[Perioperative pharmacological circulatory support in daily clinical routine].
This article provides concise recommendations. PMID: 32572502 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 22, 2020 Category: Anesthesiology Authors: Haas A, Schürholz T, Reuter DA Tags: Anaesthesist Source Type: research

[TEG-guided treatment of a dabigatran overdose in a  patient with acute kidney failure].
This article presents the case of a multimorbid male patient with an accidental dabigatran overdose caused by kidney failure in the context of an acute intestinal disorder. After effective initial antagonizing of the dabigatran effect using idarucizumab a dabigatran rebound was detected caused by a single hemodialysis leading to a severe intrapulmonary hemorrhage. As dabigatran plasma level testing was not available and conventional coagulation analysis was out of interpretable range due to the impact of dabigatran, continuous thrombelastography (TEG) was used to detect the effect of dabigatran and moni...
Source: Der Anaesthesist - June 20, 2020 Category: Anesthesiology Authors: Lorenz KW, Schäfer R Tags: Anaesthesist Source Type: research

[Pilot study on subjectively and objectively measurable stress reduction in the daily routine of a  university anesthesia department by an intervention program according to mindfulness-based stress reduction].
CONCLUSION: An MBSR-based intervention in combination with short exercises during and after work can be implemented in daily work of anesthetists at a university hospital. Furthermore, there was clear evidence that the intervention program increased resilience and reduced burnout symptoms for up to 6 months. These findings are in line with the literature that MBSR reduces risk of burnout symptoms. The decrease in well-being might be biased by a high amount of socially accepted answers at the beginning of the study (t0). PMID: 32561949 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 19, 2020 Category: Anesthesiology Authors: Gerber B, Scriba J, Geissler A, Reckling H, Fischer M, Karl D, Chung BY, Benrath J Tags: Anaesthesist Source Type: research

[Sustainability in anesthesiology].
PMID: 32556362 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 18, 2020 Category: Anesthesiology Authors: Coburn M, Schuster M, Kowark A Tags: Anaesthesist Source Type: research

[Severe noncardiogenic pulmonary edema due to permeability disorder after i.v. administration of CT contrast medium with subsequent venovenous extracorporeal membrane oxygenation].
This article presents the case of a 48-year-old man with NCPE who underwent elective coronary CT as part of the evaluation of recurrent syncope. After administration of iodinated contrast medium the patient developed a fulminant lung edema, which led to severe hypoxemia with cardiac arrest despite immediate treatment by the medical emergency team, including assisted ventilation, prednisolone, dimetindene and adrenaline. An early echocardiographic assessment after ROSC and intubation showed an intact cardiac function and no signs of valvular pathologies. Arterial blood gas analysis revealed a severe global respira...
Source: Der Anaesthesist - June 16, 2020 Category: Anesthesiology Authors: Poros B, Katchanov J, Curta A, Weig T Tags: Anaesthesist Source Type: research

[Summary of two studies on the validation of the Critical Care Pain Observation Tool (CPOT) for assessment of pain in intensive care patients incapable of communication].
PMID: 32533209 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 12, 2020 Category: Anesthesiology Authors: Kiesewetter I, Pilge S, Kirsch M, Emsden C Tags: Anaesthesist Source Type: research

[Long-term outcome of perioperative pain therapy assessed based on routine data (LOPSTER)].
“ PMID: 32494999 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 3, 2020 Category: Anesthesiology Authors: Schwarzkopf D, Studiengruppe „LOPSTER“ Tags: Anaesthesist Source Type: research

[Terrorist attack training exercise-What can be learned? : Baden-W ürttemberg counterterrorism exercise (BWTEX)].
CONCLUSION: A mass casualty incident resulting from a terrorist attack differs greatly from a conventional mass casualty incident. The scene of the attack has to be evacuated as quickly as possible, which means that a large number of patients arrive untreated at the nearest hospitals. The setting up of treatment facilities in city centers and areas close to the city seems to be counterproductive because the time delay may result in higher mortality rates of victims. The particularities of mass casualties caused by a terrorist attack have to be incorporated into terrorist attack training. PMID:...
Source: Der Anaesthesist - June 2, 2020 Category: Anesthesiology Authors: Pfenninger EG, Klingler W, Keiloweit T, Eble M, Wenzel V, Krüger WA Tags: Anaesthesist Source Type: research

[Stressors for patients in the intensive care unit : An analysis taking controllability into consideration].
e M Abstract OBJECTIVE: Studies on stress factors for patients in intensive care units (ICU) have so far concentrated on whether certain stressors have occurred or how stressful they were. There are no studies on stress for patients in ICUs that measured both the perception of stress and the chances perceived to control it; however, loss of control can result in long-term psychopathological consequences, such as depression or posttraumatic stress disorder. Therefore, a questionnaire was developed to evaluate the influence of controllability on perception of stress. The aim of this study was to answer the foll...
Source: Der Anaesthesist - June 2, 2020 Category: Anesthesiology Authors: Reinberger M, Bouchard R, Muhl E, Nau C, Hüppe M Tags: Anaesthesist Source Type: research

[Anti-infective treatment in obesity-"just double it?"]
[Anti-infective treatment in obesity-"just double it?"] Anaesthesist. 2020 Jun 02;: Authors: Simon P Abstract Adaequate antibiotic therapy is crucial for successful anti-infective therapy. In addition to the choice of the right antibiotic and the duration of therapy, the dose also plays a decisive role. Obesity has an influence on the pharmacokinetics of antibiotics, which can lead to underdosing if previous weight-independent dosing regimes are used. It is therefore necessary to carry out systematic measurements of concentrations in obese patients. Since pharmacokinetic differences bet...
Source: Der Anaesthesist - June 2, 2020 Category: Anesthesiology Authors: Simon P Tags: Anaesthesist Source Type: research

[Noninvasive evaluation of airways prior to sedation or anesthesia : An update within the framework of the revision of the German S1 guidelines on airway management 2015 of the German Society for Anesthesiology and Intensive Care Medicine].
;t M Abstract As a single and reliable parameter for prediction of the difficult airway is missing, the specialist societies for anesthesiology recommend the use of scores that combine the individual parameters. Contemporary scores include head-neck mobility, mouth opening and anatomical distances. Their training and correct performance are essential. For a broad acceptance the performance has to be easy and fast. In addition, before anesthesia a check must be made for pathological alterations (e.g. tumors) in the head and neck region and the patient history must be thoroughly determined. If the patient repor...
Source: Der Anaesthesist - May 29, 2020 Category: Anesthesiology Authors: Ilper H, Kunz T, Faißt M Tags: Anaesthesist Source Type: research

[Internal hospital emergency management : Concepts for optimization of patient safety in hospitals].
Abstract Critical incidents in hospitals can often be predicted hours before the event and can mostly be detected earlier and presumably avoided. Quality management programs from US hospitals to reduce deaths following a severe postoperative complication (failure to rescue, FTR), have in this form not yet become established in Germany. A sensitive score-based early warning system for looming complications is decisive for successful in-hospital emergency management. In addition to measurement rounds where the frequency is adapted to the severity, this includes effective communication of the results to the ward...
Source: Der Anaesthesist - May 23, 2020 Category: Anesthesiology Authors: Heller AR, Koch T Tags: Anaesthesist Source Type: research

[Preclinical management of cardiac arrest-extracorporeal cardiopulmonary resuscitation].
CONCLUSION: Survival after cardiac arrest and the subsequent quality of life dependent on many different factors. The time factor, i.e. the avoidance of a no-flow phase and reduction of the low-flow phase is of fundamental importance. The immediate restoration of the circulation and oxygen supply by eCPR can significantly improve survival; however, large randomized, controlled trials are currently not available. PMID: 32435820 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - May 20, 2020 Category: Anesthesiology Authors: Lotz C, Muellenbach RM, Meybohm P, Rolfes C, Wulf H, Reyher C Tags: Anaesthesist Source Type: research

[Is it really an acute respiratory distress syndrome? : Current definitions, pathophysiology and differentiated diagnoses].
Abstract Although the Berlin definition of the acute respiratory distress syndrome (ARDS) is generally recognized, the differentiation from other diseases with severe gas exchange disturbances is often difficult in clinical practice. In particular, the assessment of radiological findings and identification of primary noncardiogenic lung edema pose problems. In ARDS typical inflammatory processes can be found with involvement of activated neutrophilic granulocytes. Anti-inflammatory treatment strategies were unsuccessful. Lung protective ventilation strategies and prone positioning are the only evidence-based treat...
Source: Der Anaesthesist - May 19, 2020 Category: Anesthesiology Authors: Dembinski R Tags: Anaesthesist Source Type: research

[Management of patients with MELAS syndrome : A  case report and general characteristics from an anesthesiological perspective].
CONCLUSION: Patients with MELAS syndrome represent a challenging cohort with respect to management of anesthesia and an intensive monitoring of the metabolic status is crucial. In cases of increasing lactate values, the administration of intraoperative parenteral nutrition seems to be a suitable approach to avoid lactic acidosis and to improve the perioperative treatment of patients with MELAS syndrome in the future. PMID: 32424662 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - May 18, 2020 Category: Anesthesiology Authors: Roth S, Nienhaus J, Nickel F, Kindgen-Milles D, Kienbaum P, Huhn R Tags: Anaesthesist Source Type: research

„Next Generation Sequencing“ zur Diagnostik der Bakteriämie bei Sepsis – Next GeneSiS-Trial.
„Next Generation Sequencing“ zur Diagnostik der Bakteriämie bei Sepsis – Next GeneSiS-Trial. Anaesthesist. 2020 May 15;: Authors: Brenner T, TIFOnet Critical Care Trials Group PMID: 32415307 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - May 15, 2020 Category: Anesthesiology Authors: Brenner T, TIFOnet Critical Care Trials Group Tags: Anaesthesist Source Type: research

[Impact of premedication on anxiety: a multi-centre, prospective observational cohort study].
PMID: 32415308 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - May 15, 2020 Category: Anesthesiology Authors: Kowark A, Studiengruppe IMPACT Tags: Anaesthesist Source Type: research

[Improve Hip Fracture Outcome In The Elderly Patient (iHOPE): a multicentre randomized controlled trial to test the efficacy of spinal versus general anaesthesia].
“ PMID: 32415309 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - May 15, 2020 Category: Anesthesiology Authors: Kowark A, Studiengruppe „iHOPE“ Tags: Anaesthesist Source Type: research

[Ultrasound visualization of the guidewire and positioning of the central venous catheter : A  prospective observational study].
CONCLUSION: The presented intraprocedural ultrasound-based method using two standard acoustic windows is reliable for verification of the correct intravenous location and direction of the guidewire even before dilatation of the vessel puncture site for insertion of the catheter. Furthermore, the method allows the clinically acceptable measurement of the required length for catheter positioning. A chest radiograph can be waived provided the ultrasound examination (identification of the guidewire and exclusion of puncture-related complications such as pneumothorax) is unambiguous. PMID: 32409857 [PubMed - as supplied by...
Source: Der Anaesthesist - May 14, 2020 Category: Anesthesiology Authors: Zick G, Eimer C, Renner J, Becher T, Kott M, Schädler D, Weiler N, Elke G Tags: Anaesthesist Source Type: research

["Legal highs" (new psychoactive substances) : What does the anesthesiologist need to know?]
["Legal highs" (new psychoactive substances) : What does the anesthesiologist need to know?] Anaesthesist. 2020 May 13;: Authors: Eichler J, Rehm M, Azad SC Abstract In recent years, the social media, the press and the internet have reported more about the topic of "legal highs" and new psychoactive substances (NPS). The use of these drugs is accompanied by a serious risk of undesired side effects, intoxication and even death. The often unknown chemical composition, unspecific clinical presentations and lack of quickly available routine diagnostic tests are aggravating factors...
Source: Der Anaesthesist - May 13, 2020 Category: Anesthesiology Authors: Eichler J, Rehm M, Azad SC Tags: Anaesthesist Source Type: research

[New challenges for intensive care medicine due to climate change and global warming].
CONCLUSION: Intensive care medicine must be prepared for the challenges due to global warming and climate change. Slow but continuous changes (e.g. rise in temperature) as well as acute changes (e.g. heat waves and natural disasters) will induce an increased need for intensive medical care services (e.g. an increase in the need for renal replacement procedures). Intensive care physicians will need to be familiar with the diagnostics and management of diseases associated with the climate change. An initiative of the specialist societies involved would be welcomed. PMID: 32399720 [PubMed - as supplied by publisher] (Sou...
Source: Der Anaesthesist - May 12, 2020 Category: Anesthesiology Authors: Bein T, Karagiannidis C, Gründling M, Quintel M Tags: Anaesthesist Source Type: research

Successful management of anesthesia complications in a  child with Crouzon syndrome.
This article presents the case of a child aged 2 years and 7 months with CS scheduled for bilateral tonsillectomy and adenoidectomy. The patient had a difficult procedure of extubation and was reintubated and the tracheal intubation was removed 2 days after surgery. The CS is a rare condition with physical characteristics that can result in difficult airway manipulation. It is important for anesthesiologists to recognize and avoid potential airway complications in the management of such patients through detailed preoperative evaluation and careful observation after surgery to reduce perioperative r...
Source: Der Anaesthesist - May 6, 2020 Category: Anesthesiology Authors: Wang X, Xu Z, Xiao Y, Chen G Tags: Anaesthesist Source Type: research

Implementation of anesthesia quality indicators in Germany : A  prospective, national, multicenter quality improvement study.
This study tested the hypothesis that the implementation of the 10 QI is feasible in German hospitals. MATERIAL AND METHODS: This prospective three-phase national multicenter quality improvement study was conducted in 15 German hospitals and 1 outpatient anesthesia center from March 2017 to February 2018. The trial consisted of an initial evaluation of pre-existing structures and processes by the heads of the participating anesthesia departments, followed by a 6-month implementation phase of the QI as well as a final re-evaluation phase. The implementation procedure was supported by web-based imple...
Source: Der Anaesthesist - May 6, 2020 Category: Anesthesiology Authors: Ziemann S, Coburn M, Rossaint R, Van Waesberghe J, Bürkle H, Fries M, Henrich M, Henzler D, Iber T, Karst J, Kunitz O, Löb R, Meißner W, Meybohm P, Mierke B, Pabst F, Schaelte G, Schiff J, Soehle M, Winterhalter M, Kowark A Tags: Anaesthesist Source Type: research

[Does accelerated surgery result in a benefit for patients with geriatric traumatic hip fractures?]
PMID: 32367160 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - May 4, 2020 Category: Anesthesiology Authors: Roehl A, Coburn M Tags: Anaesthesist Source Type: research

[COVID-19 pandemic: structured expansion of ventilation capacities using home respirators].
g; M Abstract Due to the current COVID-19 pandemic there is a need for a rapid increase in intensive care and ventilation capacities. Delivery times for additional intensive care respirators are currently not foreseeable. An option to increase ventilation capacities not only for COVID-19, but for all patients requiring mechanical ventilation is to use home respirators. Home respirators are turbine respirators, so they can usually be operated without high-pressure oxygen connections and can therefore also be used in areas outside the classical intensive care medical infrastructure. Due to their limited te...
Source: Der Anaesthesist - April 29, 2020 Category: Anesthesiology Authors: Summ O, Schute J, Byhahn C, Kahle T, Herrmann M, Schulte C, Bergold MN, Groß M Tags: Anaesthesist Source Type: research

[New challenges for anesthesia due to the climate change].
CONCLUSION: (I) Volatile anesthetics are highly potent greenhouse gases, especially desflurane has a major global warming potential. Total intravenous anesthesia (TIVA) with propofol or regional anesthetic techniques have a much lower impact on the climate. (II) Using sustainable energy sources as well as initiating energy sparing techniques, such as light-emitting diodes (LED) and motion sensors, can reduce CO2 emissions. (III) Waste can be managed by the reduce, reuse, recycle, rethink and research concept. Doctors should actively contribute to reach the climate goals. PMID: 32346776 [PubMed - as...
Source: Der Anaesthesist - April 28, 2020 Category: Anesthesiology Authors: Koch S, Pecher S Tags: Anaesthesist Source Type: research

[Outpatient treatment of acute injuries of upper extremities with axillary plexus anesthesia in the emergency department-Is that possible without continuous anesthesia attendance?]
This article retrospectively reports the authors' experiences with a treatment algorithm in which emergency patients were treated by ultrasound-guided axillary brachial plexus blocks (ABPB) and surgery carried out in the emergency department without further anesthesia attendance. METHODS: Patients were preselected by the surgeon if they were suitable for a standardized treatment without anesthesia attendance during surgery. If there were no anesthesiological or surgical contraindications patients received an ABPB in the holding area of the operating room (OR) under standard monitoring. Blocks were performed as a ...
Source: Der Anaesthesist - April 28, 2020 Category: Anesthesiology Authors: Rand A, Avila González CA, Feigl GC, Mäcken T, Weiß T, Zahn PK, Litz RJ Tags: Anaesthesist Source Type: research

[Effect of implementation of a trauma leader on process parameters for polytrauma treatment in the shock room of a tertiary care hospital].
Abstract BACKGROUND: In patients up to the age of 40 years old severe trauma is the most frequent cause of death in Germany. According to the current S3 guidelines on treatment of polytrauma and the severely injured, since 2011 the presence of a shock room coordinator should be considered, who can improve the survival of patients by optimized treatment quality and times. The aim of the present study was to analyze various parameters of shock room treatment for polytraumatized patients before and after implementation of a shock room coordinator for treatment of polytrauma. MATERIAL AND METHODS: To en...
Source: Der Anaesthesist - April 24, 2020 Category: Anesthesiology Authors: Schmitz J, Battenberg T, Drinhaus H, Eifinger F, Ries C, Hinkelbein J Tags: Anaesthesist Source Type: research

[Anesthesia and intensive care ventilators: differences and usability in COVID-19 patients].
Abstract The current coronavirus disease 2019 (Covid-19) pandemia is a highly dynamic situation characterized by therapeutic and logistic uncertainties. Depending on the effectiveness of social distancing, a shortage of intensive care respirators must be expected. Concomitantly, many physicians and nursing staff are unaware of the capabilities of alternative types of ventilators, hence being unsure if they can be used in intensive care patients. Intensive care respirators were specifically developed for the use in patients with pathological lung mechanics. Nevertheless, modern anesthesia machines offer similar tec...
Source: Der Anaesthesist - April 24, 2020 Category: Anesthesiology Authors: Notz Q, Herrmann J, Stumpner J, Schmid B, Schlesinger T, Kredel M, Kranke P, Meybohm P, Lotz C Tags: Anaesthesist Source Type: research

[Viral infection and lack of ventilators-d éjà vu?]
[Viral infection and lack of ventilators-déjà vu?] Anaesthesist. 2020 Apr 23;: Authors: Briegel J PMID: 32328694 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 23, 2020 Category: Anesthesiology Authors: Briegel J Tags: Anaesthesist Source Type: research

[Posterior reversible encephalopathy syndrome and hyperammonemia: two entities causing cerebral edema and status epilepticus in a female patient after lung transplantation].
bhenn J Abstract A 58-year-old woman developed rapidly progressive neurological symptoms and finally loss of vigilance 5 weeks following primarily successful lung transplantation. A posterior reversible encephalopathy syndrome (PRES) under treatment with tacrolimus as well as hyperammonemia due to sepsis with Ureaplasma urealyticum could be identified as the causes. Infections with Ureaplasma, bacteria which produce ammonia as a product of metabolism, are increasingly being identified in immunocompromised people by specific PCR (polymerase chain reaction) procedures and should routinely be taken into consider...
Source: Der Anaesthesist - April 21, 2020 Category: Anesthesiology Authors: Bächle F, Bansbach J, Hettich I, Lambeck J, Senbaklavaci Ö, Kalbhenn J Tags: Anaesthesist Source Type: research

[Machine learning in anesthesiology].
Abstract The application of artificial intelligence (AI) is currently changing very different areas of life. Artificial intelligence involves the emulation of human behavior with the aid of methods from mathematics and informatics. Machine learning (ML) represents a subdivision of AI. Algorithms for ML have the potential to optimize patient care, in that they can be utilized in a supportive way in personalized medicine, decision making and risk prediction. Although the majority of the applications in medicine are still limited to data analysis and research, it is certain that ML will become increasingly more impor...
Source: Der Anaesthesist - April 21, 2020 Category: Anesthesiology Authors: Sassenscheidt J, Jungwirth B, Kubitz JC Tags: Anaesthesist Source Type: research

[Treatment options for acute respiratory distress syndrome in neurointensive care. Individual management due to enhanced neuromonitoring? : A  case report series].
[Treatment options for acute respiratory distress syndrome in neurointensive care. Individual management due to enhanced neuromonitoring? : A case report series]. Anaesthesist. 2020 Apr 17;: Authors: Klocker E, Pietsch C, Pietsch U Abstract Severe pulmonary impairment can occur after traumatic brain injury or stroke. The resulting brain-lung interactions represent key points for the treatment and the subsequent outcome of the patient. Established treatment approaches, such as permissive hypercapnia and prone positioning, present the intensive care physician with divergent treatment goals in these...
Source: Der Anaesthesist - April 17, 2020 Category: Anesthesiology Authors: Klocker E, Pietsch C, Pietsch U Tags: Anaesthesist Source Type: research

Comparison of types 2 and 3 quadratus lumborum muscle blocks : Open inguinal hernia surgery in patients with spinal anesthesia.
In this study 60 patients undergoing open inguinal hernia surgery were randomly assigned to 3 groups. Group QLB2 received ultrasound-guided QLB type 2 and group QLB3 received ultrasound-guided QLB type 3 with 0.25% 20 mL bupivacaine. In the control group (group C) no intervention was performed. Postoperative analgesia was performed intravenously with 1000 mg paracetamol every 6 h and patient-controlled analgesia with fentanyl. Postoperative visual analog scale scores (VAS), opioid consumption, and first analgesic requirement time were evaluated. RESULTS: Fentanyl consumption was significantly higher in grou...
Source: Der Anaesthesist - April 17, 2020 Category: Anesthesiology Authors: Bagbanci O, Kursad H, Yayik AM, Ahiskalioglu EO, Aydin ME, Ahiskalioglu A, Karadeniz E Tags: Anaesthesist Source Type: research

[Perioperative blood pressure management : What is the optimal pressure?]
CONCLUSION: Anesthesiologists should avoid extensive and prolonged hypotension by timely interventions in order to improve the postoperative outcome of patients. PMID: 32296866 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 15, 2020 Category: Anesthesiology Authors: Welte M, Saugel B, Reuter DA Tags: Anaesthesist Source Type: research

[Liberal transfusion strategy for prevention of mortality and anemia-associated ischemic events in older noncardiac surgery patients-LIBERAL study].
“ PMID: 32291465 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 14, 2020 Category: Anesthesiology Authors: Schlesinger T, Studiengruppe „LIBERAL“ Tags: Anaesthesist Source Type: research

[Daptomycin-induced eosinophilic pneumonia associated with an early endoprosthesis infection].
Abstract Acute eosinophilic pneumonia (AEP) is a rare disease characteristically involving eosinophilic infiltration of lung parenchyma as well as fever, dyspnea, and coughing. A differentiation is made between primary and secondary AEP depending on the underlying etiology. Substances that most frequently cause secondary AEP are antibiotics, such as the lipopeptide daptomycin. This is a case report about a 69-year-old female patient who underwent antibiotic treatment with daptomycin for an infection of a knee prosthesis. During the treatment, signs of pneumonia developed and included the increa...
Source: Der Anaesthesist - April 8, 2020 Category: Anesthesiology Authors: Zimmer MA, Haffner E, Weisser CW, Mols G Tags: Anaesthesist Source Type: research

[Acute extended supply of inhalative oxygen in a pandemic].
enzel V PMID: 32246156 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 3, 2020 Category: Anesthesiology Authors: Kober B, Dötsch M, Götzelmann E, Vogel M, Eble M, Wenzel V Tags: Anaesthesist Source Type: research

[Volumetric capnography for analysis and optimization of ventilation and gas exchange].
This article presents parameters for making decisions at the bedside, which could previously only be obtained by extensive, more invasive, nonautomated procedures. PMID: 32240320 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 2, 2020 Category: Anesthesiology Authors: Böhm SH, Kremeier P, Tusman G, Reuter DA, Pulletz S Tags: Anaesthesist Source Type: research

[Foundations of Volumetric capnography : Principles of monitoring of metabolism and hemodynamics].
This article highlights the importance, particularly of volumetric capnography (VCap), for clinical monitoring of mechanically ventilated patients. The procedure provides important information on the breathing, ventilation, metabolism and hemodynamics of patients. PMID: 32239235 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 1, 2020 Category: Anesthesiology Authors: Böhm SH, Kremeier P, Tusman G, Reuter DA, Pulletz S Tags: Anaesthesist Source Type: research

[Erratum to: Management of patients with chronic pain in acute and perioperativemedicine : An interdisciplinary challenge].
etzke F PMID: 32221620 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 27, 2020 Category: Anesthesiology Authors: Erlenwein J, Pfingsten M, Hüppe M, Seeger D, Kästner A, Graner R, Petzke F Tags: Anaesthesist Source Type: research

[Safety of cell salvage in tumor surgery : Systematic review with meta-analysis].
CONCLUSION: Randomized controlled trials on a comparison of MAT and allogeneic blood transfusion as well as LDF and irradiation would be desirable but are not available. From observational trials and more than 6300 subjects and various tumors, cell salvage in cancer surgery with or without LDF appears to be sufficiently safe. The efficacy of leucocyte depletion of autologous salvaged blood is equivalent to irradiation. Unavailability of radiation is not a contraindication for cell salvage use in cancer surgery. By usage of leucocyte depleted salvaged autologous blood, the risks of allogeneic transfusion can be avoided. ...
Source: Der Anaesthesist - March 27, 2020 Category: Anesthesiology Authors: Frietsch T, Steinbicker AU, Hackbusch M, Nguyen XD, Dietrich G Tags: Anaesthesist Source Type: research

[Erratum to: Infections due to multidrug-resistant pathogens : Pathogens, resistance mechanisms and established treatment options].
PMID: 32211919 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 24, 2020 Category: Anesthesiology Authors: Richter DC, Brenner T, Brinkmann A, Grabein B, Hochreiter M, Heininger A, Storzinger D, Briegel J, Pletz M, Weigand MA, Lichtenstern C Tags: Anaesthesist Source Type: research

Coronavirus disease 2019 (COVID-19): update for anesthesiologists and intensivists March 2020.
r M Abstract The current outbreak of coronavirus disease (COVID-19) has reached Germany. The majority of people infected present with mild disease, but there are severe cases that need intensive care. Unlike other acute infectious diseases progressing to sepsis, the severe courses of COVID19 seemingly show prolonged progression from onset of first symptoms to life-threatening deterioration of (primarily) lung function. Diagnosis relies on PCR using specimens from the respiratory tract. Severe ARDS reflects the hallmark of a critical course of the disease. Preventing nosocomial infections (primarily by correct use ...
Source: Der Anaesthesist - March 24, 2020 Category: Anesthesiology Authors: Thomas-Rüddel D, Winning J, Dickmann P, Ouart D, Kortgen A, Janssens U, Bauer M Tags: Anaesthesist Source Type: research

[Erratum to: 58-year-old male with sepsis after perforation of a  sigmoid colon diverticulum : Preparation for the medical specialist examination: part 44].
[Erratum to: 58-year-old male with sepsis after perforation of a sigmoid colon diverticulum : Preparation for the medical specialist examination: part 44]. Anaesthesist. 2020 Mar 20;: Authors: Dumps C, Umrath V PMID: 32198575 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 20, 2020 Category: Anesthesiology Authors: Dumps C, Umrath V Tags: Anaesthesist Source Type: research

[Coronavirus disease 2019 (COVID-19): update for anesthesiologists and intensivists March  2020].
[Coronavirus disease 2019 (COVID-19): update for anesthesiologists and intensivists March 2020]. Anaesthesist. 2020 Mar 18;: Authors: Thomas-Rüddel D, Winning J, Dickmann P, Ouart D, Kortgen A, Janssens U, Bauer M Abstract The current outbreak of coronavirus disease (COVID-19) has reached Germany. The majority of people infected present with mild disease, but there are severe cases that need intensive care. Unlike other acute infectious diseases progressing to sepsis, the severe courses of COVID19 seemingly show prolonged progression from onset of first symptoms to life-threatening deteriora...
Source: Der Anaesthesist - March 18, 2020 Category: Anesthesiology Authors: Thomas-Rüddel D, Winning J, Dickmann P, Ouart D, Kortgen A, Janssens U, Bauer M Tags: Anaesthesist Source Type: research

Unilateral transversus abdominis plane block and port-site infiltration : Comparison of postoperative analgesic efficacy in laparoscopic cholecystectomy.
Abstract PURPOSE: To compare the analgesic efficacy of unilateral subcostal transversus abdominis plane (TAP) block with local anesthetic infiltration, applied to the port site in patients undergoing laparoscopic cholecystectomy (LC). METHODS: Group T received a unilateral subcostal TAP block, group I received a local anesthetic infiltration at port sites, and group C was the control group. Groups T and I received 20 mL 0.25% bupivacaine. Intravenous patient-controlled analgesia with tramadol was similarly applied to all groups. Postoperative pain levels during rest and cough were e...
Source: Der Anaesthesist - March 12, 2020 Category: Anesthesiology Authors: Arık E, Akkaya T, Ozciftci S, Alptekin A, Balas Ş Tags: Anaesthesist Source Type: research

[Hypotension induced by spinal anesthesia during cesarean section : Current treatment concepts].
Abstract Arterial hypotension during cesarean delivery under spinal anesthesia can cause maternal and fetal adverse effects. Therefore, current guidelines recommend the continuous and preferably prophylactic use of vasopressors, emphasizing the use of alpha-agonists, such as phenylephrine. Besides a left lateral uterine displacement either an intravenous colloid preloading or a crystalloid co-loading is recommended. The blood pressure goal is to maintain a systolic arterial blood pressure of at least 90% of the initial baseline value and to avoid a drop to less than 80% of this baseline. To achieve ...
Source: Der Anaesthesist - March 12, 2020 Category: Anesthesiology Authors: Fantin R, Ortner CM, Klein KU, Putz G, Marhofer D, Jochberger S Tags: Anaesthesist Source Type: research

[A  protestant pastor as the pioneer of emergency medicine : Sebastianus Albinus published the first emergency manual 400 years ago].
[A protestant pastor as the pioneer of emergency medicine : Sebastianus Albinus published the first emergency manual 400 years ago]. Anaesthesist. 2020 Mar 12;: Authors: Brandt L, Artmeier-Brandt U Abstract In 1588 Sebastian Weiß, the son of a miller, became the first Lutheran pastor of Dittersbach in Saxony. At home he had repeatedly witnessed successful resuscitation of drowned persons by means of simple measures by his parents. Missing appropriate recommendations in the medical literature, in 1620 as "Sebastianus Albinus" he published a booklet with measures for reviv...
Source: Der Anaesthesist - March 12, 2020 Category: Anesthesiology Authors: Brandt L, Artmeier-Brandt U Tags: Anaesthesist Source Type: research

The influence of preoperative epidural labor analgesia on postoperative pain in parturients undergoing emergency cesarean section : A  retrospective analysis.
The influence of preoperative epidural labor analgesia on postoperative pain in parturients undergoing emergency cesarean section : A retrospective analysis. Anaesthesist. 2020 Mar 09;: Authors: Park HY, Park YW, Hwang JW, Do SH, Na HS Abstract BACKGROUND: Intense noxious input from the periphery may result in central sensitization and hyperexcitability, thus accentuating subsequent postoperative pain. Parturients who undergo emergency cesarean section (C-sec) after experiencing labor pain often develop labor pain-induced sensitization. OBJECTIVE: This retrospective study evaluated whether p...
Source: Der Anaesthesist - March 9, 2020 Category: Anesthesiology Authors: Park HY, Park YW, Hwang JW, Do SH, Na HS Tags: Anaesthesist Source Type: research