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Anaesthesist 2019 Apr 16. Epub 2019 Apr 16.

Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, 807 Hoguk-ro, 41404, Buk-gu, Daegu, Korea (Republic of).

Background: The lateral position is known to be advantageous for maintaining airway patency. This study compared the lateral and supine positions for tracheal extubation in pediatric patients when performing deep extubation.

Objective: The hypothesis was that tracheal extubation in the lateral position would improve airway obstruction that often occurs immediately after extubation and can be a practical method. Read More

Anaesthesist 2019 Apr;68(Suppl 2):79

Klinik für Anaesthesiologie, Klinikum der Universität München, LMU München, Marchioninistr. 15, München, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):77-78

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

Anaesthesist 2019 Apr;68(Suppl 2):103-106

Abteilung für Anästhesie und Intensivmedizin, Krankenhaus der Barmherzigen Brüder Trier, Nordallee 1, 54292, Trier, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):95-98

Klinik für Anästhesie und Intensivtherapie, Universitätsklinikum Carl Gustav Carus, Fetscherstr. 74, 01307, Dresden, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):184-188

Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):136-139

Universitätsklinikum Augsburg A.ö.R., Stenglinstr. 2, 86156, Augsburg, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):180-183

Klinik und Poliklinik für Anästhesiologie, Zentrum für Operative Medizin, Universitätsklinikum Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):146-149

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

Anaesthesist 2019 Apr;68(Suppl 2):140-145

Klinik für Anästhesiologie und Intensivmedizin, Kliniken des Landkreises Neumarkt/Opf., Nürnberger Str. 12, 91318, Neumarkt in der Oberpfalz, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):99-102

Abteilung für Anästhesie, Intensiv- und Rettungsmedizin, Zentrum für Schmerztherapie, BG-Klinikum Hamburg, akademisches Lehrkrankenhaus der Universitäten Hamburg und Lübeck, Bergedorfer Str. 10, 21033, Hamburg, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):85-89

Klinik für Anästhesiologie, Universitätsmedizin, Johannes Gutenberg-Universität, Langenbeckstr. 1, 55131, Mainz, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):150-153

Klinik für Anästhesiologie und operative Intensivmedizin, REGIOMED Klinikum Coburg, Ketschendorferstr. 33, 96450, Coburg, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):123-126

Klinik für Anästhesiologie und operative Intensivmedizin, Medizinische Fakultät der Universität Augsburg, Stenglinstraße 2, 86156, Augsburg, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):127-130

Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Leipzig, Liebigstr. 20, 04103, Leipzig, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):175-179

Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Köln (AöR), Kerpener Str. 62, 50937, Köln, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):80-84

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

Anaesthesist 2019 Apr;68(Suppl 2):194-198

Klinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):154-157

Klinik für Anästhesiologie und operative Intensivmedizin, Medizinische Fakultät, Universität Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):170-174

Institut für Anästhesiologie und Schmerztherapie, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, Georgstr. 11, 32545, Bad Oeynhausen, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):113-117

Departement d'Anesthésiologie-Réanimation, Hopitaux de Brabois, Centre Hospitalier Régional Universitaire de Nancy, 4, Rue du Morvan, Nancy, Frankreich.

Anaesthesist 2019 Apr;68(Suppl 2):118-122

Klinik für Anaesthesiologie, Klinikum der Ludwig-Maximilians-Universität, Nussbaumstr. 20, 80336, München, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):90-94

Klinik für Anästhesiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):131-135

Klinik für Anästhesiologie, Universitätsklinikum der RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):189-193

Klinik für Anästhesiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):107-112

Klinik für Anästhesiologie und Operative Intensivmedizin, Medizinische Fakultät der Universität Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):158-163

Klinik und Poliklinik für Anästhesiologie, Universitätsklinikum Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Deutschland.

Anaesthesist 2019 Apr;68(Suppl 2):164-169

Klinik für Anästhesiologie, Universitätsklinikum Mainz, Langenbeck Str. 1, 55101, Mainz, Deutschland.

Anaesthesist 2019 Apr 12. Epub 2019 Apr 12.

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

Background: The incidence of acute kidney injury (AKI) has increased over the last decades. Renal replacement therapy (RRT) is increasingly being used. The Kidney Disease: Improving Global Outcomes (KDIGO) guidelines define AKI by serum creatinine (SCr) elevation and decrease in urinary output (UO) and suggest prevention strategies and recommendations on the management of RRT. Read More

Anaesthesist 2019 Apr 12. Epub 2019 Apr 12.

Klinik und Poliklinik für Anästhesiologie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.

Skills shortage of nursing staff and physicians is a "hot topic" in health politics. For the future recruitment of medical staff in anesthesiology, an analysis of the staff development during the last decades considering gender aspects seems to be important. Therefore, the authors conducted a comparative analysis of data from the "Statistisches Bundesamt" (Fachserie 12 Reihe 7. Read More

Anaesthesist 2019 Apr 12. Epub 2019 Apr 12.

Anästhesiologische Klinik, Universitätsklinikum Erlangen, Erlangen, Deutschland.

Anaesthesist 2019 Apr 12. Epub 2019 Apr 12.

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

Anaesthesist 2019 Apr 12. Epub 2019 Apr 12.

Klinik für Anästhesiologie, Intensivmedizin, Schmerztherapie, und Notfallmedizin, Krankenhaus Düren gem. GmbH, Roonstraße 30, 52351, Düren, Deutschland.

Anaesthesist 2019 Apr;68(4):202-203

Fachzeitschriften Medizin Springer, Medizin Verlag GmbH, Tiergartenstr. 17, 69121, Heidelberg, Deutschland.

Anaesthesist 2019 Apr;68(4):191-193

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

Anaesthesist 2019 Apr 10. Epub 2019 Apr 10.

Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Köln (AöR), Kerpener Str. 62, 50937, Köln, Deutschland.

Background: Recent studies demonstrated that in-hospital emergencies are linked to a higher patient mortality. In approximately 10% of patients an unexpected incident occurs during the hospital stay. Therefore, the establishment of in-hospital medical emergency teams (MET) is becoming more important in the interdisciplinary emergency treatment. Read More

Anaesthesist 2019 Apr 2. Epub 2019 Apr 2.

Abteilung für Anästhesie und Intensivmedizin, Krankenhaus Barmherzige Brüder Salzburg, Paracelsus Medizinische Privatuniversität, Salzburg, Österreich.

Background: This study presents a count of publications and citations for all articles published by university Departments of Anaesthesiology in Germany, Austria and Switzerland between 2011 and 2015. The results were compared with former analyses of these countries from 2001-2010 as well as similar international studies.

Methods: We performed a PubMed search based on PERL-scripts for all publications originating from university Departments of Anaesthesiology in Germany, Austria and Switzerland between 2011 and 2015. Read More

Anaesthesist 2019 Apr 1. Epub 2019 Apr 1.

Zentrum für Innere Medizin, Abteilung Kardiologie, Universitätsmedizin Rostock, Schillingallee 35, 18057, Rostock, Deutschland.

In 2018 the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH) published an update of the guidelines for the management of arterial hypertension from 2013. The guidelines feature several altered and partially new recommendations for the diagnostics and treatment of arterial hypertension. Anesthesiology is an interdisciplinary field that is closely related to internal medicine and cardiology. Read More

Anaesthesist 2019 Apr 1;68(4):239-244. Epub 2019 Apr 1.

Klinikum Günzburg, Abteilung für Anästhesie und Intensivmedizin, Kreiskliniken Günzburg-Krumbach, Günzburg, Germany.

Out of hospital cardiac arrest (OHCA) is encountered on a regular basis in prehospital care. Specific guidelines exist for cardiopulmonary resuscitation. Guidelines cover most related situations but cannot cover all of them. Read More

Anaesthesist 2019 Apr 27;68(4):228-238. Epub 2019 Mar 27.

Klinik und Poliklinik für Anaesthesiologie, Universitätsklinikum Würzburg, Oberdürrbacherstr. 6, 97080, Würzburg, Deutschland.

Background: Arterial hypotension is a frequent complication following spinal anesthesia for cesarean sections. A fast treatment is necessary to maintain the well-being of the mother and to avoid deficiencies in the intrauterine supply to the child.

Objective: The aim of this analysis was to evaluate the effects of the most frequently used vasoactive substances for treatment of hypotension in patients undergoing cesarean sections in Germany, i. Read More

Anaesthesist 2019 Apr;68(4):204-207

Klinik für Anästhesiologie, Klinikum der Universität München, Marchioninistraße 15, 81377, München, Deutschland.

A new update of the sepsis bundle was published by the Surviving Sepsis Campaign (SSC) in April 2018. The original 3 h and 6 h bundles have been restructured and combined into a 1‑h bundle. The recommendations comprehensively focus on diagnostic and therapeutic measures which should be carried out within 1 h after recognition of sepsis. Read More

Anaesthesist 2019 Apr;68(4):245-258

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

Background: Adults with congenital heart disease (CHD) represent an increasing proportion of patients undergoing non-cardiac surgery.

Objective: To identify the most important parameters for management of anesthesia.

Material And Methods: Evaluation and discussion of the current original research and guideline recommendations. Read More

Anaesthesist 2019 Mar 21. Epub 2019 Mar 21.

Anästhesiologische Klinik, Universitätsklinikum Erlangen, Maximiliansplatz 1, 91054, Erlangen, Deutschland.

Background: Infraclavicular subclavian vein (SCV) catheterization is a standard procedure in anesthesia and intensive care. There is a lack of evidence on how mechanical ventilation during venipuncture of the SCV influences pneumothorax rates.

Objective: Primary hypothesis: non-inferiority of continuing vs. Read More

Anaesthesist 2019 Mar 21. Epub 2019 Mar 21.

Zentrum für Innere Medizin, Abteilung Kardiologie, Universitätsmedizin Rostock, Schillingallee 35, 18057, Rostock, Deutschland.

In 2018 the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) published an update of the guidelines on myocardial revascularization from 2014. In these updated guidelines both associations agreed on joint recommendations concerning myocardial revascularization. Especially anesthesiologists being part of the cardiac anesthesia or heart team and intensive care physicians should have knowledge about the new or changed recommendations of these guidelines. Read More

Anaesthesist 2019 Mar 21. Epub 2019 Mar 21.

Fachverband Leitstellen e. V., Glücksburg, Deutschland.

Background: The emergency call-taking process is crucial for the adequate disposition of emergency vehicles and the provision of first aid instructions. Moreover, it has a direct impact on the quality of out-of-hospital emergency care. Organizations such as the European Resuscitation Council, the German Federal Association of Emergency Medical Directors and the German Association of Emergency Dispatch Centers call for the nationwide implementation of a formal call-taking process in emergency dispatching. Read More

Anaesthesist 2019 Apr 20;68(4):218-227. Epub 2019 Mar 20.

Forum für Qualitätsmanagement und Ökonomie der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin und des Berufsverbandes Deutscher Anästhesisten, Nürnberg, Deutschland.

Background: Minimum volume thresholds for specific surgical procedures in German hospitals were established in 2004 but remain controversial. For the first time, this study investigated the relationship between hospital performance volume and surgical procedure duration in a multicenter approach. The question here was whether a concentration on frequently performed procedures leads to a reduction in surgical process times. Read More

Anaesthesist 2019 Mar 18. Epub 2019 Mar 18.

Klinik für Anästhesiologie und Operative Intensivmedizin, Klinikum Ludwigshafen, Bremserstr. 79, 67063, Ludwigshafen am Rhein, Deutschland.

Background And Objective: Due to multiple factors the performance of preclinical emergency anesthesia is fraught with risks even for experienced emergency physicians. In order to support emergency physicians in monitoring and management of anesthesia, the German practice management guidelines for preclinical emergency anesthesia in adults were published in 2015; however, current data on adherence to the guidelines are not available.

Material And Methods: In a retrospective register analysis of preclinical anesthesia from 2015-2017 in Baden-Württemberg, the recorded anesthetic agents, monitoring, airway management and medical disciplines of emergency physicians were analyzed. Read More

Anaesthesist 2019 Mar;68(3):177-178

Ärztekammer Nordrhein, Düsseldorf, Deutschland.

Anaesthesist 2019 Mar;68(3):129-131

Klinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland.

Anaesthesist 2019 Mar;68(3):179-190

Klinik für Abhängiges Verhalten und Suchtmedizin, LVR-Klinikum Essen, Kliniken der Universität Duisburg-Essen, Virchowstr. 174, 45147, Essen, Deutschland.

Opioid dependence is a chronic mental disease with multifactorial etiology. The neurobiological theory of addiction focuses on the manipulation of the dopaminergic reward system as a basic property of substances with addictive potential including opioids. With regular opioid intake, the manipulation of the reward system results in a cognitive bias towards drug-related stimuli. Read More