[Inhalational anesthetics].
Abstract Inhalational anesthetics have been used for induction and maintenance of general anesthesia for more than 150 years. All of the currently used inhalational anesthetics are chlorinated and fluorinated derivatives of ether. Dosing is carried out using the minimal alveolar concentration (MAC) concept. The pharmacokinetic properties of the various inhalational anesthetics are governed by the specific distribution coefficients. Mechanisms of action include specific modulations of various receptors of the central nervous system as well as an unspecific interaction with the cell membrane. Organ toxicity of ...
Source: Der Anaesthesist - January 14, 2021 Category: Anesthesiology Authors: Jedlicka J, Groene P, Linhart J, Raith E, Mu Stapha DV, Conzen P Tags: Anaesthesist Source Type: research

[Complications and emergencies in the recovery room].
Abstract The recovery room as a central monitoring unit plays a crucial role in the perioperative care of patients. Here, the patient is monitored until the subsequent transfer to a further care ward; however, due to the previous anesthesia and surgery the recovery room also provides a high risk for (the development of) complications. The present article provides an overview of the most frequent complications to be expected in the recovery room (in adults), the diagnostics and the acute treatment. PMID: 33443649 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - January 14, 2021 Category: Anesthesiology Authors: Hausknecht N, Berwanger U, Conrad D, Kleinschmidt S, Armbruster W Tags: Anaesthesist Source Type: research

[The disaster task force medical officer as a  pivotal decision maker in the superordinate pandemic hospital capacity management : A field report covering the initial COVID-19 surge in a Bavarian district].
CONCLUSION: Patient allocation during the state of emergency by the MO sought to keep up routine interhospital reallocation procedures as much as possible, thereby reducing management time and effort. Occasionally, difficulties were observed during patient allocations crossing district borders, if other MO followed different management principles. The nursing home blockade and conflicting financial interests of hospitals posed challenges to the work of the disaster task force medical officers. PMID: 33427914 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - January 11, 2021 Category: Anesthesiology Authors: Dittmar MS, Altmeppen J, Bigalke MU, Niedermirtl F, Zimmermann M Tags: Anaesthesist Source Type: research

Abdominal compartment syndrome after hip arthroscopy.
PMID: 33416912 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - January 8, 2021 Category: Anesthesiology Authors: Schwenter A, Schuepfer G, Beck M, Mauch J Tags: Anaesthesist Source Type: research

[New aspects of rapid sequence induction including treatment of pulmonary aspiration].
Abstract Pulmonary aspiration of solid components leads to displacement of the tracheobronchial tree, the aspiration of acidic gastric juices to chemical pneumonitis (Mendelson's syndrome) and the aspiration of oropharyngeal secretions or gastrointestinal pathogens to aspiration pneumonia. Principally, pulmonary aspiration can occur at any stage of anesthesia. In the clinical routine the aim must therefore be to identify those patients who have an increased risk of aspiration. When this is successful, measures can be taken to reduce the risk; these can be regional anaesthesia or the performance of general anaesthe...
Source: Der Anaesthesist - January 7, 2021 Category: Anesthesiology Authors: Mencke T, Zitzmann A, Reuter DA Tags: Anaesthesist Source Type: research

[Characteristics and outcome of 70 ventilated COVID-19  patients : Summary after the first wave at a university center].
CONCLUSION: The mortality rate in the ventilated COVID-19 intensive care patients was considerably different from the general rate in Germany. The data showed that treatment in an ARDS referral center could result in a lower mortality rate. Low-dose administration of steroids may be another factor to improve patient outcome in a preselected patient population. In the authors' opinion, critically ill COVID-19 patients should be treated in an ARDS center provided that sufficient resources are available. PMID: 33369696 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 28, 2020 Category: Anesthesiology Authors: Schroeder I, Scharf C, Zoller M, Wassilowsky D, Frank S, Stecher SS, Stemmler J, Kneidinger N, Peterß S, Zwißler B, Irlbeck M Tags: Anaesthesist Source Type: research

[Diagnostics of irreversible brain death : Limitations and potential for improvement from the perspective of transplantation officials].
CONCLUSION: According to the recently amended German Transplantation Act, a centrally organized consultation service for BD diagnostics must be implemented as soon as 2021. Recommendations can be derived from the present survey and from the experience of the regionally established consultation service. In addition to neurological and neurosurgical expertise, qualified pediatricians and mobile ancillary instrumental diagnostics should also be provided. Expert advice from neurointensive care physicians should be available at an early stage in order to identify potentially affected patients. The highly variable participa...
Source: Der Anaesthesist - December 18, 2020 Category: Anesthesiology Authors: Hoffmann OM, Dinse C, Masuhr F Tags: Anaesthesist Source Type: research

[Erratum to: Contra: thoracic epidural anesthesia for video-assisted thoracoscopy].
PMID: 33319324 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 14, 2020 Category: Anesthesiology Authors: Richter T Tags: Anaesthesist Source Type: research

[Mentoring and workplace-based assessments for final year medical students : An effective way to increase satisfaction and competence?]
CONCLUSION: A demand-driven, mentoring-based curriculum with integrated workplace-based assessments not only led to high overall student satisfaction but also promoted the quality of teaching in an effective and resource-saving way. Mentoring promotes learning success mainly through feedback and individual learning support and also supports the communicative and social skills of students and mentors alike. PMID: 33315142 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 14, 2020 Category: Anesthesiology Authors: Weissenbacher A, Bolz R, Zimmermann A, Donaubauer B, Stehr SN, Hempel G Tags: Anaesthesist Source Type: research

[Intranasal lidocaine atomization as novel and noninvasive treatment option for postdural puncture headache : Two case reports from obstetric anesthesiology].
CONCLUSION: The described noninvasive and simple procedure represents a valuable addition to previously known treatment options for PDPH and a potential alternative to an epidural blood patch in obstetric patients with PDPH. Prospective studies are needed to validate the findings. PMID: 33301057 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 10, 2020 Category: Anesthesiology Authors: Siegler BH, Gruß M, Oehler B, Keßler J, Fluhr H, Weis C, Schulz F, Weigand MA Tags: Anaesthesist Source Type: research

[Anesthesia in patients with dopa-responsive dystonia (Segawa syndrome) : Presentation of the pathophysiology, clinical picture and approach based on two case reports].
dt S Abstract Segawa syndrome (dopa-responsive dystonia [DRD]) is a rare neurometabolic disorder characterized by progressive dystonia, diurnal variation and tremors. It is caused by an enzymatic defect (a mutation of the GTPCH1 gene located on chromosome 14q) in the synthesis of tetrahydrobiopterin, an important substrate for dopamine synthesis. In the case of early correct diagnosis, clinical symptoms are well-controlled by levodopa therapy. The disease has several features which may lead to organ dysfunctions (e.g. torticollis, scoliosis, dysphagia and immobilization), which may be of concern for...
Source: Der Anaesthesist - December 8, 2020 Category: Anesthesiology Authors: Groß K, Kleinschmidt S Tags: Anaesthesist Source Type: research

[Is epidural anesthesia for pancreatic interventions obsolete?]
ig;ler B PMID: 33294948 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 8, 2020 Category: Anesthesiology Authors: Schäfer ST, Zwißler B Tags: Anaesthesist Source Type: research

[Hot topics in anesthesiology 2019/2020].
PMID: 33294949 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 8, 2020 Category: Anesthesiology Authors: Thudium M, Hoeft A, Coburn M Tags: Anaesthesist Source Type: research

[The European Malignant Hyperthermia Group consensus guidelines on perioperative management of malignant hyperthermia suspected or susceptible patients].
r F PMID: 33269407 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 2, 2020 Category: Anesthesiology Authors: Heiderich S, Bastian B, Johannsen S, Klingler W, Rüffert H, Schuster F Tags: Anaesthesist Source Type: research

[What is new in  … Hyperspectral imaging : A future technology for hemodynamic monitoring].
[What is new in … Hyperspectral imaging : A future technology for hemodynamic monitoring]. Anaesthesist. 2020 Dec 01;: Authors: Dietrich M, Brenner T, Nickel F, Studier-Fischer A, Müller-Stich BP, Weigand MA, Schmidt K PMID: 33258002 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 1, 2020 Category: Anesthesiology Authors: Dietrich M, Brenner T, Nickel F, Studier-Fischer A, Müller-Stich BP, Weigand MA, Schmidt K Tags: Anaesthesist Source Type: research

[Extracorporeal cardiopulmonary resuscitation (eCPR) for out-of-hospital cardiac arrest (OHCA) : Retrospective analysis of a load and go strategy under the aspect of golden hour of eCPR].
CONCLUSION: Despite low-flow times of more than 60 min, eCPR was associated with survival in 28% after OHCA. Hence, exceeding the golden hour of eCPR cannot act as a definitive exclusion criterion for eCPR. PMID: 33258990 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 1, 2020 Category: Anesthesiology Authors: Reyher C, Karst SR, Muellenbach RM, Lotz C, Peivandi AA, Boersch V, Weber K, Gradaus R, Rolfes C Tags: Anaesthesist Source Type: research

[Inflammation and perioperative organ dysfunction].
This article summarizes the molecular principles of the surgery-associated inflammatory reaction, the differentiation from other inflammatory complications and treatment options. PMID: 33258991 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 1, 2020 Category: Anesthesiology Authors: Rossaint J, Margraf A Tags: Anaesthesist Source Type: research

[Effective treatment of pain by blocking techniques within a multimodal treatment concept].
PMID: 33259045 [PubMed - in process] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 1, 2020 Category: Anesthesiology Authors: Sauter AR, Luedi MM Tags: Anaesthesist Source Type: research

[COVID-19 Stress test for ensuring emergency healthcare: strategy and response of emergency medical services in Berlin].
CONCLUSION: The continuing pandemic reveals that tasks and responsibilities of public services in emergency rescue go far beyond the immediate medical prevention of danger to life and limb. In addition to the controller and triage functions in the integrated dispatch center of the Berlin Fire Brigade (112), the emergency and healthcare measures could be ensured. This was accomplished by comprehensive measures for situation control, situation reports and mastering situations despite the lack of alternative outpatient care options, especially in the areas of general practitioner, public health care and medical specialist pra...
Source: Der Anaesthesist - November 27, 2020 Category: Anesthesiology Authors: Dahmen J, Bäker L, Breuer F, Homrighausen K, Pommerenke C, Stiepak JK, Poloczek S Tags: Anaesthesist Source Type: research

Recommendations for treatment of critically ill patients with COVID-19 : Version  3 S1 guideline.
Recommendations for treatment of critically ill patients with COVID-19 : Version 3 S1 guideline. Anaesthesist. 2020 Nov 27;: Authors: Kluge S, Janssens U, Welte T, Weber-Carstens S, Schälte G, Salzberger B, Gastmeier P, Langer F, Welper M, Westhoff M, Pfeifer M, Hoffmann F, Böttiger BW, Marx G, Karagiannidis C Abstract Since December 2019 a novel coronavirus (severe acute respiratory syndrome coronavirus 2, SARS-CoV-2) has rapidly spread around the world resulting in an acute respiratory illness pandemic. The immense challenges for clinicians and hospitals as well as the strai...
Source: Der Anaesthesist - November 27, 2020 Category: Anesthesiology Authors: Kluge S, Janssens U, Welte T, Weber-Carstens S, Schälte G, Salzberger B, Gastmeier P, Langer F, Welper M, Westhoff M, Pfeifer M, Hoffmann F, Böttiger BW, Marx G, Karagiannidis C Tags: Anaesthesist Source Type: research

[Evaluation of the project for the introduction of bystander resuscitation in schools in North Rhine-Westphalia].
CONCLUSION: A legal constitution and funding are necessary for a nationwide introduction of resuscitation in schools. All established concepts are effective, therefore each school can use them exactly according to their needs, optimally in a stepped form. Training for teachers should focus on resuscitation. PMID: 33244640 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 26, 2020 Category: Anesthesiology Authors: Felzen M, Schröder H, Beckers SK, Böttiger BW, Rott N, Koch-Schultze R, Wingen S, Meißner A, Santowski I, Picker O, Rahe-Meyer N, Dumcke R, Wegner C, van Aken H, Gottschalk A, Weber O, Rossaint R Tags: Anaesthesist Source Type: research

[What is new … Implementation of artificial intelligence in intensive care medicine : Hype or already reality?]
[What is new… Implementation of artificial intelligence in intensive care medicine : Hype or already reality?] Anaesthesist. 2020 Nov 26;: Authors: Martin L, Peine A PMID: 33242115 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 26, 2020 Category: Anesthesiology Authors: Martin L, Peine A Tags: Anaesthesist Source Type: research

[Emergency medicine in the German Maritime Search and Rescue Service-Evaluation of medical emergencies in the North Sea and Baltic Sea over 2 years].
CONCLUSION: Although the severity of medical emergencies on the seas off the coasts of Germany was high, the emergency physicians frequently arrived with a considerable delay. There is an urgent need for an effective support of the DGzRS by medical personnel specifically trained for maritime missions. PMID: 33231714 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 24, 2020 Category: Anesthesiology Authors: Schemke S, Schwalbe H, Grunewald L, Maurer H Tags: Anaesthesist Source Type: research

[Complications and success rates of subclavian vein catheterization depending on experience].
CONCLUSION: In this post hoc analysis of the puncture of the subclavian vein using the landmark technique, we found a significant reduction of puncture attempts and overall mechanical complications. At least 50 punctures seem to be necessary to achieve the end of the learning curve; however, the landmark technique should only be used under special circumstances, when real-time ultrasound is not available. Anesthetists who want to complete their repertoire and learn the landmark technique should always perform a static ultrasound examination before starting the puncture in order to reduce complications due to...
Source: Der Anaesthesist - November 24, 2020 Category: Anesthesiology Authors: Schulz J, Scholler A, Frank P, Scheinichen D, Flentje M, Eismann H, Palmaers T Tags: Anaesthesist Source Type: research

[Ultrasound-guided regional anesthesia: best practice upper extremities].
Abstract Regional anesthesia of the upper extremities is now part of the standard repertoire of a clinical anesthesiologist. Assigning the correct procedure to the individual needs of the patient is becoming increasingly more difficult due to the wide variety of options. The principle use of regional anesthesiological procedures is hardly ever questioned anymore but it needs to be carefully considered and must be adapted exactly to the case at hand. PMID: 33210184 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 18, 2020 Category: Anesthesiology Authors: Ermert T, Goeters C Tags: Anaesthesist Source Type: research

[Intraoperative vascular air embolism : Evidence for risks, diagnostics and treatment].
r A Abstract The entry of gases into the vascular system is called vascular air embolism (VAE). The blocking of the pulmonary circulation by VAE can lead to fulminant right-sided heart failure and cardiocirculatory arrest. A VAE can occur at any time if there is an open connection between the environment and a venous vessel with subatmospheric pressure. This situation occurs during ear nose throat surgery, hip surgery, surgery of the lesser pelvis or breast surgery, if the surgical field is above the level of the heart; however, a VAE can also occur during routine tasks, such as insertion or removal of a cent...
Source: Der Anaesthesist - November 16, 2020 Category: Anesthesiology Authors: Michels P, Meyer EC, Brandes IF, Bräuer A Tags: Anaesthesist Source Type: research

[Lung ultrasound in COVID-19].
This article summarizes the diagnostic potential of lung ultrasound with respect to screening and therapeutic decision-making in patients with suspected or confirmed SARS-CoV‑2 pneumonia. PMID: 33185697 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 13, 2020 Category: Anesthesiology Authors: Seibel A, Heinz W, Greim CA, Weber S Tags: Anaesthesist Source Type: research

Treatment of intraoperative hypotension with cafedrine/theodrenaline versus ephedrine : A prospective, national, multicenter, non-interventional study-the HYPOTENS trial.
CONCLUSION: Neither drug was superior in restoring blood pressure levels; however, post-hoc analyses suggested that treatment is more goal-orientated and easier to control with C/T. Heart rate was shown to be more stable with C/T and fewer additional interventions were required to restore blood pressure, which could have contributed to the increased treatment satisfaction reported by anesthetists using C/T. PMID: 33170310 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 10, 2020 Category: Anesthesiology Authors: Eberhart L, Geldner G, Kowark A, Zucker TP, Kreuer S, Przemeck M, Huljic S, Koch T, Keller T, Weber S, Kranke P, HYPOTENS study group Tags: Anaesthesist Source Type: research

[The anesthetist's view on Jethro Tull's Aqualung].
Abstract In 1971 the British rock band Jethro Tull published their milestone album Aqualung with a song of the same title. The song tells the story of a character also named "Aqualung", a homeless person, who spends a cold day on a bench in a park in London. Nothing much happens: he watches little girls playing, bends to pick up a cigarette butt, walks to a public restroom, is offered a cup of tea by the Salvation Army, is scared by and flees from a young prostitute called "cross-eyed Mary", and then finally dies with "rattling last breaths...
Source: Der Anaesthesist - November 9, 2020 Category: Anesthesiology Authors: Lewandowski K Tags: Anaesthesist Source Type: research

[Church register entry on the death of Albinus in translation-for a better understanding].
r A PMID: 33141237 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 3, 2020 Category: Anesthesiology Authors: Kästner A Tags: Anaesthesist Source Type: research

[Treatment of diabetes mellitus in perioperative medicine-an update].
This article presents the implications of the current concepts of diabetes treatment for perioperative medicine, particularly the changes due to new oral antidiabetic agents and insulin pump treatment. Some of the currently available guidelines are discussed with respect to the care of diabetes patients in childhood and adulthood in connection with an operation. Finally, possible perspectives in the field of monitoring and treatment of diabetes patients are discussed. PMID: 33141238 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 3, 2020 Category: Anesthesiology Authors: Rupprecht B, Stöckl A, Stöckl S, Dietrich C Tags: Anaesthesist Source Type: research

[Optimal cardiovascular medication - what, when and how?]
PMID: 33128091 [PubMed - in process] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 1, 2020 Category: Anesthesiology Authors: Treskatsch S Tags: Anaesthesist Source Type: research

[Patient-centered perioperative vigilance: perioperative process quality, effectiveness of pain treatment and mobilization progress after implementation of a treatment bundle for total knee endoprosthesis].
Abstract BACKGROUND: The perioperative surgical home is a patient-centered, team-based model of care developed in the USA to coordinate diagnosis, treatment and follow-up; however, due to different healthcare systems, scientific findings in the USA cannot be simply transferred to Germany. OBJECTIVE: This preliminary study was carried out to evaluate the effects of a new interdisciplinary treatment bundle (patient-centered perioperative vigilance, PPV) in a German university hospital. MATERIAL AND METHODS: After IRB approval and written informed consent, 34 patients (PPV group) undergo...
Source: Der Anaesthesist - October 26, 2020 Category: Anesthesiology Authors: Spielberger J, Heid F, Schmidtmann I, Drees P, Betz U, Schwaderlapp W, Pestel G Tags: Anaesthesist Source Type: research

[Reticulocyte hemoglobin equivalent as a  diagnostic marker for the current iron deficiency : Old wine in new bottles].
[Reticulocyte hemoglobin equivalent as a diagnostic marker for the current iron deficiency : Old wine in new bottles]. Anaesthesist. 2020 Oct 26;: Authors: Hönemann C, Hagemann O, Doll D, Luedi MML, Ruebsam ML, Meybohm P Abstract The reticulocyte hemoglobin equivalent (RET-He) is presented as a biomarker for the diagnostics and monitoring of iron deficiency. The marker is independent of the acute phase and can be determined within a few minutes by a blood count. Due to the approximately 120-day lifetime of erythrocytes, iron deficiency and changes in the iron status of erythro...
Source: Der Anaesthesist - October 26, 2020 Category: Anesthesiology Authors: Hönemann C, Hagemann O, Doll D, Luedi MML, Ruebsam ML, Meybohm P Tags: Anaesthesist Source Type: research

[Focus nephrology : Intensive medical care studies from 2019/2020].
er T PMID: 33103208 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 25, 2020 Category: Anesthesiology Authors: Nusshag C, Reuß CJ, Dietrich M, Hecker A, Jungk C, Michalski D, Fiedler MO, Bernhard M, Beynon C, Weigand MA, Brenner T Tags: Anaesthesist Source Type: research

[Cannabinoid hyperemesis as a  differential diagnosis of nausea and vomiting in the emergency department].
This article describe the case of a young man in whom the diagnosis was made after four presentations due to the typical anamnesis. At this point in time he had already undergone an abdominal computed tomography (CT) and gastroscopy, both with no pathological findings. The symptoms completely receded 6 months after presentation by maintaining cannabis abstinence. PMID: 33090239 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 22, 2020 Category: Anesthesiology Authors: Korn F, Hammerich S, Gries A Tags: Anaesthesist Source Type: research

[Fatal course of COVID-19 despite IL-6 receptor blockade in cytokine storm : Perimyocarditis and coagulopathy after administration of tocilizumab].
Abstract A 59-year-old male patient was admitted to hospital diagnosed with moderate pneumonia associated with COVID-19. Upfront treatment with hydroxychloroquine and azithromycin was started. Due to a clinical deterioration (ARDS, circulatory shock) and greatly increased inflammation markers 6 days after admission, a cytokine storm was suspected and off-label treatment with the IL‑6 receptor antagonist tocilizumab was initiated. Subsequently there was a dramatic rise of D‑dimers indicating pulmonary intravascular coagulopathy and respiratory insufficiency worsened. After a second dose of t...
Source: Der Anaesthesist - October 16, 2020 Category: Anesthesiology Authors: Bovet M, Wadsack D, Kosely F, Zink W, Zahn R Tags: Anaesthesist Source Type: research

[Focus neurological intensive care medicine : Intensive medical care studies from 2019/2020].
d MA PMID: 33051691 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 13, 2020 Category: Anesthesiology Authors: Michalski D, Jungk C, Brenner T, Dietrich M, Nusshag C, Reuß CJ, Fiedler MO, Bernhard M, Beynon C, Weigand MA Tags: Anaesthesist Source Type: research

[A  critical carol : Being an essay on anemia, suffocation, starvation, and other forms of intensive care, after the manner of Dickens].
[A critical carol : Being an essay on anemia, suffocation, starvation, and other forms of intensive care, after the manner of Dickens]. Anaesthesist. 2020 Oct 13;: Authors: Lewandowski K, Bartlett RH Abstract Somewhere in the USA, shortly before Christmas, tipsy Charlie Cratchit intends to cross a street but is hit by an oncoming city bus und suffers severe trauma: serial rib fracture, femoral fracture, fibula fracture, splenic, pancreatic and bowel ruptures. He is operated on in a maximum care hospital and then transferred to the critical care unit. From then on, an anonymous, very exp...
Source: Der Anaesthesist - October 13, 2020 Category: Anesthesiology Authors: Lewandowski K, Bartlett RH Tags: Anaesthesist Source Type: research

[Hospital paramedic. An interprofessional blended learning concept to qualify paramedics and medical personnel for deployment in intensive care units and emergency departments during the COVID-19 pandemic].
CONCLUSION: Blended learning concepts, such as hospital paramedics, can quickly qualify medical personnel for use in system-relevant settings, relieve nursing staff and thus create an expansion of intensive care capacities. Existing or pending pandemic and contingency plans should be complemented by such blended learning training so that they are immediately available in case of a second pandemic wave, future pandemics or other crisis situations. PMID: 33034683 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 9, 2020 Category: Anesthesiology Authors: Jansen G, Latka E, Behrens F, Zeiser S, Scholz S, Janus S, Kinzel K, Thaemel D, Kottkamp HW, Rehberg S, Borgstedt R Tags: Anaesthesist Source Type: research

[Simulation of video-assisted retrieval of foreign bodies in the airway of children by nonmedical personnel].
Abstract BACKGROUND: Complete upper airway obstruction by a foreign body is a dramatic and acute emergency situation, and can result in rapid development of hypoxia, circulatory arrest and death. Special Magill pliers with an adjustable video optical system have been developed for airway inspection to facilitate efforts to remove foreign bodies causing obstruction of the upper airway. OBJECTIVE: To remove a simulated airway foreign body from a cardiopulmonary resuscitation (CPR) manikin, either with normal Magill pliers or with the newly designed video Magill pliers. MATERIAL AND METHODS: ...
Source: Der Anaesthesist - October 9, 2020 Category: Anesthesiology Authors: Schepat P, Herff H, Alhareh M, Wenzel V Tags: Anaesthesist Source Type: research

[Perioperative fluid management in major abdominal surgery].
Abstract Intravascular fluid administration belongs to the cornerstones of perioperative treatment with a substantial impact on surgical outcome especially with respect to major abdominal surgery. By avoidance of hypovolemia and hypervolemia, adequate perioperative fluid management significantly contributes to the reduction of insufficient tissue perfusion as a determinant of postoperative morbidity and mortality. The effective use of intravascular fluids requires detailed knowledge of the substances as well as measures to guide fluid therapy. Fluid management already starts preoperatively and should be continued ...
Source: Der Anaesthesist - October 9, 2020 Category: Anesthesiology Authors: von der Forst M, Weiterer S, Dietrich M, Loos M, Lichtenstern C, Weigand MA, Siegler BH Tags: Anaesthesist Source Type: research

[Focus neurosurgical intensive care medicine : Intensive medical care studies from 2019/2020].
gk C PMID: 33026505 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 7, 2020 Category: Anesthesiology Authors: Beynon C, Bernhard M, Brenner T, Dietrich M, Fiedler MO, Nusshag C, Weigand MA, Reuß CJ, Michalski D, Jungk C Tags: Anaesthesist Source Type: research

[Focus general intensive care medicine : Intensive medical care studies from 2019/2020].
; CJ PMID: 33026506 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 7, 2020 Category: Anesthesiology Authors: Dietrich M, Beynon C, Fiedler MO, Bernhard M, Hecker A, Jungk C, Nusshag C, Michalski D, Brenner T, Weigand MA, Reuß CJ Tags: Anaesthesist Source Type: research

[Enhanced Recovery after Intensive Care-ERIC].
es C PMID: 33026507 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 7, 2020 Category: Anesthesiology Authors: Paul N, Grunow JJ, Weiß B, Spies C Tags: Anaesthesist Source Type: research

[Focus ventilation, oxygen therapy and weaning : Intensive medical care studies from 2019/2020].
ch M PMID: 33026508 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 7, 2020 Category: Anesthesiology Authors: Fiedler MO, Reuß CJ, Bernhard M, Beynon C, Hecker A, Jungk C, Nusshag C, Michalski D, Brenner T, Weigand MA, Dietrich M Tags: Anaesthesist Source Type: research

[Anesthesiological implications of minimally invasive valve interventions : Transcatheter aortic valve implantation, clip reconstruction on the mitral and tricuspid valve].
This article discusses the interventional procedures of heart valvular diseases as well as the hemodynamic changes associated with the procedures from the anesthesiologist's point of view. To present examples, we have selected transcatheter aortic valve replacement (TAVR) and the interventional procedure of mitral and tricuspid valve insufficiency called MitraClip and TricaClip. A thorough examination of the procedural risk rate shows that despite minimizing the surgical intervention by miniaturizing the devices, the presence of an experienced cardiac anesthesiologist is obligatory. PMID: 33006625 [PubMed - as supplie...
Source: Der Anaesthesist - October 1, 2020 Category: Anesthesiology Authors: Vigelius-Rauch U, Zajonz T, Sander M Tags: Anaesthesist Source Type: research

[Individualized use of levosimendan in cardiac surgery].
This study aimed to evaluate if pharmacological preconditioning with 1.25 mg levosimendan in patients with LVEF ≤40% altered the postoperative need for inotropic agents, the incidence of newly occurring atrial fibrillation, renal replacement therapy, mechanical circulatory support and 30-day mortality. The cumulative dosage of levosimendan was recorded to assess the required dosage in the context of individualized treatment. MATERIAL AND METHODS: This retrospective study included patients with preoperatively diagnosed LVEF ≤40% who underwent cardiac surgery at this institution between January 2015 and December...
Source: Der Anaesthesist - September 30, 2020 Category: Anesthesiology Authors: Woehrle T, Mehringer L, Juchem G, Dashkevich A, Weis M, Schünemann M, Kilger E Tags: Anaesthesist Source Type: research

[FX06-COVID: Improvement of arterial oxygenation in intensive care patients with a severe course of COVID-19].
PMID: 33001237 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 30, 2020 Category: Anesthesiology Authors: Zacharowski K, Studiengruppe FX06-COVID Tags: Anaesthesist Source Type: research

[Treatment of extreme anemia with polymerized bovine hemoglobin : Case report and review of the literature].
This article reports the case of a 29-year-old female Jehovah's Witness with severe anemia after intrauterine fetal death in the 25th week of gestation, complicated by vaginal bleeding, acute renal failure and hemolysis. Due to her religious beliefs the patient categorically refused blood transfusions. Despite adhering to the recommendations for patient blood management, the hemoglobin (Hb) level gradually decreased to 1.9 g/dl on day 10, when she fainted and had to be sedated and invasively ventilated. Inhalative isoflurane was chosen for sedation because of its potential organ-protective effects and because i...
Source: Der Anaesthesist - September 30, 2020 Category: Anesthesiology Authors: Meiser A, Knoll H, Meisel T, Schröder M, Volk T Tags: Anaesthesist Source Type: research