Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINSThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

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[Suicide and suicidality in emergency medicine]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article aims to give an overview of prevalence rates, method of suicide or attempted suicide, and the problems faced by EPs when treating these patients. In addition, concepts are presented which allow for an adequate risk assessment of suicidality and showing possibilities of primary crisis intervention. PMID: 19918703 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - November 1, 2009 Category: Intensive Care Authors: Pajonk FG, D'Amelio R Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Difficult airway management in paediatric patients]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A difficult airway in childhood is very uncommon. Therefore, it will always be an unfamiliar and menacing situation for most anaesthetists. Knowledge of the individual pathology, associated anaesthesiological problems and possible solutions provide the basis for successful airway management. Endoscopical techniques are essential for the process. The following article shows how a difficult airway in childhood can be recognized and which anaesthesiological options exist to handle such a situation. PMID: 19918704 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - November 1, 2009 Category: Intensive Care Authors: Laschat M, Kaufmann J, Wappler F Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Co-analgesics--today and tomorrow--a receptor-based overview of therapeutical options]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe the peripheral action sites of co-analgesics, such as cannabinoids, capsaicin, bisphosphonates, steroids and somatostatin. We also summarise the effect of peripherally and centrally acting ion-channel blockers, e.g. local anaesthetics, carbamazepine and tolperisone working on sodium channels and gabapentin and pregabalin working on calcium channels. Finally, central analgesic mechanisms are discussed, for instance the inhibition of NMDA-receptors by ketamine or magnesium, the stimulation of alpha2-receptors by clonidine, tizanidine or antidepressants, the activation of GABA-receptors through baclofen and other ...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - November 1, 2009 Category: Intensive Care Authors: Wörner J, Rukwied R, Konrad C Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[In Process Citation]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19918706 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - November 1, 2009 Category: Intensive Care Authors: Roewer N, Kranke P Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Perioperative management of patients with neuromuscular disorders]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the anaesthetic approach with regard to preoperative considerations and perioperative management in this heterogeneous group of patients. PMID: 19918707 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - November 1, 2009 Category: Intensive Care Authors: Johannsen S, Kranke P, Reiners K, Schuster F Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Malignant hyperthermia--diagnostics, treatment and anaesthetic management]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the clinical symptoms of MH, the diagnostic criteria and the actual guidelines for treatment and management of anaesthesia in susceptible individuals. PMID: 19918708 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - November 1, 2009 Category: Intensive Care Authors: Schuster F, Müller-Reible CR Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[In Process Citation]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Neuromuscular disorders are rare and often not very well diagnosed diseases. They can be separated in prejunctional, junctional or postjunctional diseases. General anesthesia is connected with a higher risk, therefore regional anesthesia could often be regarded with favour and could be a safe alternative. Because of the lack of systematically studies and guidelines the decision choosing a regional anesthesia is always a risk-benefit-analysis. This and also the detailed preoperative neurological status must, because of forensic reason, exactly be documented. PMID: 19918709 [PubMed - in process] (Source: Anasthesiolo...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - November 1, 2009 Category: Intensive Care Authors: Papenfuss T, Roch C, Schwemmer U Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[A German network for regional anaesthesia of the scientific working group regional anaesthesia within DGAI and BDA]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Regional anaesthesia generally is considered to be safe. However, reports of complications with different severities are also well known. The scientific working group of regional anaesthesia of the DGAI has founded a network in conjunction with the BDA. With the aid of a registry, we are now able to describe risk profiles and associations in case of a complication. Moreover, a benchmark has been implemented in order to continuously improve complication rates. PMID: 19918710 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - November 1, 2009 Category: Intensive Care Authors: Volk T, Engelhardt L, Spies C, Steinfeldt T, Kutter B, Heller A, Werner C, Heid F, Bürkle H, Koch T, Vicent O, Geiger P, Kessler P, Wulf H Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

Remifentanil-PCA to alleviate labor-pain - a true and safe alternative to epidural labor analgesia?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19890781 [PubMed - as supplied by publisher] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - October 1, 2009 Category: Intensive Care Authors: Kranke P, Schelling P, Frambach T, Wirbelauer J Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

Treatment of Herpes Zoster and Postherpetic Neuralgia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Herpes zoster, a biphasic disease with different kinds of pain is a challenge for pain therapy. The acute illness with mixed pain (nociceptive - neuropathic) requires antivirals for risk patients and pain treatment according to rules of acute pain therapy. For treatment of postherpetic neuralgia (PHN) an example of neuropathic pain, antidepressants, anticonvulsants and topical lidocaine are today the first line therapeutics, further opioids are of a certain therapeutic value. PMID: 19834828 [PubMed - as supplied by publisher] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - September 30, 2009 Category: Intensive Care Authors: Schulzeck S, Gleim M Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

Hyperbaric Oxygenation: Utility in Intensive Therapy - Part 2.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Gangrene, non-clostridial myonecroses and intracranial abscesses are clinical entities for which hyperbaric oxygenation can be used therapeutically. Mortality and invalidity can be reduced by this means. Except for gangrene, HBO is used merely as an adjuvant for these diseases when conventional surgical, antibiotic and intensive therapy measures are not sufficient. The action of HBO is based on several points of attack: it reduces the formation of oedema, inhibits the production of alpha-toxins of the Clostridia, has a bacteriotoxic action, increases the effectivity of antibiotics and improves the immune defense system...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - September 30, 2009 Category: Intensive Care Authors: Lampl L, Frey G, Fischer D, Fischer S Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

Remifentanil-PCA to alleviate labor-pain - a true and safe alternative to epidural labor analgesia?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Labor-pain analgesia in the absence of epidural analgesia is difficult to achieve with the commonly used analgesic interventions. If epidural analgesia is not feasible due to coagulation disorders, anticoagulation, inability to insert an epidural catheter or on the mother?s request, there is a need for interventions to cope with labor-pain. For a decade, anaesthesiologists have experienced the unique properties of remifentanil in the settings of surgical anaesthesia, sedation and postoperative analgesia since its introduction into labor analgesia. The fast onset and offset without accumulation is largely due to its eli...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - September 30, 2009 Category: Intensive Care Authors: Kranke PD, Schelling P, Frambach T, Wirbelauer J Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[In Process Citation]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19834831 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - September 30, 2009 Category: Intensive Care Authors: Hachenberg T Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

Minimally invasive tumor ablation in the liver.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Image guided minimally invasive local and locoregional tumor ablation techniques like radiofrequency ablation, interstitial brachytherapy, transarterial chemoembolization (TACE) and selective internal radiotherapy (SIRT) with (90)Yttrium ( (90)Y) microspheres have been established as valuable amendments in oncologic therapy concepts. These techniques allow the destruction of extensive liver tumors with an acceptable toxicity profile. Necessity for a safe performance of these procedures is a close collaboration between interventional radiologist and anesthetist. PMID: 19834832 [PubMed - as supplied by publisher] (So...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - September 30, 2009 Category: Intensive Care Authors: Wybranski C, Mohnike K, Ricke J Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

Interventional Radiology - Image-guided minimal invasive procedures for treatment of neurological diseases.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Neurological diseases can be treated more and more by minimal-invasive procedures. Most of them are performed under X-ray control in general anesthesia. In some diseases the minimal-invasive therapy is superior to medical or surgical therapy. In other cases final evaluation can not be made so far. For a successful minimal-invasive treatment a working communication between the involved persons is essential. At least basic knowledge about the underlying disease and the used techniques should be present. PMID: 19834833 [PubMed - as supplied by publisher] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - September 30, 2009 Category: Intensive Care Authors: Skalej M Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

Anaesthesia for interventional procedures.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Interventional radiologists perform a wide range of procedures. The anaesthesiologist takes care for provision of a physiologically stable and immobile patient, alteration of arterial blood pressure as necessary, and appropriate and timely management of complications. In this article we discuss the anaesthetic considerations for procedures like embolization of arterio-venous malformations, coiling of cerebral aneurysms, kyphoplasty and vertebroplasty including the preprocedure preparation, monitoring requirements, suitable anaesthetic techniques, postprocedure management and complication. PMID: 19834834 [PubMed - a...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - September 30, 2009 Category: Intensive Care Authors: Wiedemann D, Ebmeyer U Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

Delivering bad news: How to improve communication with relatives.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communicating bad news, e.g. the message of the death of a close relative, is not a straight forward task for physicians. Typical common inter-speaking attitudes often fail in this difficult situation. Even simple rules and cooking recipes are seldom helpful. Medical training unfortunately does not cover this topic sufficiently. Hence physicians have to learn from trial and error. However, this trial-and-error-method may provoke an unfavourable course of conversation. Training and knowledge of evidence-based rules can improve communicative faculties and facilitate delivering bad news. PMID: 19834835 [PubMed - as su...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - September 30, 2009 Category: Intensive Care Authors: Schindler N, Schindler AW, Vagts D Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Osteoporosis pain management]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Osteoporosis is a chronic disease with an enormous impact on health care costs. Approximately 8 Mio. people are affected in Germany. A reasonable part of them is suffering from acute and/or chronic pain due to osteoporotic bone fractures and musculoskeletal malfunctioning. Therefore, pain therapy is based on the principles of acute pain treatment and chronic pain therapy.Drug effects and side effects have to be considered with respect to fracture healing, bone mineral density and fracture risk. PMID: 19750435 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - August 31, 2009 Category: Intensive Care Authors: Dinges G Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Hyperbaric Oxygenation - utility in intensive therapy - part 1]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hyperbaric Oxygenation (HBO) is a medical treatment, in which a patient breathes 100 % oxygen inside a treatment chamber at a pressure higher than at sea level. The indication for HBO has to be considered whenever gas bubbles present in tissue or blood circulation (decompression sickness, gas embolism) or when a high oxygen delivery is of crucial importance (CO-intoxication, selected anaerobic soft tissue infections). HBO must never be considered as a substitute for conventional surgical or intensive care therapy, but as an adjuvant of (potentially) crucial importance. PMID: 19750436 [PubMed - in process] (Source: ...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - August 31, 2009 Category: Intensive Care Authors: Lampl L, Frey G, Fischer D, Fischer S Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Legal basis for the hygienic processing of medicinal products]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The major objectives of the German Medicinal Products Act (Medizinproduktegesetz, MPG) and the Medicinal Products Marketing Act (Medizinprodukte-etreiberverordnung, MPBetreibV) are to avoid the dangers (to health) arising from medicinal products (MP). This necessitates procedures for the professional maintenance of the, according to regulations low in germs or sterile, MP to be used. These procedures are associated with qualified personnel, appropriate resources, a reproducibly successful processing procedure and control of the technical-unctional safety of the MP. PMID: 19750437 [PubMed - in process] (Source: Anas...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - August 31, 2009 Category: Intensive Care Authors: Just M, Kerwat K, Wulf H Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Obesity in pediatric anesthesia]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The incidence of overweight and obesity in children and adolescents who need an anesthesia is increasing. These children have a higher risk for perioperative complications. The review discusses definition and causes of obesity in children, gives information about relevant pathophysiological changes, and focuses anesthesiological management and complications. PMID: 19750438 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - August 31, 2009 Category: Intensive Care Authors: Höhne C, Ulrici J, Strauss JM, Kaisers UX Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Anaesthesia management of the obese patient]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Obesity is a global epidemic, and approximately 20 % of the German population are obese. Therefore anaesthesiologists will be increasingly involved in the care of obese and morbidly obese patients in the near future. As a prerequisite, the hospital must focus on this patient population with respect to facilities and the availability of tailored medical equipment and supplies. Comorbidities such as diabetes, hypertension, coronary heart disease and sleep apnea considerably increase the risk of obese patients. A thorough preoperative evaluation of comorbidities, an anaesthesia induction and intraoperative ventilation tai...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - August 31, 2009 Category: Intensive Care Authors: Bein B, Höcker J, Fudickar A, Scholz J Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Special anaesthesiological requirements in bariatric surgery]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Obesity is a growing healthcare problem in all industrial countries, which occurs with increasing frequency in young people and indicates bariatric surgery. Obesity increases the risk for pulmonary and cardiovasculary side effects and also the anaesthesiologist is confronted with significantly more problems when the patient is overweight and obese. The present review focuses on the surgical techniques and the anaesthetic implications of bariatric surgery. PMID: 19750440 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - August 31, 2009 Category: Intensive Care Authors: Shang E, Beck G Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[The German interdisciplinary taskforce for clinical hemotherapy IAKH and its national critical incident reporting system specifically for blood transfusion]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The German interdisciplinary task force for clinical hemotherapy (IAKH) is an independent association of clinicians. It aims for the improvement of blood transfusion application processes, procedures and safety in the absence of a German hemovigilance system. Whereas the producers of blood products concentrate on product safety, the IAKH focuses on administrative needs such as forms and regulations associated with the administration of blood products. It provides information about coagulation disorders, autologous blood donation and cell saving as well as techniques that reduce the amount of allogeneic transfusion need...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - August 31, 2009 Category: Intensive Care Authors: Frietsch T, Weiler-Lorentz A, Schipplick M, Kretschmer V Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Prehospital noninvasive ventilation in a 102-years old patient]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the case of a 102-year old patient who was successfully treated with preclinical NIV. PMID: 19629907 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - June 30, 2009 Category: Intensive Care Authors: Sellmann T, Meyer-Treschan TA, Marx F, Meyer J Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[First therapy of drowning accident]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Rescue and medical care of people in a drowning accident is a rather rare incident which still needs special attention. The rescue process can be technically challenging and only a well experienced team will be able to act professionally without any time loss. At a first step all team members have to protect themselves. Especially close collaboration of technical and medical rescue teams are of high significance and should be part of future exercises. Hypothermic persons should be protected from further cooling and gently rescued in a horizontally way. If a patient has no circulation continued cardiopulmonary resuscita...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - June 30, 2009 Category: Intensive Care Authors: Castan J, Wirtz S, Moecke H, Schmidbauer W, Bubser F, Kerner T Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Metabolic alterations in burn trauma - pathophysiology and therapy]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Compared to other trauma patients, burn trauma victims show alterations that require special attention. The burn trauma modifies several physiologic processes. Metabolic regulation presents itself as one of the major problems. The first part of this review deals with the metabolic pathophysiology of severe burn trauma and its clinical impact. At the end we present possible therapeutic interventions with their mode of action and common side effects. PMID: 19629909 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - June 30, 2009 Category: Intensive Care Authors: Baron DM, Metnitz PG Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Evidence-based anti-infective program "ABx" - Online-program for anti-infective therapy broadens functions for local adaptations]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
National and international evidence based recommendations for anti-infective therapies in the intensive care unit are difficult to implement into daily clinical work. However, adequate and early applications of anti-infective therapies are important outcome factors for the clinical course of severe infections. With support of the German Society of Anaesthesiology and Intensive Care Medicine and the Association of German Anaesthesiologists (DGAI/BDA) a web based anti-infective program was developed to address these issues. The program includes interdisciplinary consented evidence based algorithms to help with immediate ...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - June 30, 2009 Category: Intensive Care Authors: Tafelski S, Nachtigall I, Trefzer T, Halle E, Mende H, Briedigkeit L, Martin J, Welte T, Quintel M, Bause H, Geldner G, Schleppers A, Spies C Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Videolaryngoscopy for endotracheal intubation - new developments in difficult airway management]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Difficulties in tracheal intubation are the major causes of anaesthesia related morbidity and mortality. Novel videolaryngoscopes facilitate endotracheal intubation by indirect visualisation of glottic structures through optical systems. In this review, differences and the advantages and disadvantages of videolaryngoscopes are discussed. PMID: 19629911 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - June 30, 2009 Category: Intensive Care Authors: Wasem S, Roewer N, Lange M Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[In Process Citation]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19629912 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - June 30, 2009 Category: Intensive Care Authors: Wulf H Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Regional anaesthesia for carotid endarterectomy]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cervical plexus blocks have been established as safe and feasible procedures for carotid endarterectomy. Comparable perioperative complication rates have been reported for plexus techniques and general anaesthesia. The results of the GALA trial support the theory that the indication for insertion of intraluminal shunts was significantly reduced by regional procedures (14 % vs. 43 %) in consequence of the more reliable diagnosis of neurological complications. However, it has not been identified yet which technique (superficial, deep or a combination) offers the highest effectiveness. PMID: 19629913 [PubMed - in proc...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - June 30, 2009 Category: Intensive Care Authors: Vassiliou T, Wulf H, Rolfes C Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Options and limits of interscalene nerve blocks]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Regional anaesthesia has gained increasing importance during the last decades. Successful regional anaesthesia for shoulder surgery requires a detailed knowledge of the relevant anatomy. Interscalene nerve blocks are most frequently used to anaesthetize the shoulder and among them the techniques according to Winnie, Meier, Pippa and Borgeat are the most popular. The techniques described by Meier and Borgeat are characterized by low complication rates. They are efficient for the majority of surgical procedures and therefore offer an interesting supplementation or an alternative to general anaesthesia. When carried out a...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - June 30, 2009 Category: Intensive Care Authors: Hofmann-Kiefer K, Jacob M, Rehm M, Lang P Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Thoracic paravertebral block]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Thoracic paravertebral block for postoperative pain control has been introduced more than a century ago. It is currently gaining increasing popularity. This simple and safe technique can be used for postoperative analgesia, as well as sole anesthetic technique. When compared to epidural analgesia for postthoracotomy pain control, thoracic paravertebral analgesia provides comparable analgesic efficacy, but less side-effects. Regarding concomitant use of anticoagulants and antiplatelet drugs, paravertebral blockade is considered a central nerve block. PMID: 19629915 [PubMed - in process] (Source: Anasthesiologie, Int...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - June 30, 2009 Category: Intensive Care Authors: Byhahn C, Meininger D Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Processing times in anaesthesiological specialty]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The operating theatre is one of the most expensive areas in German hospitals. Contributing to high cost are badly arranged perioperative processes, which should be avoided. An appreciation of processing times and an illustration of department-specific operating figures are vital in order to ensure cost-efficiency. Specific software based on DRG-data is available to evaluate processing-times from an economic perspective. PMID: 19629916 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - June 30, 2009 Category: Intensive Care Authors: Mende H Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Implementation of a web based software for documentation and control of quality of an acute pain service]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Providing an acute pain service means accumulation of a large amount of data. The alleviation of data collection, improvement of data quality and data analysis plays a pivotal role. The electronic medical record (EMR) is gaining more and more importance in this context and is continuously spreading in clinical practice. Up to now only a few commercial softwares are available that specifically fit to the needs of an acute pain service. Here we report the development and implementation of such a program (Schmerzvisite, Medlinq, Hamburg, Germany) in the acute pain service of a University Hospital. PMID: 19629917 [PubM...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - June 30, 2009 Category: Intensive Care Authors: Pawlik MT, Abel R, Abt G, Kieninger M, Graf BM, Taeger K, Ittner KP Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Which perioperative tidal volume for patients with healthy lungs undergoing elective surgery? A qualitative systematic review of current evidence]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Only a few studies exist which examine the effect of protective ventilation settings on healthy lungs of patients not being critical-ill. The reported results are very heterogeneous and do not strongly support a lung- protective ventilation strategy. However, apart from reasoning based on pre-clinical experimental data, there is some clinical evidence, that suggests using lower tidal volumes in patients undergoing major or cardiac surgery, even if the patient does not present with an ALI/ARDS and is not critically ill at the time when the surgical procedure is performed. PMID: 19526443 [PubMed - in process]...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - May 31, 2009 Category: Intensive Care Authors: Kuestermann J, Kranke P, Brederlau J, Roewer N, Muellenbach RM Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Case report: acute cardiac arrest 3 days after hemihepatectomy]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a patient who presents pulmonary embolism three days after right hemihepatectomy because of colorectal metastasis. During two hours of successful resuscitation 50mg rt-plasminogen-activator are administered. Unfortunately the patient develops bleeding complications: an intraabdominal bleeding needs to be operated twice; intracerebral bleeding is followed by intracerebral edema. After a very prolonged intensive care treatment of 55 days the patient is discharged to a neurologic recreation centre. One year later she is doing fine beside a little cognitive deficit. PMID: 19526444 [PubMed - in process] (Source: A...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - May 31, 2009 Category: Intensive Care Authors: König S, Gerlach U, von Heymann C Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Influenza]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Influenza is a severe, febrile disease of the airways that occurs epidemically in the winter months. It is caused by influenza viruses. In cycles of about 30 years, these seasonal epidemics progress to pandemics with high numbers of infections and deaths worldwide. In order to prevent just this situation, so-called pandemic plans have been developed worldwide. Besides vaccination, general hygienic precautions and antiviral therapies are the most important measures in the management of influenza. We can only wait and see whether or not the newly appeared H1N1 variant of the influenza virus A (Mexican flu, swine flu) wil...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - May 31, 2009 Category: Intensive Care Authors: Kerwat K, Eickmann M, Becker S, Wulf H Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[In Process Citation]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19526446 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - May 31, 2009 Category: Intensive Care Authors: Müller-Lobeck L, Toubekis E, Spies C Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[General strategies of care in paediatric emergency cases]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article indicates the most important items for an emergency physician to know. PMID: 19526447 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - May 31, 2009 Category: Intensive Care Authors: Müller-Lobeck L, Birnbaum J, Spies C Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Review: common pediatric emergencies]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the most common pediatric disease patterns that are of importance for the emergency doctor. The typical clinical symptoms will be outlined as well as the corresponding therapeutic measures. PMID: 19526448 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - May 31, 2009 Category: Intensive Care Authors: Henning S, Laschat M Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Traumatologic pediatric emergencies--part I: Injury, drowning and blunt abdominal trauma]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Injuries are responsible for considerable morbidity and much long-term or permanent disability. They are also the leading cause of death for children aged 0 to 5. In high income countries around the world 20000 children die each year from injuries. A recent UNICEF report has compiled data for 2001 on the leading cause of death for Europe. The burden of disease measure has identified injury as causative in 40% of years lost from premature death in children. Drowning and near drowning is the number two killer for children aged 0 to 5. In 30% of all cases cardio-pulmonary resuscitation and intensive care are needed. 11.5%...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - May 31, 2009 Category: Intensive Care Authors: Märzheuser S, Gratopp A Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Emergencies in pediatric traumatology--fractures in the growing age and pediatric polytrauma]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Deep knowledge of characteristic features of the growing skeleton is necessary for effective treatment of fractures in the pediatric population. The first part of emergency treatment of pediatric fractures involves immobilisation and appropriate pain management. In addition reduction of the fracture, either open or closed, with or without internal or external fixation are further treatment options used by the experienced pediatric surgeon. Generally, the principles of therapy of pediatric polytrauma are similar to the management of trauma in adults (ATLS). Nonetheless, attention must be paid to anatomical and physiolog...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - May 31, 2009 Category: Intensive Care Authors: Degenhardt P, Kleber C, Bail HJ Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[The department of interdisciplinary emergency medicine: organization, structure and process optimization]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The essential tasks of a department of interdisciplinary emergency medicine are the initial triage and assessment of vital function as well as the subsequent organization und initiation of emergency treatment. A previously defined set of diagnostic and therapeutic measures is carried out before the patient is allocated to an in-hospital clinical service and is admitted to a ward. Moreover, diagnosis and treatment for outpatients are performed. "Time" is a critical factor to be considered for all organizational and structural aspects of a department of interdisciplinary emergency medicine. PMID: 19526451 [PubMed - i...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - May 31, 2009 Category: Intensive Care Authors: Bernhard M, Pietsch C, Gries A Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Severe methemoglobinaemia following sodium nitrite ingestion]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the case of a patient suffering from a severe methemoglobinaemia following accidental sodium nitrite intoxication, a substance frequently used as a preservation agent for animal feed. On base of this case report, pathophysiology, clinical symptoms, diagnostical and therapeutical options with methylene blue (1-2 mg/kg of body weight) are discussed. Recently, pulse oximeters capable to measure 4 different hemoglobins have been introduced. These may be helpful for diagnosis especially in the prehospital setting. PMID: 19440940 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - April 30, 2009 Category: Intensive Care Authors: Moos M, Schröder R, Lang M, Frauchiger B Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Intra-abdominal hypertension and abdominal compartment syndrome--basic knowledge and anesthesiological aspects]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The increase in intra-abdominal pressure may be followed by a renal, gut, respiratory and cardial dysfunction and an increase in intra-cranial pressure. The review focuses risk factors and pathophysiological consequences of intra-abdominal hypertension and of abdominal compartment syndrome. Patients with intra-abdominal hypertension and abdominal compartment syndrome are critical ill and need special anesthesiological care due to risk of pulmonary aspiration, hemodynamic disturbances and difficult mechanical ventilation. PMID: 19440941 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin,...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - April 30, 2009 Category: Intensive Care Authors: Reske AP, Schreiter D, Höhne C Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Needlestick injuries]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Needlestick injuries (NSI) occur very frequently in the health-care field and represent a very serious risk for health-care workers. It is estimated that 500,000 NSI occur per year in Germany. They are the most frequent cause of infections with blood-borne pathogens. Thus prevention is of decisive importance. A simple reporting procedure and low-threshold care system after NSI would certainly help to reduce the risks and the number of undetected cases. PMID: 19440942 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - April 30, 2009 Category: Intensive Care Authors: Kerwat K, Goedecke M, Wulf H Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[In Process Citation]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19440943 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - April 30, 2009 Category: Intensive Care Authors: Bürkle H, Van Aken H Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Short acting muscle relaxants: is neuromuscular monitoring still necessary?]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Neuromuscular blocking agents are used to facilitate intubation and to establish muscle paralysis during surgery. However, postoperative residual blocks are a significant complication following the use of neuromuscular blocking agents with an incidence of approximately 30 % at arrival in the post operative care unit. If they are not identified and adequately treated, residual neuromuscular blocks would increase the risk for muscle fatigue, hypoventilation, swallowing disorders, and aspiration. These complications may result in postoperative pulmonary disease. Therefore, monitoring of neuromuscular block is essential no...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - April 30, 2009 Category: Intensive Care Authors: Blobner M Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

[Muscle relaxants in the ICU]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Neuromuscular blockade in ICU patients has become less popular, in particular since non-invasive methods of artificial respiration have been introduced. Succinylcholine has numerous side effects. Due to its short onset, Rocuronium may be an alternative. The advantage of Atracurium and Cis-Atracurium is a largely organ-independent metabolism. In ICU patients, neuromuscular monitoring should be applied. Prolonged action and critical illness neuropathy are the most prominent side effects of neuromuscular blockade. PMID: 19440945 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - April 30, 2009 Category: Intensive Care Authors: Schneider G Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals