Ethisch begr ündet entscheiden in der Intensivmedizin
Anasthesiol Intensivmed Notfallmed Schmerzther. 2024 Jan;59(1):52-57. doi: 10.1055/a-2211-9608. Epub 2024 Jan 8.ABSTRACTThe process recommendations of the Ethics Section of the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI) for ethically based decision-making in intensive care medicine are intended to create the framework for a structured procedure for seriously ill patients in intensive care. The processes require appropriate structures, e.g., for effective communication within the treatment team, with patients and relatives, legal representatives, as well as the availability of pall...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - January 8, 2024 Category: Intensive Care Authors: Susanne J öbges Jochen Dutzmann Iris Barndt Hilmar Burchardi Gunnar Duttge Steffen Grautoff Peter Gretenkort Christiane Hartog Kathrin Knochel Friedemann Nauck Gerald Neitzke Stefan Meier Andrej Michalsen Annette Rogge Fred Salomon Anna-Henrikje Seidlein Source Type: research

Hypnose als Chance f ür die Anästhesie
This article gives examples of better phrasings and elaborates the scientific evidence of positive suggestions that can even stop bleeding. The goal is to show simple ways to improve communication with patients and induce feelings of control and safety.PMID:38190827 | DOI:10.1055/a-2044-8428 (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - January 8, 2024 Category: Intensive Care Authors: Barbara Schmidt Source Type: research

Acute respiratory distress syndrome (ARDS): New perspectives in diagnostics and therapy
Anasthesiol Intensivmed Notfallmed Schmerzther. 2024 Jan;59(1):10-11. doi: 10.1055/a-2214-4025. Epub 2024 Jan 8.NO ABSTRACTPMID:38190821 | DOI:10.1055/a-2214-4025 (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - January 8, 2024 Category: Intensive Care Authors: Gernot Marx Source Type: research

Pathophysiology of Acute Respiratory Distress Syndrome
Anasthesiol Intensivmed Notfallmed Schmerzther. 2024 Jan;59(1):12-22. doi: 10.1055/a-2043-8602. Epub 2024 Jan 8.ABSTRACTAcute respiratory distress syndrome (ARDS) is a common condition in intensive care medicine. Various intra- and extrapulmonal causes may trigger an epithelial and endothelial permeability increase, which leads to impaired gas exchange due to fluid overload of the alveoli and transmigration of leukocytes. This results in hypoxemia and hypercapnia, as well as deleterious consequences for the macro- and microcirculation with the risk of multi-organ failure and high mortality. This review summarizes ARDS path...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - January 8, 2024 Category: Intensive Care Authors: Quirin Notz Johannes Hermann Ralf M Muellenbach Christopher Lotz Source Type: research

ARDS Diagnostics and Treatment after the Coronavirus Pandemic - Everything as it was?
Anasthesiol Intensivmed Notfallmed Schmerzther. 2024 Jan;59(1):24-33. doi: 10.1055/a-2043-8628. Epub 2024 Jan 8.ABSTRACTARDS is a syndrome that can develop as a result of various underlying diseases. For a long time, the prevailing belief was that the course of the disease was comparable regardless of the underlying disease. However, even before the COVID-19 pandemic, it was suspected that there were different manifestations that could be treated more individually and thus reduce the high mortality rate of ARDS, which has remained unchanged for years. The various findings on the heterogeneity of the course of the disease i...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - January 8, 2024 Category: Intensive Care Authors: Rolf Dembinski Source Type: research

Potential of AI for the Treatment of Acute Respiratory Distress Syndrome (ARDS)
This article shows what is already possible and where further challenges lie in this field of digital medicine.PMID:38190824 | DOI:10.1055/a-2043-8644 (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - January 8, 2024 Category: Intensive Care Authors: Johannes Bickenbach Source Type: research

Quiz intensiv – stellen Sie die Diagnose!
Anasthesiol Intensivmed Notfallmed Schmerzther. 2024 Jan;59(1):46-50. doi: 10.1055/a-2196-0291. Epub 2024 Jan 8.NO ABSTRACTPMID:38190825 | DOI:10.1055/a-2196-0291 (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - January 8, 2024 Category: Intensive Care Authors: Dominik Dickmann Evangelos Karasimos Source Type: research

Ethisch begr ündet entscheiden in der Intensivmedizin
Anasthesiol Intensivmed Notfallmed Schmerzther. 2024 Jan;59(1):52-57. doi: 10.1055/a-2211-9608. Epub 2024 Jan 8.ABSTRACTThe process recommendations of the Ethics Section of the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI) for ethically based decision-making in intensive care medicine are intended to create the framework for a structured procedure for seriously ill patients in intensive care. The processes require appropriate structures, e.g., for effective communication within the treatment team, with patients and relatives, legal representatives, as well as the availability of pall...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - January 8, 2024 Category: Intensive Care Authors: Susanne J öbges Jochen Dutzmann Iris Barndt Hilmar Burchardi Gunnar Duttge Steffen Grautoff Peter Gretenkort Christiane Hartog Kathrin Knochel Friedemann Nauck Gerald Neitzke Stefan Meier Andrej Michalsen Annette Rogge Fred Salomon Anna-Henrikje Seidlein Source Type: research

Hypnose als Chance f ür die Anästhesie
This article gives examples of better phrasings and elaborates the scientific evidence of positive suggestions that can even stop bleeding. The goal is to show simple ways to improve communication with patients and induce feelings of control and safety.PMID:38190827 | DOI:10.1055/a-2044-8428 (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - January 8, 2024 Category: Intensive Care Authors: Barbara Schmidt Source Type: research

Monitoring
Anasthesiol Intensivmed Notfallmed Schmerzther. 2023 Dec;58(11-12):625. doi: 10.1055/a-2186-2831. Epub 2023 Dec 6.NO ABSTRACTPMID:38056441 | DOI:10.1055/a-2186-2831 (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - December 6, 2023 Category: Intensive Care Authors: Hinnerk Wulf Source Type: research

EEG-Messung in Narkose
Anasthesiol Intensivmed Notfallmed Schmerzther. 2023 Dec;58(11-12):626-638. doi: 10.1055/a-2006-9907. Epub 2023 Dec 6.ABSTRACTBased on the existing literature, the application of designated, processed EEG-monitors to measure anesthetic depth and the associated clinical implications are explained. EEG-monitors quantify the hypnotic portion of anesthesia, but not the nociceptive properties of anesthetics. Depth of anesthesia monitoring is common practice in many German hospitals and helps to visualize the interindividual variability of anesthetics, especially of propofol. Although deep anesthesia is associated with increased...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - December 6, 2023 Category: Intensive Care Authors: Richard Ellerkmann Martin S öhle Source Type: research

New Approaches in Perioperative Algesimetry
This article explains methodological similarities, but also points to specific aspects of various commercial solutions for perioperative algesimetry.PMID:38056443 | DOI:10.1055/a-2006-9923 (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - December 6, 2023 Category: Intensive Care Authors: Thomas Ledowski Source Type: research

Methemoglobinemia Induced by Sildenafil Tablets Ordered in the Darknet - Importance of Syncopes' Causes
We report on an unusual case of accidental intoxication with probably contaminated tablets which were bought in the darknet. Finally, diagnosis was made by blood gas analysis' methemoglobine values.PMID:38056444 | DOI:10.1055/a-2141-3782 (Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS)
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - December 6, 2023 Category: Intensive Care Authors: Marc-Michael Ventzke Felix Girrbach Source Type: research

Asymptomatic SARS-CoV-2 Infection and "in situ split" Liver Resection with Fatal Outcome - A Case Report
We report the perioperative course of a 47-year-old patient who underwent a two-stage liver resection for bilobar metastatic colorectal carcinoma. The respiratory asymptomatic patient was tested positive for SARS-CoV-2 by PCR detection one day before the second surgical procedure. Postoperatively, the patient suffered cardiovascular arrest on postoperative day 8 and died despite immediately initiated resuscitative measures. With an initial clinical suspicion of vascular liver failure, postmortem pathologic examination revealed the underlying cause of death to be COVID-19-related myocarditis with acute right heart failure. ...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - December 6, 2023 Category: Intensive Care Authors: Sarah-Helene M üller Philipp Anton Holzner Torsten Loop Source Type: research

Psychosocial Care in the Intensive Care Unit
Anasthesiol Intensivmed Notfallmed Schmerzther. 2023 Dec;58(11-12):666-674. doi: 10.1055/a-2081-3521. Epub 2023 Dec 6.ABSTRACTThe improvement of intensive care treatment options leads to an increasing number of patients being treated in this setting. For the majority of those affected and their relatives, this treatment is associated with tremendous stress, but also subsequent physical, psychological and cognitive impairments, the post-intensive care syndrome. The aim of psychosocial support in the intensive care unit is to stabilise and minimise the acute stress. This is done through care services oriented towards trauma ...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - December 6, 2023 Category: Intensive Care Authors: Claudia Denke Barbara Voigt Henning Krampe Claudia Spies Matthias Rose Source Type: research