Qualit ätssicherung in der Intensivmedizin.
Qualitätssicherung in der Intensivmedizin. Anasthesiol Intensivmed Notfallmed Schmerzther. 2021 Jan;56(1):10-11 Authors: Weimann J, Jonitz G, Schaefer H PMID: 33412599 [PubMed - as supplied by publisher] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - January 1, 2021 Category: Intensive Care Authors: Weimann J, Jonitz G, Schaefer H Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Quality Assurance in Intensive Care Medicine: Peer Reviews and Quality Indicators].
This article focuses on peer review systems currently applied in German hospitals, and particularly describes quality indicators that have been established by DIVI (German Interdisciplinary Society of Intensive Care and Emergency Medicine). It also addresses the need for a professional dialogue between equal partners. This has to accompany each peer review that aims at an improvement in quality of critical patient care. PMID: 33412600 [PubMed - as supplied by publisher] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - January 1, 2021 Category: Intensive Care Authors: Kumpf O, Nothacker M, Dubb R, Kaltwasser A, Brinkmann A, Greim CA, Wildenauer R Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Blended Learning in Critical Care to Improve Quality of Care the ERIC-Training].
sortium Abstract Communication and teamwork skills are, besides clinical knowledge, key components of high quality care in modern intensive care units. In light of high staff fluctuations among intensive care unit teams and disparities in clinical experience, an ongoing training is essential to ensure optimal performance in stressfull situations. Further, when implementing new procedures, an adequate concept for staff education is of utmost importance. Blended learning is a novel approach, combining autonomous web-based education and on-site workshops in order to improve the training process. Enhanced Recovery aft...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - January 1, 2021 Category: Intensive Care Authors: Paul N, Dähnert E, Grunow JJ, Landgraf P, Schröder T, Weiss B, Spies CD, und das ERIC-Konsortium Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Avoiding Long-term Impairment in Critical Care Using Telemedicine: The ERIC Example].
Abstract There is a high demand for critical care, which is forecasted to further grow in the future. Increasing patient morbidity and complexity concurring with a shortage of trained intensivists imposes challenges on critical care clinicians. Weathering these challenges, telemedical programs can help utilize and allocate resources more efficiently as well as foster adherence to best practice, thereby directly impacting quality of care. Studies have predominantly shown reductions in mortality and length of stay. Successful telemedical programs employ experienced intensivists, have well-functioning equipment and h...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - January 1, 2021 Category: Intensive Care Authors: Weiss B, Paul N, Kraufmann B, Spies CD, und das ERIC-Konsortium Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Quality Improvement in Intensive Care Through Telemedicine: the TELnet@NRW Example].
Abstract The German health care system faces the great challenge of ensuring high-quality and comprehensive health care in the future as the shortage of physicians continues to grow. Telemedicine-supported healthcare networks, which guarantee access to specialized medical expertise close to the patient's home and tailored to their needs, and thus to high-quality patient-centered treatment, could provide a solution. The TELnet@NRW best-practice project provides a blueprint for expert teleconsultations and put them into practice. TELnet@NRW demonstrated that expert teleconsultations improve interdisciplinary exchang...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - January 1, 2021 Category: Intensive Care Authors: Dohmen S, Benstoem C, Wahl A, Offermann A, Marx G Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Central Venous Access in Children: Technique and Complications].
This article highlights standard locations for central venous access like cannulation of the internal jugular vein as well as novel alternatives such as the cannulation of the brachiocephalic vein. The correct insertion depth of central lines is essential to avoid serious complications. Several different formulas are available and can be used. Independent of the used formula, you have to make sure that complications due to incorrect depth of central venous line are a topic of the past. Finally, important tips and tricks to avoid failure and serious complications are discussed. PMID: 33412604 [PubMed - as supplied by p...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - January 1, 2021 Category: Intensive Care Authors: Schindler E, Mikus M, Velten M Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Inhalation of Flue Gases - Carbon Monoxide Intoxication].
Abstract Most intoxications caused by inhalation are due to carbon monoxide (CO). Usually the reasons are fires in buildings from which people cannot escape quickly enough, open fire places or carbon monoxide emissions from combustion plants. In Germany, there are more than 4000 intoxications and over 600 fatalities resulting from CO poisining every year. Although there is a general awareness of the risks associated with CO, the specific risks and especially methods of protection are not sufficiently known. PMID: 33412605 [PubMed - as supplied by publisher] (Source: Anasthesiologie, Intensivmedizin, Notfallme...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - January 1, 2021 Category: Intensive Care Authors: Wirtz S, Callies A, Schaper A Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

Geburtshilfliche Notf älle.
Geburtshilfliche Notfälle. Anasthesiol Intensivmed Notfallmed Schmerzther. 2020 Nov;55(11-12):660-661 Authors: Wulf H PMID: 33242899 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - November 1, 2020 Category: Intensive Care Authors: Wulf H Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

Notsectio: eine Herausforderung in der geburtshilflichen An ästhesie.
Notsectio: eine Herausforderung in der geburtshilflichen Anästhesie. Anasthesiol Intensivmed Notfallmed Schmerzther. 2020 Nov;55(11-12):662-673 Authors: Wladarz J, Wenk M, Massoth C PMID: 33242900 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - November 1, 2020 Category: Intensive Care Authors: Wladarz J, Wenk M, Massoth C Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

An ästhesiologisches Management der Fruchtwasserembolie.
Anästhesiologisches Management der Fruchtwasserembolie. Anasthesiol Intensivmed Notfallmed Schmerzther. 2020 Nov;55(11-12):674-685 Authors: Tschöp J, Lier H, Annecke T PMID: 33242901 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - November 1, 2020 Category: Intensive Care Authors: Tschöp J, Lier H, Annecke T Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

An ästhesiologisches Management der peripartalen Hämorrhagie.
Anästhesiologisches Management der peripartalen Hämorrhagie. Anasthesiol Intensivmed Notfallmed Schmerzther. 2020 Nov;55(11-12):686-701 Authors: Lier H, Hofer S, Annecke T PMID: 33242902 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - November 1, 2020 Category: Intensive Care Authors: Lier H, Hofer S, Annecke T Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

Mehrlingsschwangerschaften.
PMID: 33242903 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - November 1, 2020 Category: Intensive Care Authors: Monod C, Girard T Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

Ketamin-assoziierte Zystitis mit akutem Nierenversagen und Hepatopathie.
PMID: 33242904 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - November 1, 2020 Category: Intensive Care Authors: Hartjes A, Hofer M, Marlin D, Hohenauer P Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

Fokus – NarCO2se und Umwelt.
Fokus – NarCO2se und Umwelt. Anasthesiol Intensivmed Notfallmed Schmerzther. 2020 Nov;55(11-12):720-730 Authors: Weber B, Weber J, Eberhart L, Knoth S PMID: 33242905 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - November 1, 2020 Category: Intensive Care Authors: Weber B, Weber J, Eberhart L, Knoth S Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

Invasive notfallmedizinische Ma ßnahmen: eine ärztliche Kernkompetenz.
Invasive notfallmedizinische Maßnahmen: eine ärztliche Kernkompetenz. Anasthesiol Intensivmed Notfallmed Schmerzther. 2020 Oct;55(10):586-587 Authors: Geldner G PMID: 33053585 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - October 1, 2020 Category: Intensive Care Authors: Geldner G Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Advanced Resuscitation Measures: Extracorporeal Cardiopulmonary Resuscitation].
Abstract An extracorporeal cardiopulmonary resuscitation (eCPR) is considered as a therapy option for cardiovascular failure that is refractory to therapy. It can significantly improve the survival rate with favourable neurological results in highly selected patients. The initially defibrillatable heart rhythm and the short low-flow time
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - October 1, 2020 Category: Intensive Care Authors: Ohlemacher F, Lichy G Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Prehospital Strategies to Stop the Bleeding].
d B Abstract Seriously injured patients represent only a small group of patients in the emergency medical service with 0.5% (ground based) to 5% (HEMS), but they are associated with a high mortality rate. Among people younger than 45, trauma is the most common cause of death, mostly as a result of severe traumatic brain injury (TBI) and/or extreme hemorrhage. As the outcome of severe TBI prehospitally can only be influenced to a very limited extent, a majority of preventable deaths in prehospital setting are caused by "critical" bleeding. The "critical" bleeding is defined by its life-threateni...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - October 1, 2020 Category: Intensive Care Authors: Josse F, Stöhr A, Lechner R, Helm M, Hossfeld B Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Diagnostics and Invasive Techniques in the Treatment of Chest Trauma].
Abstract Chest Trauma is a complex injury pattern whose diagnostics and therapy demand everything from an emergency response team. Chest trauma subsumes thoracic injuries in all facets from the bounce mark of a seat belt to fatal rollover trauma with contusion or disruption of organs located in the thorax. Possible causes comprise blunt or penetrating trauma, as well as decelerations, chemical and thermal damage. Sonographic assessment according to a protocol plays a major role in diagnosis of underlying conditions and treatment indications. Therapeutic management may include invasive emergency techniques: Decompr...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - October 1, 2020 Category: Intensive Care Authors: Obermaier M, Katzenschlager S, Schneider NRE Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[S3-Guideline Intensive Care Therapy of Cardiac Surgery Patients - a Practical Approach].
This article focuses on the most relevant information applicable to every-day critical care practice, covering important aspects of general and advanced monitoring, goal directed hemodynamic therapy and treatment principles for perioperative left and right heart failure. PMID: 33053589 [PubMed - indexed for MEDLINE] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - October 1, 2020 Category: Intensive Care Authors: Sander D, Dusse F Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Multiple Stroke Syndrome Caused by Air Embolism Following Removal of a Central Venous Catheter].
Abstract The removal of a central venous catheter on a ward leads to a paradox air embolism in a 53-year-old male patient with an unknown ventricular septal defect. The patient undergoes sufficient cardiopulmonary resuscitation but suffers from a multiple stroke syndrome with serious neurological deficits. PMID: 33053590 [PubMed - indexed for MEDLINE] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - October 1, 2020 Category: Intensive Care Authors: Wildfeuer S, Standl T Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

Erfolgskonzept multimodale Schmerztherapie – auch für die perioperative Schmerztherapie?
Erfolgskonzept multimodale Schmerztherapie – auch für die perioperative Schmerztherapie? Anasthesiol Intensivmed Notfallmed Schmerzther. 2020 Sep;55(9):518-521 Authors: Kranke P, Meybohm P PMID: 32916735 [PubMed - as supplied by publisher] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - August 31, 2020 Category: Intensive Care Authors: Kranke P, Meybohm P Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Early Interdisciplinary Assessment for Secondary Prevention of Chronic Pain - Scientific Background, Concept of Delivery, Target Population and Status of Health Care Provision].
Abstract Pain is agreed to be understood as a multi-causal, biopsychosocial phenomenon. A sufficient health care delivery shall therefore contain a corresponding interdisciplinary approach in diagnostic and therapy, respectively. Factors contributing to the process of chronification should be considered early in treating patients suffering from recurrent or persistent pain. Close collaboration of multidisciplinary protagonists in health care as well as interdisciplinary comprehensive medical treatment offer are two of the prerequisites for good practice in health care treating patients with pain.The article introd...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - August 31, 2020 Category: Intensive Care Authors: Kaiser U, Lindena G, PAIN2020 Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Psychotherapy in the Context of Interdisciplinary Multimodal Pain Therapy: Update].
cher AK Abstract Interdisciplinary multimodal pain therapy (IMPT) is based on the biopsychosocial model of pain and describes an integrated treatment for patients with chronic pain. IMPT incorporates a close cooperation of different disciplines, including physicians, psychotherapists, physiotherapists, and others. IMPT mainly aims to restore and increase patients' physical, social and psychological functional capacity. The efficacy of IMPT has been evidenced by systematic reviews and meta-analyses. A number of studies further indicate IMPT's cost-efficiency. Psychotherapy is an essential component of IMPT. Its mai...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - August 31, 2020 Category: Intensive Care Authors: Müller M, Bräscher AK Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Use of Virtual Reality as a Component of Acute and Chronic Pain Treatment].
Abstract Future or reality? Treating acute and chronic pain is a part of the daily routine of clinical anesthesiologists. Commonly used analgesics have unwanted side effects or may even be insufficient as in chronic pain treatment. Virtual Reality (VR) could be a promising new approach which offers noninvasive therapy options for the treatment of pain. In case of the opioid misuse the adjunctive treatment is mandatory. Various phenomena occur in VR, such as immersion, presence, embodiment and Proteus effect, which can cause a change in body awareness and behavior. Experimental and clinical studies already yielded ...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - August 31, 2020 Category: Intensive Care Authors: Lindner S, Latoschik ME, Rittner H Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Alcohol as a Means for the Prevention of Disturbances in Surgical Intensive Care Medicine].
Abstract Surgical treatment of patients with alcohol use disorder can lead to disturbances (withdrawal syndrome, delirium) which require intensive care treatment. In a surgical ward, the diagnosis of an alcohol related disorder is not always simple. Oftentimes patients conceal or trivialize the issue and as a result are admitted to the hospital in a non-abstinent or unstable state. It is risky to assume that patients with alcohol use disorder will successfully be supplied with alcohol in general hospitals. The risk can be reduced through presurgical identification and alcohol withdrawal of such patients. A literat...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - August 31, 2020 Category: Intensive Care Authors: Stuppe M, Facklam J, Schumacher D Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Hyperfibrinolysis after Resuscitation due to Acute Pulmonary Artery Embolism].
scher W Abstract In an 81-year-old patient, acute hemodynamic instability requiring resuscitation occurred during an elective transurethral prostate resection. The procedure was ended prematurely and after ROSC a CT diagnosis was carried out, which confirmed the suspected diagnosis of fulminant pulmonary embolism. Anticoagulant therapy with heparin was initiated. About two hours after admission to the intensive care unit, hemorrhage requiring massive transfusion developed, which according to viscoelastometric diagnostics was most likely due to fulminant hyperfibrinolysis. This case report describes the pathophysio...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - August 31, 2020 Category: Intensive Care Authors: Weber CF, Wesselly A, Held T, Anheuser P, Schönwälder J, Weischer W Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

Transplantationsmedizin.
PMID: 32736383 [PubMed - as supplied by publisher] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - June 30, 2020 Category: Intensive Care Authors: Koppert W Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Perioperative Anaesthetic Management of Patients after Heart and Lung Transplantation].
Abstract The outcome after heart and lung transplantation has improved significantly. Consequently, many patients are admitted to the hospital for routine surgical interventions that are initially non-transplant-specific. Some disorders lead to hospital admissions that affect other organ systems due to late consequences of the underlying disease or can be seen as early and late complications of the transplantation itself. Many of these surgical interventions are certainly carried out in the responsible transplant centre. Some surgeries are also performed in hospitals that do not primarily transplant and do not reg...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - June 30, 2020 Category: Intensive Care Authors: Karsten J Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Anaesthesia in Patients after Transplantation of Solid Abdominal Organs].
Abstract An ever-evolving and successful transplantation medicine is providing a large number of living patients after solid organ transplantation. Anaesthetists should therefore be prepared to come into contact with such a patient. In addition to the preoperative assessment of the pre-existing diseases, including the function of the transplanted organ, immunosuppression also plays an important role. Immunosuppression must always be continued perioperatively. Strict adherence to all hygienic regulations is essential in these patients due to immunosuppression and the associated increased risk of infection and sepsi...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - June 30, 2020 Category: Intensive Care Authors: Greve S, Palmaers T Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Brain Death and Treatment of (Potential) Organ Donors and Interactions with their Relatives].
l A Abstract In recent years, the diagnosis of irreversible brain function loss in severely brain-damaged patients has gained in importance. Brain death, defined as an irreversible loss of the overall function of the cerebrum, cerebellum and brain stem, is a prerequisite for organ removal in the context of organ donation. The article presents the legal and organizational framework.Brain death is determined on the basis of the latest update of the guidelines of the German Medical Chamber (Bundesärztekammer) using a three-step scheme and consists of clinical and instrumental examinations. After the final diagno...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - June 30, 2020 Category: Intensive Care Authors: Ungerer MN, Schönenberger S, Barreiros AP, Blaes-Eise AB, Rahmel A Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Organ Donation - Management from Donor Identification to Organ Procurement].
Abstract According to the Transplantation Act (TPG), clinics and transplant commissaries (TxB) are obliged to ensure quality in donor evaluation. They are supervised. TxBs exist in every hospital that carries out organ harvesting and are always available. They are responsible for the conception of the organ donation process and should manage each individual case from the evaluation to the implementation of the patient's wishes.The evaluation for potential organ donors should be routine and supported by IT technology. The intensive care team must inform the TxB about living patients who "come into consideratio...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - June 30, 2020 Category: Intensive Care Authors: Logemann F Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Recommendations on Hygiene in Regional Anaesthesia].
This article gives an overview on hygiene requirements based on the S1-guideline "Hygiene recommendations on regional anaesthesia", current recommendations of the Robert Koch-Institute and current scientific insights. Basic hygienic standards (removal of jewellery, accurate hand disinfection, clean environment) are to be applied. A face mask to cover nose and mouth, a surgical hair cap and sterile gloves are essential parts of any block. For catheter placements a sterile gown with long arms is recommended and also a sterile cover for the ultrasound probe (including the cable when catheters are placed). Skin disin...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - June 30, 2020 Category: Intensive Care Authors: Volk T, Kubulus C Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Infection Prevention in Anesthesiology during the SARS-CoV 2-pandemic].
z O Abstract It is necessary to discuss the sometimes competing goals of sufficient critical care capacity, maintenance of regular patient care, protection of medical staff, interruption of infectious chains within the general public and individual aspects of patient care in anesthesia and the operating room in times of the SARS CoV-2 pandemic, given the uncertainty of many data on which decisions need to be based. Basic hygiene remains the cornerstone of infection prevention especially when resources are sparse and SARS-CoV-2 specific additional measures need to be taken according to a risk analysis taking the dy...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - June 30, 2020 Category: Intensive Care Authors: Schulz-Stübner S, Kunitz O Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

Hygiene und Hygienevorschriften.
PMID: 32590858 [PubMed - as supplied by publisher] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - May 31, 2020 Category: Intensive Care Authors: Rosenberger P Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Anaesthesia-related Infection Prevention during Operations].
Abstract The processes of anaesthesia during operations enable surgical disciplines to perform a wide range of procedures. However, anaesthesia procedure may also represent a potential risk of infection for the surgical patient. Important hygiene measures concern the following topics: hand hygiene, surface disinfection, administration of parenteral drugs, dealing with catheters, intubation, perioperative antibiotic prophylaxis, temperature management, change intervals, OR workflow organization. The selection of hygiene measures for anaesthesia staff in the operating theatre listed in this article is presented in t...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - May 31, 2020 Category: Intensive Care Authors: Tatzel J, Brinkmann A, Kaltwasser A, Dubb R, Nachtigall I Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Disinfection, Bathing, Dressing: Avoiding Infections in the Intensive Care Unit].
Abstract In German intensive care units, 10 000 to 15 000 patients die annually due to nosocomial infections. Estimated 20 to 30% of these infections are preventable. Disinfecting is one of the most effective measures to avoid these infections. Hand disinfection in particular is one of the most important components to prevent infections. Another tool is whole body bathing, but it is rarely used in intensive care units. Antiseptics-impregnated dressings represent a further possibility for reducing device-associated infections. However, recently there has been an increase in reports of resistance not only to ant...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - May 31, 2020 Category: Intensive Care Authors: Steiner J Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Do we Isolate Patients or Bugs? Challenging Isolation Precautions].
Abstract Isolation of patients with multidrug-resistant organisms (MRGN) has been recommended since years. Recent evidence suggests no benefit by this isolation procedure. Furthermore, isolation precautions may have potential negative effects on patient well-being and may increase therapeutic error.Rather than blocking patients up in a room, implementing and continuous education about standard precautions as hand washing and contact awareness may decrease spread of MRGN and other resistant bacteria. In this context, evidence about mechanism of resistance transfer between bacteria is still expanding. Education abou...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - May 31, 2020 Category: Intensive Care Authors: Haeberle HA Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Cancer Patients: Relevant Aspects for Anesthesiology].
This article serves as a review from anesthetists to anesthetists conveying the important aspects for taking a comprehensive patient history as well as summarizing the adverse events of major drug classes currently in use in oncology. PMID: 32590862 [PubMed - as supplied by publisher] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - May 31, 2020 Category: Intensive Care Authors: Ohnesorge J, Weigand MA Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

Pssst  … AINS-Secrets: Vorsicht, infektiös!
Pssst … AINS-Secrets: Vorsicht, infektiös! Anasthesiol Intensivmed Notfallmed Schmerzther. 2020 Jun;55(6):406-411 Authors: Wendler LD, Haake B, Zacharowski K PMID: 32590863 [PubMed - as supplied by publisher] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - May 31, 2020 Category: Intensive Care Authors: Wendler LD, Haake B, Zacharowski K Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Correction: Update Cardiac Support and Assist Therapies].
PMID: 32396942 [PubMed - as supplied by publisher] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - May 11, 2020 Category: Intensive Care Authors: Lotz G Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

Update Reanimation 2020 – it takes a system to save a life.
Update Reanimation 2020 – it takes a system to save a life. Anasthesiol Intensivmed Notfallmed Schmerzther. 2020 Apr;55(4):216-217 Authors: Bein B, Scholz J PMID: 32316035 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - March 31, 2020 Category: Intensive Care Authors: Bein B, Scholz J Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Out-of-Hospital Cardiopulmonary Resuscitation].
r H Abstract With an incidence of 50 - 70 resuscitations attempted per 100000 inhabitants and year Out-of-hospital cardiac arrest (OHCA) is one of the leading causes of death in adults in the developed world. Thus, cardiac arrest is a common emergency situation attended by emergency medical services (EMS). Due to the pathophysiology it is one of the most time-critical emergencies: after 3 - 5 minutes of cardiac arrest without resuscitation efforts the likelihood of neurological impairments is significantly increased once the patient survives the initial event. Therefore, the immediate start of basic life s...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - March 31, 2020 Category: Intensive Care Authors: Wnent J, Gräsner JT, Maurer H Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Update Resuscitation - In-hospital Cardiac Arrest].
This article summarizes essential elements of a modern emergency management in hospitals. PMID: 32316037 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - March 31, 2020 Category: Intensive Care Authors: Seewald S, Schewe JC, Lenkeit S, Jantzen T, Bein B Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Update Resuscitation - Resuscitation 4.0].
Abstract The future of emergency medicine is determined by technical innovations. Besides virtual reality in education and training, the detection of a deteriorating patient and a cardiac arrest will become digital. The biggest milestone will be the individualized cardiopulmonary resuscitation (CPR). Maybe in future virtual intelligence will determine the CPR workflow more than standardized algorithm. PMID: 32316038 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - March 31, 2020 Category: Intensive Care Authors: Seewald S, Jakisch B Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[SARS CoV-2/COVID-19: Evidence-Based Recommendation on Diagnosis and Therapy].
Abstract COVID-19, a new viral disease affecting primarily the respiratory system and the lung, has caused a pandemic with serious challenges to health systems around the world. In about 20% of patients, severe symptoms occur after a mean incubation period of 5 - 6 days; 5% of patients need intensive care therapy. Morbidity is about 1 - 2%. Protecting health care workers is of paramount importance in order to prevent hospital acquired infections. Therefore, during all procedures associated with aerosol production, a personal safety equipment consisting of a FFP2/FFP3 (N95) respiratory mask, gloves, safety ...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - March 31, 2020 Category: Intensive Care Authors: Bein B, Bachmann M, Huggett S, Wegermann P Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Obstetric Anesthesia During the SARS-CoV-2 Pandemic - a Brief Overview of Published Recommendations for Action by National and International Specialist Societies and Committees].
Abstract The most common human corona viruses cause common colds. But three of these viruses cause more serious, acute diseases; Middle East Respiratory Syndrome (MERS by MERS-CoV), Severe Acute Respiratory Syndrome (SARS) by SARS-CoV and COVID-19 by SARS-CoV-2. The current outbreak was classified by the WHO as a "global public health emergency". Despite all efforts to reduce the surgical lists and to cancel or postpone non-time-critical surgical interventions, some surgical and anesthetic interventions outside of intensive care medicine are still necessary and must be performed. This is particularly tru...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - March 31, 2020 Category: Intensive Care Authors: Kranke P, Weibel S, Sitter M, Meybohm P, Girard T Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

Organersatzverfahren.
PMID: 32191968 [PubMed - in process] (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - February 29, 2020 Category: Intensive Care Authors: Zacharowski K Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Update Cardiac Support and Assist Therapies].
Abstract The management of acute and chronic heart failure utilizes various different techniques and medical devices. Different mechanical chest compression devices (mCPR), intraaortic balloon pump, catheter-based heart pumps like Impella®, and different kinds of ECLS/ECMO are mainly used as bridge to recovery. Venovenous ECMO gained wide acceptance after the CESAR trial. Venoarterial ECMO plays an increasing role as extracorporeal CPR (eCPR). Newer concepts include venovenoarterial ECMO and the combination of ECMO and Impella. Principles and limitations of these concepts are discussed. Surgically implanted de...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - February 29, 2020 Category: Intensive Care Authors: Lotz G Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Update Extracorporeal Lung Support].
Abstract Extracorporeal lung support is increasingly implemented worldwide in clinical practice in patients with severe acute respiratory distress syndrome (ARDS) and is required when mechanical ventilation is unable to establish sufficient pulmonary gas exchange or if the respirator settings are persistent elevated with an increased risk for ventilator induced lung injury (VILI). Besides that, hypercapnic respiratory failure in patients with acute exacerbation of COPD (AECOPD) or acute respiratory syndrome (ARDS) is common and may require extracorporeal elimination of carbon dioxide by ECCO2R, which also has been...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - February 29, 2020 Category: Intensive Care Authors: Reyher C, Muellenbach RM, Lepper PM, Mutlak H Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

[Update: Renal Replacement Therapy].
Abstract Renal replacement therapy (RRT) remains the cornerstone of treatment for severe acute kidney injury. However, despite its spreading use along with rising incidences of acute kidney injury, evidence of most recommendations is limited so far. Early initiation of RRT seems to reduce mortality but is associated with higher incidence of adverse events. Continuous RRT is advantageous in terms of hemodynamic control and decreased incidence of chronic dialysis dependency but without affecting mortality. Regional citrate anticoagulation should be preferred with regard to longer filter circuit life span. Intensifie...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - February 29, 2020 Category: Intensive Care Authors: Massoth C, Zarbock A Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research