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Anaesthesist 2021 Jun 11. Epub 2021 Jun 11.

Klinik für Anaesthesiologie, Abteilung für Transfusionsmedizin, Zelltherapeutika und Hämostaseologie, Universität München (LMU), Marchioninistr. 15, 81377, München, Deutschland.

Anaesthesist 2021 Jun 11. Epub 2021 Jun 11.

Klinik für Anästhesie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Vivantes Klinikum im Friedrichshain, Berlin, Deutschland.

Anaesthesist 2021 Jun;70(6):548

Zentrale Notaufnahme, Universitätsklinikum Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Deutschland.

Anaesthesist 2021 Jun 9;70(6):469-475. Epub 2021 Jun 9.

Klinik für Anästhesie, operative Intensivmedizin und Schmerztherapie, Vivantes Klinikum Neukölln, Rudower Str. 48, 12351, Berlin, Deutschland.

Background: Preoperative fasting times for clear liquids surpass by far the recommendations of the specialist societies. The aim of this study was to introduce a liberal regimen for preoperative fasting of clear liquids using fasting cards as a training tool and to evaluate the implementation.

Material And Methods: We developed a liberalized regimen of preoperative clear fluid fasting times, which allows patients to drink water, apple juice, tea and coffee until being called to the operating theatre. Read More

Anaesthesist 2021 Jun 9;70(6):466-468. Epub 2021 Jun 9.

Abteilung Anästhesie, Kinderintensiv- und Notfallmedizin, Kinder- und Jugendkrankenhaus AUF DER BULT, Hannover, Deutschland.

Anaesthesist 2021 Jun 9;70(6):449-450. Epub 2021 Jun 9.

Klinik für Anaesthesiologie, Intensivtherapie und OP-Management, Klinikum Ernst von Bergmann, Charlottenstr. 72, 14467, Potsdam, Deutschland.

Anaesthesist 2021 Jun 8. Epub 2021 Jun 8.

Klinikumvorstand, Universitätsklinikum Ulm, Ulm, Deutschland.

Background: Since the spread of Severe Acute Respiratory Syndrom Corona Virus 2 (SARS-CoV‑2) in Germany, intensive care beds have been kept free for patients suffering from Corona Virus Disease (COVID-19). Also, after the number of infections had declined, intensive care beds were kept free prophylactically; however, the percentage of beds reserved for COVID-19 differ in the individual federal states in Germany. The aim of this article is to define a necessary clearance quota of intensive beds for COVID-19 patients in Germany. Read More

Anaesthesist 2021 Jun 7. Epub 2021 Jun 7.

Department of Cardiothoracic Surgery, University Hospital Bonn, Bonn, Germany.

Background: Aortic arch repair for aortic dissection is still associated with a high mortality rate. Providing adequate means of neuromonitoring to guide cerebral hemodynamics is advantageous, especially during selective anterior cerebral perfusion (SACP).

Objective: We aimed to investigate an easy multimodal neuromonitoring set-up consisting of processed electroencephalography (EEG), near infrared spectroscopy (NIRS), and transcranial doppler sonography (TCD). Read More

Anaesthesist 2021 Jun 21;70(6):522-525. Epub 2021 May 21.

Klinik für Anästhesiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 420, 69120, Heidelberg, Deutschland.

Anaesthesist 2021 May 20. Epub 2021 May 20.

Klinik für Anästhesiologie und Intensivmedizin (KAI), Universitätsklinikum Leipzig, AöR, Leipzig, Deutschland.

Anaesthesist 2021 May 18. Epub 2021 May 18.

Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsmedizin Rostock, Schillingallee 35, 18057, Rostock, Deutschland.

Background: This study aimed to determine the current state of implementation of the recommendations for the classification of emergency surgery published in 2016 by the German societies of anesthesiology (BDA/DGAI), surgery (BDC/DGCH) and operating room management (VOPM).

Methods: Based on these societies' recommendations, various organizational issues were explored using an online questionnaire that was limited to German operating room (OR) managers and coordinators for hospitals that had surgical programs and at least 200 hospital beds.

Results: A total of 550 hospitals were contacted and 274 participated in the survey (49. Read More

Anaesthesist 2021 May 18. Epub 2021 May 18.

Department of Anesthesiology, Changzheng Hospital, Naval Medical University, Shanghai, China.

Purpose: Only few studies have analyzed the global distribution of anesthesia research. This study was designed to reveal the current global research status of anesthesiology.

Methods: Articles published between 1999 and 2018 in international journals in the field of anesthesiology were retrieved from the PubMed database. Read More

Anaesthesist 2021 May 11. Epub 2021 May 11.

Department of Anaesthesiology and Intensive Care Medicine, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.

Background: Emergency medical services work in the environment of high responsibility teams and have to act under unpredictable working conditions. Stress occurs and has potential of negative effects on tasks, teamwork, prioritization processes and cognitive control. Stress is not exclusively dictated by the situation-the individuals rate the situation of having the necessary skills that a particular situation demands. Read More

Anaesthesist 2021 Jun 10;70(6):531-547. Epub 2021 May 10.

Universitätsklinik für Anästhesiologie und Schmerztherapie, Inselspital, Universitätsspital Bern, Freiburgstr., 3010, Bern, Schweiz.

The electroencephalogram (EEG) is increasingly being used in the clinical routine of anesthesia in German-speaking countries. In over 90% of patients the frontal EEG changes somewhat predictably in response to administration of the normally used anesthetic agents (propofol and volatile gasses). An adequate depth of anesthesia and appropriate concentrations of anesthetics in the brain generate mostly frontal oscillations between 8 and 12 Hz as well as slow delta waves between 0. Read More

Anaesthesist 2021 May 7. Epub 2021 May 7.

Klinik für Anästhesiologie, Helios Universitätsklinikum Wuppertal, Wuppertal, Deutschland.

If noninvasive ventilation (NIV or high-flow CPAP) fails in severe cases of COVID-19, escalation of treatment with orotracheal intubation and intermitted prone positioning is provided as standard care. The present case reports show two COVID-19 patients with severe refractory hypoxemia despite NIV treatment during the first wave (first half year 2020) and the resulting influence on the treatment regimen during the second wave (since October 2020) of the pandemic. Both patients (aged 63 years and 77 years) voluntarily positioned themselves on the side or in a prone position without prior sedation and oral intubation. Read More

Anaesthesist 2021 May 5;70(5):359-360. Epub 2021 May 5.

, Schweinfurt, Deutschland.

Anaesthesist 2021 May 4. Epub 2021 May 4.

Klinik für Anästhesiologie, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.

In-hospital mortality after cardiac surgery ranges from 2% to 8%. Many patients suffer from major adverse cardiovascular events, e.g. Read More

Anaesthesist 2021 Apr 30. Epub 2021 Apr 30.

Klinik für Anästhesiologie und Operative Intensivmedizin, Universität zu Köln, Kerpenerstr. 62, 50937, Köln, Deutschland.

Anaesthesist 2021 Apr 30. Epub 2021 Apr 30.

Interdisziplinäres Zentrum für Palliativmedizin, Universitätsklinikum Düsseldorf, Medizinische Fakultät, Heinrich-Heine-Universität, Düsseldorf, Deutschland.

Background: An increasing number of patients reach the final stage of heart failure with heart transplantation as the only curative treatment. Mechanical circulatory support, such as left ventricular assist devices (LVAD) are becoming increasingly more important at this stage of the disease. An LVAD improves the quality of life and prolongs the lifespan. Read More

Anaesthesist 2021 Apr 30. Epub 2021 Apr 30.

Emergency Department, University Hospital of Düsseldorf, Heinrich-Heine-University, Moorenstraße 5, 40225, Düsseldorf, Germany.

Background: Management of critically ill nontrauma (CINT) patients in the resuscitation room of the emergency department (ED) is very challenging. Detailed data describing the patient characteristics and management of this population are lacking. This observational study describes the epidemiology, management and outcome in CINT ED patients in the resuscitation room. Read More

Anaesthesist 2021 Apr 30. Epub 2021 Apr 30.

Klinik für Anästhesiologie, Intensiv‑, Notfall‑, Transfusionsmedizin und Schmerztherapie Evangelisches Klinikum Bethel, Universitätsklinikum OWL, Universität Bielefeld, Campus Bielefeld-Bethel, Burgsteig 13, 33617, Bielefeld, Deutschland.

Approximately 1% of all patients are admitted to an emergency room for upper gastrointestinal hemorrhage. Differential diagnostics reveal an aortoesophageal fistula (AEF) as the cause of the bleeding in very few cases. Despite increasing means of diagnostics and treatment, mortality is high in patients with AEF even under maximum medical care. Read More

Anaesthesist 2021 Apr 28. Epub 2021 Apr 28.

Zentrum für Wirbelsäulenchirurgie, Klinik für Unfallchirurgie und Orthopädie, BG Klinik Ludwigshafen, 67071, Ludwigshafen, Deutschland.

Background: Immobilization of the cervical spine is a standard procedure in emergency medicine mostly achieved via a cervical collar. In the emergency room other forms of immobilization are utilized as cervical collars have certain drawbacks. The present study aimed to provide preliminary data on the efficiency of immobilization in the emergency room by analyzing the residual spinal motion of the patient's head on different kinds of head rests. Read More

Anaesthesist 2021 Apr 28. Epub 2021 Apr 28.

Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Freiburg, Deutschland.

Background: A sharp rise in COVID-19 infections threatened to lead to a local overload of intensive care units in autumn 2020. To prevent this scenario a nationwide relocation concept was developed.

Methods: For the development of the concept publicly available infection rates of the leading infection authority in Germany were used. Read More

Anaesthesist 2021 Apr 23. Epub 2021 Apr 23.

Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.

Background: The preclinical treatment of a traumatic or spontaneous tension pneumothorax remains a particular challenge in pediatric patients. Currently recommended interventions for decompression are either finger thoracostomy or needle decompression. Due to the tiny intercostal spaces, finger thoracostomy may not be feasible in small children and surgical preparation may be necessary. Read More

Anaesthesist 2021 Apr 22. Epub 2021 Apr 22.

Klinik für Anästhesiologie, operative Intensivmedizin und Schmerztherapie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, Geb. A1, 48149, Münster, Deutschland.

Anaesthesist 2021 May 21;70(5):436-438. Epub 2021 Apr 21.

Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.

Anaesthesist 2021 Apr 13. Epub 2021 Apr 13.

Klinik für Anästhesiologie, Universitätsmedizin Mainz, Mainz, Deutschland.

As the incidence of diseases during pregnancy that necessitate intensive medical care is very low, intensive care physicians are faced with a multitude of unfamiliar challenges in the treatment of these patients. The physiological and pathophysiological alterations during pregnancy induce some specific features with respect to the intensive medical treatment of pregnant or postpartum patients. After the most important principles and current recommendations on the care of pregnant or postpartum patients who need intensive medical treatment were dealt with in the first article in this CME series, the second article focuses on the diagnostics and treatment of special selected pathologies. Read More

Anaesthesist 2021 Apr 13. Epub 2021 Apr 13.

Klinik für Anästhesiologie, Universitätsmedizin Mainz, Mainz, Deutschland.

As the incidence of diseases during pregnancy or in the puerperium necessitating intensive medical care is very low, intensive care physicians are faced with a multitude of unfamiliar challenges in the treatment of this patient collective. The physiological and pathophysiological alterations during pregnancy induce some specific features with respect to the intensive medical treatment of pregnant or postpartum patients. Therefore, the first article in this CME series summarizes the most important principles and current recommendations on the care of pregnant or postpartum patients who need intensive medical treatment, always under consideration of the well-being of mother and child. Read More

Anaesthesist 2021 Apr 13. Epub 2021 Apr 13.

Klinik für Anästhesiologie und Abteilung für Transfusionsmedizin, Zelltherapeutika und Hämostaseologie, LMU Klinikum München, München, Deutschland.

Anaesthesist 2021 Apr 8. Epub 2021 Apr 8.

Kliniken Maria Hilf, Zentrum für klinische Akut- und Notfallmedizin, Akademisches Lehrkrankenhaus der RWTH Aachen, Mönchengladbach, Germany.

Background: Emergency medical care for critically ill nontrauma patients (CINT) varies between different emergency departments (ED) and healthcare systems, while resuscitation of trauma patients is always performed within the ED. In many ED CINT are treated and stabilized while in many German smaller hospitals CINT are transferred directly to the intensive care unit (ICU) without performing critical care measures in the ED. Little is known about the resuscitation room management of CINT regarding patient characteristics and outcome although bigger hospitals perform ED resuscitation of CINT in routine care. Read More