Der AnaesthesistThis 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.

This page shows you the latest items in this publication.

Pages: 1 2 3 4 5 6

289 records returned

[Hypernatremic alkalosis : Possible counterpart of hyperchloremic acidosis in intensive care patients?]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: From the available data hypernatremic alkalosis could not be defined as an independent metabolic disorder. In would seem more appropriate to use the term "strong ion alkalosis" in this context. PMID: 19911108 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 14, 2009 Category: Anesthesiology Authors: Hofmann-Kiefer KF, Chappell D, Jacob M, Schülke A, Conzen P, Rehm M Tags: Anaesthesist Source Type: journals

[Anesthesiologic procedure for elective aortic surgery.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Aortic aneurysms are frequent in the elderly who often suffer from relevant co-morbidities. In Germany it is estimated that approximately 250,000 patients suffer from an aortic aneurysm. Due to the high risk of cardiac or pulmonary complications operative management poses a challenge to the anesthesiologist. Especially hemodynamic management during aortic cross-clamping requires anesthesiologic know-how and an anticipatory use of vasodilators and catecholamines. Furthermore, the anesthesiologist has to protect renal function. In order to avoid paraplegia due to spinal ischemia cerebrospinal fluid drainage may be necess...
Source: Der Anaesthesist - November 12, 2009 Category: Anesthesiology Authors: Knapp J, Bernhard M, Rauch H, Hyhlik-Dürr A, Böckler D, Walther A Tags: Anaesthesist Source Type: journals

[What can we learn from the Scott Reuben case? : Scientific misconduct in anaesthesiology.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In February 2009 a major case of scientific misconduct was discovered. The American pain researcher Dr. S. Reuben had published 21 papers over a period of 15 years that were found to be fraudulent. Suddenly many advances in postoperative pain therapy which had been assumed to be correct seemed questionable. In this review article the lessons which can be learnt from this case are described. This review also reveals that it is almost impossible for reviewers or readers of scientific journals to detect scientific fraud. However, several warning signs can be identified that might be useful when reading clinical papers. In...
Source: Der Anaesthesist - November 11, 2009 Category: Anesthesiology Authors: Rittner HL, Kranke P, Schäfer M, Roewer N, Brack A Tags: Anaesthesist Source Type: journals

[Incidence of infection from catheter procedures for regional anesthesia : First results from the network of DGAI and BDA.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Infectious complications of catheter-based regional anaesthesia are common. Strict hygienic standards must therefore be complied with. More data are necessary to calculate risk factors. The registry provided can also be used as a benchmark to reduce these rates further. PMID: 19890612 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 6, 2009 Category: Anesthesiology Authors: Volk T, Engelhardt L, Spies C, Steinfeldt T, Gruenewald D, Kutter B, Heller A, Werner C, Heid F, Bürkle H, Gastmeier P, Wernecke KD, Koch T, Vicent O, Geiger P, Wulf H Tags: Anaesthesist Source Type: journals

[Volatile anesthetics and left ventricular diastolic function.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19890613 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 6, 2009 Category: Anesthesiology Authors: Skarvan K, Meierhenrich R Tags: Anaesthesist Source Type: journals

[Emergency medical treatment of palliative care patients at the end of life : Regulatory emergency medical care framework - a case control investigation of medical intervention and advance directives.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Every EP and paramedic may be involved in the care of palliative care patients who are at the end of their lives. EPs and paramedics do not always adapt their treatment to the will or supposed will of the patient (especially in accordance with the new German law concerning advance directives). The reasons for this usually concern legal uncertainties. Therefore, EPs and paramedics should know that different legal meanings could be important in emergency medical care therapy of palliative care patients. A written "do not resuscitate" order as an advance directive must be evaluated as a desired therapeutic limita...
Source: Der Anaesthesist - November 6, 2009 Category: Anesthesiology Authors: Wiese CH, Duttge G, Weber AK, Zausig YA, Ruppert D, Hanekop GG, Graf BM Tags: Anaesthesist Source Type: journals

[Anti-inflammatory effects of pentoxifylline : Importance in cardiac surgery.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Initially introduced as a rheologic agent for use in intermittent claudication due to peripheral artery disease and in ischemic cerebrovascular disease, the methylxanthine derivative pentoxifylline (PTX) has been shown to possess several anti-inflammatory properties which make this drug an interesting immunomodulating adjunct for the management of patients undergoing cardiac surgery. As an unspecific phosphodiesterase inhibitor PTX ameliorates the inflammatory response following a septic stimulus and blunts organ dysfunction after ischemia-reperfusion injury. Apart from this several small clinical studies have shown th...
Source: Der Anaesthesist - November 6, 2009 Category: Anesthesiology Authors: Groesdonk HV, Heringlake M, Heinze H Tags: Anaesthesist Source Type: journals

[Therapy with blood components and plasma derivatives : The current cross-sectional guidelines.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19890616 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 6, 2009 Category: Anesthesiology Authors: Biscoping J Tags: Anaesthesist Source Type: journals

[Is less always more? : Modalities of extended haemodynamic monitoring for single-lung ventilation.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19885648 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 4, 2009 Category: Anesthesiology Authors: Rex S Tags: Anaesthesist Source Type: journals

[Perioperative management of patients with coronary stents undergoing non-cardiac surgery : Better to accept loss of blood than a cardiac infarct?]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19823780 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 13, 2009 Category: Anesthesiology Authors: Leschke M Tags: Anaesthesist Source Type: journals

[Perioperative management of patients with coronary stents in non-cardiac surgery.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In patients with coronary stents scheduled for surgery the question arises whether and how antiplatelet therapy should be continued. Risks of perioperative bleeding and of acute stent thrombosis have to be considered simultaneously. The bleeding risk depends primarily on the kind of surgery and on patient comorbidity. The risk of stent thrombosis is increased in these patients due to the thrombogenic surface of the stents. The main determinants are hereby the time duration after stent implantation, the kind of the stent [uncoated (bare-metal stent, BMS) or coated (drug-eluting stent, DES)], as well as angiographic and ...
Source: Der Anaesthesist - October 13, 2009 Category: Anesthesiology Authors: Jámbor C, Spannagl M, Zwissler B Tags: Anaesthesist Source Type: journals

[New oral anticoagulants : Consequences for perioperative coagulation diagnostics and therapy.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dabigatranetexilate and rivaroxaban were approved for prevention of thromboembolic events after orthopedic surgery in 2008. Dabigatran is a direct inhibitor of thrombin and rivaroxaban of factor Xa. Inhibition is reversible and the duration of action is predictable. Both drugs considerably influence the global tests of coagulation thus making postoperative coagulation monitoring more difficult. In order to keep the interaction as low as possible blood samples for assessment of the thromboplastin time (PT) and the partial thromboplastin time (PTT) should be taken immediately before the next drug administration. Blood sa...
Source: Der Anaesthesist - October 13, 2009 Category: Anesthesiology Authors: Heindl B, Spannagl M Tags: Anaesthesist Source Type: journals

[Simulation-based anaesthesia crisis resource management training : Results of a survey on learning success.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Well-staged and realistic simulation is associated with better learning outcomes. It may be important to take gender aspects into account in ACRM training. PMID: 19823783 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 13, 2009 Category: Anesthesiology Authors: Schröder T, V Heymann CH, Ortwein H, Rau J, Wernecke KD, Spies C Tags: Anaesthesist Source Type: journals

[Diagnosis, therapy and secondary prophylaxis of acute pulmonary embolism : Presentation of and commentary on the new ESC 2008 guidelines.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Acute venous thromboembolism is a common cardiovascular emergency. Acute pulmonary embolism (PE) is present in one third of these patients. With an average lethality rate of 11% within the first two weeks following diagnosis, approximately 40,000 patients in Germany die annually as a result of PE; therefore, their diagnosis and therapy is of particular importance. For this reason, the European Society of Cardiology published guidelines on diagnosis and therapy in 2000. The current article presents and discusses the points as updated and extended in the 2008 version of the guidelines, including: (1) initial risk stratif...
Source: Der Anaesthesist - October 13, 2009 Category: Anesthesiology Authors: Walther A, Schellhaaß A, Böttiger BW, Konstantinides S Tags: Anaesthesist Source Type: journals

[Coagulation management in the treatment of multiple trauma.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In recent years a new understanding of trauma-associated hemorrhaging and trauma-induced coagulopathy has been achieved. This coagulopathy is multifactorial with the predominant mechanisms being tissue trauma, shock and hypoperfusion which can lead to hyperfibrinolysis by activation of the endothelium. Routinely tested coagulation parameters, such as prothrombin time and partial thromboplastin time, are frequently employed for decision making but remain problematic as they do not give any information on clot stability, lysis or platelet function. Thrombelastometry seems to be a useful alternative. A pro-active anticipa...
Source: Der Anaesthesist - October 9, 2009 Category: Anesthesiology Authors: Lier H, Krep H, Schöchl H Tags: Anaesthesist Source Type: journals

[Peripheral nerve blocks of the lower extremities : Clinical and practical aspects.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Peripheral nerve blocks (PNBs) of the lower extremities are effective techniques for anesthesia and postoperative pain control. So far, these techniques have been used less frequently than PNBs of the upper limb. Nevertheless, growing awareness of complications of neuroaxial techniques, improved equipment and modern techniques for nerve localization have led to an increased use of PNBs of the lower limb. Anesthesiologists should be familiar with the anatomical basics and procedural details of these PNBs. They should also know the typical complications and side-effects and thoroughly inform patients about such potential...
Source: Der Anaesthesist - October 8, 2009 Category: Anesthesiology Authors: Reske AW, Reske AP, Meier V, Wiegel M Tags: Anaesthesist Source Type: journals

[Mastocytosis : A challenge in anaesthesiology.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Mastocytosis is a general term for a heterogeneous group of rare disorders. Many agents used in anaesthesia can trigger mast cell degranulation with release of histamine, prostaglandin, tryptase and heparin. Therefore, patients with mastocytosis are high-risk patients when undergoing anaesthesia. The management of these patients in anaesthesia will be discussed on the basis of the literature and illustrated with the discussion of three case reports. A premedication with antihistamines and a glucocorticoid is recommended. For induction of general anaesthesia propofol, etomidate, ketamine, a fentanyl-type opioid, cis-atr...
Source: Der Anaesthesist - October 1, 2009 Category: Anesthesiology Authors: Konrad FM, Unertl KE, Schroeder TH Tags: Anaesthesist Source Type: journals

[Heparin-induced thrombocytopenia type II with thrombosis in an intensive care patient : Therapy management using the direct thrombin inhibitor argatroban.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Heparin-induced thrombocytopenia (HIT) type II is a life-threatening complication of heparin therapy. The present case report describes the therapeutic management of HIT type II with thrombosis using the direct thrombin inhibitor argatroban in an intensive care patient after successful surgery of a ruptured infrarenal abdominal aortic aneurysm. Despite high dosing and long-term application of argatroban, anticoagulation remained uncritical and was well controllable by monitoring the activated partial thromboplastin time. In consideration of the pharmacological characteristics, therapy suspension due to invasive interve...
Source: Der Anaesthesist - October 1, 2009 Category: Anesthesiology Authors: Heil S Tags: Anaesthesist Source Type: journals

[Intraoperative echocardiography : Impact on surgical decision-making.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Since the introduction of intraoperative echocardiography into clinical practice in the 1970's its use and utility in the perioperative period has become increasingly more evident. Especially in patients undergoing cardiac surgical procedures intraoperative echocardiography has gained great diagnostic importance. Intraoperative transesophageal echocardiography (TEE) and epiaortic ultrasound are two important and complementing diagnostic modalities in this patient population. The clinical information obtained with intraoperative TEE in certain cases might have a direct impact on surgical decision-making and therefore ma...
Source: Der Anaesthesist - September 29, 2009 Category: Anesthesiology Authors: Schmid E, Nowak M, Unertl K, Rosenberger P Tags: Anaesthesist Source Type: journals

[Overlapping induction.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19787302 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 29, 2009 Category: Anesthesiology Authors: Grote R, Sydow K, Menzel M, Hunziker S, Schüpfer G Tags: Anaesthesist Source Type: journals

[Ketamine racemate and fast track anaesthesia : Influence on recovery times and postoperative opioid needs.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: This study demonstrated that 25 mg ketamine racemate given just before surgery significantly prolongs recovery times without reducing post-operative analgesic needs when applied to patients undergoing vaginal hysterectomy and receiving propofol-remifentanil anaesthesia. A bolus dose of 25 mg ketamine racemate cannot therefore be recommended for preemptive analgesia under these conditions. PMID: 19787303 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 29, 2009 Category: Anesthesiology Authors: Lux EA, Haack T, Hinrichs K, Mathejka E, Wilhelm W Tags: Anaesthesist Source Type: journals

[What do we know about anesthetic mechanisms? : Hypnosis, unresponsiveness to surgical incision and amnesia.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article focuses on presenting anesthetic sensitive ligand and voltage gated ion channels. The impact on anesthetic modulated ion channels is summarized for clinically commonly used anesthetics isoflurane, propofol and ketamine. Furthermore, the anesthetic features hypnosis, unresponsiveness to surgical incision and amnesia and their putative relevant anatomical sites in the central nervous system are briefly introduced. PMID: 19760252 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 16, 2009 Category: Anesthesiology Authors: Eckle VS, Hucklenbruch C, Todorovic SM Tags: Anaesthesist Source Type: journals

[Splitting of supplemental revenues in intensive care medicine.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study all cases treated in two intensive care units in a university hospital in 2007 were analyzed in which supplemental revenue-related medical services were performed over a longer period of time or graduated according to different amounts. In a total of 385 cases, 691 supplemental revenues were analyzed. Three different methods of supplemental revenues allocation were analyzed regarding the financial impact on the intensive care unit: allocation to the department from which the patient is discharged, allocation according to the length of stay in a particular department (in this case the intensive care unit) and ...
Source: Der Anaesthesist - September 10, 2009 Category: Anesthesiology Authors: Sawatzki T, Bauer K, Stufler M, Spies C, Schuster M Tags: Anaesthesist Source Type: journals

[Successful treatment of extreme metabolic acidosis and profound hypothermia.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A case of extreme metabolic acidosis (pH 6.6) and severe hypothermia (27.3 degrees C) is reported. The patient's anamnesis and medical examination led to the assumption of ketoacidosis. Pronounced ketoacidosis is not unusual in juvenile diabetics type 1 and the incidence in Europe is reported to be between 15 and 70% for all type 1 diabetics. The case describes the targeted therapy of controlled re-warming to avoid neurological damage. PMID: 19756334 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 10, 2009 Category: Anesthesiology Authors: Neuenfeldt T, Hopf HB Tags: Anaesthesist Source Type: journals

[Cave canulam et dilatationem : Cardiopulmonary resuscitation and surgical repair of a vessel perforation following central venous catheterization.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 58-year-old female patient was scheduled for minimally invasive cardiac surgery. For drainage of venous blood to the heart-lung machine insertion of a central venous large diameter catheter was a prerequisite. During insertion into the right internal jugular vein by the anesthesiologist a life-threatening perforation of the subclavian artery occurred. The patient suffered hemorrhagic shock and advanced cardiac life support was carried out for approximately 18 min. Immediate surgical repair was successful and the originally planned operation was then performed. Concurrently, mild therapeutic hypothermia was establishe...
Source: Der Anaesthesist - September 5, 2009 Category: Anesthesiology Authors: Paul C, Marohl S, Loick G, Böttiger BW, Madershahian N, Wippermann J Tags: Anaesthesist Source Type: journals

[Anesthesia and World Wide Web 2.0 : Instructions for use.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The World Wide Web (WWW) offers an increasing number of medical information sources with unprecedented actuality. However, the vast numbers of web pages make it difficult to find reliable sources of information. In respect of the web 2.0 technology this manuscript aims to present instructions for use of the WWW to anesthesiologists. PMID: 19730793 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 3, 2009 Category: Anesthesiology Authors: Klein KU, Thal SC Tags: Anaesthesist Source Type: journals

[Central in-hospital emergency coordinator : Concept to optimize the interface between emergency medical services and hospitals.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Implementation of a ZINK can optimize the process of hospital admission in emergency patients. This can decrease the legal risk of hospitals and improve the external representation. Hospitals should consider designating a ZINK. PMID: 19730794 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 3, 2009 Category: Anesthesiology Authors: Laux T, Luiz T, Madler C Tags: Anaesthesist Source Type: journals

[Intrathecal baclofen therapy : Overdose during replacement of a medication pump.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This case report reviews the anesthesiological complications of intrathecal baclofen (ITB) therapy. An 11-year-old boy with spasticity and apallic syndrome needed general anesthesia for exchange of a baclofen pump but 2 h later he became increasingly hypothermic, hypotonic with bradycardy and dyspnea. The cause was an intra-operative bolus of ITB. Reduction of the baclofen administration rate caused disappearance of all symptoms without any residual effects. The ITB is an increasingly used therapeutic option for multiple sclerosis and cerebral palsy. Therefore, emergency personal and anesthesiologists must be aware of ...
Source: Der Anaesthesist - September 3, 2009 Category: Anesthesiology Authors: Kramer K, Weber M, Koulousakis A, Lier H, Krep H Tags: Anaesthesist Source Type: journals

[Intraosseous infusion : An important technique also for paediatric anaesthesia.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the technique of intraosseous infusion, introduces two different cannulation systems, and discusses its potential indications in paediatric anaesthesia, based on current emergency medical care guidelines as well as some of our own case studies. In particular, children with acutely life-threatening conditions, such as circulatory arrest, laryngospasm, acute airway haemorrhage, hypovolaemic shock or hypothermia secondary to extensive burns, should receive an intraosseous cannula if intravenous access cannot be rapidly established. Future discussion may reveal whether a transiently inserted intraosseous...
Source: Der Anaesthesist - September 1, 2009 Category: Anesthesiology Authors: Weiss M, Henze G, Eich C, Neuhaus D Tags: Anaesthesist Source Type: journals

[Therapeutic options for perioperatively acquired platelet dysfunctions.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Increased intra-operative and postoperative blood loss might be caused by acquired platelet function disorders. In particular because conventional coagulation analyses and platelet count fail to detect impaired platelet function, implementation of bedside-tests for platelet function in the peri-operative period is desirable according to the results of retrospective studies. Following adequate adjustment of basic conditions of haemostasis (e.g. temperature, pH, Ca(2+)-concentration, haematocrit) a pharmacological approach with desmopressin (1-desamino-8-d-arginine vasopressin; DDAVP) or tranexamic acid potentially repre...
Source: Der Anaesthesist - August 29, 2009 Category: Anesthesiology Authors: Weber CF, Schneider AC, Kirschning T, Hofstetter C, Zacharowski K, Görlinger K Tags: Anaesthesist Source Type: journals

[The child with difficult venous access.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19693446 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 20, 2009 Category: Anesthesiology Authors: Jöhr M Tags: Anaesthesist Source Type: journals

[Out-of-hospital pediatric emergencies : Perception and assessment by emergency physicians.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Despite their own limited experience EPs can realistically assess the incidence and severity of pediatric emergencies. They felt the greatest deficits were in the care of infrequent but life-threatening emergencies. Three educational groups can be differentiated: knowledge and skills to be gained with children in hospital, clinical experience from adult care also applicable in children and rare diagnoses and interventions to be trained with manikins or simulators. PMID: 19693447 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 20, 2009 Category: Anesthesiology Authors: Eich C, Roessler M, Timmermann A, Heuer JF, Gentkow U, Albrecht B, Russo SG Tags: Anaesthesist Source Type: journals

[Central venous catheter for newborns, infants and children.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In neonates, infants and young children central venous catheters are of vital importance during surgery as well as postoperative care. The benefit of ultrasonography seems to be very important for vascular access of the internal jugular (IJV), subclavian (SCV), femoral and even peripheral veins. Ultrasound-guided cannulation of the IJV increases the success rate, reduces the time to the successful puncture and decreases the inadvertent puncture of the carotid artery in children in comparison to the landmark-guided technique. Due to compression of the vessel by the approaching needle in neonates transfixing the vein and...
Source: Der Anaesthesist - August 20, 2009 Category: Anesthesiology Authors: Breschan C, Platzer M, Likar R Tags: Anaesthesist Source Type: journals

[Infections with respiratory syncytial virus : Underestimated risk during anaesthesia in infants.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report on an infant with a RSV infection who was ventilation-dependent for 9 days after anaesthesia for a minor intervention. PMID: 19672564 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 12, 2009 Category: Anesthesiology Authors: Wörner J, Jöhr M, Berger TM, Christen P Tags: Anaesthesist Source Type: journals

[Intraneural injection of local anesthetic for sciatic nerve block at the popliteal fossa.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19669703 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 11, 2009 Category: Anesthesiology Authors: Kleinschmidt S Tags: Anaesthesist Source Type: journals

[Perioperative haemodynamic monitoring within the framework of targeted haemodynamic therapy : "It depends on what one makes of it!"]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19669704 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 11, 2009 Category: Anesthesiology Authors: Heringlake M Tags: Anaesthesist Source Type: journals

[Concepts for perioperative pain therapy : A critical stocktaking.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Despite numerous publications, new guidelines for the treatment of acute pain and efforts from a number of initiatives, there is still a tremendous need for improvement in postoperative pain therapy. One of the reasons for the shortcomings in the care of patients with postoperative pain is the lack of applicability of guidelines in daily clinical practice. Therefore, simple but effective and easy to implement concepts need to be developed. In the following review, different concepts that have been developed over recent years are presented and evaluated for their effectiveness. One of these is the notion of balanced ana...
Source: Der Anaesthesist - August 11, 2009 Category: Anesthesiology Authors: Reichl S, Pogatzki-Zahn E Tags: Anaesthesist Source Type: journals

[Infection control in continuous peripheral regional anesthesia : Clinical study on disinfection time and subcutaneous tunneling in interscalene plexus anesthesia.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the present study the efficacy of subcutaneous tunneling and a 10 min disinfection time with a 70% alcoholic solution to reduce the infection rate in continuous interscalene plexus anesthesia were examined. In a prospective study 1,134 continuous interscalene plexus anesthesias were included. In group 1 (473 catheters) a cotton swab was soaked with the alcoholic solution and swabbed 3 times at the puncture site in the classical manner. In group 2 (661 catheters) disinfection was carried out by spray and swab application with a disinfection time of at least 10 min. In group 1, 19% of the catheters were tunneled subcu...
Source: Der Anaesthesist - August 11, 2009 Category: Anesthesiology Authors: Neuburger M, Reisig F, Zimmermann L, Büttner J Tags: Anaesthesist Source Type: journals

[Intensive care patients : Determining daily energy expenditure - a comparison of two methods.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The SenseWear(R) armband is non-invasive, convenient and easy to handle, but has a significant measurement bias in the hypercaloric range. Although IC is still best suited to determining metabolic need in intubated patients, measurements with the SenseWear(R) armband provide significant advantages, e.g. in non-intubated patients, and give a fair estimation of daily energy expenditure when used alone. PMID: 19669707 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 11, 2009 Category: Anesthesiology Authors: Rokuss K, Kalenka A, Bender HJ, Hinkelbein J Tags: Anaesthesist Source Type: journals

[Evaluation of the new supraglottic airway devices Ambu AuraOnce and Intersurgical i-gel : Positioning, sealing, patient comfort and airway morbidity.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: The tested SGADs were comparable with regard to ease of insertion, insertion times and airway morbidity. Considering leak tightness and patient comfort the PLMA and the AuraOnce fared better with regard to tightness of seal and patient comfort. PMID: 19669103 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 8, 2009 Category: Anesthesiology Authors: Heuer JF, Stiller M, Rathgeber J, Eich C, Züchner K, Bauer M, Timmermann A Tags: Anaesthesist Source Type: journals

[Acute perioperative disturbances of renal function : Strategies for prevention and therapy.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The increasing life expectancy in industrial nations leads to an increase in the number of elderly and aged persons treated in hospital. Increasingly more complex operations are being carried out on this group of patients. Renal dysfunction in the preoperative situation increases morbidity and mortality. Acute kidney injury (AKI) is nearly always part of a multi-organ dysfunction syndrome in critically ill patients. The treatment strategy of the AKI should be oriented to the degree of organ dysfunction. However, the stage of organ dysfunction is mostly unknown so that the therapeutically exploitable interval is often m...
Source: Der Anaesthesist - August 8, 2009 Category: Anesthesiology Authors: Jaschinski U, Lichtwarck-Aschoff M Tags: Anaesthesist Source Type: journals

[Haemodynamic monitoring in the perioperative phase : Available systems, practical application and clinical data.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this article is to review the monitoring devices that are currently used to assess haemodynamics and filling status in the perioperative setting. Methods and principles for measuring haemodynamic variables, the measured and calculated parameters as well as clinical benefits and shortcomings of each device are described. Furthermore, the results for monitoring devices from clinical studies of goal-directed fluid and volume therapy which have been published will be discussed. PMID: 19669105 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 8, 2009 Category: Anesthesiology Authors: Wittkowski U, Spies C, Sander M, Erb J, Feldheiser A, von Heymann C Tags: Anaesthesist Source Type: journals

[Electrical nerve stimulation for peripheral nerve blocks : Ultrasound-guided needle positioning and effect of 5% glucose injection.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: With the protocol used the success of a blockade depends only on the quality of visualization. With correct ultrasound-guided needle tip positioning the electrical information seems to be skewed and doubtful. PMID: 19629398 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - July 24, 2009 Category: Anesthesiology Authors: Habicher M, Ocken M, Birnbaum J, Volk T Tags: Anaesthesist Source Type: journals

[Airway management in the German air rescue service.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The rescue helicopters were found to have differences with respect to the equipment carried for airway management. Medical treatment according to current guidelines is possible on almost all bases. PMID: 19603145 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - July 15, 2009 Category: Anesthesiology Authors: Schmid MC, Mang H, Ey K, Braun J, Schüttler J Tags: Anaesthesist Source Type: journals

[Perioperative myocardial damage in patients undergoing non-cardiac surgery : More questions than answers?]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19597768 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - July 14, 2009 Category: Anesthesiology Authors: Möllhoff T, Kress HJ Tags: Anaesthesist Source Type: journals

[Fibre optic-assisted endotracheal intubation through the laryngeal mask in children.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fibre optic-assisted tracheal intubation through the laryngeal mask airway is a simple and safe procedure for securing the airway in the paediatric patient with unexpected and known difficult tracheal intubation. Therefore, fibre optic-assisted tracheal intubation through the laryngeal mask airway represents a standard airway technique and must be part of clinical education and also regular training. However, the removal of the laryngeal mask airway over the tracheal tube is impaired by the short length of the tracheal tube, easily resulting in tube dislocation from the trachea. Among several techniques to overcome thi...
Source: Der Anaesthesist - July 14, 2009 Category: Anesthesiology Authors: Weiss M, Mauch J, Becke K, Schmidt J, Jöhr M Tags: Anaesthesist Source Type: journals

[Neuromuscular monitoring in patients with neuromuscular diseases : Options and needs.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The management of general anaesthesia in patients with neuromuscular disorders remains challenging. The underlying causes and clinical presentations of these rare heterogeneous diseases are highly variable and the only common feature is usually skeletal muscle weakness. The appropriate choice and dosage of muscle relaxants are important and an adequate monitoring of the neuromuscular blockade is obligatory. Neuromuscular monitoring can be complicated because of disease-induced alterations in neurophysiology; however, continuous monitoring of the neuromuscular blockade should be realized to accurately determine the reco...
Source: Der Anaesthesist - July 10, 2009 Category: Anesthesiology Authors: Beloiartsev A, Gableske S, Hübler M Tags: Anaesthesist Source Type: journals

[Peridural anaesthesia with ropivacaine for a patient with Friedrich's ataxia : Caesarean section after dorsal stabilisation of the spinal column (Th5-L1).]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the case of a 25-year-old primigravida with a history of FA and dorsal stabilisation of the vertebral column, who was admitted to our hospital for elective caesarean section. Due to increased sensitivity to muscle relaxants, peridural anaesthesia with 8 ml 0.75% ropivacaine and 10 microg sufentanil was used in this case. The perioperative neurological consultation revealed no undue exacerbation of symptoms. PMID: 19575167 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - July 2, 2009 Category: Anesthesiology Authors: Hanusch P, Heyn J, Well H, Weninger E, Hasbargen U, Rehm M Tags: Anaesthesist Source Type: journals

Effect of decreased inspiratory times on tidal volume : Bench model simulating cardiopulmonary resuscitation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Ventilation windows of 0.25, 0.3, and 0.5 s were too short to provide adequate tidal volumes in a simulated non-intubated cardiac arrest patient. In a simulated intubated cardiac arrest patient, ventilation windows of at least 0.5 s were necessary to provide adequate tidal volumes. PMID: 19557320 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 26, 2009 Category: Anesthesiology Authors: Herff H, Bowden K, Paal P, Mitterlechner T, von Goedecke A, Lindner KH, Wenzel V Tags: Anaesthesist Source Type: journals

[Perioperative myocardial damage in non-cardiac surgery patients.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Perioperative myocardial damage occurs with a high incidence depending on the operative procedure and the patients examined and is considered to be among the most relevant risk factors for increased perioperative morbidity and mortality in patients undergoing non-cardiac surgery. The pathophysiology of myocardial damage in the perioperative period is still not well understood. Both ischemia with and without acute coronary occlusion and non-ischemic stimuli can put a substantial strain on the heart in the perioperative period. However, in many cases the clinical presentation does not allow a clear differentiation betwee...
Source: Der Anaesthesist - June 25, 2009 Category: Anesthesiology Authors: Roggenbach J, Böttiger B, Teschendorf P Tags: Anaesthesist Source Type: journals