[Structure follows Process follows Strategy].
PMID: 26961768 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 9, 2016 Category: Anesthesiology Authors: Heller AR Tags: Anaesthesist Source Type: research

[Anesthesiological approach to postpartum hemorrhage].
Abstract Peripartum hemorrhage (PPH) is a frequent obstetric emergency situation with increasing incidence in the last decades. It requires a fast, coordinated and interdisciplinary management. This life-threatening situation is often recognized too late and not adequately treated (too little is done too late); therefore, it is important to be aware of the most important risk factors for PPH known as the 4 Ts (i.e. tonus, trauma, tissue and thrombin). Due to the special patient population there is only little evidence-based data on hemostatic therapy in this situation; therefore, the currently available studi...
Source: Der Anaesthesist - March 8, 2016 Category: Anesthesiology Authors: Knapp J, Hofer S, Lier H Tags: Anaesthesist Source Type: research

[Glucocorticoids as an adjunct in peripheral regional anesthesia : Move to the "Holy Grail of perineural analgesia" ?!]
CONCLUSIONS: After reviewing the actual literature, the authors prefer a systemic application mode (intravenously) over a perineural route of administration of dexamethasone as an adjunct for peripheral nerve blocks. This is due to the better understanding of potential side effects of the drug when applied intravenously. Dexamethasone might be a useful drug adjunct to prolong peripheral single shot nerve blocks. PMID: 26952122 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 7, 2016 Category: Anesthesiology Authors: Wiesmann T, Volk T, Steinfeldt T Tags: Anaesthesist Source Type: research

[Emergency departments - 2016 update].
s A Abstract Acute medical care in hospital emergency departments has experienced rapid development in recent years and gained increasing importance not only from a professional medical point of view but also from an economic and health policy perspective. The present article therefore provides an update on the situation of emergency departments in Germany. Care in emergency departments is provided with an increasing tendency to patients of all ages presenting with varying primary symptoms, complaints, illnesses and injury patterns. In the process, patients reach the emergency department by various routes and...
Source: Der Anaesthesist - March 7, 2016 Category: Anesthesiology Authors: Zimmermann M, Brokmann JC, Gräff I, Kumle B, Wilke P, Gries A Tags: Anaesthesist Source Type: research

[Educating patients about blood transfusion risks : Do we have to rethink?]
PMID: 26936276 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 2, 2016 Category: Anesthesiology Authors: Zwissler B Tags: Anaesthesist Source Type: research

[Visualization of the superior vena cava in the supraclavicular acoustic window].
CONCLUSION: The microconvex transducer as compared to the linear probe is superior in visualizing the superior vena cava. Possible reasons are a smaller footprint, a better degree of freedom for angulation and a greater penetration depth of the microconvex probe. PMID: 26936277 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 2, 2016 Category: Anesthesiology Authors: Weber SU, Breuer A, Kim SC Tags: Anaesthesist Source Type: research

[Wholeheartedly, we wish "all the best" to others : But does "the best" actually come from the heart?]
[Wholeheartedly, we wish "all the best" to others : But does "the best" actually come from the heart?] Anaesthesist. 2016 Mar 1; Authors: Preckel B PMID: 26931419 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 1, 2016 Category: Anesthesiology Authors: Preckel B Tags: Anaesthesist Source Type: research

[Carbon monoxide poisoning: Hyperbaric O2 therapy (HBOT) recommended].
r B PMID: 26931420 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 1, 2016 Category: Anesthesiology Authors: Jüttner B Tags: Anaesthesist Source Type: research

[Cardioprotection in cardiac surgical patients : Everything good comes from the heart].
CONCLUSIONS: Beside the use of cardioplegia and hypothermia, the use of volatile anesthetics is well-established during cardiac surgery because of its conditioning and protective properties. Regardless of the promising results derived from experimental studies and small clinical trials, the majority of other approaches failed to translate their findings into the clinic. Therefore, systematic experimental studies are needed to identify potential confounding factors that may affect the protective effects. PMID: 26915019 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - February 25, 2016 Category: Anesthesiology Authors: Stoppe C, Meybohm P, Coburn M, Goetzenich A Tags: Anaesthesist Source Type: research

Effect of using a laryngeal tube on the no-flow time in a simulated, single-rescuer, basic life support setting with inexperienced users.
CONCLUSIONS: The NFT was significantly shorter in the later periods in a single-rescuer, cardiac arrest scenario when using an LT without previous training compared with BMV with previous training. A possible explanation for this result may be the complexity and workload of alternating tasks (e.g., time loss when reclining the head and positioning the mask for each ventilation during BMV). PMID: 26886383 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - February 17, 2016 Category: Anesthesiology Authors: Meyer O, Bucher M, Schröder J Tags: Anaesthesist Source Type: research

[Implementation of regularly performed resuscitation training at a hyperbaric treatment center].
CONCLUSION: Through annual compulsory emergency training of the complete staff of the hyperbaric unit at the actual workplace, a structural and confident approach to dealing with emergencies and resuscitation situations was observed. By the use of on-site simulator training even in specialized hospital units, deficits and tentativeness regarding logistics, course of action, organization and communication in emergency situations can be minimized to provide optimum patient care in a real life emergency situation by focusing on the medical measures. PMID: 26886384 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - February 17, 2016 Category: Anesthesiology Authors: Dieterich F, Kanstinger A, Erdmann M, Knebel J, Ott B, Schöppenthau H Tags: Anaesthesist Source Type: research

[Bleeding during central venous catheterization : Cannot intubate, cannot ventilate due to massive cervical hematoma].
Abstract Central venous catheterization is an invasive procedure which can be associated with severe complications. These include in particular unsuccessful arterial puncture and vascular injuries, which in addition to loss of blood can lead to massive soft tissue swelling. A 63-year-old female patient developed massive cervical bleeding during ultrasound-guided internal jugular vein puncture and the rapidly enlarging hematoma led to compromisation of the airway. A cannot intubate, cannot ventilate situation developed and the subsequent hypoxia led to cardiac arrest that was only resolved after emergency surgical ...
Source: Der Anaesthesist - February 11, 2016 Category: Anesthesiology Authors: Engelen C, Trebes C, Czarnecki S, Junger A Tags: Anaesthesist Source Type: research

[Venous thrombosis and pulmonary embolism : Updated S2 guidelines on diagnostics and therapy].
This article presents a summary of the most important assertions. PMID: 26867604 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - February 11, 2016 Category: Anesthesiology Authors: Volk T Tags: Anaesthesist Source Type: research

[Recommendations of the German Society of Anaesthesiology and Intensive Care Medicine on structured patient handover in the perioperative phase : SBAR concept].
Abstract Teamwork in the operating room and in the intensive care unit necessitates clear and precise communication; however, interruptions in communication frequently occur, especially in the perioperative phase. Patient are particularly susceptible to deficits in communication due to higher stress peaks, simultaneous admission of several patients and concomitant treatment of emergency cases etc. The German Society of Anaesthesiology and Intensive Care Medicine (DGAI) therefore recommends the implementation of the so-called SBAR concept (S: "situation", B: "background", A: "assessment&quo...
Source: Der Anaesthesist - February 3, 2016 Category: Anesthesiology Authors: von Dossow V, Zwissler B Tags: Anaesthesist Source Type: research

[OR minute myth : Guidelines for calculation of DRG revenues per OR minute].
This article describes a valid method for the calculation of case-related revenues per OR minute conform to the diagnosis-related groups (DRG).For this purpose the relevant datasets from the OR information system and the § 21 productivity report (DRG grouping) of the University Medical Center Göttingen were combined. The revenues defined in the DRG browser of the Institute for Hospital Reimbursement (InEK) were assigned to the corresponding process times - incision-suture time (SNZ), operative preparation time and anesthesiology time - according to the InEK system. All full time stationary DRG cases treated ...
Source: Der Anaesthesist - February 1, 2016 Category: Anesthesiology Authors: Waeschle RM, Hinz J, Bleeker F, Sliwa B, Popov A, Schmidt CE, Bauer M Tags: Anaesthesist Source Type: research

[Anesthesiological management of elderly trauma patients].
CONCLUSION: The level of evidence in the perioperative management of elderly trauma patients is poor; therefore, there is an urgent need for large prospective studies in order to define uniform standards and guidelines. PMID: 26829953 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - February 1, 2016 Category: Anesthesiology Authors: Coburn M, Röhl AB, Knobe M, Stevanovic A, Stoppe C, Rossaint R Tags: Anaesthesist Source Type: research

[Erratum to: Interdisciplinary consensus statement on airway management with supraglottic airway devices in pediatric emergency medicine - Laryngeal mask is state of the art].
PMID: 26821174 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - January 28, 2016 Category: Anesthesiology Authors: Keil J, Jung P, Schiele A, Urban B, Parsch A, Matsche B, Eich C, Becke K, Landsleitner B, Russo SG, Bernhard M, Nicolai T, Hoffmann F Tags: Anaesthesist Source Type: research

[Perioperative management : New anesthesiological challenges for elderly patients].
ST PMID: 26821175 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - January 28, 2016 Category: Anesthesiology Authors: Schäfer ST Tags: Anaesthesist Source Type: research

Ultrasound-guided pulsed radiofrequency treatment of the pudendal nerve in chronic pelvic pain.
Abstract Chronic pelvic pain is a condition that can be caused by pudendal neuralgia, interstitial cystitis, piriformis syndrome and neuropathy of the ilioinguinal, iliohypogastric and genitofemoral nerves. Based on three case reports this article discusses the clinical effectiveness of pulsed high-frequency radiofrequency (PRF) treatment applied to the pudendal nerve under ultrasound guidance in medicinally treated patients with chronic pelvic pain. PMID: 26811947 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - January 26, 2016 Category: Anesthesiology Authors: Ozkan D, Akkaya T, Yildiz S, Comert A Tags: Anaesthesist Source Type: research

[Sepsis caused by Raoultella ornithinolytica in an immunocompetent patient].
Abstract Raoultella ornithinolytica is a species of gram-negative encapsulated and aerobic bacteria belonging to the family Enterobacteriaceae and is mainly found in fish. The most distinctive feature of this bacterium is the ability to convert histidine to histamine; therefore, the consumption of decomposing fish infected by R. ornithinolytica causes rashes, diarrhea, flushing, sweating and vomiting. This food poisoning is also called histamine fish poisoning; however, human infections with R. ornithinolytica are extremely rare and have so far only affected patients with diseases suppressing the immune system. Th...
Source: Der Anaesthesist - January 26, 2016 Category: Anesthesiology Authors: Sueifan M, Moog V, Rau E, Eichenauer T Tags: Anaesthesist Source Type: research

[Preoperative patient-oriented advance planning of emergency and intensive care treatment - Necessary or imposition? : Questionnaire survey].
CONCLUSION: The results confirmed a substantial interest in patient-oriented advance planning of emergency care in a preoperative setting; however, no demographic group criteria for patients with information requirements could be defined. As the burden evoked by the topic is low, advance planning of emergency and intensive care treatment of inpatients undergoing surgery should be actively provided in the future. PMID: 26811949 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - January 26, 2016 Category: Anesthesiology Authors: Umgelter K, Anetsberger A, Blobner M, Kochs E Tags: Anaesthesist Source Type: research

[Anesthesia in obstetrics : Tried and trusted methods, current standards and new challenges].
lk T Abstract Obstetric analgesia and anesthesia have some specific aspects, which in particular are directly related to pathophysiological alterations during pregnancy and also to the circumstance that two or even more individuals are always affected by complications or therapeutic measures. This review article deals with some evergreens and hot topics of obstetric anesthesia and essential new knowledge on these aspects is described. The article summarizes the talks given at the 16th symposium on obstetric anesthesia organized by the Scientific Committee for Regional Anaesthesia and Obstetric Anaesthesia within t...
Source: Der Anaesthesist - January 8, 2016 Category: Anesthesiology Authors: Kranke P, Annecke T, Bremerich DH, Hanß R, Kaufner L, Klapp C, Ohnesorge H, Schwemmer U, Standl T, Weber S, Volk T Tags: Anaesthesist Source Type: research

S1 guidelines on airway management : Guideline of the German Society of Anesthesiology and Intensive Care Medicine.
n A Abstract Since the publication of the first German guidelines on airway management in 2004 new techniques have been established in the clinical routine and new insights into existing strategies have been published. As a consequence the new guidelines on airway management of the German Society of Anesthesiology and Intensive Care Medicine represent the current state of scientific knowledge and integrate the currently recommended techniques and strategies. The aim of these guidelines is to guarantee an optimal care of patients undergoing anesthesiological procedures and serve as an orientation and decision aid f...
Source: Der Anaesthesist - January 4, 2016 Category: Anesthesiology Authors: Piepho T, Cavus E, Noppens R, Byhahn C, Dörges V, Zwissler B, Timmermann A Tags: Anaesthesist Source Type: research

[Anesthesia with liver failure].
Abstract Liver failure can be categorized into acute liver failure, chronic liver failure and acute decompensation of chronic liver failure, the so-called acute-on-chronic liver failure, the incidence of which has increased over the last few years. Liver failure leads to a variety of pathophysiological changes where the extent is dependent on the nature and duration of the liver disease. This includes restriction of synthesis and metabolism, such as coagulation defects. Especially chronic liver failure is associated with malfunction of extrahepatic organs, such as the cardiovascular system, the respiratory system ...
Source: Der Anaesthesist - January 4, 2016 Category: Anesthesiology Authors: Camboni-Schellenberg EL, Sinner B Tags: Anaesthesist Source Type: research

[Anesthesiological delivery room practice].
PMID: 26727938 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - January 4, 2016 Category: Anesthesiology Authors: Kranke P Tags: Anaesthesist Source Type: research

[Patient informed consent on the risks of erythrocyte concentrates].
This article describes the legal requirements for informed consent, the content, form and the exceptions. Finally, the consequences of errors in informed consent are presented. PMID: 26696265 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 22, 2015 Category: Anesthesiology Authors: Oehlschläger M Tags: Anaesthesist Source Type: research

[Estimation of the optimal tube length : Systematic review article on published formulae for infants and children].
CONCLUSION: The published formulae were comparatively simply to apply but had notable limitations. Correlating the position of the endotracheal tubes with chest x-rays, the concordance analysis showed that for the age-based formulae using orotracheal as well as nasotracheal intubation and in both age groups, an accordance could only be achieved in a maximum of 81 %. In the presence of a lack of alternative possibilities, only one formula based on the gestational age seemed to have an impact on estimation of correct endotracheal tube depth placement in newborns and infants. Therefore, a generally valid formula cannot...
Source: Der Anaesthesist - December 22, 2015 Category: Anesthesiology Authors: Boensch M, Schick V, Spelten O, Hinkelbein J Tags: Anaesthesist Source Type: research

[Neuroanesthesia].
Abstract Anesthesiological challenges during craniotomy result from the anatomically related low compensatory capacity of the intracranial space in response to increased volume and the low ischemic tolerance of brain tissue. The anesthetic agents used should therefore not increase the intracranial volume and improve the ischemic tolerance. An acute life-threatening increase of intracranial pressure can be temporarily treated by hyperventilation until measures, such as osmotherapy and infusion of intravenous anesthetics become effective. During an operation the homeostatic parameters including blood volume, blood p...
Source: Der Anaesthesist - December 22, 2015 Category: Anesthesiology Authors: Engelhard K Tags: Anaesthesist Source Type: research

[Erratum: Age-related alterations in brain weight].
PMID: 26669778 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 15, 2015 Category: Anesthesiology Authors: Geldner G, Wilhelm W Tags: Anaesthesist Source Type: research

[Resuscitation training for lay persons in first aid courses : Transfer of knowledge, skills and attitude].
CONCLUSION: Within the observed BLS courses the teaching quality revealed significant deficits, especially for the transfer of positive attitudes to learners. Also, the use of meaningful realistic scenario teaching was very scarce. These findings can significantly contribute to low bystander CPR rates because transfer of learned content into practice may be hampered. PMID: 26660899 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 11, 2015 Category: Anesthesiology Authors: Breckwoldt J, Lingemann C, Wagner P Tags: Anaesthesist Source Type: research

[Emergency medical actions in firefighting operations].
CONCLUSION: Medical expertise and basic knowledge of methods and tactics employed by the fire service are prerequisites for successful participation as an emergency physician in a firefighting operation. An integrative view of all aspects of injuries of the fire victims and the subsequent therapeutic decisions represent special challenges, which have not yet received much attention in the medical literature. PMID: 26661079 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 11, 2015 Category: Anesthesiology Authors: Drinhaus H, Nüsgen S, Hinkelbein J Tags: Anaesthesist Source Type: research

Impact of unsuspected subsegmental pulmonary embolism in ICU patients.
Abstract BACKGROUND: Critically ill patients in intensive-care units are at high risk for pulmonary embolism (PE). As a result of modern multi-detector computed tomographic angiography (MDCT) increased visualization of peripheral pulmonary arteries, isolated subsegmental pulmonary embolisms (ISSPE) are increasingly being detected. AIM: The aim of this study was to investigate the rate, impact on treatment, and outcome of unsuspected ISSPE in critically ill patients receiving MDCT. The secondary aim was to investigate the potential impact of contrast media-induced nephropathy (CIN) in our cohort. METHODS:...
Source: Der Anaesthesist - December 11, 2015 Category: Anesthesiology Authors: Koch C, Schramm R, Roller FC, Hecker A, Henrich M, Schneck E, Krombach G, Weigand MA, Lichtenstern C Tags: Anaesthesist Source Type: research

[Knotted Seldinger wire].
This article reports a case where the guidewire was inserted via the left subclavian vein with the landmark technique. The guidewire became kinked, pierced the vessel wall and became stuck forming several loops within the adjacent tissue of the vein. Several attempts were made to remove the guidewire by interventional radiology but were unsuccessful. Due to the critical condition of the patient an operation was considered too perilous and the guidewire was finally left in situ. No formation of local venous thrombosis could be detected. PMID: 26661081 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 11, 2015 Category: Anesthesiology Authors: Fiala A, Glodny B, Lorenz IH Tags: Anaesthesist Source Type: research

[Hot topics in neuroanesthesia : Key publications from 2014 and 2015].
PMID: 26661082 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 11, 2015 Category: Anesthesiology Authors: Zanner R, Schneider G Tags: Anaesthesist Source Type: research

[Interdisciplinary consensus statement on alternative airway management with supraglottic airway devices in pediatric emergency medicine : Laryngeal mask is state of the art].
This article presents a literature review and consensus statement by various societies on the use of SGA in pediatric emergency medicine. MATERIAL AND METHODS: Literature search in the database PubMed and classification of studies according to the criteria of the Oxford Centre for Evidence-based Medicine levels of evidence. RESULTS: The evidence for successful application of the various types of LM is significantly higher than for LT application. Reports of smaller series of successful applications of LT are currently limited to selected research groups and centers. Insufficient evidence currently exists for the ...
Source: Der Anaesthesist - December 11, 2015 Category: Anesthesiology Authors: Keil J, Jung P, Schiele A, Urban B, Parsch A, Matsche B, Eich C, Becke K, Landsleitner B, Russo SG, Bernhard M, Nicolai T, Hoffmann F Tags: Anaesthesist Source Type: research

[Patient safety in anesthesiology : Multimodal strategies for perioperative care].
n C Abstract The concept of patient safety is more of a presence in modern day medicine than ever before. All measures and processes aiming at preempting and preventing critical incidents and accidents in patient care are collectively grouped under this concept. With the Declaration of Helsinki in 2010 modern anesthesiology has undertaken a fundamental role in the clinical implementation and perioperative clinicians are confronted with a multitude of theories, models, methods and tools targeted at improving or facilitating optimized patient safety. One of the biggest challenges lies in their synergistic combinatio...
Source: Der Anaesthesist - December 3, 2015 Category: Anesthesiology Authors: Neuhaus C, Röhrig R, Hofmann G, Klemm S, Neuhaus S, Hofer S, Thalheimer M, Weigand MA, Lichtenstern C Tags: Anaesthesist Source Type: research

Gedanken zur Fehlerkultur.
PMID: 26630986 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 2, 2015 Category: Anesthesiology Authors: Andel H Tags: Anaesthesist Source Type: research

[Levosimendan for septic shock with takotsubo cardiomyopathy].
This article reports the case of an 82-year-old female patient who presented with acute abdomen due to adhesion ileus and takotsubo cardiomyopathy, developed severe septic shock with peritonitis and could be successfully hemodynamically stabilized with levosimendan. PMID: 26620046 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 30, 2015 Category: Anesthesiology Authors: Schlürmann CN, Reinöhl J, Kalbhenn J Tags: Anaesthesist Source Type: research

[How many patient transfer rooms are necessary for my OR suite? : Effect of the number of OR transfer rooms on waiting times and patient throughput in the OR - analysis by simulation].
CONCLUSION: There was no linear correlation between the number of transfer rooms and the number of ORs. The shorter the average duration of surgery, the earlier an additional transfer room is required. Thus, hospitals with shorter duration of surgery and fewer ORs may need the same or more transfer rooms than a hospital with longer duration of surgery and more ORs. However, with respect to an economic analysis, the costs and benefits of installing additional OR transfer rooms need to be calculated using the profit margins of the specific hospital. PMID: 26613594 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 27, 2015 Category: Anesthesiology Authors: Messer C, Zander A, Arnolds IV, Nickel S, Schuster M Tags: Anaesthesist Source Type: research

[Knowledge achieves safety!]
PMID: 26552808 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 9, 2015 Category: Anesthesiology Authors: Rehm M Tags: Anaesthesist Source Type: research

[Learning from a critical incident reporting system in the pediatric intensive care unit].
CONCLUSION: The successful use of a CIRS depends on the motivation of individual healthcare providers as well as on organizational features that encourage critical incident reporting. PMID: 26537762 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 4, 2015 Category: Anesthesiology Authors: Stocker M, Berger TM Tags: Anaesthesist Source Type: research

[Perioperative risk and mortality after major surgery].
Abstract Although anesthesia-associated mortality has been significantly reduced down to 0.00068-0.00082 % over the last decades, recent studies have revealed a high perioperative mortality of 0.8- 4 %. Apart from anesthesia and surgery-induced major complications, perioperative mortality is primarily negatively influenced by individual patient comorbidities. These risk factors predispose for acute critical incidents (e.g. myocardial infarction); however, the majority of fatal complications are a result of slowly progressing conditions, particularly infections or the sequelae of systemic infla...
Source: Der Anaesthesist - November 3, 2015 Category: Anesthesiology Authors: Boehm O, Pfeiffer MK, Baumgarten G, Hoeft A Tags: Anaesthesist Source Type: research

[S1 guidelines on airway management].
n A Abstract Since the publication of the first german guidelines on airway management in 2014, new techniques have been established in the clinical routine and new insights into existing strategies have been published. As a consequence the new guidelines on airway management of the German Society of Anesthesiology and Intensive Care Medicine represent the current state of scientific knowledge and integrate the currently recommended techniques and strategies. The aim of these guidelines is to guarantee an optimal care of patients undergoing anesthesiological procedures and serve as an orientation and decision aid ...
Source: Der Anaesthesist - October 30, 2015 Category: Anesthesiology Authors: Piepho T, Cavus E, Noppens R, Byhahn C, Dörges V, Zwissler B, Timmermann A Tags: Anaesthesist Source Type: research

[Central venous pressure: evidence or expert opinion?]
PMID: 26519190 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 30, 2015 Category: Anesthesiology Authors: Marx G, Schindler AW, Mosch C, Albers J, Bauer M, Gnass I, Hobohm C, Janssens U, Kluge S, Kranke P, Maurer T, Merz W, Neugebauer E, Quintel M, Senninger N, Trampisch HJ, Waydhas C, Wildenauer R, Zacharowski K, Eikermann M Tags: Anaesthesist Source Type: research

[Central venous pressure - a safety parameter].
gand MA PMID: 26511034 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 28, 2015 Category: Anesthesiology Authors: Siegler BH, Bernhard M, Brenner T, Gerlach H, Henrich M, Hofer S, John S, Kilger E, Krüger WA, Lichtenstern C, Mayer K, Müller M, Niemann B, Oppert M, Rex S, Rossaint R, Weiterer S, Weigand MA Tags: Anaesthesist Source Type: research

[Prehospital analgesia by paramedics in Rhineland-Palatinate : Feasability, analgesic effectiveness and safety of intravenous paracetamol].
Abstract BACKGROUND: In contrast to the widespread practice in life-threatening emergencies, delegation of medical pain therapy to paramedics by the medical director  of Emergency Medical Services, EMS, are still the exception in Germany. This is due to the fact that in non-life-threatening situations, the expected benefit and potential side effects of drug therapy have to be carefully weighed. In addition, in Germany federal law generally restricts the administration of opiates to physicians. METHODS: In 2011 the medical directors of EMS in the German state of Rhineland- Palatinate (4 million inhabitant...
Source: Der Anaesthesist - October 26, 2015 Category: Anesthesiology Authors: Luiz T, Scherer G, Wickenkamp A, Blaschke F, Hoffmann W, Schiffer M, Zimmer J, Schaefer S, Voigt C Tags: Anaesthesist Source Type: research

[General principles of sonography, part 2 : System technology, basic techniques and artifacts].
[General principles of sonography, part 2 : System technology, basic techniques and artifacts]. Anaesthesist. 2015 Oct 21; Authors: Seibel A, Greim CA Abstract Since the introduction of portable ultrasound systems, sonography has become well established as an integral part of the anesthesiological and critical care equipment and of monitoring. The selection of various ultrasound transducers, sonographic techniques and imaging modes enables a broad variety of clinical applications. In depth background knowledge of the technical aspects is crucial for obtaining what a highly sophisticated ultrasoun...
Source: Der Anaesthesist - October 21, 2015 Category: Anesthesiology Authors: Seibel A, Greim CA Tags: Anaesthesist Source Type: research

[Telephone enquiries on the topic of malignant hyperthermia : Evaluation of the content and subsequent diagnostic results at the MH Center Leipzig].
CONCLUSION: Private individuals and families affected by a MH disposition often showed good compliance with respect to counseling and diagnostics for MH and contacted the MH center more often than medical doctors. A more comprehensive cooperation with the medical profession is preferable and necessary to obtain a systematic and broad synopsis of characteristic and uncharacteristic signs and symptoms of MH. The telephone conversations analyzed as well as the diagnostic results (IVCT and genetic testing) underline that MH disposition is still a current and relevant topic. PMID: 26481388 [PubMed - as supplied by publishe...
Source: Der Anaesthesist - October 19, 2015 Category: Anesthesiology Authors: Petersen B, Busch T, Meinecke CD, Börge B, Kluba K, Kaisers UX, Rüffert H Tags: Anaesthesist Source Type: research

[Advantages and disadvantages of different methods for the implementation and the support of standard operating procedures : From PDF files to an app- and webbased SOP management system].
CONCLUSION: The SOP management system SOPHIA combines the benefits of the forerunner version Aesculapp with improved options for intradepartmental maintenance and administration of the SOPs and the possibility of an export and editing function for interinstitutional exchange of SOPs. PMID: 26481389 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 19, 2015 Category: Anesthesiology Authors: Bauer M, Riech S, Brandes I, Waeschle RM Tags: Anaesthesist Source Type: research

[Prevention of catheter-associated urinary tract infections: established and new aspects for the clinical routine : Revised recommendations on "prevention and control of catheter-associated urinary tract infections" of the commission for hospital hygiene and infection prevention at the Robert Koch Institute].
This article explains the recommendations for prevention measures included in the new KRINKO guidelines. PMID: 26481390 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 19, 2015 Category: Anesthesiology Authors: Baier C, Chaberny IF Tags: Anaesthesist Source Type: research