, 95 % confidence intervall<br />

0,91–0,97) for the Alcotest 7410 med (BrAC/arterial BAC). Values for the standard error<br />

were highest at 0,22 for the Alcomed 3011 (BrAC/arterial BAC), and lowest at 0,13 for the<br />

Alcotest 7410 med (BrAC/arterial BAC). These results are shown in Table 1.<br />

BrAC/venous BAC r r 2 Standard error<br />

Dräger Alcotest 7410 med 0,9149 (P

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