MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Der Anaesthesist' source. Wed, 08 Feb 2012 07:39:18 +0100 http://www.medworm.com/index.php?rid=5603987&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22234576%26dopt%3DAbstract CONCLUSIONS: Low-dose droperidol (10 µg/kgBW) was found to be effective as rescue medication in pediatric patients experiencing PONV despite various prophylactic antiemetic regimens. No neurological or cardiopulmonary side effects were recorded after this low dosage. PMID: 22234576 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5603987 Thu, 12 Jan 2012 05:00:00 +0100 5603987 http://www.medworm.com/index.php?rid=5603986&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22249404%26dopt%3DAbstract [Pyoderma gangrenosum following AICD implantation : Differential diagnosis to necrotizing fasciitis.] Anaesthesist. 2012 Jan 11; Authors: Kasper K, Manger B, Junger A, Reichert B, Sievers R, Herdtle S Abstract Pyoderma gangrenosum is rarely seen in the surgical disciplines. In the described case the patient was initially diagnosed with necrotizing fasciitis and admitted to the intensive care unit suffering from septic shock. The automated implantable cardioverter defibrillator (AICD), the suspected focus for infection, had already been removed. Following weeks of broad spectrum antibiotics and wound debridement without clinical improvement the alternative diagnosis of pyoderma gangrenosum was reached. Consequently the patient was treated with immunosuppressive therapy and h... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5603986 Wed, 11 Jan 2012 05:00:00 +0100 5603986 http://www.medworm.com/index.php?rid=5536692&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22146837%26dopt%3DAbstract Authors: Ulsenheimer K Abstract In a medical liability process a medical expert takes on an outstanding position. He is the one process participant who preprograms the decision of the judge. However, he does not as such have an independent investigative competence and must understand his role as being an accessory to the judge. In view of this key role, the necessary expert competence and a basic legal knowledge, adequate preparation for the assignment and a meticulous study of the case file are indispensible. According to § 839 paragraph 1 of the German Civil Code (Bürgerliches Gesetzbuch, BGB) an expert witness nominated by a court of law is liable to compensate damages if he writes an incorrect expert opinion either deliberately or due to gross negligence. The expert witness... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5536692 Thu, 01 Dec 2011 05:00:00 +0100 5536692 http://www.medworm.com/index.php?rid=5536691&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22146838%26dopt%3DAbstract [Obituary for Max Harry Weil : Pioneer of intensive care medicine]. Anaesthesist. 2011 Dec;60(12):1152-3 Authors: Fries M, Peter K PMID: 22146838 [PubMed - in process] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5536691 Thu, 01 Dec 2011 05:00:00 +0100 5536691 http://www.medworm.com/index.php?rid=5536690&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22146839%26dopt%3DAbstract [Experienced anesthesiologists indispensable : Anesthesia management of transcatheter aortic valve implantation]. Anaesthesist. 2011 Dec;60(12):1093-4 Authors: Tassani-Prell P PMID: 22146839 [PubMed - in process] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5536690 Thu, 01 Dec 2011 05:00:00 +0100 5536690 http://www.medworm.com/index.php?rid=5536689&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22160192%26dopt%3DAbstract Authors: Gerheuser F, Gürtler K Abstract Airway management is a core task for anesthesiologists. Deficiencies in training or equipment as well as fateful complications in this field are responsible for a significant proportion of anesthesia-associated morbidity and mortality. Nowadays there are a variety of advanced technical aids on the market to overcome the difficult airway. Nevertheless, the "cannot intubate cannot ventilate scenario" still occurs and regularly results in poor outcome, such as permanent neurological deficits or even death. Therefore, awake fiberoptic intubation remains the gold standard in the expected difficult airway because when applied correctly this technique never leads to a point where a patient's respiration is compromised as a result of medical measur... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5536689 Thu, 01 Dec 2011 05:00:00 +0100 5536689 http://www.medworm.com/index.php?rid=5536688&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22179072%26dopt%3DAbstract [Transcatheter aortic valve implantation : What do anesthetists need to know?]. Anaesthesist. 2011 Dec;60(12):1095-108 Authors: Riediger C, Nietlispach F, Rüter F, Fassl J Abstract Surgical replacement of aortic valves is the gold standard for therapy of high grade aortic valve stenosis. However, the changes in demography confront the responsible medical discipline with an increasingly higher risk profile of patients which necessitates the development of new less invasive alternative forms of treatment for the surgical therapy of aortic valve stenosis. This developmental process has progressed from mini-thoracotomy to transcatheter aortic valve implantation (TAVI). The TAVI procedure is a new therapeutic option for treatment of patients with high grade aortic valve stenosi... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5536688 Thu, 01 Dec 2011 05:00:00 +0100 5536688 http://www.medworm.com/index.php?rid=5423085&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22089890%26dopt%3DAbstract [Emergency anesthesia, airway management and ventilation in major trauma : Background and key messages of the interdisciplinary S3 guidelines for major trauma patients.] Anaesthesist. 2011 Nov 18; Authors: Bernhard M, Matthes G, Kanz KG, Waydhas C, Fischbacher M, Fischer M, Böttiger BW Abstract Patients with multiple trauma presenting with apnea or a gasping breathing pattern (respiratory rate  < 6/min) require prehospital endotracheal intubation (ETI) and ventilation. Additional indications are hypoxia (S(p)O(2)  < 90% despite oxygen insufflation and after exclusion of tension pneumothorax), severe traumatic brain injury [Glasgow Coma Scale (GCS)  < 9], trauma-associated hemodynamic instability [systolic blood pressure (SBP)  < 90 mmHg] and se... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5423085 Fri, 18 Nov 2011 05:00:00 +0100 5423085 http://www.medworm.com/index.php?rid=5423084&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22089891%26dopt%3DAbstract [Treatment of chronic pain : Selected interventional methods.] Anaesthesist. 2011 Nov 18; Authors: PMID: 22089891 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5423084 Fri, 18 Nov 2011 05:00:00 +0100 5423084 http://www.medworm.com/index.php?rid=5423086&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22086060%26dopt%3DAbstract [Outpatient surgery : Quo vadis?] Anaesthesist. 2011 Nov 17; Authors: Martin E PMID: 22086060 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5423086 Thu, 17 Nov 2011 05:00:00 +0100 5423086 http://www.medworm.com/index.php?rid=5423088&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083099%26dopt%3DAbstract Authors: Neuburger M, Büttner J Abstract Peripheral regional anesthesia is a commonly used and safe procedure and eneral complications or side effects are generally rare. Nerve damage has an incidence <0.1% depending on the definition and the prognosis is good. To avoid bleeding complications the national standards of block performance under antithrombotic therapy should be respected. Intoxication is mainly the result of accidental intravenous administration and is difficult to treat but higher doses of intravenous lipid emulsions can improve the outcome. Potential infectious complications can occur mainly as a result of catheter techniques and require a strict aseptic approach. Further rare complications are allergies, dislocation of catheters and knotting or loops in catheter... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5423088 Wed, 16 Nov 2011 05:00:00 +0100 5423088 http://www.medworm.com/index.php?rid=5423087&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083100%26dopt%3DAbstract This article investigates current trends and developments in day case surgery and discusses the extended role and influence of the anesthetist in the perioperative setting. PMID: 22083100 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5423087 Wed, 16 Nov 2011 05:00:00 +0100 5423087 http://www.medworm.com/index.php?rid=5423092&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22071874%26dopt%3DAbstract CONCLUSIONS: Despite 40.1% of anesthetists being at high risk of burnout, generally speaking the risk of burnout among anesthetists was not higher than in other occupational groups in Germany. However, burnout risks for specific groups, such as female junior doctors in anesthesia, were higher and the possibility of providing social support in the workplace should be considered. PMID: 22071874 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5423092 Fri, 11 Nov 2011 05:00:00 +0100 5423092 http://www.medworm.com/index.php?rid=5423091&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22071875%26dopt%3DAbstract [Update: studies in intensive care medicine : Results of the last 12 months.] Anaesthesist. 2011 Nov 11; Authors: Knapp J, Marx G, Weismüller K, Steinebach S, Lichtenstern C, Popp E, Mayer K, Brunkhorst FM, Weigand MA, Bernhard M Abstract Intensive care medicine plays an important role in the medical care of patients as well as the economic success of hospitals. Knowledge and implementation of recent relevant scientific evidence are prerequisites for high quality care in intensive care medicine. The aim of this review is to present an overview of the most important publications in intensive care medicine published in 2010 and the first half of the year 2011 and to comment on their attributable clinical relevance for intensive care practitioners. In 2010 and up to June 2011... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5423091 Fri, 11 Nov 2011 05:00:00 +0100 5423091 http://www.medworm.com/index.php?rid=5423090&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22071876%26dopt%3DAbstract CONCLUSIONS: This survey shows that outpatient surgery for patients with sleep apnea is common practice in Germany. It is also performed when patients have moderate or severe OSAS and for respiratory tract surgery. This means that the management is not conform to the guidelines of the American Society of Anesthesiologists (ASA). PMID: 22071876 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5423090 Fri, 11 Nov 2011 05:00:00 +0100 5423090 http://www.medworm.com/index.php?rid=5423089&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22071877%26dopt%3DAbstract Authors: PMID: 22071877 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5423089 Fri, 11 Nov 2011 05:00:00 +0100 5423089 http://www.medworm.com/index.php?rid=5381820&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21997475%26dopt%3DAbstract Authors: PMID: 21997475 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5381820 Sat, 15 Oct 2011 04:00:00 +0100 5381820 http://www.medworm.com/index.php?rid=5313536&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21993475%26dopt%3DAbstract CONCLUSIONS: The present meta-analysis did not prove any positive influence of thoracic EDA on perioperative in-hospital mortality in patients undergoing noncardiac surgery. Furthermore, it remains questionable if thoracic EDA has the potential to reduce the rate of perioperative myocardial infarction. PMID: 21993475 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5313536 Fri, 14 Oct 2011 04:00:00 +0100 5313536 http://www.medworm.com/index.php?rid=5233456&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21918824%26dopt%3DAbstract CONCLUSIONS: This survey revealed that pethidine, meptazinol and piritramide are the most common opioids for opioid-based systemic labor pain relief in Germany. If PCIA is offered, remifentanil is the most popular opioid. However, only a few clinics are routinely using PCIA for obstetric analgesia. Furthermore the study showed that the current monitoring standards seem to have room for improvement with respect to safe administration of an opioid PCIA. The safety standards require continuous observation of the oxygen saturation, the possibility for oxygen supply, one-to-one nursing for a close clinical observation of the mother and the presence of an anesthetist during the initial titration phase to safely apply this technique. Applying these safety standards PCIA may prove a useful alterna... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5233456 Fri, 16 Sep 2011 04:00:00 +0100 5233456 http://www.medworm.com/index.php?rid=5233449&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21918825%26dopt%3DAbstract This article reports a case of live-threatening respiratory failure during induction of anesthesia. An 18-year-old female was admitted to hospital for an axillary abscess incision on a public holiday. The patient had a history of asthmatic episodes and an allergy to milk protein and 2 years previously an asthmatic attack had possibly been treated by mechanical ventilation. Retrospectively, this event turned out to be a cardiac arrest with mechanical ventilation for 24 h. During induction of anesthesia the patient suddenly developed massive bronchospasms and ventilation was impossible for minutes. Oxygen saturation fell below 80% over a period of 12 min with a lowest measurement of 13%. The patient was treated with epinephrine, prednisolone, antihistamine drugs, ß(2)-agonists, s-ketamine... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5233449 Fri, 16 Sep 2011 04:00:00 +0100 5233449 http://www.medworm.com/index.php?rid=5233448&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21918826%26dopt%3DAbstract CONCLUSION: This case series demonstrates that AP can alleviate certain symptoms in emergency patients. The results of the study provide data as a basis to perform clinical controlled trials on the effectiveness of AP in emergency medicine. PMID: 21918826 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5233448 Fri, 16 Sep 2011 04:00:00 +0100 5233448 http://www.medworm.com/index.php?rid=5233462&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21915702%26dopt%3DAbstract Authors: Kubitz JC PMID: 21915702 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5233462 Thu, 15 Sep 2011 04:00:00 +0100 5233462 http://www.medworm.com/index.php?rid=5233460&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21915703%26dopt%3DAbstract CONCLUSIONS: Although the multimodal approach to acute pain therapy is widely used and standardized therapeutic regimens are well established in the majority of anesthesiology and surgical wards, there still remains room for improvement. Pain assessment is generally barely adequate and written documentation of pain assessment is missing almost completely. In addition, almost two thirds of hospitals in Austria are still lacking an acute pain service. PMID: 21915703 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5233460 Thu, 15 Sep 2011 04:00:00 +0100 5233460 http://www.medworm.com/index.php?rid=5219579&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21904967%26dopt%3DAbstract Authors: Mutlak H, Humpich M, Zacharowski K, Lehmann R, Meininger D Abstract The probability of treating patients with valvular heart disease during non-cardiac surgery increases with the age of the patient. The prevalence of valvular heart disease is approximately 2.5% and increases further in the patient group aged over 75 years old. Patients with valvular heart disease undergoing non-cardiac surgery have an increased perioperative cardiovascular risk depending on the severity of the disease. Knowledge of the hemodynamic alterations and compensation mechanisms which accompany diseases of the valve apparatus is essential for a suitable treatment of patients with such pre-existing diseases. The most common valvular heart diseases lead to volume (mitral valve insufficiency) or press... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5219579 Sat, 10 Sep 2011 04:00:00 +0100 5219579 http://www.medworm.com/index.php?rid=5219581&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21898185%26dopt%3DAbstract Authors: Beloiartsev A, Theilen H Abstract Surgical interventions in the sitting position are intended to optimize surgical conditions by reducing bleeding in the operation field and improving the surgical approach. There are, however, some potentially life-threatening risks associated with surgery in the sitting position. Of these risks, air embolism is one of the most serious complications and should be detected immediately in order to initiate specific countermeasures. In addition to standard monitoring procedures, transthoracic Doppler ultrasound and transesophageal echocardiography are valuable methods used to detect the presence of air in the vasculature. If an air embolism becomes apparent, further targeted measures are needed to prevent or aggressively treat the progression... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5219581 Thu, 08 Sep 2011 04:00:00 +0100 5219581 http://www.medworm.com/index.php?rid=5219580&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21901648%26dopt%3DAbstract Authors: Weber SU, Hammerstingl C, Mellert F, Baumgarten G, Putensen C, Knuefermann P Abstract The case of a young male motor vehicle driver is reported who suffered multiple trauma in a car accident with pulmonary and cardiac contusions. In the course of severe pneumonia and traumatic tricuspid valve insufficiency a right-to-left shunt with refractory hypoxemia developed across a pre-existing atrial septal defect (ASD). The patient could be successfully treated by the combination of extracorporeal membrane oxygenation for bridging, interventional ASD occlusion and in the long-term by operative reconstruction of the tricuspid valve. PMID: 21901648 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5219580 Thu, 08 Sep 2011 04:00:00 +0100 5219580 http://www.medworm.com/index.php?rid=5219584&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881928%26dopt%3DAbstract CONCLUSIONS: The expanded indication recommendations for the use of intraosseous infusion in the prehospital setting enter more and more mission reality in air rescue services in Germany. PMID: 21881928 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5219584 Fri, 02 Sep 2011 04:00:00 +0100 5219584 http://www.medworm.com/index.php?rid=5219583&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881929%26dopt%3DAbstract CONCLUSION: Planned PLMA removal in the recovery room after BIS-guided balanced anesthesia did not enable the anesthetist to be available earlier for induction of anesthesia in the following patient. Hence the anesthetist could not contribute to a faster turnover of cases. Obviously, with the type of close communication between surgeon and anesthetist dictated by the study protocol (announcement of expected end of surgery by the surgeon 20 min before end of surgery) it is possible for the patient to regain consciousness within a very small time window following the end of surgery. Following this kind of protocol, postponement of removal of the LMA in the recovery room does not seem to be attractive neither from a clinical nor an economic point of view. In contrast, removal of LMA in the r... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5219583 Fri, 02 Sep 2011 04:00:00 +0100 5219583 http://www.medworm.com/index.php?rid=5219582&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881930%26dopt%3DAbstract CONCLUSIONS: A low socioeconomic status of an urban district will result in more ambulance responses. However, the proportion of life-threatening emergencies is equal to districts with a high socioeconomic status. Thus, the greater need for physician-staffed ambulance responses matches clinical needs and legitimates current resource use in a 2-tier ambulance system. Indications for the abuse of physician-staffed ambulances were not found. Considering an aging population the number of emergency calls will rise in the future. PMID: 21881930 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5219582 Fri, 02 Sep 2011 04:00:00 +0100 5219582 http://www.medworm.com/index.php?rid=5219585&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21879366%26dopt%3DAbstract Authors: Reisig F, Breitbarth J, Ott B, Büttner J Abstract In the past years intoxication with local anesthetics, damage to nerves, vessels and other accompanying structures as well as infectiological events have been discussed more and more as complications accompanying peripheral nerve blocks (PNB). The following case report highlights a complication which seems to rarely occur and deals with a sheared continuous PNB, where a fragment of the catheter remained in the patient. The possible causes for the damage are discussed and recommendations on the clinical management of such a case are made. PMID: 21879366 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5219585 Thu, 01 Sep 2011 04:00:00 +0100 5219585 http://www.medworm.com/index.php?rid=5178662&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21874374%26dopt%3DAbstract CONCLUSIONS: If an external benchmarking of ICU CVC-BSI rates is intended an adjustment according to the BC frequency is necessary. The BC frequency itself should be established as a quality indicator in intensive care. PMID: 21874374 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5178662 Sat, 27 Aug 2011 23:00:00 +0100 5178662 http://www.medworm.com/index.php?rid=5141963&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21833754%26dopt%3DAbstract CONCLUSIONS: Currently the predominant anesthetic technique of choice in Germany is spinal anaesthesia and at a much higher rate than in 2002. In addition 12% of departments use traumatic Quincke needles which are associated with a higher incidence of postpuncture headache. Nitrous oxide is no longer frequently used in Germany. Finally, the administration of an antibiotic before cord clamping has been shown to lead to lower rates of endometritis and postoperative wound infection without detrimental effects on the newborn. This is practiced in only a small minority of departments across Germany. PMID: 21833754 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5141963 Thu, 11 Aug 2011 23:00:00 +0100 5141963 http://www.medworm.com/index.php?rid=5106152&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21818523%26dopt%3DAbstract Authors: Scherer G, Luiz T Up-to-date management of medical emergencies implies primarily that definitive diagnoses and treatment are performed in a timely manner. These claims have been reconfirmed in 2007 by the leading German language medical associations in their "White Paper on Emergency Treatment". To actually realize the demands described in this paper a timely, transsectoral and close collaboration of all involved organizations is mandatory. To illustrate this race against cell death the phrase relay of survival is proposed and launched to replace the hitherto used but rigid concept of chain of survival. The tasks of each member of this relay of survival are critically scrutinized one after the other from a patient perspective. The paper presents tangible recommendations for im... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5106152 Fri, 05 Aug 2011 23:00:00 +0100 5106152 http://www.medworm.com/index.php?rid=5106153&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21805163%26dopt%3DAbstract Authors: Englbrecht JS, Pogatzki-Zahn EM, Zahn P Neuraxial anesthesia is an established and safe procedure in perioperative pain therapy which can help to minimize complications and to improve perioperative outcome. In patients with acquired bleeding disorders by comorbidities or concomitant antithrombotic medication an individual decision should be made based on risks and benefits. A large number of literature references and guidelines help making a decision, for example the recently updated evidence-based guidelines of the American Society of Regional Anesthesia and Pain Medicine for patients receiving antithrombotic or thrombolytic therapy. However, no explicit recommendations or guidelines exist for patients with hemorrhagic diatheses, such as von Willebrand disease (vWD), hemophil... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5106153 Sat, 30 Jul 2011 23:00:00 +0100 5106153 http://www.medworm.com/index.php?rid=5106154&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21796447%26dopt%3DAbstract CONCLUSIONS: The application of PEEP when PCV is used with the PLMA results in improved oxygenation in obese patients with a BMI ≥30 and <36 kg/m(2) but not in normal weight patients. Alveolar recruitment produced by seal pressure measurements below 30 cm H(2)O was sufficient to produce a clinically significant improvement in oxygenation in most obese patients and there was a significant improvement of oxygenation with PEEP=5 cmH(2)O. Both findings are in contrast to findings of studies using an ETT which suggests that higher pressures (40 cmH(2)O) are needed for recruitment of collapsed alveoli and higher PEEP (10 cmH(2)O) is needed to produce a clinically significant improvement in oxygenation in obese patients. The results of this study support data showing that the consequen... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5106154 Thu, 28 Jul 2011 23:00:00 +0100 5106154 http://www.medworm.com/index.php?rid=5058829&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21769681%26dopt%3DAbstract Authors: Huschak G, Kaisers UX PMID: 21769681 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5058829 Tue, 19 Jul 2011 23:00:00 +0100 5058829 http://www.medworm.com/index.php?rid=5058831&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21755267%26dopt%3DAbstract Authors: Konrad FM, Kramer KM, Schroeder TH, Stubbig K Today obesity is accepted as an independent disease. The WHO describes obesity as an epidemic disease occurring worldwide and associated comorbidities affect all organ systems. Bariatric operations lead to an improvement or even complete remission of obesity-correlated comorbidities. Bariatric operations are conducted as restrictive, malabsorptive, or mixed procedures. The preoperative anesthetic evaluation of comorbidities is carried out with a special focus on preexisting impairments of cardiac and lung function (e.g. cardiomyopathy, obstructive respiratory dysfunctions). Extremely obese patients are at risk of aspiration. Airway management at anesthesia induction includes normal intubation or, if additional risk factors are pres... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5058831 Thu, 14 Jul 2011 23:00:00 +0100 5058831 http://www.medworm.com/index.php?rid=5058830&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21755268%26dopt%3DAbstract Authors: Geze S, ImamoÄŸlu M, Cekic B Neonates with inguinal hernia face a relatively high risk of incarcerated hernia and bowel obstruction and this therefore requires surgical treatment. Complications following general anesthesia even for minor surgery are more common in low birth weight neonates than in term neonates. Caudal epidural anesthesia without adjunct general anesthesia has been recommended for neonates to reduce the risk of postoperative complications. The successful application of awake caudal anesthesia with levobupivacaine for inguinal hernia repair in 15 low birth weight neonates is reported. Single dose caudal epidural anesthesia was administered for inguinal hernia surgery to avoid complications associated with general anesthesia. Caudal block was performed with 2.5Â... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5058830 Thu, 14 Jul 2011 23:00:00 +0100 5058830 http://www.medworm.com/index.php?rid=5058832&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21744227%26dopt%3DAbstract Authors: Bernhard M, Roessler M PMID: 21744227 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5058832 Sat, 09 Jul 2011 23:00:00 +0100 5058832 http://www.medworm.com/index.php?rid=5011316&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21728050%26dopt%3DAbstract Authors: Olotu C, Münscher A, Schmidt GN This case history deals with an 85-year-old patient who underwent surgery to treat rhinoliquorrhea. The patient aspirated a lutescent fluid shortly after anesthesia was administered. However, this fluid was not gastric juice but cerebrospinal fluid (CSF) running down the nasopharynx. The CSF had been stained with fluorescein prior to surgery in order to help localize the CSF fistula. This case of top down aspiration is discussed and preventive measures which can be employed in order to avoid similar complications in patients with rhinoliquorrhea are presented. PMID: 21728050 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=5011316 Tue, 05 Jul 2011 23:00:00 +0100 5011316 http://www.medworm.com/index.php?rid=4963082&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21695490%26dopt%3DAbstract Authors: Shmygalev S, Heller AR Perioperative visual loss (POVL) after nonocular surgery is a rare but unexpected event and represents a devastating complication. It is most often associated with cardiac, spinal as well as head and neck surgery. The etiology of POVL remains incompletely understood. Any portion of the visual system may be involved, from the cornea to the occipital lobe. The most common site of permanent injury is, however, the optic nerve itself and ischemia is the most often presumed mechanism. Multiple factors have been proposed as risk factors for POVL, including long duration in the prone position, decreased ocular perfusion pressure, excessive blood loss and anemia, hypotension, hypoxia, excessive fluid replacement, elevated venous pressure, head positioning and a ... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4963082 Wed, 22 Jun 2011 23:00:00 +0100 4963082 http://www.medworm.com/index.php?rid=4963083&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21688030%26dopt%3DAbstract CONCLUSION: Acute HHD increases V(C), prolongs the T(1/2) (γ), and decreases K(10) and CL, which suggests that care must be taken when propofol is used in patients undergoing HHD. The induction dose should be increased, but the maintenance dose should be decreased. The time to emergency from anesthesia will likely be prolonged, especially in patients receiving prolonged continuous infusions. PMID: 21688030 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4963083 Sat, 18 Jun 2011 23:00:00 +0100 4963083 http://www.medworm.com/index.php?rid=4963084&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21660525%26dopt%3DAbstract Authors: Hochreiter M, Schroeder S Sepsis is one of the most cost-intensive conditions of critically ill patients in intensive care medicine. Furthermore, sepsis is known to be the leading cause of morbidity and of mortality in intensive care patients. Early initiation of antibiotic therapy can significantly reduce mortality. The development of resistance of bacterial species against antibiotics is a compelling issue to reconsider indications and administration of antibiotic treatment. Adequate indications and duration of therapy are particularly important for the use of highly potent substances in the intensive care setting. Until recently no laboratory marker has been available to distinguish bacterial infections from viral or non-infectious inflammatory responses. However, procalcit... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4963084 Fri, 10 Jun 2011 23:00:00 +0100 4963084 http://www.medworm.com/index.php?rid=4920947&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21656285%26dopt%3DAbstract Anaesthesist. 2011 Jun 10; Authors: Spelten O, Wetsch WA, Braunecker S, Genzwürker H, Hinkelbein J PMID: 21656285 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4920947 Thu, 09 Jun 2011 23:00:00 +0100 4920947 http://www.medworm.com/index.php?rid=4920948&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21656065%26dopt%3DAbstract Authors: Lukas RP, Van Aken H, Engel P, Bohn A The quality of chest compression is a determinant of survival after cardiac arrest. Therefore, the European Resuscitation Council (ERC) 2010 guidelines on resuscitation strongly focus on compression quality. Despite its impact on survival, observational studies have shown that chest compression quality is not reached by professional rescue teams. Real-time feedback devices for resuscitation are able to measure chest compression during an ongoing resuscitation attempt through a sternal sensor equipped with a motion and pressure detection system. In addition to the electrocardiograph (ECG) ventilation can be detected by transthoracic impedance monitoring. In cases of quality deviation, such as shallow chest compression depth or hyperventilat... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4920948 Wed, 08 Jun 2011 23:00:00 +0100 4920948 http://www.medworm.com/index.php?rid=4920949&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21647666%26dopt%3DAbstract Authors: Ihrig A, von Haken R, Mieth M, Hartmann M, Hain B, Herzog W A patient reported anxiety and sleeping problems 9 months after reconstruction of the anterior floor of the mouth following tumor surgery. These symptoms had been initiated by a postoperative delirium with hallucinations, which had not been detected during its occurrence. One session of psychotherapy 9 months later reduced the symptoms. Patients in intensive care units should be asked and informed about delirium symptoms. This might prevent long-term psychological distress. PMID: 21647666 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4920949 Tue, 07 Jun 2011 23:00:00 +0100 4920949 http://www.medworm.com/index.php?rid=4920950&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21630064%26dopt%3DAbstract Authors: Witte W The connection between the development of anesthesiology and pain therapy in the twentieth century is close. The optimistic idea to overcome pain by using general anesthesia derives from the nineteenth century. Treatment of nonsurgical pain remained in the background for a long time and innovations in pain medicine did not improve the insufficient care for patients with postoperative pain. Therapy of chronic pain was mainly surgical and the extreme of this surgical approach was psychosurgery. In the years following World War II leucotomy and lobotomy were established as methods to separate the psychological processing of pain from the experience of pain. Meanwhile, the French "pain surgeon" René Leriche elaborated a theory of pain where chronic pain was no longer see... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4920950 Tue, 31 May 2011 23:00:00 +0100 4920950 http://www.medworm.com/index.php?rid=4920951&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21618007%26dopt%3DAbstract Authors: Bürkle H PMID: 21618007 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4920951 Fri, 27 May 2011 23:00:00 +0100 4920951 http://www.medworm.com/index.php?rid=4871441&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21584753%26dopt%3DAbstract Anaesthesist. 2011 May 18; Authors: Triem JG, Röhm KD, Boldt J, Piper SN PMID: 21584753 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4871441 Tue, 17 May 2011 23:00:00 +0100 4871441 http://www.medworm.com/index.php?rid=4871440&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21607780%26dopt%3DAbstract CONCLUSION: The combination of i.v. paracetamol and i.v. ketoprofen provides superior postoperative analgesia compared to the single use of paracetamol. PMID: 21607780 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4871440 Sat, 14 May 2011 23:00:00 +0100 4871440 http://www.medworm.com/index.php?rid=4815774&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21562896%26dopt%3DAbstract This article aims to shed light on the various aspects of the process of knowledge transfer from a clinical trial to evidence-based guidelines. It will make the reader aware of potential problems during this process and show some feasible approaches to solving them. Wherever possible, the field of anesthesiology will be used as the reference point. Evidence-based information sources will be presented and advice on how to use them will be given. PMID: 21562896 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815774 Thu, 12 May 2011 23:00:00 +0100 4815774 http://www.medworm.com/index.php?rid=4815773&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21562897%26dopt%3DAbstract Authors: Böttger E, Diehlmann K Approximately 5-8 million people in Germany suffer from chronic pain and some patients can profit from specific interventional techniques. In detail these are regional anesthetic techniques close to the spinal cord, neuromodulation, blocks of the sympathetic chain and peripheral nerve blocks. Part 2 of the article presents regional anesthetic techniques close to the spinal cord and neuromodulative methods. Regional anesthetic techniques close to the spinal cord are of high importance for the treatment of chronic low back pain although the efficiency is highly disputed due to the lack of evidence. Neuromodulation includes amongst others intrathecal pharmacotherapy and spinal cord stimulation, which are used for highly selected patients and can lead to ve... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815773 Thu, 12 May 2011 23:00:00 +0100 4815773 http://www.medworm.com/index.php?rid=4815772&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21562898%26dopt%3DAbstract Authors: von Ungern-Sternberg BS PMID: 21562898 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815772 Thu, 12 May 2011 23:00:00 +0100 4815772 http://www.medworm.com/index.php?rid=4815776&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21556904%26dopt%3DAbstract Authors: Stein C PMID: 21556904 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815776 Tue, 10 May 2011 23:00:00 +0100 4815776 http://www.medworm.com/index.php?rid=4815775&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21556905%26dopt%3DAbstract Authors: Grottke O, Spahn DR, Rossaint R Despite improved strategies in the treatment of polytraumatized patients the mortality rate of severely injured patients remains high. Thus, worldwide 5 million patients die due to trauma or trauma-related complications each year. As the majority of early trauma-related deaths are attributed to or caused by exsanguination the prevention and treatment of coagulopathy is of paramount significance. With the aim of developing guidelines and improve strategies to treat polytraumatized patients the multidisciplinary Task Force for Advanced Bleeding Care in Trauma was founded in 2005. Under consideration of new clinical studies, an updated version of the original publication from 2007 has recently been published. Based on a systematic review of publish... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815775 Tue, 10 May 2011 23:00:00 +0100 4815775 http://www.medworm.com/index.php?rid=4815777&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21553139%26dopt%3DAbstract Authors: Böttger E, Diehlmann K Approximately 5-8 million people in Germany suffer from chronic pain. Some patients can obtain relief from specific interventional techniques. In detail these are blocks of the sympathetic chain and peripheral nerve blocks, regional anesthetic techniques close to the spinal cord and neuromodulation. Part 1 of this article presents peripheral nerve blocks using the example of intercostal blocks and blocks of the sympathetic chain. Peripheral nerve blocks are important for postoperative pain treatment. Only a few methods are used for chronic pain and this applies primarily to the intercostal block which is used for the treatment of pain occurring after thoracotomy, intercostal neuralgia and pain associated with infiltration of cancer. Blocks of the vegeta... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815777 Sat, 07 May 2011 23:00:00 +0100 4815777 http://www.medworm.com/index.php?rid=4815778&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21509574%26dopt%3DAbstract CONCLUSIONS: Methohexital showed a clear trend for decreasing ICP in patients with intracranial hypertension refractory to standard therapeutic measures. In survivors the effect was highly significant. Patients not responding to methohexital therapy seemed to have an unfavorable outcome. PMID: 21509574 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815778 Thu, 21 Apr 2011 23:00:00 +0100 4815778 http://www.medworm.com/index.php?rid=4815782&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21491140%26dopt%3DAbstract Authors: Keßler J, Bardenheuer HJ The pharmacotherapy of tumor pain has two main aims: to deliver an adequate basic analgesia using long-term retarded opioid medication and an effective treatment of tumor breakthrough pain using rapidly effective non-retarded opioids. Breakthrough pain is characterized by a sudden onset and rapid increase in the pain level and should be treated with correspondingly rapidly effective opioids. The pharmacological characteristics of previously available and routinely prescribed non-retarded opioids do not always correspond in oral galenics to the demands resulting from the definition of tumor breakthrough pain. As alternatives to these substances five different rapidly effective fentanyl preparations are now available for transmucosal administration. ... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815782 Thu, 14 Apr 2011 23:00:00 +0100 4815782 http://www.medworm.com/index.php?rid=4815781&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21491141%26dopt%3DAbstract Authors: Radke OC, Hoffmann C, Klut I, Koch T A 22-year-old patient underwent surgery for a glass wound incision of the hand and anesthesia was carried out using an axillary brachial plexus block with prilocaine. Following surgery the patient developed methemoglobinemia which was treated with tolonium chloride. After administration of the drug the sinus rhythm changed into ventricular fibrillation. The current treatment options of methemoglobinemia will be discussed. PMID: 21491141 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815781 Thu, 14 Apr 2011 23:00:00 +0100 4815781 http://www.medworm.com/index.php?rid=4815786&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21479705%26dopt%3DAbstract CONCLUSION: This survey demonstrates that the PLMA can be used effectively in infants, children and adolescents in the routine university clinical practice setting. However, this study does not confirm the extremely high success and low complication rates reported in controlled studies. The results support the assumption that with the PLMA regurgitated gastric fluid can be drained away from the larynx through the drain tube. PMID: 21479705 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815786 Sat, 09 Apr 2011 23:00:00 +0100 4815786 http://www.medworm.com/index.php?rid=4815791&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21461754%26dopt%3DAbstract Anaesthesist. 2011 Apr 3; Authors: Schelling P Executive clinical physicians are increasingly being made jointly responsible for the economic success of clinics and it is to be expected that this joint responsibility will result in measures to reduce personnel. In this article it will be explained to which limits a reduction in medical personnel can be justified with respect to liability and from what level a reduction in staff can result in forensic risks. Furthermore, it will be discussed which liability or even penal responsibility in this connenction affects the physicians, the hospital and especially the senior medical personnel. PMID: 21461754 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815791 Sat, 02 Apr 2011 23:00:00 +0100 4815791 http://www.medworm.com/index.php?rid=4815789&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21461756%26dopt%3DAbstract CONCLUSION: Prospective human resource planning for the OR and intensive care units can help to detect shortage of staff and loss of competence early enough to apply effective personnel development measures. A growing number of companies have started to plan ahead of the current demand of human resources. Hospitals should follow this example because the competition for qualified staff members is increasing rapidly. PMID: 21461756 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815789 Sat, 02 Apr 2011 23:00:00 +0100 4815789 http://www.medworm.com/index.php?rid=4815788&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21461757%26dopt%3DAbstract Authors: Fuchs-Buder T, Schreiber JU PMID: 21461757 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815788 Sat, 02 Apr 2011 23:00:00 +0100 4815788 http://www.medworm.com/index.php?rid=4815787&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21461758%26dopt%3DAbstract Authors: Jöhr M PMID: 21461758 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815787 Sat, 02 Apr 2011 23:00:00 +0100 4815787 http://www.medworm.com/index.php?rid=4815793&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21448736%26dopt%3DAbstract CONCLUSION: The identified formulae led to sometimes strikingly diverse calculations of resuscitation fluid volumes. Therefore their use should be monitored closely and clinical values included. Urine output is a well established individual parameter. Use of colloid and hypertonic solutions leads to a reduced total fluid volume but is still controversially discussed. PMID: 21448736 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815793 Thu, 31 Mar 2011 23:00:00 +0100 4815793 http://www.medworm.com/index.php?rid=4815792&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21452011%26dopt%3DAbstract Authors: Hansen E, Seyfried T With increasing demands for blood transfusions, the costs and shortages, clinically relevant risks and doubts on the efficacy, blood conservation is an important issues. Among the available methods cell salvage is of great importance as it has proven effective and safe. The high availability and cost efficacy allows fast processing of at least half of the lost red blood cells. The method has wide applications in cardiac and vascular surgery, in abdominal and transplantation surgery, in orthopedics and emergency medicine, in massive hemorrhage and for Jehovah's Witnesses, and by the use of blood irradiation also in cancer surgery. Cell salvage provides autologous, washed, unstored red blood cells with unimpaired function and viability, avoiding immunologica... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815792 Thu, 31 Mar 2011 23:00:00 +0100 4815792 http://www.medworm.com/index.php?rid=4815790&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21461755%26dopt%3DAbstract Authors: Meier J, Habler O Oxygen (O(2)) is the most frequently used pharmaceutical in anesthesiology and intensive care medicine: Every patient receives O(2) during surgery or during a stay in the intensive care unit. Hypoxia and hypoxemia of various origins are the most typical indications which are mentioned in the prescribing information of O(2): the goal of the administration of O(2) is either an increase of arterial O(2) partial pressure in order to treat hypoxia, or an increase of arterial O(2) content in order to treat hypoxemia. Most of the indications for O(2) administration were developed in former times and have seldom been questioned from that time on as the short-term side-effects of O(2) are usually considered to be of minor importance. As a consequence only a small numb... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815790 Thu, 31 Mar 2011 23:00:00 +0100 4815790 http://www.medworm.com/index.php?rid=4815785&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21479706%26dopt%3DAbstract Authors: Rex S PMID: 21479706 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815785 Thu, 31 Mar 2011 23:00:00 +0100 4815785 http://www.medworm.com/index.php?rid=4815784&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21479707%26dopt%3DAbstract Authors: Kleinschmidt S PMID: 21479707 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815784 Thu, 31 Mar 2011 23:00:00 +0100 4815784 http://www.medworm.com/index.php?rid=4815783&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21479708%26dopt%3DAbstract Authors: Schmidt GN, Fiege M, Goetz AE Due to the lack of physicians and the changing demands of junior staff more attractive curricula are needed in anesthesiology in Germany. In the German Society of Anesthesiology and Intensive Care Medicine as well as the Association of German Anesthesiologists discussions on the optimization of training have a long tradition. The following article gives a description of the concept and the practical approach to the training curricular at the University Hospital Hamburg-Eppendorf and is designed to stimulate discussion on possible concepts for training in anesthesiology. PMID: 21479708 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815783 Thu, 31 Mar 2011 23:00:00 +0100 4815783 http://www.medworm.com/index.php?rid=4815780&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21494894%26dopt%3DAbstract ["Dosis facit venenum" : Oxygen therapy in anesthesia and intensive care medicine.] Anaesthesist. 2011 Apr;60(4):289 Authors: Wunder C PMID: 21494894 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815780 Thu, 31 Mar 2011 23:00:00 +0100 4815780 http://www.medworm.com/index.php?rid=4815779&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21505963%26dopt%3DAbstract Anaesthesist. 2011 Apr;60(4):342 Authors: Weiterer S, Störzinger D, Bernhard M, Mayer K, Lass-Flörl C, Weigand MA, Lichtenstern C PMID: 21505963 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4815779 Thu, 31 Mar 2011 23:00:00 +0100 4815779 http://www.medworm.com/index.php?rid=4655263&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21437753%26dopt%3DAbstract CONCLUSION: Employees of generation Y challenge leadership in hospitals by increasing the demands. However, generation Y can significantly increase professionalization and competitiveness for hospitals. PMID: 21437753 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4655263 Fri, 25 Mar 2011 00:00:00 +0100 4655263 http://www.medworm.com/index.php?rid=4655262&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21437754%26dopt%3DAbstract CONCLUSIONS: The tested device is easy to use after instruction of less than 3 min and improves ECC performance of healthcare professionals in simulated cardiac arrest with respect to compression depth as well as compression rate. PMID: 21437754 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4655262 Thu, 24 Mar 2011 00:00:00 +0100 4655262 http://www.medworm.com/index.php?rid=4655261&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21437755%26dopt%3DAbstract Authors: Huge V, Baschnegger H, Moehnle P, Peraud A, Briegel J A case of successful resuscitation of a patient with severe amitriptyline intoxication is reported. The measured amitriptyline serum levels far exceeded those assumed to be lethal according to the literature. Resuscitation was successful with the administration of intravenous fat emulsion and the patient recovered without any neurological sequelae. PMID: 21437755 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4655261 Thu, 24 Mar 2011 00:00:00 +0100 4655261 http://www.medworm.com/index.php?rid=4655268&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21424308%26dopt%3DAbstract Authors: Witte W, Nobel C, Hilpert J Angelman syndrome (AS) is a rare neurodevelopmental disorder with an incidence of 1:10,000-1:40,000 caused by deficient genetic imprinting in the chromosomal segment 15q11-q13. Experimental data suggest that the gamma-aminobutyric acid A (GABA(A)) receptor as well as the N-methyl-D-aspartate (NMDA) or α-amino-3-hydroxy-5-methyl-4-isoxazole proprionic acid (AMPA) receptors may be affected by this condition. The first description of the syndrome goes back to 1965 when the British pediatrician Harry Angelman (1915-1996) recognized similar clinical features in three children. Angelman's description of puppet children was changed to happy puppet syndrome 2 years later before this euphemistic denotation was replaced by the concept Angelman syndrome over ... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4655268 Wed, 16 Mar 2011 00:00:00 +0100 4655268 http://www.medworm.com/index.php?rid=4655267&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21424309%26dopt%3DAbstract Authors: Muellenbach RM, Redel A, Küstermann J, Brack A, Gorski A, Rösner T, Roewer N, Wurmb T Veno-venous extracorporeal membrane oxygenation (ECMO) may be lifesaving in multiple injured patients with acute respiratory distress syndrome (ARDS) due to chest trauma. To prevent circuit thrombosis or thrombembolic complications during ECMO systemic anticoagulation is recommended. Therefore, ECMO treatment is contraindicated in patients with intracranial bleeding. The management of veno-venous ECMO without systemic anticoagulation in a patient suffering from traumatic lung failure and severe traumatic brain injury is reported. PMID: 21424309 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4655267 Wed, 16 Mar 2011 00:00:00 +0100 4655267 http://www.medworm.com/index.php?rid=4655266&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21424310%26dopt%3DAbstract Authors: Paul C, Knopf H, Böttiger BW, Gawenda M, Bovenschulte H In the case presented an intravenous line for large volume infusion rates was to be placed in a patient with an aortic aneurysm during clinical preoperative care. After a high-flow catheter had been placed without any problems retraction of the guide wire was found to be impossible. Computer tomography revealed that the reason was a kink in the catheter resulting in the guide wire being nipped off. Fortunately both catheter and guide wire could be removed completely without any further complications. PMID: 21424310 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4655266 Wed, 16 Mar 2011 00:00:00 +0100 4655266 http://www.medworm.com/index.php?rid=4655269&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21424307%26dopt%3DAbstract Authors: Volk T, Breitkreutz R PMID: 21424307 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4655269 Thu, 10 Mar 2011 00:00:00 +0100 4655269 http://www.medworm.com/index.php?rid=4655264&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21424312%26dopt%3DAbstract Authors: Weiterer S, Störzinger D, Bernhard M, Mayer K, Lass-Flörl C, Weigand MA, Lichtenstern C Nosocomial pneumonia is one of the most common infectious diseases acquired in hospital and is often caused by resistant pathogens. For treatment of nosocomial pneumonia an appropriate initial antibiotic therapy is essential and exact knowledge of the specific pathogen spectrum is essential for the correct choice of the empirically calculated antibiotics. In line with a critical reevaluation of the primary treatment, pathogen-specific de-escalation therapy, a diagnosis of possible pulmonary complications (e. g. pleural empyema) and the identification and appropriate rehabilitation measures of non-pulmonary infections are necessary. To attain the best possible outcome the respective thera... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4655264 Wed, 09 Mar 2011 00:00:00 +0100 4655264 http://www.medworm.com/index.php?rid=4655265&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21424311%26dopt%3DAbstract [Supplement to continuing medical education article "Dysnatremia in intensive care patients"] Anaesthesist. 2011 Mar 6; Authors: Lichtwarck-Aschoff M, Pippi A, Dietrich B PMID: 21424311 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4655265 Sun, 06 Mar 2011 00:00:00 +0100 4655265 http://www.medworm.com/index.php?rid=4534216&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21350877%26dopt%3DAbstract Authors: Reber A The decrease in airway muscular tone seen during natural sleep and sedation, as well as in the supine position, can lead to anatomic changes in the structures that surround the airway. Some patients need sedation for diagnostic or interventional procedures. In these patients, knowledge about morphological and mechanical aspects of the soft-tissue structures is essential for a complete understanding of the changes that occur in upper airway caliper. Maintaining the patency of the upper airway during spontaneous breathing in sedated or anesthetized patients may become a major challenge for anesthetists, especially in patients with preexisting sleep disordered breathing or airway obstruction. In addition to different techniques of body positioning, simple airway maneuvers... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4534216 Sat, 26 Feb 2011 00:00:00 +0100 4534216 http://www.medworm.com/index.php?rid=4534215&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21350878%26dopt%3DAbstract CONCLUSIONS: Laparoscopic cholecystectomy with low pressure pneumoperitoneum with CO(2) can be safely performed under spinal anesthesia. Spinal anesthesia was associated with an extremely low level of postoperative pain, better recovery and lower cost than general anesthesia. PMID: 21350878 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4534215 Sat, 26 Feb 2011 00:00:00 +0100 4534215 http://www.medworm.com/index.php?rid=4534214&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21350879%26dopt%3DAbstract Authors: Nohé B, Ploppa A, Schmidt V, Unertl K Volume substitution represents an essential component of intensive care medicine. The amount of fluid administered, the composition and the timing of volume replacement seem to affect the morbidity and mortality of critically ill patients. Although restrictive volume strategies bear the risk of tissue hypoperfusion and tissue hypoxia in hemodynamically unstable patients liberal strategies favour the development of avoidable hypervolemia with edema and resultant organ dysfunction. However, neither strategy has shown a consistent benefit. In order to account for the heavily varying oxygen demand of critically ill patients, a goal-directed, demand-adapted volume strategy is proposed. Using this strategy, volume replacement should be aligned ... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4534214 Sat, 26 Feb 2011 00:00:00 +0100 4534214 http://www.medworm.com/index.php?rid=4534213&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21350880%26dopt%3DAbstract Authors: Benz R PMID: 21350880 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4534213 Sat, 26 Feb 2011 00:00:00 +0100 4534213 http://www.medworm.com/index.php?rid=4479737&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21311852%26dopt%3DAbstract Authors: Schüpfer G, Bauer M Operation room (OR) management is not an end in itself. The challenge is more to organize the complex, inhomogeneous and interference-prone machinery of intraoperative service provision according to business objectives. Although business objectives may differ in some details the ultimate consequence is always to assure the quality of medical care along with adhering to the general economic conditions. The narrower the economic framework the smaller the company's tolerance to unprofessional OR management. Consequently, it can be noticed that OR management has become of age. An internal socialization as frontline leader is no longer sufficient for taking over a job profile which, regarding the risks of revenues and costs belongs to the top management of a co... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4479737 Sat, 12 Feb 2011 00:00:00 +0100 4479737 http://www.medworm.com/index.php?rid=4479736&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21311853%26dopt%3DAbstract Authors: Bleyl JU PMID: 21311853 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4479736 Sat, 12 Feb 2011 00:00:00 +0100 4479736 http://www.medworm.com/index.php?rid=4479739&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21305257%26dopt%3DAbstract Authors: Hömme R Laparoscopic techniques are used in many surgical disciplines and have partially become a standard procedure. Cholecystectomy is performed laparoscopically in 90% of cases. During a pneumoperitoneum changes occur which have a large influence on physiological homeostasis. Furthermore there are specific complications of laparoscopy which can have severe consequences. For adequate management the anesthetist has to be aware of both in order to react in the correct way. PMID: 21305257 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4479739 Thu, 10 Feb 2011 00:00:00 +0100 4479739 http://www.medworm.com/index.php?rid=4479738&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21308355%26dopt%3DAbstract Authors: Klingler W, Lehmann-Horn F, Schulte-Sasse U PMID: 21308355 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4479738 Thu, 10 Feb 2011 00:00:00 +0100 4479738 http://www.medworm.com/index.php?rid=4479740&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21293838%26dopt%3DAbstract This article describes the pathophysiological changes secondary to liver failure and assesses the perioperative management of patients undergoing partial or extended liver resection. It looks in detail at the preoperative assessment, the intraoperative anesthetic management including fluid management and techniques to reduce blood loss as well as postoperative analgesia and intensive care therapy. PMID: 21293838 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4479740 Sat, 05 Feb 2011 00:00:00 +0100 4479740 http://www.medworm.com/index.php?rid=4414296&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21271232%26dopt%3DAbstract CONCLUSION: Dexmedetomidine can be safely used in CABG operations delivering a stable hemodynamic status throughout the operative period. PMID: 21271232 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4414296 Fri, 28 Jan 2011 00:00:00 +0100 4414296 http://www.medworm.com/index.php?rid=4350072&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21184032%26dopt%3DAbstract Authors: Stegers CM PMID: 21184032 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4350072 Sat, 25 Dec 2010 00:00:00 +0100 4350072 http://www.medworm.com/index.php?rid=4350071&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21184033%26dopt%3DAbstract Authors: Schott M, Henkelmann A, Meinköhn Y, Jantzen JP Postpartum onset of eclampsia and HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome is a rare but life-threatening complication for both mother and fetus. A case of a 38-year-old parturient (gravida 2, para 1) who was asymptomatic prior to delivery is reported. Emergency cesarian section had to be performed due to sudden onset of fetal bradycardia as a result of partial placental separation. The perioperative course was characterized by new onset hypertension, nausea and restlessness; within 2 h the patient suffered a generalized seizure which was treated with magnesium sulfate and hydralazine. Despite management in accordance with current guidelines, the condition deteriorated with hypotension, anemia and... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4350071 Sat, 25 Dec 2010 00:00:00 +0100 4350071 http://www.medworm.com/index.php?rid=4350070&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21184034%26dopt%3DAbstract Authors: Girtler R, Gustorff B Burn injuries represent a severe form of acute pain. In spite of improvements in wound treatment and pain regimens during recent years, the management of burn pain still remains a common problem and a tremendous challenge for clinical staff. An efficient pain treatment plan contributes to a fast and uneventful course and is an important part of the therapeutic management by plastic surgeons, anesthesiologists, psychologists and physiotherapists. Extensive pharmacokinetic alterations, additional neuropathic components and multiple dressing changes or therapeutic procedures need a flexible and dynamic pain strategy. A standardized continuous pain assessment and documentation are a cornerstone of burn pain control. In addition to pharmacological methods non-... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4350070 Sat, 25 Dec 2010 00:00:00 +0100 4350070 http://www.medworm.com/index.php?rid=4350069&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21184035%26dopt%3DAbstract CONCLUSIONS: Prehospital emergency physicians are confronted with emergencies in palliative care patients every day. In the treatment of these emergencies there are potentially serious conflicts due to the different therapeutic concepts of palliative medical care and emergency medical services. This study demonstrates that there is a need for regulated criteria for the therapy of palliative patients and patients at the end of life in emergency situations. Overall, more clinical investigations concerning end-of-life care and unresponsive palliative care patients in emergency medical situations are necessary. PMID: 21184035 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4350069 Sat, 25 Dec 2010 00:00:00 +0100 4350069 http://www.medworm.com/index.php?rid=4350068&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21184036%26dopt%3DAbstract Authors: Gries A, Michel A, Bernhard M, Martin J In recent years the number of interdisciplinary emergency departments (ED) at hospitals in Germany has increased. The model of decentralized first contact units for each medical discipline has been abandoned, last but not least due to economic considerations. While decentralized units could be staffed with personnel from each discipline there is much controversy surrounding the question of which kind of doctor is best suited for a centralized ED. The development of programs providing the necessary qualification for German ED physicians in the future by working groups of several specialities is still nascent and has not yet produced concrete results. However, even without these special training programs, the management of critically ill o... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4350068 Sat, 25 Dec 2010 00:00:00 +0100 4350068 http://www.medworm.com/index.php?rid=4350067&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21184037%26dopt%3DAbstract Authors: Herminghaus A, Wachowiak M, Wilhelm W, Gottschalk A, Eggert K, Gottschalk A Lidocaine is commonly used for regional anesthesia and nerve blocks. However, recent clinical studies demonstrated that intravenous perioperative administration of lidocaine can lead to better postoperative analgesia, reduced opioid consumption and improved intestinal motility. It can therefore be used as an alternative when epidural analgesia is contraindicated, not possible or not feasible. Apart from the sodium channel blocking effects relevant for regional anesthesia, lidocaine also has anti-inflammatory properties. Lidocaine can obviously inhibit the priming of resting neutrophilic granulocytes, which, simplified, may reduce the liberation of superoxide anions, a common pathway of inflammation aft... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4350067 Sat, 25 Dec 2010 00:00:00 +0100 4350067 http://www.medworm.com/index.php?rid=4350066&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21184038%26dopt%3DAbstract Authors: Lotz G, Schoenes B, Eichler K, Zacharowski K Central venous catheter placement can cause a variety of complications, such as catheter fracture, loss of the guide wire and embolization. In the case reported a large bore central venous catheter was used in a 32-year-old patient undergoing surgery for vertebral body fracture of the thoracic spine. After a complication-free surgical procedure the post-operative x-ray showed an abnormal finding. A piece of the guide wire was suspected to have been left in the patient. However, this possibility could be ruled out by the anesthesiologist who inserted the catheter. With an additional x-ray and CT scan of an identical catheter it could then be demonstrated that the abnormal finding was caused by polyurethane pins which are integrated i... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4350066 Sat, 25 Dec 2010 00:00:00 +0100 4350066 http://www.medworm.com/index.php?rid=4350065&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21184039%26dopt%3DAbstract CONCLUSIONS: This tool enables the large-scale collation and analysis of the operational readiness of physician-based ambulance services. Currently the state does not suffer from a general lack of emergency physicians. However, rural areas as well as bases affiliated with small hospitals show a considerable deficit in operational readiness caused by a shortage of staff. These deficits may be partially compensated by optimized planning and disposition within rescue coordination centers. Moreover, they call for corrective actions in the light of health care politics. In addition, analyses of other elements of EMS (i.e. rescue helicopters) should be undertaken. PMID: 21184039 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4350065 Sat, 25 Dec 2010 00:00:00 +0100 4350065 http://www.medworm.com/index.php?rid=4350064&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21184040%26dopt%3DAbstract Authors: Schmidt T, Tsakiris DA, Grapow M, Siegemund M Thrombotic microangiopathies are characterized by platelet activation, endothelial damage, hemolysis and microvascular occlusion. This group of diseases is primary represented by thrombotic thrombocytopenic purpura (TTP) and hemolytic uremic syndrome (HUS). Patients present with microangiopathic hemolytic anemia and thrombocytopenia as well as occlusion-related organ ischemia to a variable degree. A deficiency of the metalloprotease ADAMTS-13 is a major risk for acute disease manifestation as this is a regulator of unusually large von Willebrand factor (vWF) multimers, which are extremely adhesive and secreted by endothelial cells. In classical TTP an ADAMTS-13 activity below 5% is specific, whereas in other forms of thrombotic mic... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4350064 Sat, 25 Dec 2010 00:00:00 +0100 4350064 http://www.medworm.com/index.php?rid=4350063&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21184041%26dopt%3DAbstract CONCLUSION: The investigated AD with a check box system seems to be an adequate instrument to communicate patient's wishes and directives. PMID: 21184041 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4350063 Sat, 25 Dec 2010 00:00:00 +0100 4350063 http://www.medworm.com/index.php?rid=4350062&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21184042%26dopt%3DAbstract Authors: Roggenbach J, Rauch H Acute type A dissection is among the most dangerous of vascular diseases and is associated with a high lethality. Surgery for type A dissection is a complex procedure which is accompanied by relevant blood losses and severe deterioration of the coagulation system. Either due to the dissection or the surgical procedure, perfusion of affected organs can be diminished or completely disrupted with the risk of irreversible organ damage especially in the brain. Perioperative anesthesiological management for type A dissection is demanding and involves maintaining hemodynamic stability, surveillance of cerebral oxygenation and transesophageal echocardiographical diagnostic support for the decision-making of the most appropriate surgical approach. Furthermore, ree... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4350062 Sat, 25 Dec 2010 00:00:00 +0100 4350062 http://www.medworm.com/index.php?rid=4350061&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21184043%26dopt%3DAbstract CONCLUSION: The IOI technique has not only been assigned a high priority in the guidelines for pediatric emergency care of critically ill children with difficult or failed venous access but has also significantly influenced current prehospital care. The introduction of the IOI technique in our prehospital pediatric emergency system has markedly reduced the number of critically ill or severely injured pediatric patients without vascular access or with less reliable alternative administration routes in the last 20 years. PMID: 21184043 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4350061 Sat, 25 Dec 2010 00:00:00 +0100 4350061 http://www.medworm.com/index.php?rid=4350060&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21184044%26dopt%3DAbstract Authors: Lange J, Knüttgen D, Stoelben E, Bauerfeind U, Wappler F, Sakka SG Pumpless extracorporeal carbon dioxide elimination using the interventional lung assist (iLA) membrane ventilator is a modern concept for the treatment of hypercapnia due to respiratory failure which cannot be sufficiently treated by conventional strategies. Heparin-induced thrombocytopenia type II (HIT II) is considered to be an absolute contraindication for placement of an iLA because of the system's heparin-coated diffusion membrane. The example demonstrates that iLA therapy can be continued despite occurrence of a HIT II in terms of an "off label use". In the case described, postoperative therapy using the iLA membrane ventilator was installed in a 69-year-old patient with severe ARDS after elective lung r... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4350060 Sat, 25 Dec 2010 00:00:00 +0100 4350060 http://www.medworm.com/index.php?rid=4350073&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21181098%26dopt%3DAbstract Authors: Steurer MA, Berger TM Intravenous administration of fluids, electrolytes and glucose are the most common interventions in hospitalized pediatric patients. Parenteral fluid administration can be life-saving, however, if used incorrectly it also carries substantial risks. Perioperatively, adequate hydration, prevention of electrolyte imbalances and maintenance of normoglycemia are the main goals of parenteral fluid therapy. Conceptionally, the distinction between maintenance requirements, deficits and ongoing loss is helpful. Although the pathophysiological basis for parenteral fluid therapy was clarified in the first half of the 20th century, some aspects still remain controversial. In newborn infants, rational parenteral fluid therapy must take into account large insensible fl... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4350073 Fri, 24 Dec 2010 00:00:00 +0100 4350073 http://www.medworm.com/index.php?rid=4281701&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153798%26dopt%3DAbstract CONCLUSIONS: These results suggest that the integration of a pre-anesthesia assessment clinic in anesthetic patient care is not favorable from the patients' point of view because getting to know the anesthetist who will deliver anesthesia is of paramount importance to most patients. In cases where a pre-anesthetic assessment clinic is indispensable, other measures to build up confidence compensating for the lack of personal patient-physician relationship should be developed. In this respect, the promotion of a corporate identity of the whole anesthesia department may be beneficial. Furthermore, keeping the waiting time as short as possible should be a high priority as this item was rated the second most important factor. PMID: 21153798 [PubMed - as supplied by publisher] (Source: Der A... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4281701 Wed, 15 Dec 2010 00:00:00 +0100 4281701 http://www.medworm.com/index.php?rid=4281702&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153527%26dopt%3DAbstract CONCLUSION: For the prevention of postoperative nausea and vomiting droperidol is significantly superior to metoclopramide doses below 20 mg. There was no obvious positive dose response with respect to increasing doses of metoclopramide. There was also a trend towards higher efficacy of droperidol compared to higher doses of metoclopramide (≥20 mg). However, there were not enough comparative studies to show a statistically significant result in this subgroup analysis. These data support the notion that droperidol in low doses may represent the more effective D(2)-antagonist for a pharmacological armamentarium to cope with PONV. PMID: 21153527 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4281702 Sun, 12 Dec 2010 00:00:00 +0100 4281702 http://www.medworm.com/index.php?rid=4253684&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21136032%26dopt%3DAbstract Authors: Lichtenstern C, Müller M, Schmidt J, Mayer K, Weigand MA Transplantation medicine is an interdisciplinary task and the priority objective is a fast recovery to patient independence. After kidney transplantation the crucial aims are monitoring of transplant perfusion, maintainance of an adequate volume status and avoidance of nephrotoxic medications. Transplantation for patients with advanced chronic liver failure has become more common since the implementation of the model of end stage liver disease (MELD) allocation system which is associated with more complicated proceedings. The essentials of critical care after liver transplantation are monitoring of transplant function, diagnosis of perfusion or biliary tract problems, specific substitution of coagulation factors and hem... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4253684 Wed, 08 Dec 2010 00:00:00 +0100 4253684 http://www.medworm.com/index.php?rid=4253682&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21136033%26dopt%3DAbstract Authors: Braun J, Bein T, Wiese CH, Graf BM, Zausig YA The use of enteral feeding tubes is an important part of early enteral feeding in intensive care medicine. In other faculties with non-critically ill patients, such as (oncologic) surgery, neurology, paediatrics or even in palliative care medicine feeding tubes are used under various circumstances as a temporary or definite solution. The advantage of enteral feeding tubes is the almost physiologic administration of nutrition, liquids and medication. Enteral nutrition is thought to be associated with a reduced infection rate, increased mucosal function, improved immunologic function, reduced length of hospital stay and reduced costs. However, the insertion and use of feeding tubes is potentially dangerous and may be associated with ... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4253682 Wed, 08 Dec 2010 00:00:00 +0100 4253682 http://www.medworm.com/index.php?rid=4253686&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21132274%26dopt%3DAbstract Authors: Gottschalk A, Gottschalk A Continuous wound infusion of local anesthetics, which is mainly used in general surgery and orthopedics, is an interesting technique in postoperative pain therapy. Continuous wound infusion of local anesthetics is able to reduce postoperative opioid requirements and results in decreased pain scores. Recent studies indicate that rehabilitation seems to be enhanced and postoperative hospital stay may be shorter. Continuous wound infusion is an effective analgesic technique, which is simple to perform. Comparisons with other analgesic techniques, such as peripheral nerve blocks, epidural analgesia and other multimodal analgesic concepts are still required. PMID: 21132274 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4253686 Sun, 05 Dec 2010 00:00:00 +0100 4253686 http://www.medworm.com/index.php?rid=4253690&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21127827%26dopt%3DAbstract Authors: Kranabetter R, An interdisciplinary working group from the German Society of Hospital Hygiene (DGKH) and the German Society for Anesthesiology and Intensive Care (DGAI) worked out the following recommendations for infection prevention during anesthesia by using breathing system filters (BSF). The BSF shall be changed after each patient. The filter retention efficiency for airborne particles is recommended to be >99% (II). The retention performance of BSF for liquids is recommended to be at pressures of at least 60 hPa (=60 mbar) or 20 hPa above the selected maximum ventilation pressure in the anesthetic system.The anesthesia breathing system may be used for a period of up to 7 days provided that the functional requirements of the system remain unchanged and the manufact... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4253690 Sat, 04 Dec 2010 00:00:00 +0100 4253690 http://www.medworm.com/index.php?rid=4253688&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21127828%26dopt%3DAbstract CONCLUSION: Due to recent treatment recommendations provision with sodium bicarbonate, calcium, magnesium, noradrenaline, adenosine, lorazepam iv, dobutamine and as well with ipratropium bromide and salbutamol (both as liquid preparations for inhalation) should be improved. For the future, a federal uniform minimum standard due to evidence-based principles is desirable. PMID: 21127828 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4253688 Sat, 04 Dec 2010 00:00:00 +0100 4253688 http://www.medworm.com/index.php?rid=4253692&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21125214%26dopt%3DAbstract Authors: Wenzel V, Russo SG, Arntz HR, Bahr J, Baubin MA, Böttiger BW, Dirks B, Kreimeier U, Fries M, Eich C ADULTS: Administer chest compressions (minimum 100/min, minimum 5 cm depth) at a ratio of 30:2 with ventilation (tidal volume 500-600 ml, inspiration time 1 s, F(I)O(2) if possible 1.0). Avoid any interruptions in chest compressions. After every single defibrillation attempt (initially biphasic 120-200 J, monophasic 360 J, subsequently with the respective highest energy), chest compressions are initiated again immediately for 2 min independent of the ECG rhythm. Tracheal intubation is the optimal method for securing the airway during resuscitation but should be performed only by experienced airway management providers. Laryngoscopy is performed during ongoing chest compre... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4253692 Fri, 03 Dec 2010 00:00:00 +0100 4253692 http://www.medworm.com/index.php?rid=4222568&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21113566%26dopt%3DAbstract Authors: Michalsen A, Hillert A Physicians and nurses in anesthesia and critical care medicine are thought to be particularly prone to developing burnout. Epidemiologic data, however, are inconclusive especially because not all of the studies presented here are methodologically sound. Nevertheless, the following conclusions appear reasonable: in several European countries burnout is seen as a relevant problem in anesthesia and critical care medicine with a point-prevalence for moderate or severe burnout, as determined with the Maslach Burnout Inventory, at approximately 30% among nurses and approximately 40-50% among physicians. Determinants correlated with burnout can be found among the individual characteristics of those affected and within the occupational realm (for example high wo... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4222568 Sun, 28 Nov 2010 00:00:00 +0100 4222568 http://www.medworm.com/index.php?rid=4170386&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21069271%26dopt%3DAbstract CONCLUSION: Caspofungin was found to be an effective treatment of probable and proven invasive fungal infections in patients following SOT in Germany. PMID: 21069271 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4170386 Fri, 12 Nov 2010 00:00:00 +0100 4170386 http://www.medworm.com/index.php?rid=4170392&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21063671%26dopt%3DAbstract DISCUSSION: The implementation of a new drug (here: desflurane to substitute sevoflurane) can improve speed of recovery immediately after termination of anaesthesia even after a very short period of introducing the new technique but has no positive long term effects. Thus, the results of this trial performed under a real world scenario (health service research) without tight standardization by an artificial study protocol supports the results originating from randomized controlled clinical trials. PMID: 21063671 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4170392 Thu, 11 Nov 2010 00:00:00 +0100 4170392 http://www.medworm.com/index.php?rid=4170394&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21060980%26dopt%3DAbstract Authors: Fritzsche K, Osmers A During surgical procedures of the upper respiratory tract anesthesiologists and surgeons are often in a kind of competition situation because of the close spatial relationship between the airway of the patient and the surgical area. Nevertheless endotracheal intubation is still preferred as the gold standard of airway management. Especially in laryngeal surgery the use of high-frequency jet ventilation (HFJV) offers an alternative to the endotracheal tube. During HFJV the ventilation gas is intermittently administered by an injector with a high frequency into the airway which is open to the outside. Exhalation occurs passively in the area nearby the wall of the airway cross-section. According to the availability of the technique and the indications jet ve... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4170394 Wed, 10 Nov 2010 00:00:00 +0100 4170394 http://www.medworm.com/index.php?rid=4170393&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21060981%26dopt%3DAbstract CONCLUSION: In the year 2005 more abstracts of the DAC were published in Medline listed papers than in 2000. When comparing the number of abstracts published in Medline listed journals, more abstracts of the DAC were published compared to abstracts of the ESA. The increase in papers written in English after abstract presentation on the DAC is mostly due to the wider readership which can be reached with manuscripts in the English language. Besides a larger readership English journals often also have a higher ranked impact factor. This analysis does not claim to be a complete registration of all published abstracts due to the limitation on Medline listed journals and publications in other journals were not rated. Medline was selected because of the widespread and international use of this da... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4170393 Sun, 07 Nov 2010 00:00:00 +0100 4170393 http://www.medworm.com/index.php?rid=4170396&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21057767%26dopt%3DAbstract Authors: Schröder S, van Hülst S, Claussen M, Petersen K, Pich B, Bein B, von Spiegel T Bedside placement of postpyloric feeding tubes in surgical intensive care patients: a pilot series to evaluate two methods. Early enteral feeding is thought to be a key factor in maintaining the integrity of the gastrointestinal tract mucosal barrier associated with less bacterial translocation and decreased stimulation of the systemic inflammatory response and subsequent improved outcome in intensive care patients. Thus enteral feeding by nasogastric tubes is the preferred route of nutritional support for most surgical intensive care patients. However, intensive care patients with delayed gastric emptying and poor intestinal motility may not tolerate gastric feeding and may therefore benefit from... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4170396 Sat, 06 Nov 2010 00:00:00 +0100 4170396 http://www.medworm.com/index.php?rid=4140181&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21052615%26dopt%3DAbstract Authors: Koppert W PMID: 21052615 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4140181 Sat, 06 Nov 2010 00:00:00 +0100 4140181 http://www.medworm.com/index.php?rid=4125490&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20981398%26dopt%3DAbstract Authors: Evaluation of the patient's medical history and a physical examination are the cornerstones of risk assessment prior to elective surgery and may help to optimize the patient's preoperative medical condition and to guide perioperative management. Whether the performance of additional technical tests (e.g. blood chemistry, ECG, spirometry, chest-x-ray) can contribute to a reduction of perioperative risk is often not very well known or controversial. Similarly, there is considerable uncertainty among anesthesiologists, internists and surgeons with respect to the perioperative management of the patient's long-term medication. Therefore, the German Scientific Societies of Anesthesiology and Intensive Care Medicine (DGAI), Internal Medicine (DGIM) and Surgery (DGCH) have joined to... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4125490 Fri, 29 Oct 2010 00:00:00 +0100 4125490 http://www.medworm.com/index.php?rid=4091145&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20967403%26dopt%3DAbstract Authors: Zöllner C Opioids are the most potent drugs for treatment of acute and chronic pain. However, accumulating evidence suggests that opioids may paradoxically also enhance pain, often referred to as opioid-induced hyperalgesia. Opioid-induced hyperalgesia is defined as an increased sensitivity to pain or a decreased pain threshold in response to opioid therapy. Several mechanisms have been proposed to support opioid-induced hyperalgesia. However, it remains unclear whether opioid-induced hyperalgesia develops during continuous chronic application of opioids or on their withdrawal. This review provides a comprehensive summary of clinical research concerning opioid-induced hyperalgesia and the molecular mechanisms of opioid withdrawal and opioid tolerance and other potential mecha... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4091145 Fri, 22 Oct 2010 23:00:00 +0100 4091145 http://www.medworm.com/index.php?rid=4078803&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20945054%26dopt%3DAbstract This article reports on two patients in whom out-of-hospital intubation with a single-lumen LT was associated with massive pulmonary aspiration in one patient and gastric overinflation in the other. In both cases peak inspiratory pressures exceeded the LT leak pressure of approximately 35 mbar. This resulted in gastric inflation and decreased pulmonary compliance and increased inspiratory pressure further, thereby creating a vicious circle. It is therefore recommended that laryngeal tube suction (LTS) should be used in all cases of emergency airway management and a gastric drain tube be inserted through the dedicated second lumen. Apart from gastric overinflation, incorrect LT/LTS placement must be detected and immediately corrected, e.g. in cases of difficult or impossible gastric tube p... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4078803 Thu, 14 Oct 2010 23:00:00 +0100 4078803 http://www.medworm.com/index.php?rid=4045944&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20922352%26dopt%3DAbstract Authors: Bas M, Kojda G, Stelter K Angiotensin-converting enzyme (ACE) inhibitors block the catalysis of angiotensin I to angiotensin II and also the breakdown of bradykinin. ACE inhibitor-induced angioedema is mediated by inhibited bradykinin degradation leading to enhanced bradykinin plasma levels. The efficacy of currently used standard treatments with antiallergic drugs is questionable. A patient with acute ACE inhibitor-induced angioedema was treated with icatibant, a specific bradykinin B2 receptor antagonist approved for the treatment of hereditary angioedema. A single subcutaneous injection of 30 mg icatibant resulted in a rapid onset of symptom relief and a remarkable shortening of duration of the attack. PMID: 20922352 [PubMed - as supplied by publisher] (Source: Der Ana... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4045944 Tue, 05 Oct 2010 23:00:00 +0100 4045944 http://www.medworm.com/index.php?rid=4045943&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20922353%26dopt%3DAbstract Authors: Haeberle HA, Menzel D, Unertl K, Nohé B The case presented describes the combined onset of heparin-induced thrombocytopenia II (HIT) and post-transfusion purpura (PTP) 5-10 days following exposure to heparin and blood transfusion during aortic dissection repair. On day 4 the platelet count decreased by 40% and D-dimers started to increase again. Despite a low clinical probability for HIT-II at this time (4T score of 3) serological testing was done the next day and yielded a negative test result. Following a transient rise after platelet transfusion another 40% decrease in platelet count occurred on day 8. To increase precision of the 4T score, screening ultrasonography was performed and identified a clinically unapparent jugular vein thrombosis. As this increased the 4T score... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4045943 Tue, 05 Oct 2010 23:00:00 +0100 4045943 http://www.medworm.com/index.php?rid=4045942&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20922354%26dopt%3DAbstract Authors: Gerbershagen MU, Wappler F Among the neuromuscular diseases (NMDs) over 800 individual entities have been identified. The vast majority of these diseases occur very seldom but all NMDs together add up to a prevalence of 1:1,500. Accordingly the conclusion "seldom diseases are common" seems to be appropriate. The scope of NMDs is very wide varying from the affection of single muscle groups to the complete musculature, from slowly progressive to fulminant progressive forms, from perinatal to the adult manifestation as well as number, course and character of associated comorbidities. Due to the wide heterogeneity concerning NMDs it is of great importance for anesthesiologists to be knowledgeable on relevant comorbidities as well as indications and contraindications for the variou... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4045942 Tue, 05 Oct 2010 23:00:00 +0100 4045942 http://www.medworm.com/index.php?rid=4045941&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20922355%26dopt%3DAbstract Authors: Wißuwa H, Puchstein C Obesity in Germany is becoming more and more prevalent. Significantly overweight patients (>200 kg) pose an increasing and difficult challenge for emergency medical services, emergency doctors and the hospitals responsible for further treatment. The anatomic and physiological characteristics of patients with extreme obesity must be taken into consideration, particularly the airway, breathing, circulation, disability, exposure and environment of the patient. Furthermore special preparations for medical supplies, concepts and strategies for transport and further treatment in hospital are required. Suitable equipment and coordinated processes are essential for both the safety of the persons involved and the patient's dignity. It is, however, a fact that... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4045941 Tue, 05 Oct 2010 23:00:00 +0100 4045941 http://www.medworm.com/index.php?rid=4045940&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20922356%26dopt%3DAbstract Authors: Conzen P PMID: 20922356 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4045940 Tue, 05 Oct 2010 23:00:00 +0100 4045940 http://www.medworm.com/index.php?rid=4045939&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20922357%26dopt%3DAbstract Authors: Becke K, Landsleitner B, Reinhold P, Schmitz B, Strauß J, Philippi-Höhne C Diagnostic and interventional procedures in children often need to be performed under sedation. This prevents pain and stress in children and provides optimal examination conditions. For complete immobilization and stress shielding the depth of sedation often corresponds with general anesthesia. Therefore, established safety standards need to be observed and a fundamental precondition is implementation by a skilled anesthesiologist who can handle the anesthesiology procedure and its possible complications. Organization, schedule, medication, equipment, monitoring and post-anesthesiology care should be institutionally defined. A professional anesthesiology management of pediatric patients is an importa... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4045939 Tue, 05 Oct 2010 23:00:00 +0100 4045939 http://www.medworm.com/index.php?rid=4045938&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20922358%26dopt%3DAbstract CONCLUSION: The results of our study show that compliance with valid guidelines is low and furthermore suggest that compliance with guidelines significantly reduces mortality. Future research may be warranted into the question of how to increase compliance with current CPR guidelines in pre-hospital emergency care. PMID: 20922358 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4045938 Tue, 05 Oct 2010 23:00:00 +0100 4045938 http://www.medworm.com/index.php?rid=4027659&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20878379%26dopt%3DAbstract Authors: Gaibler T, Schelling P, Weis E PMID: 20878379 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4027659 Wed, 29 Sep 2010 23:00:00 +0100 4027659 http://www.medworm.com/index.php?rid=4027661&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20878138%26dopt%3DAbstract Authors: Kalbhenn J, Loop T, Stahl CA High risk pulmonary embolism commonly presents with a variety of symptoms and is an acute life-threatening event. In patients showing unclear acute circulatory distress, pulmonary embolism should be quickly ruled out by computed tomography or echocardiography. The diagnostic steps and surgical treatment of pulmonary embolism in a 25-year-old female patient suffering from acute circulatory insufficiency resulting in cardiac arrest within 11 min after emergency hospital admission are reported. Due to the reasonable suspicion of acute right heart decompensation, systemic perfusion was re-established by cardiopulmonary bypass after cardiopulmonary resuscitation for 41 min. Sternotomy and surgical embolectomy were performed. The patient was succes... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4027661 Tue, 28 Sep 2010 23:00:00 +0100 4027661 http://www.medworm.com/index.php?rid=4027660&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20878139%26dopt%3DAbstract This article focuses on the functioning of the device and on particularities which are important to consider. The ACD constantly reflects 90% of the exhaled anaesthetic back to the patient, but if one exhaled breath contains more than 10 ml of anaesthetic vapour (e.g. >1 vol% in 1,000 ml), the capacity of the reflector will be exceeded and relatively more anaesthetic will be lost to the patient. This spill over decreases efficiency but it also contributes to safety as very high concentrations are averted. Compared to classical anaesthesia systems the ACD used in conjunction with ICU ventilators offers advantages in the ICU setting: investment costs are low, carbon dioxide absorbent is not needed, breathing comfort is higher, anaesthetic consumption is low (equal to an anaesthesia cir... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=4027660 Tue, 28 Sep 2010 23:00:00 +0100 4027660 http://www.medworm.com/index.php?rid=3988576&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20852833%26dopt%3DAbstract CONCLUSION: Patient safety can be reduced if relevant preclinical data are not transmitted correctly to the admitting hospital. Therefore there is a need to improve documentation quality in EMS. Electronic documentation, training of EMS staff and quality management programs might offer solutions. Because of the small sample size further studies are needed to evaluate the validity of these results. PMID: 20852833 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=3988576 Sat, 18 Sep 2010 23:00:00 +0100 3988576 http://www.medworm.com/index.php?rid=3988575&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20852834%26dopt%3DAbstract Authors: Neuhäuser C, Welter J, Arendt C, Bindl L, Schmitz B The case of a 13-month-old child who developed a life-threatening macroglossia with airway obstruction following palatoplasty for a cleft palate is reported. As direct laryngoscopy was not feasible a laryngeal mask (LM) was inserted to secure the airway. Under fiber optic guidance an endotracheal tube was then introduced via the LM. In this article the incidence, pathophysiology, clinical dynamics, options for emergency anesthesia management and organizational implications of this rare but typical complication in the field of oral and craniomaxillofacial surgery are reported. PMID: 20852834 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=3988575 Sat, 18 Sep 2010 23:00:00 +0100 3988575 http://www.medworm.com/index.php?rid=3988574&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20852835%26dopt%3DAbstract Authors: Haffner E, Sostarich AM, Fösel T In certain surgical positions standard cardiopulmonary resuscitation (CPR) cannot be carried out. It is sometimes impossible or time-consuming to establish a supine position without increasing the no-flow-time and therefore creating a negative outcome of the patient. The case of CPR in a prone position during an emergency evacuation of a cerebellar hematoma is reported. The resuscitation was initiated in the prone position to decrease the no-flow-time. This was very effective because the return of spontaneous circulation (ROSC) started before turning the patient to the supine position. Resuscitation in the prone position in this case was equally as effective as in the traditional supine position. PMID: 20852835 [PubMed - as supplied by p... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=3988574 Sat, 18 Sep 2010 23:00:00 +0100 3988574 http://www.medworm.com/index.php?rid=3988573&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20852836%26dopt%3DAbstract This article will discuss different emergency situations concerning railway accidents and the emergency medical response to them based on a near collision with a high speed train during a rescue mission close to the railway track. Injury to personnel could only be avoided by chance and luck. The dangers and risks for rescue staff are specified. Furthermore, the article details practical guidelines for rescue operations around the German national railway track system. PMID: 20852836 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=3988573 Sat, 18 Sep 2010 23:00:00 +0100 3988573 http://www.medworm.com/index.php?rid=3973927&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20835691%26dopt%3DAbstract CONCLUSION: During military missions of the German Armed Forces there are no other options to perform resuscitation than by performing this procedure with only two rescuers. Using the algorithm in a modified way securing of the airway with an LT, the performance of over-the-head chest compressions and an effective resuscitation with advanced cardiac life support according to the ERC guidelines of 2005 are feasible even with 2 rescuers. Using the LT instead of endotracheal intubation to secure the airway particularly contributed to shortening the hands-off time. PMID: 20835691 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=3973927 Sat, 11 Sep 2010 23:00:00 +0100 3973927 http://www.medworm.com/index.php?rid=3973926&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20835692%26dopt%3DAbstract This study investigated whether the application of PEEP leads to an improvement of oxygen saturation in unassisted spontaneously breathing patients with a LMA. A total of 80 adult patients under general anesthesia were prospectively randomized into two groups. Both groups were left to breathe spontaneously. In group 1 the adjustable pressure limiting (APL) valve was opened resulting in zero end-expiratory pressure. In group 2 the valve was set to a PEEP of +7 cm H(2)O. Oxygen saturation was measured by pulse oxymetry at four different phases: pre-induction, after induction and insertion of the LMA, during maintenance and in recovery. The application of PEEP did not improve oxygen saturation. In both groups the mean oxygen saturation was similar (97.2±1.8% in group 1 versus 97.2±1.... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=3973926 Fri, 10 Sep 2010 23:00:00 +0100 3973926 http://www.medworm.com/index.php?rid=3958170&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20830460%26dopt%3DAbstract Authors: Hachenberg T, Sentürk M, Jannasch O, Lippert H Postoperative wound infections are the third most common type of nosocomial infection in German emergency hospitals after pneumonia and urinary infections. They are associated with increased morbidity and mortality, prolonged hospital stay and increased costs. The most important risk factors include the microbiological state of the skin surrounding the incision, delayed or premature prophylaxis with antibiotics, duration of surgery, emergency surgery, poorly controlled diabetes mellitus, malignant disease, smoking and advanced age. Anesthesiological measures to decrease the incidence of wound infections are maintaining normothermia, strict indications for allogenic blood transfusions and timely prophylaxis with antibiotics. Blo... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=3958170 Thu, 09 Sep 2010 23:00:00 +0100 3958170 http://www.medworm.com/index.php?rid=3958169&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20830461%26dopt%3DAbstract Authors: Büttner J PMID: 20830461 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=3958169 Thu, 09 Sep 2010 23:00:00 +0100 3958169 http://www.medworm.com/index.php?rid=3958174&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20827450%26dopt%3DAbstract Authors: Russo SG, Zink W, Herff H, Wiese CH Securing the airway is a rarely performed procedure in the out-of-hospital setting. In recent years evidence has been accumulated indicating that out-of-hospital airway management is more challenging as compared to elective situations even for experienced health care providers. Furthermore, several authors have questioned the benefit of out-of-hospital tracheal intubation. This review argues the problems regarding out-of-hospital airway management studies and discusses potential solutions which may improve out-of-hospital health care. PMID: 20827450 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=3958174 Wed, 08 Sep 2010 23:00:00 +0100 3958174 http://www.medworm.com/index.php?rid=3958173&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20827451%26dopt%3DAbstract Authors: Zahn PK, Sabatowski R, Schug SA, Stamer UM, Pogatzki-Zahn EM Since paracetamol was first synthesized in 1878 it has become one of the most popular and widely used drugs for the first-line treatment of fever and pain. The reasons for this popularity are a wide variety of formulations, an assumed positive safety record and the wide availability as an over-the-counter drug. However, recently several studies questioned the positive risk-benefit ratio of paracetamol for postoperative pain by observing several possible adverse effects and limitations. The aim of the present review is to give an update of the recent literature on the efficacy of paracetamol for postoperative pain and on the value of the clinical relevance of different adverse effects of paracetamol. Finally, based on... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=3958173 Wed, 08 Sep 2010 23:00:00 +0100 3958173 http://www.medworm.com/index.php?rid=3958172&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20827452%26dopt%3DAbstract Authors: Hackner K, Bein T, Kuehnel T, Philipp A, Wittmann S, Graf BM The use of extracorporeal membrane oxygenation (ECMO) was established in Germany 25 years ago in specialized centers as an approach for patients suffering from severe life-threatening lung failure. Apart from such indications the inclusion of ECMO as a planned intervention for safety purposes in the postoperative weaning from mechanical ventilation in a 22-year-old woman is described. Following a complex tracheal reconstruction due to oesophageal-tracheal fistula formation, conventional weaning procedures would have been accompanied by a very high risk as extubation failure might have caused an airway disaster. After elective use of veno-venous ECMO the young patient was extubated without risk and lung function was s... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=3958172 Wed, 08 Sep 2010 23:00:00 +0100 3958172 http://www.medworm.com/index.php?rid=3958171&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20827453%26dopt%3DAbstract Authors: Haberstich P, Kindler CH, Schürch M Maple syrup urine disease is a rare autosomal-recessive metabolic disorder caused by a deficit of oxidative decarboxylation of branched-chain amino acids. First symptoms appear in the neonatal period. Without treatment the disease is characterized by rapid progression of neurological symptoms. During stressful situations, such as infection or surgery, patients may experience severe ketoacidosis, rapid neurological deterioration and hypoglycemia. The perioperative management of a 26-year-old man with maple syrup urine disease is described, a review of the disease is given and anaesthesia-related implications are discussed. PMID: 20827453 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=3958171 Wed, 08 Sep 2010 23:00:00 +0100 3958171 http://www.medworm.com/index.php?rid=3934914&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20811728%26dopt%3DAbstract Authors: Brücken A, Coburn M, Rex S, Rossaint R, Fries M The noble gas xenon exerts favorable anesthetic properties along with remarkable hemodynamic stability in healthy patients undergoing elective surgery. It represents the nearly ideal anesthetic and provides safe and well controllable anesthesia although the exact mechanism by which xenon produces anesthesia remains to be elucidated. In addition xenon offers organ protective properties for vital organs including the brain, heart and kidneys which seem to be synergistic when used in combination with therapeutic hypothermia. As the high cost of xenon will probably preclude its wider use as a routine anesthetic, data from extensive tests in large numbers of high risk patients is needed to confirm its possible superiority in this s... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=3934914 Wed, 01 Sep 2010 23:00:00 +0100 3934914 http://www.medworm.com/index.php?rid=3934913&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20811729%26dopt%3DAbstract Authors: Sinner B, Graf BM Modern anesthesia is handling an increasing number of patients with neurological diseases who require narcosis. Regional anesthesia techniques offer qualities which might be advantageous for this group particularly for childbirth. The number of pregnant women with neurological diseases has increased significantly in the recent years due to improved diagnostics and therapy. A more careful approach to regional anesthesia in patients with neurological diseases is necessary as the drugs themselves possess neurotoxic effects and the procedure might worsen the underlying neurological diseases. Additionally, performing regional anesthesia might be more complicated and the resulting blockade might be different from the expected neuronal block. Published data concerni... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=3934913 Wed, 01 Sep 2010 23:00:00 +0100 3934913 http://www.medworm.com/index.php?rid=3885982&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20714701%26dopt%3DAbstract Authors: Mutlak H, Czerner S, Winter H, Zwissler B, Lackermeier P Preoperative evaluation of patients undergoing lung resection remains an interdisciplinary challenge. Despite substantial progress in anesthesiology, intensive care medicine and surgery, mortality of patients undergoing pneumonectomy remains high at 5-9%. Guidelines were developed to identify patients with an increased perioperative risk for morbidity and mortality. These guidelines are focused around the forced expiratory capacity (FEV) measured by spirometry, following further investigations in patients with limited FEV(1). Extended testing includes measurement of the diffusion capacity, calculation of postoperative predicted values of lung function and spiroergometry to determine maximal oxygen uptake. In this article... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=3885982 Tue, 17 Aug 2010 23:00:00 +0100 3885982 http://www.medworm.com/index.php?rid=3885981&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20714702%26dopt%3DAbstract Authors: Seibel A, Sakka SG Increased intraabdominal pressure (IAP) and abdominal compartment syndrome (ACS) are diseases which are often underestimated with respect to incidence and prognosis especially in critically ill patients. The clinical gold standard for the determination of IAP is the urinary bladder measurement technique. For assessment of hepatosplanchnic perfusion the indocyanine green plasma disappearance rate (ICG-PDR) has recently become a clinically attractive method. In this investigation a decrease in splanchnic perfusion caused by increased IAP was observed in critically ill patients with abdominal focused sepsis or postoperative systemic inflammatory response syndrome (SIRS). It was found that the reduction of ICG-PDR as a measure of splanchnic blood flow correlated... Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=3885981 Tue, 17 Aug 2010 23:00:00 +0100 3885981 http://www.medworm.com/index.php?rid=3885984&cid=s_37060_5_f&fid=37060&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20703440%26dopt%3DAbstract CONCLUSION: These data allow 2 conclusions: 1. Prewarming in the holding area is possible with a sufficient duration. 2. Prewarming is highly efficient even when performed over a relatively short duration. PMID: 20703440 [PubMed - as supplied by publisher] (Source: Der Anaesthesist) Der Anaesthesist journals http://www.medworm.com/rss/comments.php?id=3885984 Thu, 12 Aug 2010 23:00:00 +0100 3885984