[Choosing wisely in anesthesia : An important step in quality optimization].
PMID: 28667420 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 30, 2017 Category: Anesthesiology Authors: Rossaint R, Coburn M Tags: Anaesthesist Source Type: research

[Intensive care studies from 2016/2017].
er T PMID: 28667421 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 30, 2017 Category: Anesthesiology Authors: Reuß CJ, Bernhard M, Beynon C, Hecker A, Jungk C, Michalski D, Nusshag C, Weigand MA, Brenner T Tags: Anaesthesist Source Type: research

[Erratum to: Difficulties with children of abnormal weight].
g P PMID: 28660412 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 28, 2017 Category: Anesthesiology Authors: Wirtz S, Eich C, Becke K, Brenner S, Callies A, Harding U, Höhne C, Hoffmann F, Kaufmann J, Landsleitner B, Marung H, Nicolai T, Reifferscheid F, Trappe U, Jung P Tags: Anaesthesist Source Type: research

[Sharpen the classical view of septic cardiomyopathy].
PMID: 28660413 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 28, 2017 Category: Anesthesiology Authors: Mirtschink P, Stehr SN Tags: Anaesthesist Source Type: research

[Stocks of dantrolene in anesthesia and intensive care units in Germany : Nationwide online survey with 1673 participants].
CONCLUSION: Almost all anesthesiologists participating in the online survey use volatile anesthethics and/or succinylcholine. Whereas almost all participants have access to dantrolene, more than half of the units have a stock of dantolene, which is less than that recommended by the DGAI. In the case of low dantrolene stock, only 61% of anesthesia departments have access to additional dantrolene within a time frame of 15min . The results of this online survey demonstrate that the stock of dantrolene may be insufficient in some German hospitals and anesthesiology practices. PMID: 28660414 [PubMed - as s...
Source: Der Anaesthesist - June 28, 2017 Category: Anesthesiology Authors: Pfenninger E, Heiderich S, Klingler W Tags: Anaesthesist Source Type: research

[New onset atrial fibrillation in patients with sepsis].
CONCLUSION: Further research is needed to unveil the optimal therapeutic strategies for patients with new onset atrial fibrillation during sepsis. PMID: 28660415 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 28, 2017 Category: Anesthesiology Authors: Keller M, Meierhenrich R Tags: Anaesthesist Source Type: research

Effect of low tidal volume with PEEP on respiratory function in infants undergoing one-lung ventilation.
CONCLUSION: Low TV with PEEP could be an effective intraoperative ventilation strategy for infants undergoing OLV during video-assisted thoracoscopic surgery and may reduce the risk of lung injury. However, this strategy, as well as the influence of intraoperative hypercapnia on infants, needs further investigation. PMID: 28656353 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 27, 2017 Category: Anesthesiology Authors: Liu J, Liao X, Li Y, Luo H, Huang W, Peng L, Fang Q, Hu Z Tags: Anaesthesist Source Type: research

Application of Benford's law: a valuable tool for detecting scientific papers with fabricated data? : A  case study using proven falsified articles against a comparison group.
CONCLUSION: All 12 of the known falsified articles violated Benford-Newcomb's law, which indicated that this analysis had a high sensitivity. The low specificity of the assessment may be explained by the assumptions made about the articles identified for comparison. Violations of Benford-Newcomb's law about the frequencies of the leading digits cannot serve as proof of falsification but they may provide a basis for deeper discussions between the editor and author about a submitted work. PMID: 28653153 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 26, 2017 Category: Anesthesiology Authors: Hüllemann S, Schüpfer G, Mauch J Tags: Anaesthesist Source Type: research

[Consideration of the habitus increases the accuracy of estimation in the application of cognitive aids in pediatric emergences].
PMID: 28600587 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 9, 2017 Category: Anesthesiology Authors: Erker CG, Rotermund J Tags: Anaesthesist Source Type: research

[Difficulties with children of abnormal weight].
PMID: 28597082 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 8, 2017 Category: Anesthesiology Authors: Hoffmann F, Kaufmann J, Landsleitner B, Marung H, Nicolai T, Reifferscheid F, Trappe U, Jung P Tags: Anaesthesist Source Type: research

[Integration of palliative care into intensive care : Systematic review].
DISCUSSION: Trigger factors can reduce barriers which hold back the integration of palliative care in ICUs. Early integration of palliative care can improve quality of care by offering psychological support to patients and their families and by providing collegial consultation. An ongoing prospective study is investigating the acceptance of trigger factors in the daily routine among ICU physicians in Germany. PMID: 28589374 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 6, 2017 Category: Anesthesiology Authors: Adler K, Schlieper D, Kindgen-Milles D, Meier S, Schwartz J, van Caster P, Schaefer MS, Neukirchen M Tags: Anaesthesist Source Type: research

[Intracranial hemorrhage secondary to vitamin  K deficiency in an infant despite oral vitamin K prophylaxis : Also a challenge for the anesthesiologist].
This article presents the case of a 6-week-old infant who, despite oral vitamin K prophylaxis and otherwise normal developmental progress, suffered a severe intracerebral and subdural hemorrhage, which required surgical evacuation. The interdisciplinary approach is described with emphasis on the management of hemostasis. Furthermore, the clinical picture of intracranial bleeding due to vitamin K deficiency, which is nowadays rare in the Western World, is described in the anesthesiology literature for the first time. The usual recommendations regarding prophylaxis as well as certain risk factors are pres...
Source: Der Anaesthesist - June 2, 2017 Category: Anesthesiology Authors: Ackermann S, Schimpf J, Richter M Tags: Anaesthesist Source Type: research

[Preoperative evaluation of adult patients before elective, noncardiothoracic surgery : Joint recommendation of the German Society of Anesthesiology and Intensive Care Medicine, the German Society of Surgery, and the German Society of Internal Medicine].
CH), Zwissler B Abstract Evaluation of the patient's medical history and a physical examination are the cornerstones of risk assessment prior to elective surgery and may help to optimize the patient's preoperative medical condition and to guide perioperative management. Whether the performance of additional technical tests (e. g. blood chemistry, ECG, spirometry, chest x‑ray) can contribute to a reduction of perioperative risk is often not very well known or is controversial. Similarly, there is considerable uncertainty among anesthesiologists, internists and surgeons with respect to the periope...
Source: Der Anaesthesist - June 1, 2017 Category: Anesthesiology Authors: Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin (DGAI), Deutsche Gesellschaft für Innere Medizin (DGIM), Deutsche Gesellschaft für Chirurgie (DGCH), Zwissler B Tags: Anaesthesist Source Type: research

[Residual neuromuscular blockade].
Abstract Even small degrees of residual neuromuscular blockade, i. e. a train-of-four (TOF) ratio>0.6, may lead to clinically relevant consequences for the patient. Especially upper airway integrity and the ability to swallow may still be markedly impaired. Moreover, increasing evidence suggests that residual neuromuscular blockade may affect postoperative outcome of patients. The incidence of these small degrees of residual blockade is relatively high and may persist for more than 90 min after a single intubating dose of an intermediately acting neuromuscular blocking agent, such as roc...
Source: Der Anaesthesist - June 1, 2017 Category: Anesthesiology Authors: Fuchs-Buder T, Schmartz D Tags: Anaesthesist Source Type: research

[Structured patient handovers in perioperative medicine : Rationale and implementation in clinical practice].
er B Abstract Clear and consistent communication is pivotal for well-functioning teamwork, in operating theatres as well as intensive care units. However, patient handovers significantly vary between specialties and locations. If communication is not well structured, it might increase the risk for mishaps and malpractice. Therefore, implementing structured handover protocols is pivotal. The perioperative setting is a high-risk environment that is prone to communication failures due to operational design (frequent change of shift due to working time restrictions) and a high work load and multitasking (ope...
Source: Der Anaesthesist - May 18, 2017 Category: Anesthesiology Authors: Merkel MJ, von Dossow V, Zwißler B Tags: Anaesthesist Source Type: research

[Caring for patients-but carefully of course : Structured Handover].
PMID: 28510036 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - May 16, 2017 Category: Anesthesiology Authors: Vogt L, Sopka S Tags: Anaesthesist Source Type: research

[Anesthesiological care of trauma patients in orthogeriatric co-management].
Abstract Elderly patients increasingly need to undergo surgery under anesthesia, especially following trauma. A timely interdisciplinary approach to the perioperative management of these patients is decisive for the long-term outcome. Orthogeriatric co-management, which includes geriatricians and anesthesiologists from an early stage, is of great benefit for geriatric patients. Patient age, comorbidities and self-sufficiency in activities of daily life are decisive for an anesthesiological assessment of the state of health and preoperative risk stratification. If necessary additional investigations, such as echoca...
Source: Der Anaesthesist - May 12, 2017 Category: Anesthesiology Authors: Luger MF, Luger TJ Tags: Anaesthesist Source Type: research

[Epistemology in the intensive care unit-what is the purpose of a definition? : Paradigm shift in sepsis research].
Abstract The adoption of the new sepsis definition in early 2016 introduced a new paradigm for the clinical picture of sepsis. Up until now, sepsis was defined as a systemic inflammatory reaction (systemic inflammatory response syndrome, SIRS) to an infection. Based on a better understanding of the molecular mechanisms, the focus of the new definition is no longer the inflammatory response, but rather the tissue damage and impairment of organ function which this induces. The paradigm thus moves away from the infection and the systemic inflammatory response, and toward that which makes sepsis so dangerous in terms ...
Source: Der Anaesthesist - May 12, 2017 Category: Anesthesiology Authors: Dickmann P, Scherag A, Coldewey SM, Sponholz C, Brunkhorst FM, Bauer M Tags: Anaesthesist Source Type: research

[New Sepsis-3 definition : Do we have to treat sepsis before we can diagnose it from now on?]
MA Abstract The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) have been available since the beginning of 2016. SEPSIS-3 completely replaces the old SIRS criteria in the definition of sepsis and defines sepsis from now on as "life-threatening organ dysfunction caused by a dysregulated host response to infection". However, it seems questionable whether in clinical practice the new definition is really superior to the old one. The most important question is the following: Is it helpful to have a definition that first recognizes a patient once organ dysfunction has occurre...
Source: Der Anaesthesist - May 11, 2017 Category: Anesthesiology Authors: Schmoch T, Bernhard M, Uhle F, Gründling M, Brenner T, Weigand MA Tags: Anaesthesist Source Type: research

["Kids Save Lives"-resuscitation training for schoolchildren : Systematic review].
The objective of the present investigation was to elucidate educational aspects of teaching schoolchildren in CPR and to summarize campaigns related to a comprehensive establishment of lay-CPR worldwide. MATERIALS AND METHODS: A literature research in PubMed was performed, the cutoff date was 27 February 2017. Overall, 192 abstracts were analyzed; 51 articles were considered relevant and included in the manuscript. An additional keyword research in Google revealed>230,000 entries, and 20 of those were included in the present manuscript. RESULTS: A minimum age of 12-13 years i...
Source: Der Anaesthesist - May 11, 2017 Category: Anesthesiology Authors: Schroeder DC, Ecker H, Wingen S, Semeraro F, Böttiger BW Tags: Anaesthesist Source Type: research

[Haemostatic management in postpartum haemorrhage : Nationwide survey in Germany].
n C Abstract BACKGROUND: In order to ensure evidence-based haemostatic management of postpartum haemorrhage (PPH, blood loss>500 ml) consistent with guidelines appropriate structural conditions must be fulfilled regardless of different levels (1-3) in perinatal care. The aim of the survey was to identify differences in haemostatic management in PPH under consideration of the different levels of perinatal care in Germany. MATERIALS AND METHODS: An electronic questionnaire assessing the structural and therapeutic preconditions for haemostatic management was sent to 533 anaesthesiology departments serv...
Source: Der Anaesthesist - May 10, 2017 Category: Anesthesiology Authors: Kaufner L, Ghantus K, Henkelmann A, Friedrichs U, Weizsäcker K, Schiemann A, von Heymann C Tags: Anaesthesist Source Type: research

[Unusual complication following placement of an epidural catheter].
We report an unusual complication following placement of a thoracic epidural catheter in a patient that had undergone surgery for pulmonary metastases of a malignant melanoma. The intra- and postoperative course was initially without complications. At 2 days, there was a small, conspicuous swelling above the site of epidural puncture, which was neither reddened nor painful. No neurological deficits were observed, and the patient explained that he had been aware of the swelling for more than 6 months; thus, the epidural catheter was not deemed to be responsible. After catheter removal on day 4, an appare...
Source: Der Anaesthesist - May 9, 2017 Category: Anesthesiology Authors: Schlipköter M, Grieser T, Forst H Tags: Anaesthesist Source Type: research

[Quality indicators and structural requirements for Cardiac Arrest Centers-German Resuscitation Council (GRC)].
sner JT PMID: 28474242 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - May 4, 2017 Category: Anesthesiology Authors: Scholz KH, Andresen D, Böttiger BW, Busch HJ, Fischer M, Frey N, Kelm M, Kill C, Schieffer B, Storm C, Thiele H, Gräsner JT Tags: Anaesthesist Source Type: research

[Preoperative fasting period of fluids in bariatric surgery].
Abstract BACKROUND: Aspiration of stomach content is a severe complication during general anaesthesia. The DGAI (German Society for Anesthesiology and Intensive Care Medicine) guidelines recommend a fasting period for liquids of 2 h, with a maximum of 400 ml. Preoperative fasting can affect the patients' recovery after surgery due to insulin resistance and higher protein catabolism as a response to surgical stress. OBJECTIVES: The aim of the study was to compare a liberal fasting regimen consisting of up to 1000 ml of liquids until 2 h before surgery with t...
Source: Der Anaesthesist - May 4, 2017 Category: Anesthesiology Authors: Simon P, Pietsch UC, Oesemann R, Dietrich A, Wrigge H Tags: Anaesthesist Source Type: research

[Morel-Lavall ée lesion : Severely injured 13 year old after being run over].
[Morel-Lavallée lesion : Severely injured 13 year old after being run over]. Anaesthesist. 2017 May 04;: Authors: Schmitt FCF, Brenner T, Hofer S, Weigand MA, Grützner PA, Kneser U, Kremer T, Franke J, Müller U Abstract Accidents in which a person is run over are often associated with multiple serious injuries. Immediate bleeding control is crucial. Pressure and shear stress at the borders of subcutaneous tissue to the muscle fascia can cause hypoperfusion and the emergence of blood-filled cavities that are associated with a high risk of infection and necrosis, a s...
Source: Der Anaesthesist - May 4, 2017 Category: Anesthesiology Authors: Schmitt FCF, Brenner T, Hofer S, Weigand MA, Grützner PA, Kneser U, Kremer T, Franke J, Müller U Tags: Anaesthesist Source Type: research

[Emergency medicine - an integral element of public services in the search of its identity].
f M PMID: 28474245 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - May 4, 2017 Category: Anesthesiology Authors: Prückner S, Bayeff-Filloff M Tags: Anaesthesist Source Type: research

[Use of cognitive aids in pediatric emergency care : Interdisciplinary consensus statement].
g P Abstract Preclinical pediatric emergencies are rare events and are therefore often associated with stress and uncertainty for emergency medical service personnel. To ensure adequate treatment of pediatric patients a variety of different cognitive aids exist (e.g. books, apps, rulers, weight-adapted bag systems). Especially the size specifications of the medical equipment and the dosage of emergency medication are individually very different in children and are dependent on parameters, such as body height and weight. Therefore, cognitive aids often enable length measurement whereby it is possible to d...
Source: Der Anaesthesist - April 28, 2017 Category: Anesthesiology Authors: Wirtz S, Eich C, Becke K, Brenner S, Callies A, Harding U, Höhne C, Hoffmann F, Kaufmann J, Landsleitner B, Marung H, Nicolai T, Reifferscheid F, Trappe U, Jung P Tags: Anaesthesist Source Type: research

[Management of hemorrhage in patients treated with direct oral anticoagulants].
Abstract The introduction of nonvitamin K antagonistic, direct oral anticoagulants (DOAC) made thromboembolic prophylaxis easier for patients. For many physicians, however, there is still uncertainty about monitoring, preoperative discontinuation, and restarting of DOAC therapy. Guidelines for the management of bleeding are provided, but require specific therapeutic skills in the management of diagnostics and therapy of acute hemorrhage. Small clinical studies and case reports indicate that unspecific therapy with prothrombin complex concentrates (PCC) and activated PCC (aPCC) concentrate may reverse DOAC-ind...
Source: Der Anaesthesist - April 28, 2017 Category: Anesthesiology Authors: Grottke O, Lier H, Hofer S Tags: Anaesthesist Source Type: research

[Role of anesthesiology in pain medicine and palliative care treatment in German hospitals : Survey of department heads of anesthesiology on treatment structures].
CONCLUSION: In German hospitals, the departments of anesthesiology make a significant contribution to the provision of both pain medicine and palliative care services. Nevertheless, the respective structures of care are often incomplete or even lacking. There were shortcomings in terms of organization and qualification of the team in pain medicine services (e.g. no doctor with special qualifications in pain management or no psychologist). Palliative care services are more often organized as independent departments than as pain medicine services. Engagement of the anesthesiology department in palliative care is linked to a&...
Source: Der Anaesthesist - April 26, 2017 Category: Anesthesiology Authors: Erlenwein J, Petzke F, Stamer U, Meißner W, Nauck F, Pogatzki-Zahn E, Koppert W, Maier C Tags: Anaesthesist Source Type: research

[Phosphodiesterase 4 inhibition for treatment of endothelial barrier and microcirculation disorders in sepsis].
Abstract Sepsis is commonly associated with loss of microvascular endothelial barrier function (capillary leak) and dysfunctional microcirculation, which both promote organ failure. The development of a distinct therapy of impaired endothelial barrier function and disturbed microcirculation is highly relevant because both of these phenomena constitute crucial processes which critically influence the prognosis of patients. Numerous in vivo and in vitro trials over the past years have fostered a better understanding of the pathophysiology of capillary leak. Furthermore, promising data in animal models show that...
Source: Der Anaesthesist - April 20, 2017 Category: Anesthesiology Authors: Wollborn J, Schlegel N, Schick MA Tags: Anaesthesist Source Type: research

[Future of emergency medicine in Germany 2.0].
JT Abstract In 2003 an article on the future of prehospital emergency medicine in Germany was published in the journal Der Anaesthesist. Emergency medicine in Germany, which at that time was almost exclusively defined as prehospital emergency rescue, has evolved and now in-hospital domains have increasingly moved into the focus. At that time, the primary goal was to connect prehospital management with a smooth transition to hospital admission and further care in the hospital and to further optimize the rescue chain from the actual emergency through to causative treatment. Now after 15 years, the authors...
Source: Der Anaesthesist - April 19, 2017 Category: Anesthesiology Authors: Gries A, Bernhard M, Helm M, Brokmann J, Gräsner JT Tags: Anaesthesist Source Type: research

[Safe treatment of acute hyperkalemia : The 1:4 and other principles].
Abstract Acute hyperkalemia is a dangerous electrolyte disorder, which must be treated immediately. It can lead to cardiac arrhythmia and death due to alterations in cell membrane potentials. The resulting alterations in the electrocardiogram (ECG) are multifarious and need to be rapidly recognized. Treatment consists of various stages. In addition to membrane stabilization, which is always necessary, potassium must be displaced into the intracellular space and then eliminated from the body. A commonly applied method for displacement of potassium into the intracellular space involves the administration of insulin-...
Source: Der Anaesthesist - April 13, 2017 Category: Anesthesiology Authors: Groene P, Hoffmann G Tags: Anaesthesist Source Type: research

[Legal cases in emergency medicine - the Swiss legal situation].
rones T PMID: 28405722 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 12, 2017 Category: Anesthesiology Authors: Dörr B, Brüesch M, Krones T Tags: Anaesthesist Source Type: research

State of the art in fluid and volume therapy : A  user-friendly staged concept. English version.
State of the art in fluid and volume therapy : A user-friendly staged concept. English version. Anaesthesist. 2017 Apr 10;: Authors: Rehm M, Hulde N, Kammerer T, Meidert AS, Hofmann-Kiefer K Abstract Adequate intraoperative infusion therapy is essential for the perioperative outcome of a patient. Both hypo- and hypervolemia can lead to an increased rate of perioperative complications and to a worse outcome. Perioperative infusion therapy should therefore be needs-based. The primary objective is the maintenance of preoperative normovolemia using a rational infusion strategy. Perioperativ...
Source: Der Anaesthesist - April 10, 2017 Category: Anesthesiology Authors: Rehm M, Hulde N, Kammerer T, Meidert AS, Hofmann-Kiefer K Tags: Anaesthesist Source Type: research

[Update in neuroanesthesiology - key publications].
Abstract One of the aims of the Scientific Working Group Neuroanesthesia (WAKNA) of the German Society of Anesthesiology and Intensive Care Medicine is to disseminate new findings in the field of neuroscience and neuroanesthesia and to propagate novel therapeutic and diagnostic options into clinical practice. Once a year, the WAKNA displays and discusses recent noteworthy publications from the past 12 months at the German Anesthesia Meeting. In 2016, a new pharmacologic strategy with dexmedetomidine to prevent postoperative pain after craniotomy, the impact of the widely used anesthetic drug propofo...
Source: Der Anaesthesist - April 6, 2017 Category: Anesthesiology Authors: Eckle VS, Schneider G Tags: Anaesthesist Source Type: research

[Quality indicators for rescue operations in terrorist attacks or other threats : A  pilot study after the Würzburg terrorist attack of July 2016].
CONCLUSION: There is an important need to systematically evaluate rescue missions after mass killing incidents. In this study we report a template of parameters and quality indicators in order to systematically evaluate mass violence events. The presented template is the result of an expert consensus process and may serve as a basis for further development and research. PMID: 28386683 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 6, 2017 Category: Anesthesiology Authors: Wurmb T, Justice P, Dietz S, Schua R, Jarausch T, Kinstle U, Greiner J, Möldner G, Müller J, Kraus M, Simon S, Wagenhäuser U, Roewer N, Helm M Tags: Anaesthesist Source Type: research

[Palliative therapy concepts in intensive care medicine].
The objectives of palliative care concepts are improvement of patient quality of life by relief of disease-related symptoms using an interdisciplinary approach and support of patients and their relatives considering their current physical, psychological, social and spiritual needs. The need for palliative care can be identified via defined screening criteria. Integration of palliative care can either be realized using a consultative model which focusses on involvement of palliative care consultants or an integrative model which embeds palliative care principles into the routine daily practice by the ICU team. Early in...
Source: Der Anaesthesist - April 4, 2017 Category: Anesthesiology Authors: Schuster M, Ferner M, Bodenstein M, Laufenberg-Feldmann R Tags: Anaesthesist Source Type: research

[International guidelines from the Surviving Sepsis Campaign : 2016 update].
This article summarizes the most important amendments and suggests delving deeper into the guidelines. PMID: 28364305 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 31, 2017 Category: Anesthesiology Authors: Briegel J, Möhnle P Tags: Anaesthesist Source Type: research

[Antipyretics in intensive care patients].
CONCLUSIONS: The benefit of fever control using antipyretics in intensive care patients with regard to endpoints like lethality remains unclear. Randomized controlled trials with suitable protocols and endpoints are needed to provide a solid base for development of guidelines. PMID: 28364306 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 31, 2017 Category: Anesthesiology Authors: Simon A, Leffler A Tags: Anaesthesist Source Type: research

Erratum zu: Intensivtherapie nach aneurysmatischer Subarachnoidalblutung.
PMID: 28357453 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 29, 2017 Category: Anesthesiology Authors: Jaschinski U Tags: Anaesthesist Source Type: research

[Comment on: What is the appropriate anesthesia for thrombectomy?]
PMID: 28353066 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 28, 2017 Category: Anesthesiology Authors: Coburn M, Van Aken H, Rossaint R Tags: Anaesthesist Source Type: research

[Conflict matrix : Risk management tool in the operating room].
CONCLUSION: The presented assessment using a conflict matrix is a simple and cost-effective method to assess the conflict landscape, especially in multidisciplinary environments, such as OR management. The chance of conflict prevention or the early recognition of existing conflicts represents an enormous potential for cost and risk saving and might have positive long-term effects by building a culture of conflict prevention at the workplace and a positive influence on interdisciplinary cooperation in this working environment. PMID: 28353067 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 28, 2017 Category: Anesthesiology Authors: Andel D, Markstaller K, Andel H Tags: Anaesthesist Source Type: research

[Interhospital transport of patients with ARDS].
This article defines the group of patients that may benefit from referral. This article discusses the risks associated with the transportation of patients with severely impaired gas exchange and the risks related to different means of transportation. The decisions required before transportation are described as well as the practical approach starting at the transferring hospital until arrival at the admitting hospital. PMID: 28353068 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 28, 2017 Category: Anesthesiology Authors: Jahn N, Voelker MT, Bercker S, Kaisers U, Laudi S Tags: Anaesthesist Source Type: research

[Advance directives in clinical practice : Living will, healthcare power of attorney and care directive].
CA Abstract In clinical practice, situations continuously occur in which medical professionals and family members are confronted with decisions on whether to extend or limit treatment for severely ill patients in end of life treatment decisions. In these situations, advance directives are helpful tools in decision making according to the wishes of the patient; however, not every patient has made an advance directive and in our experience medical staff as well as patients are often not familiar with these documents. The purpose of this article is therefore to explain the currently available documents (e.g. living ...
Source: Der Anaesthesist - March 16, 2017 Category: Anesthesiology Authors: Hack J, Buecking B, Lopez CL, Ruchholtz S, Kühne CA Tags: Anaesthesist Source Type: research

Erratum to: Good neurological outcome after primary accidental hypothermia presenting with asystole.
PMID: 28289764 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 12, 2017 Category: Anesthesiology Authors: Eckert I, Imboden P, Paal P, Koppenberg J Tags: Anaesthesist Source Type: research

[Palliative medicine - at the borderlines of life and death].
PMID: 28289765 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 12, 2017 Category: Anesthesiology Authors: Bausewein C Tags: Anaesthesist Source Type: research

[Complications and monitoring standards after elective craniotomy in Germany].
CONCLUSION: The undisputed gold standard of postoperative monitoring of neurosurgical patients undergoing elective surgery is still the intensive care unit. Although more flexible surveillance modalities are available, a cost-driven restructuring of postoperative monitoring and in particular reduction of the length of stay in hospital must be subjected to detailed scrutinization. PMID: 28289766 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 12, 2017 Category: Anesthesiology Authors: Henker C, Schmelter C, Piek J Tags: Anaesthesist Source Type: research

[Update on muscle relaxation : What comes after succinylcholine, rocuronium and sugammadex?]
nger FK Abstract Due to the great advantages, it is not possible to imagine current practice in anesthesia without the adminstration of muscle relaxants. For a long time the administration of succinylcholine for rapid sequence induction (RSI) was considered to be the state of the art for patients at risk for aspiration. The favorable characteristics are, however, accompanied by many, sometimes severe side effects. Due to the development of non-depolarizing muscle relaxants, in particular rocuronium in combination with sugammadex, there is the possibility to achieve a profile of action similar to succinylcholine wi...
Source: Der Anaesthesist - March 12, 2017 Category: Anesthesiology Authors: Zoremba N, Schälte G, Bruells C, Pühringer FK Tags: Anaesthesist Source Type: research

[Beginning of continuous wound infusion with local anesthetics : With special emphasis on the contributions from Walter Capelle and Ewald Fulde].
Abstract Wound infusion with local anesthetics is a proven and safe analgesic procedure for modern perioperative patient care. Even the pioneers of local anesthesia practiced wound analgesia and emphasized the shortcomings of "single-shot" wound infusions. At the same time, they drew attention to the importance of long-lasting pain relief to prevent sequelae, especially after upper abdominal surgery with pneumonia, embolic events or postoperative ileus. In the early 1930s there were first sustained efforts to improve the efficiency and quality of pain therapy, especially after upper abdominal surger...
Source: Der Anaesthesist - March 7, 2017 Category: Anesthesiology Authors: Goerig M, Gottschalk A Tags: Anaesthesist Source Type: research

Laparoscopic partial nephrectomy in a patient on simvastatin : Delayed recovery from neuromuscular blockade.
Abstract Delayed recovery from anesthesia remains a very challenging subject for anesthesiologists. This case report describes the clinical course of delayed recovery from neuromuscular blockade after laparoscopic partial nephrectomy in a patient on simvastatin. The patient was hypertensive on regular treatment with oral captopril 25 mg twice daily and amlodipine 5 mg once daily and hypercholesterolemic on regular simvastatin 40 mg once daily with a normal electrocardiogram (ECG). All preoperative laboratory findings were within normal ranges. The patient was premedicated with midazo...
Source: Der Anaesthesist - March 5, 2017 Category: Anesthesiology Authors: Abd El-Hakeem EE, Kaki AM, Almazlom SA, Alsayyad AJ Tags: Anaesthesist Source Type: research