8,230 results match your criteria Der Anaesthesist[Journal]


[Intraoperative blood salvage: between innovation and regulation].

Anaesthesist 2019 Feb;68(2):67-68

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

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http://dx.doi.org/10.1007/s00101-019-0536-8DOI Listing
February 2019

[Simulation training as part of clinical risk management : A health economic view].

Anaesthesist 2019 Feb 7. Epub 2019 Feb 7.

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

Working in anesthesiology is characterized by a complex environment in which effective teamwork with different disciplines as well as other professions (e. g. nursing staff and surgical assistants) is crucial. Read More

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http://dx.doi.org/10.1007/s00101-019-0540-zDOI Listing
February 2019
1 Read

[Surgical treatment of proximal femoral fractures in high-risk geriatric patients under peripheral regional anesthesia : A clinical case series].

Authors:
R Seidel E Barbakow

Anaesthesist 2019 Feb 5;68(2):108-114. Epub 2019 Feb 5.

Klinik für Anästhesiologie, HELIOS-Kliniken Schwerin, Wismarsche Straße 393-7, 19049, Schwerin, Deutschland.

The authors describe in a clinical case series (n = 7) of older (age 78-95 years) high-risk patients the successful surgical treatment of proximal femoral fractures in a peripheral regional anesthesia technique. After positioning on the non-fractured side, a double injection technique (dual guidance concept: sonography plus nerve stimulation) was chosen. The injections were performed parasacrally (blockade of the sacral plexus under the piriformis muscle) and lumbar-paravertebrally (psoas compartment block and transmuscular quadratus lumborum block). Read More

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http://dx.doi.org/10.1007/s00101-019-0537-7DOI Listing
February 2019
2 Reads

[Complex regional pain syndrome (CRPS) : An update].

Authors:
V Dimova F Birklein

Anaesthesist 2019 Feb;68(2):115-128

Klinik und Poliklinik für Neurologie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Langenbeckstr. 1, 55101, Mainz, Deutschland.

The acute phase of complex regional pain syndrome (CRPS) is pathophysiologically characterized by an activation of the immune system and its associated inflammatory response. During the course of CRPS, central nervous symptoms like mechanical hyperalgesia, loss of sensation, and body perception disorders develop. Psychological factors such as pain-related anxiety and traumatic events might have a negative effect on the treatment outcome. Read More

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http://dx.doi.org/10.1007/s00101-019-0539-5DOI Listing
February 2019
1 Read

[Cell salvage : Scientific evidence, clinical practice and legal framework].

Authors:
T Seyfried E Hansen

Anaesthesist 2019 Feb;68(2):69-82

Klinik für Anästhesiologie, Universitätsklinikum Regensburg, 93042, Regensburg, Deutschland.

Cell salvage is an efficient method to reduce the transfusion of homologous banked blood, as documented by several meta-analyses detected in a systematic literature search. Cell salvage is widely used in orthopedics, trauma surgery, cardiovascular and abdominal transplantation surgery. The retransfusion of unwashed shed blood from wounds or drainage is not permitted according to German regulations. Read More

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http://dx.doi.org/10.1007/s00101-018-0529-zDOI Listing
February 2019
1 Read

[Life-threatening subcutaneous emphysema after minor blow to the neck].

Anaesthesist 2019 Feb 25;68(2):104-107. Epub 2019 Jan 25.

Abteilung für Kinderkardiologie, Hessisches Kinderherzzentrum, Zentrum für Kinderheilkunde und Jugendmedizin am Standort Gießen, UKGM, Feulgenstr. 10-12, 35392, Gießen, Deutschland.

After a minor blow to the neck from the handlebars of a bike, a 5-year-old boy developed a massive subcutaneous emphysema with respiratory distress. Orotracheal intubation was performed. A computed tomography (CT) scan of the neck and thorax showed a pneumomediastinum and a bilateral pneumothorax. Read More

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http://dx.doi.org/10.1007/s00101-019-0535-9DOI Listing
February 2019
2 Reads

[Perioperative use of metamizole and other nonopioid analgesics in children : Results of a survey].

Anaesthesist 2019 Jan 24. Epub 2019 Jan 24.

Klinik für Anästhesiologie und Schmerztherapie, Universitätsklinik Bern, Inselspital, Universität Bern, Freiburgstrasse, 3010, Bern, Schweiz.

Background: Nonopioid analgesics are frequently used for perioperative pain management in children. In many countries, the nonopioid metamizole (dipyrone) is administered as an alternative to paracetamol and traditional NSAIDs (nonsteroidal anti-inflammatory drugs), such as ibuprofen and diclofenac; however, concerns over possible life-threatening adverse events (agranulocytosis) have prompted a debate over the use of metamizole.

Objective: To investigate current practice and use of nonopioid analgesics, particularly of metamizole in children younger than 14 years, in the perioperative setting. Read More

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http://dx.doi.org/10.1007/s00101-018-0532-4DOI Listing
January 2019
1 Read

[Adjuvants for regional anesthesia-how long is long enough?]

Authors:
T Volk C Kubulus

Anaesthesist 2019 Jan;68(1):1-2

Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum des Saarlandes, Medizinische Fakultät, Universität des Saarlandes, Kirrberger Str. 100, 66421, Homburg, Deutschland.

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http://dx.doi.org/10.1007/s00101-018-0534-2DOI Listing
January 2019

How to manage terminal dehydration.

Anaesthesist 2019 Jan 21. Epub 2019 Jan 21.

Palliative care section, Sana-Klinikum Offenbach, Starkenburgring 66, 63069, Offenbach, Germany.

Although dehydration is a serious condition associated with significant morbidity and mortality in palliative care patients, as in any other patient group, treatment remains controversial. A narrative review of the causes of dehydration during end of life was conducted paying special attention to the nature of terminal dehydration. A comprehensive search of the literature was performed to identify relevant articles published in English and German languages between 1960 and 2018. Read More

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http://dx.doi.org/10.1007/s00101-018-0527-1DOI Listing
January 2019

[Resuscitation room management for trauma patients].

Anaesthesist 2019 Jan;68(1):49-66

Zentrale Notaufnahme, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.

Resuscitation rooms in central emergency admissions are the first point of contact for potentially severely or multiply injured patients. Here priority is given to the interdisciplinary treatment of these patients, which includes the structured and standardized hospital admission as well as the appropriate initial diagnostics and treatment of potentially life-threatening conditions. The resuscitation room is a central vital link between the prehospital and internal hospital treatment chain. Read More

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http://link.springer.com/10.1007/s00101-018-0523-5
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http://dx.doi.org/10.1007/s00101-018-0523-5DOI Listing
January 2019
6 Reads

Radiographic evaluation as a diagnostic tool in visualizing gastric fluid.

Anaesthesist 2019 Jan;68(1):45-46

Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, Germany.

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http://dx.doi.org/10.1007/s00101-018-0526-2DOI Listing
January 2019
1 Read

[Rapid sequence induction and intubation-the timing principle].

Anaesthesist 2019 Jan;68(1):46-47

Universitätsklinik für Anästhesie, Allgemeine Intensivmedizin und Schmerztherapie, Medizinische Universität Wien/AKH Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich.

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http://dx.doi.org/10.1007/s00101-018-0530-6DOI Listing
January 2019
1 Read

[Background and current use of adjuvants for regional anesthesia : From research to evidence-based patient treatment].

Anaesthesist 2019 Jan;68(1):3-14

Klinik für Anästhesiologie mit S. op. Intensivmedizin, Charité - Universitätsmedizin Berlin, Campus Virchow-Klinikum, Berlin, Deutschland.

The discovery of the local anaesthetic effect by blocking sodium ion channels was a milestone in anaesthesia but was soon limited by sometimes life-threatening toxic effects of the local anaesthetics. By developing novel local anaesthetics and also by adding so-called adjuvants, attempts have been made to limit these life-threatening events. This article focuses on the historic background and the current state of the use of these adjuvants for regional anaesthesia. Read More

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http://dx.doi.org/10.1007/s00101-018-0522-6DOI Listing
January 2019
1 Read

[Pain inhibition by opioids-new concepts].

Authors:
C Stein

Anaesthesist 2019 Feb;68(2):97-103

Klinik für Anästhesiologie und operative Intensivmedizin, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12200, Berlin, Deutschland.

Background: Opioids are the oldest and most potent drugs for the treatment of severe pain but they are burdened by detrimental side effects, such as respiratory depression, addiction potential, sedation, nausea and constipation. Their clinical application is undisputed in the treatment of acute (e.g. Read More

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http://link.springer.com/10.1007/s00101-018-0528-0
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http://dx.doi.org/10.1007/s00101-018-0528-0DOI Listing
February 2019
5 Reads

Comparison of cervical spine motion during intubation with a C‑MAC D‑Blade® and an LMA Fastrach®.

Anaesthesist 2019 Feb 9;68(2):90-96. Epub 2019 Jan 9.

Department of Anesthesiology and Reanimation, Ministry of Health Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.

Background: This prospective randomized study compared cervical motion during intubation with a C‑MAC D‑Blade® and with a laryngeal mask airway LMA Fastrach®.

Material And Methods: The participants in this study were 52 ASA I-III patients aged 18-70 years and assigned for elective cervical discectomy. The patients were randomly selected for intubation with a C‑MAC D‑Blade® (group V) or an LMA Fastrach® laryngeal airway (group F). Read More

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http://link.springer.com/10.1007/s00101-018-0533-3
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http://dx.doi.org/10.1007/s00101-018-0533-3DOI Listing
February 2019
5 Reads

Efficacy of midazolam addition to local anesthetic in peribulbar block : Randomized controlled trial.

Authors:
M Ibrahim E Gomaa

Anaesthesist 2019 Jan 9. Epub 2019 Jan 9.

Department of Anesthesiology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Background: Peribulbar block is considered a safe option for patients undergoing cataract surgery. The limited duration of regional eye blocks was shown to be the main problem. The objective of this study was to evaluate the effects of adjuvant midazolam (in two concentrations) to lidocaine in the peribulbar block. Read More

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http://dx.doi.org/10.1007/s00101-018-0525-3DOI Listing
January 2019
1 Read

[Consideration of the timing principle for rapid sequence induction is unnecessary].

Authors:
T Loop J Hinkelbein

Anaesthesist 2019 Jan;68(1):47-48

Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Köln (AöR), Köln, Deutschland.

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http://dx.doi.org/10.1007/s00101-018-0531-5DOI Listing
January 2019
1 Read

Recent preoperative imaging reveals aspiration risks.

Anaesthesist 2019 Jan;68(1):44-45

Department of Anesthesiology, Louisiana State University Health Sciences Center (LSUHSC), New Orleans, USA.

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http://dx.doi.org/10.1007/s00101-018-0518-2DOI Listing
January 2019
1 Read

[Sonographic diagnostics in operative intensive care medicine : Pericardial hematoma after cardiac surgery].

Anaesthesist 2019 Jan 20;68(1):39-43. Epub 2018 Dec 20.

Klinik für Anästhesiologie, Intensiv- und Notfallmedizin, Klinikum Fulda, Pacelliallee 4, 36043, Fulda, Deutschland.

These two case reports describe the use of transthoracic echocardiography in cardiac surgery patients during postoperative intensive care, when a pericardial hematoma developed. A focused echocardiographic examination was performed, which in both cases led to the correct diagnosis and revealed the cause for hemodynamic instability. Following additional computed tomography (CT) scans, cardiac surgery was performed on one patient, while in the other, bedside sonography was used for controlled pleural puncture and drainage of the pericardial hematoma. Read More

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http://dx.doi.org/10.1007/s00101-018-0524-4DOI Listing
January 2019
1 Read

[Comparison of sublingual and intravenous administration of lorazepam in psychiatric emergencies in emergency medical services].

Anaesthesist 2019 Feb 6;68(2):83-89. Epub 2018 Dec 6.

Praxis Isartal für Erkrankungen der Psyche, Psychotherapie und Psychosomatik, Kloster Schäftlarn, Deutschland.

Background: Agitation is a frequent reason for emergency physician calls in psychiatric emergencies in the German preclinical emergency medical system. Benzodiazepines have proven to be effective in treating acute agitation. Although lorazepam has beneficial clinical and pharmacological properties it is hardly used by emergency physicians. Read More

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http://dx.doi.org/10.1007/s00101-018-0513-7DOI Listing
February 2019
2 Reads

[S2k guidelines of the PEG on calculated parenteral initial treatment of bacterial diseases in adults : Focussed summary and supplementary information on antibiotic treatment of critically ill patients].

Anaesthesist 2018 Dec;67(12):936-949

Stabsstelle Klinische Mikrobiologie und Krankenhaushygiene, Klinikum der Universität München, Campus Großhadern, München, Deutschland.

In January 2018 the recent revision of the S2k guidelines on calculated parenteral initial treatment of bacterial diseases in adults-update 2018 (Editor: Paul Ehrlich Society for Chemotherapy, PEG) was realized. It is a helpful tool for the complex infectious disease setting in an intensive care unit. The present summary of the guidelines focuses on the topics of anti-infective agents, including new substances, pharmacokinetics and pharmacodynamics as well as on microbiology, resistance development and recommendations for calculated drug therapy in septic patients. Read More

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http://link.springer.com/10.1007/s00101-018-0512-8
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http://dx.doi.org/10.1007/s00101-018-0512-8DOI Listing
December 2018
11 Reads

[Training in clinical acute and emergency medicine - Supraspeciality in Germany : A concept for nationwide implementation!]

Anaesthesist 2018 Dec;67(12):895-900

Notfallzentrum, Städtisches Klinikum München Bogenhausen, München, Deutschland.

At the 121st German Physicians Conference 2018 in Erfurt a resolution to accept the full amendment of the (draft) further training regulations (MWBO) was adopted and the State Medical Councils were requested to include them in their respective areas of responsibility. Therefore, the nationwide implementation of the supraspeciality (ZWB) for clinical acute and emergency medicine has been officially finalized. After consultation with the German Medical Council (BÄK) concerning the format, both the new MWBO 2018 and now the content of the ZWB are available as of 15 November 2018. Read More

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http://dx.doi.org/10.1007/s00101-018-0515-5DOI Listing
December 2018
3 Reads

[Erratum to: Delirium in intensive care patients. A multiprofessional challenge].

Anaesthesist 2018 Dec;67(12):953-954

Klinik für Anästhesiologie, Universitätsklinikum der RWTH Aachen, Aachen, Deutschland.

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http://dx.doi.org/10.1007/s00101-018-0516-4DOI Listing
December 2018
3 Reads

[Erratum to: Performance of prehospital emergency anesthesia and airway management : An online survey].

Anaesthesist 2019 Jan;68(1):43

Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Köln (AöR), Köln, Deutschland.

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http://dx.doi.org/10.1007/s00101-018-0514-6DOI Listing
January 2019
1 Read

[Erratum to: Management of the difficult airway : Overview of the current guidelines].

Anaesthesist 2019 Jan;68(1):29

Departement für Anästhesie, Intensivmedizin und Reanimation, Spitalregion Rheintal, Werdenberg, Sarganserland, Schweiz.

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http://dx.doi.org/10.1007/s00101-018-0507-5DOI Listing
January 2019
1 Read

[How many potential organ donors are there really? : Retrospective analysis of why determination of irreversible loss of brain function was not performed in deceased patients with relevant brain damage].

Anaesthesist 2019 Jan 16;68(1):22-29. Epub 2018 Nov 16.

Deutsche Stiftung Organtransplantation (DSO), Frankfurt am Main, Deutschland.

Background: No systematic study has previously been undertaken in Germany to ascertain why irreversible brain death determination (BDD) has not been carried out.

Objective: A comprehensive analysis of reasons for unperformed BDD in deceased patients with acute, severe brain damage could improve the identification of potential organ donors.

Method: Using the Transplantcheck program of the German Organ Transplantation Foundation (DSO) an analysis of the data from 2016 was undertaken in participating hospitals in Saxony, Saxony-Anhalt and Thuringia (Region East of the DSO), regarding why a BDD was not initiated in deceased patients with primary or secondary brain damage. Read More

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http://link.springer.com/10.1007/s00101-018-0510-x
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http://dx.doi.org/10.1007/s00101-018-0510-xDOI Listing
January 2019
9 Reads

[Transfer of a cockpit strategy to anesthesiology : Clinical example: introduction of canned decisions to solve cannot intubate cannot oxygenate situations].

Anaesthesist 2019 Jan 16;68(1):30-38. Epub 2018 Nov 16.

Klinik für Anästhesiologie und Operative Intensivtherapie, Katholisches Klinikum Bochum, Universitätsklinikum der Ruhr-Universität Bochum, Gudrunstraße 56, 44791, Bochum, Deutschland.

Background: Safety strategies in civil aviation are well-established. The authors present a possible structure for induction of anesthesia, which includes elements of the so-called cockpit strategy. The objective is to reduce anesthesia-related mortality caused by the unexpected difficult airway through early detection and solution of cannot intubate cannot oxygenate (CICO) situations. Read More

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http://link.springer.com/10.1007/s00101-018-0511-9
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http://dx.doi.org/10.1007/s00101-018-0511-9DOI Listing
January 2019
9 Reads

[Prehospital plasma transfusion in civilian trauma patients in hemorrhagic shock].

Authors:
H Lier O Grottke

Anaesthesist 2018 Dec;67(12):950-952

Klinik für Anästhesiologie, Universitätsklinikum, RWTH Aachen, Aachen, Deutschland.

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http://link.springer.com/10.1007/s00101-018-0509-3
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http://dx.doi.org/10.1007/s00101-018-0509-3DOI Listing
December 2018
9 Reads

Propofol-sparing effect of different concentrations of dexmedetomidine : Comparison of gender differences.

Anaesthesist 2019 Jan 7;68(1):15-21. Epub 2018 Nov 7.

Department of Anesthesiology, General Hospital of Southern Theatre Command of PLA, 510010, Guangzhou, China.

Background: The pharmacodynamics of propofol are closely linked to gender. Dexmedetomidine can decrease propofol needs during propofol anesthesia. The aim of this study was to compare the gender differences on the calculated effect site median effective concentration (EC) of propofol for loss of consciousness (LOC) after pretreatment with different concentrations of dexmedetomidine. Read More

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http://link.springer.com/10.1007/s00101-018-0506-6
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http://dx.doi.org/10.1007/s00101-018-0506-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342900PMC
January 2019
17 Reads

Misleading symptoms and successful noninvasive rewarming of a patient with severe hypothermia (23.1 °C).

Anaesthesist 2018 Dec 30;67(12):931-935. Epub 2018 Oct 30.

Department of Anesthesiology, Ludwig Maximilian University Hospital, Marchioninistr. 15, 81377, Munich, Germany.

Accidental severe hypothermia is a medical emergency in which symptoms may include coma, apnea, pulmonary edema, ventricular dysrhythmia or asystole. Despite optimal treatment, mortality remains high. This article reports a case of severe hypothermia in a geriatric hypothyroid patient, where despite a body core temperature of 23. Read More

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http://dx.doi.org/10.1007/s00101-018-0508-4DOI Listing
December 2018
3 Reads

[Relevant incidental findings and iatrogenic injuries : A retrospective analysis of 1165 resuscitation room patients].

Anaesthesist 2018 Dec 26;67(12):901-906. Epub 2018 Oct 26.

Institut für klinische Radiologie und Nuklearmedizin, Universitätsmedizin Mannheim, Mannheim, Deutschland.

Background: Whole-body computed tomography (CT) is increasingly being used as the diagnostic modality of choice in patients admitted to the resuscitation room. Beyond findings related to the suspected diagnosis it often additionally reveals incidental findings. The aim of this investigation was the evaluation of these findings in patients admitted via the emergency room after suffering potential major trauma or life-threatening medical conditions. Read More

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http://link.springer.com/10.1007/s00101-018-0505-7
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http://dx.doi.org/10.1007/s00101-018-0505-7DOI Listing
December 2018
2 Reads

["Terminal" dehydration, part 2 : Medical indications and therapeutic approach].

Anaesthesist 2018 Nov;67(11):879-892

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

The approach in the clinical fluid management of the dying is still controversially discussed in specialist circles and also in the general population. In this article the importance of establishing the therapeutic indications is emphasized against the background of a lack of evidence. Options to achieve noninvasive objectification of assumed dehydration as well as assessment of the reversibility of the symptoms are shown and the importance of monitoring of all therapeutic actions is discussed. Read More

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http://dx.doi.org/10.1007/s00101-018-0502-xDOI Listing
November 2018
1 Read

[Reduction of treatment time for children in the trauma room care : Impact of implementation of an interdisciplinary trauma room concept (iTRAP)].

Anaesthesist 2018 Dec 25;67(12):914-921. Epub 2018 Oct 25.

Klinik für Anaesthesiologie, Ludwig-Maximilians-Universität, München, Deutschland.

Introduction: In addition to infrastructural and conceptual planning, smooth interdisciplinary cooperation is crucial for trauma room care of severely injured children based on time-saving management and a clear set of priorities. The time to computed tomography (CT) is a well-accepted marker for the efficacy of trauma management. Up to now there are no guidelines in the literature for an adapted approach in pediatric trauma room care. Read More

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http://link.springer.com/10.1007/s00101-018-0500-z
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http://dx.doi.org/10.1007/s00101-018-0500-zDOI Listing
December 2018
10 Reads

[Multiprofessional management of delirium : A challenge-not only for intensivists].

Authors:
Thomas Saller

Anaesthesist 2018 Nov;67(11):809-810

Klinik für Anaesthesiologie, Ludwig-Maximilians-Universität München, Marchioninistr. 15, 81377, München, Deutschland.

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http://dx.doi.org/10.1007/s00101-018-0503-9DOI Listing
November 2018
3 Reads

[Correction to: Drugs for intravenous induction of anesthesia: ketamine, midazolam and synopsis of current hypnotics].

Anaesthesist 2018 Nov;67(11):878

Klinik für Anästhesiologie und Operative Intensivmedizin, Klinikum Augsburg, Stenglinstraße 2, 86156, Augsburg, Deutschland.

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http://dx.doi.org/10.1007/s00101-018-0498-2DOI Listing
November 2018
1 Read

[Systematic literature search in PubMed : A short introduction].

Anaesthesist 2018 Dec;67(12):955-972

Institut für Medizinische Biometrie und Statistik, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Stefan-Meier-Str. 26, 79104, Freiburg, Deutschland.

In order to identify current (and relevant) evidence for a specific clinical question within the unmanageable amount of information available, solid skills in performing a systematic literature search are essential. An efficient approach is to search a biomedical database containing relevant literature citations of study reports. In this article, we explain step by step how to perform a systematic literature search via PubMed (MEDLINE) by means of an example research question in the field of ophthalmology. Read More

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http://dx.doi.org/10.1007/s00101-018-0504-8DOI Listing
December 2018
1 Read

Epidural needle insertion : A large registry analysis.

Anaesthesist 2018 Dec 18;67(12):922-930. Epub 2018 Oct 18.

Department of Anaesthesiology, Intensive Care Medicine and Pain Medicine, University Medical Centre, Saarland University, Kirrbergerstraße 1, 66421, Homburg/Saar, Germany.

Background: Dural puncture, paraesthesia and vascular puncture are the most common complications of epidural catheter insertion. Their association with variation in midline needle insertion depth is unknown.

Objective: This study evaluated the risk of dural and vascular punctures and the unwanted events paraesthesia and multiple skin punctures related to midline needle insertion depth. Read More

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http://link.springer.com/10.1007/s00101-018-0499-1
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http://dx.doi.org/10.1007/s00101-018-0499-1DOI Listing
December 2018
12 Reads

Vocal fold paralysis due to intracranial hypotension following spinal anesthesia.

Anaesthesist 2018 Nov 12;67(11):868-870. Epub 2018 Oct 12.

Department of Otorhinolaryngology, Kocaeli State Hospital, Kocaeli, Turkey.

Cranial nerve palsy is a rare neurological complication of epidural and subarachnoid blocks. Most of these complications are attributed to secondary intracranial hypotension due to cerebrospinal fluid leakage following dural puncture. Vocal fold paralysis (VFP) seems more likely to be overlooked and underreported due to delayed onset of symptoms and lack of attribution of dysphonia to spinal anesthesia. Read More

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http://link.springer.com/10.1007/s00101-018-0501-y
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http://dx.doi.org/10.1007/s00101-018-0501-yDOI Listing
November 2018
3 Reads

[Video-assisted patient education in anesthesia : How do medical users assess the procedure?]

Anaesthesist 2018 Nov 9;67(11):829-836. Epub 2018 Oct 9.

Klinik für Anästhesiologie, Operative Intensivmedizin und Schmerzmedizin, Klinikum St. Elisabeth Straubing, Straubing, Deutschland.

Background: Video-assisted patient education (VaPE) has in the past been a subject of many studies. Compared to conventional methods, most authors reported a better transfer of information, some found increased patient satisfaction and a time-sparing effect. There was no increase in anxiety caused by VaPE. Read More

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http://dx.doi.org/10.1007/s00101-018-0496-4DOI Listing
November 2018
1 Read

[Positioning of external pelvic stabilization devices in patients with multiple injuries : Retrospective computed tomographic evaluation].

Anaesthesist 2018 Nov 8;67(11):837-849. Epub 2018 Oct 8.

Evangelisches Klinikum Bethel, Burgsteig 13, 33617, Bielefeld, Deutschland.

Background: Severe hemorrhage is a dreaded complication of pelvic fractures. It has a significant impact on early trauma-associated mortality. Hemorrhage that is secondary to pelvic fractures can be reduced by external stabilization devices. Read More

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http://link.springer.com/10.1007/s00101-018-0494-6
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http://dx.doi.org/10.1007/s00101-018-0494-6DOI Listing
November 2018
3 Reads

[Delirium in intensive care patients : A multiprofessional challenge].

Anaesthesist 2018 Nov;67(11):811-820

Klinik für Anästhesiologie, Universitätsklinikum der RWTH Aachen, Aachen, Deutschland.

Delirium is the most common form of cerebral dysfunction in intensive care patients and is a medical emergency that must be avoided or promptly diagnosed and treated. According to current knowledge the development of delirium seems to be caused by an interplay between increased vulnerability (predisposition) and simultaneous exposure to delirogenic factors. Since delirium is often overlooked in the clinical routine, a continuous screening for delirium should be performed. Read More

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http://link.springer.com/10.1007/s00101-018-0497-3
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http://dx.doi.org/10.1007/s00101-018-0497-3DOI Listing
November 2018
4 Reads

[Management of the difficult airway : Overview of the current guidelines].

Anaesthesist 2018 Oct;67(10):725-737

Departement für Anästhesie, Intensivmedizin und Reanimation, Spitalregion Rheintal, Werdenberg, Sarganserland, Schweiz.

Several national airway task forces have recently updated their recommendations for the management of the difficult airway in adults. Routinely responding to airway difficulties with an algorithm-based strategy is consistently supported. The focus is increasingly not on tools and devices but more on good planning, preparation and communication. Read More

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http://link.springer.com/10.1007/s00101-018-0492-8
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http://dx.doi.org/10.1007/s00101-018-0492-8DOI Listing
October 2018
5 Reads

Ultrasound-guided intermediate cervical plexus and additional peripheral facial nerve block for carotid endarterectomy : A prospective pilot study.

Anaesthesist 2018 Dec 1;67(12):907-913. Epub 2018 Oct 1.

Institut of Anatomy, Medical University of Rostock, Rostock, Germany.

Background And Objectives: Ultrasound-guided intermediate cervical plexus block with perivascular local anesthetic infiltration is an established anesthetic procedure for carotid endarterectomy. In this prospective pilot study an additional subplatysmal block of the superficial ansa cervicalis is presented for the first time. The target structures are the anastomoses between the facial nerve (cervical and marginal mandibular branches) and cervical plexus. Read More

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http://link.springer.com/10.1007/s00101-018-0493-7
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http://dx.doi.org/10.1007/s00101-018-0493-7DOI Listing
December 2018
3 Reads

[Hemodynamic target variables in the intensive care unit].

Anaesthesist 2018 Oct;67(10):797-808

Klinik für Anästhesiologie und Intensivmedizin, Universität zu Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.

Despite broad availability, extended hemodynamic monitoring is used in practice only in the minority of critical care patients. Pathophysiological reasoning suggests that systemic perfusion pressure (and thereby arterial as well as central venous pressure), cardiac stroke volume, and the systemic oxygen balance are key variables in maintaining adequate organ perfusion. In line with these assumptions, several studies support that a goal-directed optimization of these hemodynamic variables leads to a reduction in morbidity and mortality. Read More

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http://link.springer.com/10.1007/s00101-018-0489-3
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http://dx.doi.org/10.1007/s00101-018-0489-3DOI Listing
October 2018
19 Reads

[The distress with the guidelines].

Authors:
Tim Piepho

Anaesthesist 2018 Oct;67(10):723-724

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

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http://dx.doi.org/10.1007/s00101-018-0495-5DOI Listing
October 2018
1 Read

[Septic shock in a female patient with miliary tuberculosis].

Anaesthesist 2018 Oct 26;67(10):773-779. Epub 2018 Sep 26.

Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Agaplesion Markus Krankenhaus, Wilhelm-Epstein-Str. 4, 60431, Frankfurt, Deutschland.

This article reports the fulminant course of a pneumogenic sepsis with severe ARDS (acute respiratory failure) in a 36-year-old female Indian patient, who died within 14 h after admission to the intensive care unit due to a multiorgan failure. During treatment the diagnosis of a miliary tuberculosis was suspected but was only confirmed by the autopsy. Due to high hygiene standards, miliary tuberculosis as the cause of septic shock is rare in Europe. Read More

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http://dx.doi.org/10.1007/s00101-018-0490-xDOI Listing
October 2018
4 Reads

[Knowledge of German anesthetists on antibiotic stewardship].

Anaesthesist 2018 Oct;67(10):793-796

Urologische Klinik, St. Elisabeth-Klinikum Straubing, St. Elisabeth-Str. 23, 94315, Straubing, Deutschland.

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http://dx.doi.org/10.1007/s00101-018-0491-9DOI Listing
October 2018
1 Read

[Anesthesia in patients with NBIA : Neurodegeneration with brain iron accumulation].

Anaesthesist 2018 Nov;67(11):871-877

Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Köln (AöR), Köln, Deutschland.

Background: Neurodegeneration with brain iron accumulation (NBIA) forms a group of rare hereditary diseases with rapid neurodegenerative progression due to an abnormal accumulation of iron in the basal ganglia. This causes extrapyramidal symptoms as well as dystonia and mental retardation. The most common form of NBIA is pantothenate kinase-associated neurodegeneration (PKAN, formerly Hallervorden-Spatz syndrome). Read More

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http://dx.doi.org/10.1007/s00101-018-0488-4DOI Listing
November 2018
7 Reads

Effect of prolonged inspiratory time on gas exchange during robot-assisted laparoscopic urologic surgery.

Anaesthesist 2018 Nov 17;67(11):859-867. Epub 2018 Sep 17.

Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, 03080, Seoul, Korea (Republic of).

Background: Gas exchange disturbance may develop during urologic robotic laparoscopic surgery with the patient in a steep Trendelenburg position. This study investigated whether prolonged inspiratory time could mitigate gas exchange disturbances including hypercapnia.

Methods: In this randomized cross-over trial, 32 patients scheduled for robot-assisted urologic surgery were randomized to receive an inspiratory to expiratory time ratio (I:E) of 1:1 for the first hour of pneumoperitoneum followed by 1:2 for last period of surgery (group A, n = 17) or I:E of 1:2 followed by 1:1 (group B, n = 15). Read More

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http://dx.doi.org/10.1007/s00101-018-0486-6DOI Listing
November 2018
1 Read