Search Our Scientific Publications & Authors

Med Klin Intensivmed Notfmed 2019 Apr 16. Epub 2019 Apr 16.

Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Deutschland.

An 86-year-old woman was scheduled for surgical treatment of a periprosthetic femoral fracture after a fall. Because of a known difficult airway due to multiple surgeries and radiation for cancer in the orofacial area, awake fiberoptic intubation was planned. During the fiberoptic maneuver the patient experienced a massive bout of coughing which resulted in large soft tissue emphysema and double-sided pneumothorax. Read More

Herz 2019 Apr 16. Epub 2019 Apr 16.

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

GMS J Med Educ 2019 15;36(2):Doc13. Epub 2019 Mar 15.

BG Unfallklinik Ludwigshafen, Centrum für interdisziplinäre Rettungs- und Notfallmedizin, Ludwigshafen, Germany.

Patient safety has high priority in health care. Since successful interprofessional collaboration is essential for patient safety, the topic should ideally be addressed interprofessionally in the curricula. The aim of the project was the development and implementation of an interprofessional teaching concept "patient safety" for medical students and students of health professions at the Medical Faculty Heidelberg. Read More

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):184-188

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

Adv Exp Med Biol 2019 ;1117:111-129

Brandenburg Antiinfektiva GmbH, c/o Forschungszentrum Borstel, Borstel, Germany.

Antimicrobial peptides (AMPs) are in the focus of scientific research since the 1990s. In most cases, the main aim was laid on the design of AMP to kill bacteria effectively, with particular emphasis on broadband action and independency on antibiotic resistance. However, so far no approved drug on the basis of AMP has entered the market. Read More

Wien Med Wochenschr 2019 Apr 12. Epub 2019 Apr 12.

Österreichische Schmerzgesellschaft, Wien, Österreich.

Although ketamine has been known and clinically applied for a long time, questions still arise around the many possible indications in which the anesthetic and analgesic substance could be used. In particular, these questions relate to new indications in which ketamine is used in low subanesthetic doses.The mechanism of action at the NMDA receptor clearly distinguishes ketamine from all other analgesics. Read More

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.

Med Klin Intensivmed Notfmed 2019 Apr 11. Epub 2019 Apr 11.

Klinik für Innere Medizin und Internistische Intensivmedizin, St.-Antonius-Hospital, Dechant-Deckers-Str. 8, 52249, Eschweiler, Deutschland.

Background And Challenge: Injuries, especially traumatic brain injury, or specific illnesses and their respective sequelae can result in the demise of the patients afflicted despite all efforts of modern intensive care medicine. If in principle organ donation is an option after a patient's death, intensive therapeutic measures are regularly required in order to maintain the homeostasis of the organs. These measures, however, cannot benefit the patient afflicted anymore-which in turn might lead to an ethical conflict between dignified palliative care for him/her and expanded intensive treatment to facilitate organ donation for others, especially if the patient has opted for the limitation of life-sustaining therapies in an advance directive. Read More

BMC Infect Dis 2019 Apr 11;19(1):317. Epub 2019 Apr 11.

Department of Paediatric Surgery, Chris Hani Baragwanath Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, 26 Chris Hani Road, Johannesburg, ZA-1860, South Africa.

Background: Necrotising fasciitis is a rapidly progressing soft-tissue infection with a low incidence that carries a relevant risk of morbidity and mortality. Although necrotising fasciitis is often fatal in adults, its case fatality rate seems to be lower in children. A highly variable clinical presentation makes the diagnosis challenging, which often results in misdiagnosis and time-delay to therapy. Read More

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

Med Klin Intensivmed Notfmed 2019 Apr 9. Epub 2019 Apr 9.

Sektion Palliativmedizin, Sana-Klinikum Offenbach, Starkenburgring 66, 63069, Offenbach, Deutschland.

Dehydration in palliative care patients can be associated with increased morbidity and mortality and is nevertheless therapeutically controversial. This article provides an overview of possible causes of dehydration at the end of life and places special emphasis on "terminal" dehydration in the dying. Empirical attitudes of healthcare professionals and persons concerned (patients and relatives) as well as evidence-based findings on "terminal" dehydration are elucidated and the limitations are described. Read More

Front Med (Lausanne) 2019 22;6:50. Epub 2019 Mar 22.

Medizinische Klinik und Poliklinik II, Klinikum rechts der Isar, Technische Universität München, München, Germany.

Sufficient organ perfusion essentially depends on preserved macro- and micro-circulation. The last two decades brought substantial progress in the development of less and non-invasive monitoring of macro-hemodynamics. However, several recent studies suggest a frequent incoherence of macro- and micro-circulation. Read More

Schmerz 2019 Apr;33(2):97-99

Neurologische Klinik, Universitätsklinikum Würzburg, Würzburg, Deutschland.

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

Med Klin Intensivmed Notfmed 2019 Mar 28. Epub 2019 Mar 28.

Klinik für Anästhesiologie und operative Intensivmedizin, Klinikum der Universität Witten/Herdecke, Ostmerheimer Str. 200, 51109, Köln, Deutschland.

Background: Patients with severe thoracic trauma often receive continuous lateral rotational bed therapy (CLRT) for the treatment of lung contusions. In this study, the effects of CLRT on mortality, morbidity and length of stay (LOS) in the intensive care unit (ICU) and in the hospital were evaluated.

Methods: Retrospective data from the TraumaRegister DGU® were analysed, focusing on patients with severe thoracic trauma. Read More

Med Klin Intensivmed Notfmed 2019 Mar 28. Epub 2019 Mar 28.

Institut für Psychologie, Arbeitsbereich Differenzielle Psychologie, Friedrich-Schiller-Universität Jena, Jena, Deutschland.

Wien Med Wochenschr 2019 Mar 27. Epub 2019 Mar 27.

Bereich Ethik Krankenhaus der Barmherzigen Brüder Wien, BARMHERZIGE BRÜDER ÖSTERREICH, Johannes-von-Gott Platz 1, 1020, Wien, Österreich.

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

Med Klin Intensivmed Notfmed 2019 Apr 27;114(3):222-228. Epub 2019 Mar 27.

Klinik für Anästhesiologie und Intensivmedizin, Center for Sepsis Control and Care, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Deutschland.

Background: Ethically demanding decisions in intensive care as well as the perception of nonbeneficial care can be a burden for clinicians and patients' relatives.

Objectives: An overview of prevalence, causes, and consequences of perceived nonbeneficial care and possible interventions is provided.

Materials And Methods: Narrative review. Read More

Front Neurol 2019 13;10:207. Epub 2019 Mar 13.

Abteilung für Neuroradiologie, Universitätsklinikum Leipzig, Leipzig, Germany.

Ruptured dissecting aneurysms of the intracranial vertebral arteries exhibit an extraordinarily high risk for morbidity and mortality and are prone to re-rupture. Therefore, early treatment is mandatory to induce stagnation of the critical dynamic mural process. Appropriate endovascular approaches are segment sacrifice and reconstruction, however, both carry specific risks and benefits. 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

Anesth Analg 2019 Mar 14. Epub 2019 Mar 14.

From the Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.

Background: The anticholinesterase neostigmine and the muscarinic inhibitor glycopyrrolate are frequently coadministered for the reversal of neuromuscular blockade. This practice can precipitate severe bradycardia or tachycardia, but whether it affects the incidence of cardiovascular complications remains unclear. We hypothesized that anticholinesterase reversal with neostigmine and glycopyrrolate versus no anticholinesterase reversal increases the risk of postoperative cardiovascular complications among adult patients undergoing noncardiac surgery with general anesthesia. Read More