[Intubating laryngeal tube suction disposable : Initial clinical experiences with a novel device for endotracheal intubation].
CONCLUSION: This first clinical study demonstrated that in patients with apparently normal airways and in the hands of users without previous experience, the iLTS-D allowed sufficient ventilation in all patients and had a high success rate for subsequent endotracheal intubation. The results are, however, preliminary until confirmed by further studies, particularly in patients with difficult airways. PMID: 26481391 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 19, 2015 Category: Anesthesiology Authors: Bergold MN, Kahle S, Schultzik T, Bücheler M, Byhahn C Tags: Anaesthesist Source Type: research

[Ultrasound-guided retrograde emergency intubation : Life-saving management of a bleeding airway emergency with unclear anatomical situation].
This article describes a case of postoperative neck bleeding into the pharynx and neck leading to significant anatomical impairment combined with laryngeal obstruction that was successfully managed using this technique in a modified way. Anatomically non-palpable from a superficial approach, conventional cricotomy and awake tracheotomy were not possible and attempts of fiber optic intubation failed; therefore, ultrasound-guided tracheal puncture was used to advance a conventional central line guidewire towards and out of the mouth and to install orotracheal intubation via a Cook airway catheter cut in half which was advanc...
Source: Der Anaesthesist - October 19, 2015 Category: Anesthesiology Authors: Fichtner A, Vrtny P, Schaarschmidt F Tags: Anaesthesist Source Type: research

[General principles of sonography, part 1 : Basic physics, imaging and Doppler techniques].
This article gives an overview of the underlying technology which is used to produce ultrasound signals, receive the echo signals and further process the echo signals into grey scale pixels to render an image of the acoustic cross-sectional plane. PMID: 26470873 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 15, 2015 Category: Anesthesiology Authors: Einhaus F, Greim CA Tags: Anaesthesist Source Type: research

[Pneumopericardium due to thorax compression : Overlooked resuscitation injury].
e H Abstract On postoperative day 15 after right upper lobectomy of a non-small cell lung cancer a 75-year-old patient developed bradycardia followed by asystole during hospitalization on the intensive care unit. After approximately 4 min of chest compressions, circulatory function was re-established but the patient suffered from tachycardia and required continuous vasopressor support. To exclude hypovolemia and assess contractility, transthoracic echocardiography (TTE) was conducted. During the TTE examination neither the intensive care physician nor the cardiologist on call could obtain usable images, which...
Source: Der Anaesthesist - October 14, 2015 Category: Anesthesiology Authors: Flentje M, Krüger M, Ruschulte H Tags: Anaesthesist Source Type: research

[Improvement of sonographic visualization of cannula needle tips by alignment of the needle lumen : In vitro investigation of established needle tip forms].
In this study 1104 ultrasound images of cannula needles were analyzed. Diminished scores (reduced pixel brightness) of the needle tips were documented with increasing distance from the ultrasound probe. Comparison of punctures at angles of 30° and 45° showed no differences in needle tip visibility (same scores) but punctures at an angle of 60° were poorly visualized compared with 30° and 45° (mean scores 87.90 ± 11.60 vs. 78.40 ± 12.07, p 
Source: Der Anaesthesist - October 13, 2015 Category: Anesthesiology Authors: Schwemmer U, Geppert T, Steinfeldt T, Wunder C Tags: Anaesthesist Source Type: research

[Hemoglobin-oriented and coagulation factor-based algorithm : Effect on transfusion needs and standardized mortality rate in massively transfused trauma patients].
CONCLUSION: The SOP based on coagulation factor values and standardized clotting therapy showed a clear trend to reduction of the SMR in massively transfused trauma patients. On the other hand the SOP achieved a significant reduction in the transfusion requirements and a significant improvement in the hemostatic results in the most severely injured patients. This can be interpreted as an effective use of coagulation factors in the early hospital treatment of trauma patients with ongoing bleeding. PMID: 26453580 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 9, 2015 Category: Anesthesiology Authors: Hilbert-Carius P, Hofmann G, Stuttmann R Tags: Anaesthesist Source Type: research

[Implementation of a rational standard of hygiene for preparation of operating rooms].
CONCLUSION: This present project description can be used by other hospitals as a guideline for similar changes in management processes. PMID: 26428000 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 1, 2015 Category: Anesthesiology Authors: Bauer M, Scheithauer S, Moerer O, Pütz H, Sliwa B, Schmidt CE, Russo SG, Waeschle RM Tags: Anaesthesist Source Type: research

"Awareness" während Allgemeinanästhesie : Unterschätzte Komplikation?
"Awareness" während Allgemeinanästhesie : Unterschätzte Komplikation? Anaesthesist. 2015 Sep 30; Authors: Markstaller K PMID: 26423257 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 30, 2015 Category: Anesthesiology Authors: Markstaller K Tags: Anaesthesist Source Type: research

[Drowning versus cardiac ischemia : Cardiac arrest of an 11-year-old boy at a swimming lake].
This report describes a case of sudden cardiac arrest and subsequent attempted cardiopulmonary resuscitation of an 11-year-old child on the shores of a swimming lake. Reports of eyewitnesses excluded the obviously suspected diagnosis of a drowning accident. The result of the autopsy was sudden cardiac death due to a congenital coronary anomaly (abnormal left coronary artery, ALCA). Favored by vigorous physical activity, this anomaly can lead to malignant arrhythmias because the ectopic coronary artery with its intramural course through the aortic wall is compressed during every systole. This pathology was not known to the ...
Source: Der Anaesthesist - September 30, 2015 Category: Anesthesiology Authors: Födinger A, Wöss C, Semsroth S, Stadlbauer KH, Wenzel V Tags: Anaesthesist Source Type: research

[Undesired awareness phenomena during general anesthesia : Evidence-based state of knowledge, current discussions and strategies for prevention and management].
Abstract Patient awareness during general anesthesia and the later recall of what happened during surgery can be experienced by patients as horrifying events that leave lasting mental trauma in the form of posttraumatic stress syndrome (PTSS). Awareness is related to a temporary insufficient depth of anesthesia. This phenomenon has been discussed for more than 20 years. According to randomized controlled studies, in the absence of risk factors awareness phenomena occur in 1-2 per 1000 operations involving general anesthesia (0.1-0.2 %) and are classified as occasionally occurring critical events. An astonis...
Source: Der Anaesthesist - September 28, 2015 Category: Anesthesiology Authors: Bischoff P, Rundshagen I, Schneider G Tags: Anaesthesist Source Type: research

Peripheral nerve blocks on the upper extremity : Technique of landmark-based and ultrasound-guided approaches.
emmer U Abstract The German Society of Anaesthesiology and Intensive Care Medicine (Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin, DGAI) established an expert panel to develop preliminary recommendations for the application of peripheral nerve blocks on the upper extremity. The present recommendations state in different variations how ultrasound and/or electrical nerve stimulation guided nerve blocks should be performed. The description of each procedure is rather a recommendation than a guideline. The anaesthesiologist should select the variation of block which provides the highest grade...
Source: Der Anaesthesist - September 25, 2015 Category: Anesthesiology Authors: Steinfeldt T, Volk T, Kessler P, Vicent O, Wulf H, Gottschalk A, Lange M, Schwartzkopf P, Hüttemann E, Tessmann R, Marx A, Souquet J, Häger D, Nagel W, Biscoping J, Schwemmer U Tags: Anaesthesist Source Type: research

[Good to know: young scientists' research topics].
PMID: 26400618 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 23, 2015 Category: Anesthesiology Authors: Eckle VS, Stehr SN Tags: Anaesthesist Source Type: research

[Comments on: Conserved blood is not conserved blood?]
PMID: 26385881 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 18, 2015 Category: Anesthesiology Authors: Choorapoikayil S, Zacharowski K, Meybohm P Tags: Anaesthesist Source Type: research

[Minimum requirements for high quality reporting of medical research results : CONSORT, STROBE and PRISMA statements].
PMID: 26385882 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 18, 2015 Category: Anesthesiology Authors: Stevanovic A, Coburn M, Rossaint R Tags: Anaesthesist Source Type: research

[Monitoring of pain, nociception, and analgesia under general anesthesia : Relevance, current scientific status, and clinical practice].
CONCLUSIONS: For the routine application of monitors of nociception and analgesia in daily clinical practice, large clinical studies are necessary, proving a positive outcome effect. Without reliable parameters for nociception and analgesia it was hitherto impossible to perform such studies. The progress made in recent years generates optimism that in the not too distant future the currently available methods to monitor nociception and analgesia might improve to a level of reliability to allow them to be used to investigate the clinical outcome relevance of nociception and analgesia. PMID: 26385883 [PubMed - as suppli...
Source: Der Anaesthesist - September 18, 2015 Category: Anesthesiology Authors: von Dincklage F Tags: Anaesthesist Source Type: research

[Strategies for antifungal treatment failure in intensive care units].
n C Abstract Recent epidemiologic studies reveal both an increasing incidence and an escalation in resistance of invasive fungal infections in intensive care units. Primary therapy fails in 70 % of cases, depending on the underlying pathogens and diseases. The purpose of this review is to raise awareness for the topic of antifungal therapy failure, describe the clinical conditions in which it occurs, and suggest a possible algorithm for handling the situation of suspected primary therapy failure. PMID: 26349425 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 8, 2015 Category: Anesthesiology Authors: Arens C, Bernhard M, Koch C, Heininger A, Störzinger D, Hoppe-Tichy T, Hecker M, Grabein B, Weigand MA, Lichtenstern C Tags: Anaesthesist Source Type: research

[Medical Devices Law for anesthesiologists].
Abstract The Medical Devices Law is a relatively new legal system, which has replaced the still well-known medical devices regulations in Germany. The Medical Devices Law in Germany is based on European directives, which have been translated into national law with the Medical Devices Act. The Medical Devices Act is a framework of regulations and incorporates a number of decrees that address specific topics within the medical devices directives and in turn individual regulations refer to guidelines and recommendations from other sources which provide detailed technical information on specific topics. Overall, the M...
Source: Der Anaesthesist - September 8, 2015 Category: Anesthesiology Authors: Regner M Tags: Anaesthesist Source Type: research

[Completely subcutaneous implantable cardioverter defibrillator : Care of S-ICD® wearers during childbirth].
[Completely subcutaneous implantable cardioverter defibrillator : Care of S-ICD® wearers during childbirth]. Anaesthesist. 2015 Sep 4; Authors: Strewe C, Fichtner S Abstract Inappropriate shock delivery is a problem that has been described for subcutaneous implantable cardioverter defibrillators (S-ICDs). Situations which predispose inappropriate shock delivery, such as childbirth, must be identified and the best treatment strategies selected. Inactivation of the S-ICD is the safest approach to avoiding inappropriate shock delivery. Inactivation of the S-ICD requires adequate patient monitoring an...
Source: Der Anaesthesist - September 4, 2015 Category: Anesthesiology Authors: Strewe C, Fichtner S Tags: Anaesthesist Source Type: research

S2e guideline: positioning and early mobilisation in prophylaxis or therapy of pulmonary disorders : Revision 2015: S2e guideline of the German Society of Anaesthesiology and Intensive Care Medicine (DGAI).
e H Abstract The German Society of Anesthesiology and Intensive Care Medicine (DGAI) commissioneda revision of the S2 guidelines on "positioning therapy for prophylaxis or therapy of pulmonary function disorders" from 2008. Because of the increasing clinical and scientificrelevance the guidelines were extended to include the issue of "early mobilization"and the following main topics are therefore included: use of positioning therapy and earlymobilization for prophylaxis and therapy of pulmonary function disorders, undesired effects and complications of positioning therapy and early mobilization...
Source: Der Anaesthesist - September 3, 2015 Category: Anesthesiology Authors: Bein T, Bischoff M, Brückner U, Gebhardt K, Henzler D, Hermes C, Lewandowski K, Max M, Nothacker M, Staudinger T, Tryba M, Weber-Carstens S, Wrigge H Tags: Anaesthesist Source Type: research

Comparison between dexmedetomidine and remifentanil infusion in emergence agitation during recovery after nasal surgery : A randomized double-blind trial.
l;z Ç, Dönmez A Abstract BACKGROUND: Postoperative emergency agitation (EA) is a common problem. Dexmedetomidine and remifentanil may be used to prevent this problem. Our primary aim was to compare dexmedetomidine, remifentanil, and placebo with respect to their effectiveness in preventing postoperative EA. MATERIAL AND METHODS: Ninety patients undergoing nasal surgery were randomized into three groups. The dexmedetomidine group (group D, n = 30) received dexmedetomidine infusion at a rate of 0.4 μg kg(-1 )h(-1); the remifentanil group (group R, n =...
Source: Der Anaesthesist - September 2, 2015 Category: Anesthesiology Authors: Polat R, Peker K, Baran I, Bumin Aydın G, Topçu Gülöksüz Ç, Dönmez A Tags: Anaesthesist Source Type: research

[Neuroprotection by noble gases : New developments and insights].
Abstract Noble gases are chemically inert elements, some of which exert biological activity. Experimental neuroprotection in particular has been widely shown for xenon, argon and helium. The underlying mechanisms of action are not yet fully understood. Besides an interference with neuronal ion-gated channels and cellular signaling pathways as well as anti-apoptotic effects, the modulation of neuroinflammation seems to play a crucial role. This review presents the current knowledge on neuroprotection by noble gases with a focus on interactions with the neuronal-glial network and neuroinflammation and the perspectiv...
Source: Der Anaesthesist - September 2, 2015 Category: Anesthesiology Authors: Fahlenkamp AV, Rossaint R, Coburn M Tags: Anaesthesist Source Type: research

[Treatment of invasive mycoses : What can be done when therapy fails?]
PMID: 26329915 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 2, 2015 Category: Anesthesiology Authors: Bloos F Tags: Anaesthesist Source Type: research

[Characteristics of anesthesia in patients with MELAS syndrome : Case report of anesthesia in video-assisted thoracoscopy].
Abstract The mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes (MELAS) syndrome is a disease triggered by a disorder in energy production within mitochondria. The cause of this syndrome is a mutation in the mitochondrial DNA where in 80 % of cases an A-to-G mutation is present at nucleotide 3243 and with a prevalence of 18.4/100,000 in the population. Predominantly affected are organ systems with a high energy metabolism, such as the heart, brain and musculature. During the premedication visit a thorough patient history and examination with respect to neurological impairments ...
Source: Der Anaesthesist - August 28, 2015 Category: Anesthesiology Authors: Haas A, Wappler F Tags: Anaesthesist Source Type: research

[Partial anomalous pulmonary venous connection as incidental finding : Explanation for apparently paradoxical central venous blood gas analysis results].
This article presents the case a 50-year-old patient with a PAPVC of the left upper lobe pulmonary vein draining into the left innominate vein without prior clinical symptoms. Blood gas analyses from the superior vena cava, where the catheter placement was confirmed by computed tomography angiography, showed unexplainable arterial values. The anatomical abnormality was confirmed by computed tomography. PMID: 26314742 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 28, 2015 Category: Anesthesiology Authors: Brandt L, Artmeier-Brandt U Tags: Anaesthesist Source Type: research

Zertifizierung für OP-Manager : Ein Qualifizierungsverfahren des Verbands für OP-Management e. V. (VOPM).
Zertifizierung für OP-Manager : Ein Qualifizierungsverfahren des Verbands für OP-Management e. V. (VOPM). Anaesthesist. 2015 Aug 28; Authors: PMID: 26314743 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 28, 2015 Category: Anesthesiology Tags: Anaesthesist Source Type: research

[Perioperative transesophageal echocardiography in non-cardiac surgery : Update].
DISCUSSION: Even in non-cardiac surgery TEE is an important tool allowing clarification of a life-threatening perioperative hemodynamic instability within a few minutes. Furthermore, the hemodynamic management of high-risk patients can be facilitated. Appropriate qualification and continuous training are necessary in order to assure the competence of the examiner. PMID: 26310923 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 27, 2015 Category: Anesthesiology Authors: Wally D, Velik-Salchner C Tags: Anaesthesist Source Type: research

[Errors in medicine : Causes, impact and improvement measures to improve patient safety].
Abstract The guarantee of quality of care and patient safety is of major importance in hospitals even though increased economic pressure and work intensification are ubiquitously present. Nevertheless, adverse events still occur in 3-4 % of hospital stays and of these 25-50 % are estimated to be avoidable. The identification of possible causes of error and the development of measures for the prevention of medical errors are essential for patient safety. The implementation and continuous development of a constructive culture of error tolerance are fundamental.The origins of errors can be differentiate...
Source: Der Anaesthesist - August 26, 2015 Category: Anesthesiology Authors: Waeschle RM, Bauer M, Schmidt CE Tags: Anaesthesist Source Type: research

[Personnel marketing in anesthesiology : Perception, use and evaluation by the target group].
CONCLUSION: The results of this PM study can contribute to the development of an effective and efficient conception of PM measures by hospitals. Addressing applicants through traditional job and internet-based advertisements should be supplemented by personalized targeting of potential applicants and innovative targeting instruments must be systematically developed and promoted in order to become effective. It remains questionable whether the target group of external PM can be reached with exclusively or even predominantly image-cultivating measures on behalf of the healthcare company, such as image campaigns. The most eff...
Source: Der Anaesthesist - August 26, 2015 Category: Anesthesiology Authors: Berlet T Tags: Anaesthesist Source Type: research

[Anesthesia management in implantation of baroreceptor stimulators].
Abstract Baroreceptor stimulators are novel implantable devices that activate the carotid baroreceptor reflex. This results in a decrease in activity of the sympathetic nervous system and inhibition of the renin-angiotensin-aldosterone system. In patients with drug-resistant hypertension, permanent electrical activation of the baroreceptor reflex results in blood pressure reduction and cardiac remodeling. For correct intraoperative electrode placement at the carotid bifurcation, the baroreceptor reflex needs to be activated several times. Many common anesthetic agents, such as inhalation anesthetics and propofol d...
Source: Der Anaesthesist - August 15, 2015 Category: Anesthesiology Authors: Werner T, Lebar L, Wittmann S, Keyser A, Fischer M, Schmidli J, Graf BM, Zausig YA Tags: Anaesthesist Source Type: research

[Short version S2e guidelines: "Positioning therapy and early mobilization for prophylaxis or therapy of pulmonary function disorders"].
[Short version S2e guidelines: "Positioning therapy and early mobilization for prophylaxis or therapy of pulmonary function disorders"]. Anaesthesist. 2015 Aug 11; Authors: Bein T, Bischoff M, Brückner U, Gebhardt K, Henzler D, Hermes C, Lewandowski K, Max M, Nothacker M, Staudinger T, Tryba M, Weber-Carstens S, Wrigge H, für die Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin Abstract The German Society of Anesthesiology and Intensive Care Medicine (DGAI) commissioned a revision of the S2 guidelines on "positioning therapy for prophylaxis or therapy of...
Source: Der Anaesthesist - August 11, 2015 Category: Anesthesiology Authors: Bein T, Bischoff M, Brückner U, Gebhardt K, Henzler D, Hermes C, Lewandowski K, Max M, Nothacker M, Staudinger T, Tryba M, Weber-Carstens S, Wrigge H, für die Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin Tags: Anaesthesist Source Type: research

[Perioperative treatment of patients with long QT syndrome].
h P Abstract Long QT syndrome (LQTS) is caused by a change in cardiac repolarization due to functional ion channel dysfunction which is associated with an elongation of the QT interval (hence the name) in the electrocardiogram and a predisposition to cardiac rhythm disorders (e.g. torsade de pointes, TdP) as well as cardiac events up to sudden cardiac death. There is a congenital (cLQTS) and an acquired (aLQTS) form of the disease. The prevalence of cLQTS is 1 in 2000 but aLQTS is much more common and includes a grey area due to many asymptomatic patients. The LQTS is, therefore, more common than malignant hyperth...
Source: Der Anaesthesist - August 11, 2015 Category: Anesthesiology Authors: Krönauer T, Friederich P Tags: Anaesthesist Source Type: research

[Long QT syndrome : History, genetics, clinical symptoms, causes and therapy].
This article summarizes the current knowledge on the history, pathophysiology, clinical symptoms and therapy of cLQTS and aLQTS. This knowledge of pathophysiological features of the symptoms allows the underlying anesthesiological approach for individualized perioperative concepts for patients suffering from LQTS to be derived. PMID: 26250931 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 7, 2015 Category: Anesthesiology Authors: Krönauer T, Friederich P Tags: Anaesthesist Source Type: research

Kulturanthropologie und Ethnografie auf der Intensivstation.
PMID: 26239081 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 4, 2015 Category: Anesthesiology Authors: Stehr SN Tags: Anaesthesist Source Type: research

[Intercultural competence : Management of foreignness in intensive care medicine].
CONCLUSION: Intercultural competence is crucial in intensive care medicine and includes knowledge of social and cultural influences of different attitudes on health and illness, the abstraction from own attitudes and the acceptance of other or foreign attitudes. PMID: 26231291 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 1, 2015 Category: Anesthesiology Authors: Bein T Tags: Anaesthesist Source Type: research

[Comments on: Layperson warning system for cardiac arrest].
PMID: 26227788 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - July 31, 2015 Category: Anesthesiology Authors: Beckers SK, Bergrath S Tags: Anaesthesist Source Type: research

[Move to improve : New guidelines on positional therapy and early mobilization].
PMID: 26223515 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - July 30, 2015 Category: Anesthesiology Authors: Bein T Tags: Anaesthesist Source Type: research

[Comments on: Influence of lay person resuscitation on the 30-day survival rate].
PMID: 26220758 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - July 29, 2015 Category: Anesthesiology Authors: Bergrath S, Beckers SK Tags: Anaesthesist Source Type: research

[Reversible cerebral vasoconstriction syndrome : Challenge for diagnostics and intensive care therapy].
Abstract Reversible cerebral vasoconstriction syndrome (RCVS) is a disease of unclear incidence frequently affecting middle aged women and is usually associated with use of adrenergic or serotoninergic substances. The exclusion of relevant differential diagnoses, such as aneurysmal subarachnoid hemorrhage, primary cerebral angiitis, posterior reversible encephalopathy syndrome and carotid artery dissection is critical in terms of time and significance. Thunderclap headache as well as multiple and multilocular vasospasms with direct or indirect angiography without substantial findings in cerebrospinal fluid diagnos...
Source: Der Anaesthesist - July 21, 2015 Category: Anesthesiology Authors: Jansen G, Mertzlufft F, Bach F Tags: Anaesthesist Source Type: research

[Acute non-allergic angioedema : Rare cause for intensive care unit admission].
Abstract Angiotensin-converting enzyme (ACE) inhibitor-induced angioedema usually follows an uneventful clinical course; however, if upper airway structures are involved, life-threatening complications may develop. Thus, affected patients should be carefully monitored in an intensive care unit and, if need be, the airway has to be secured early on. This case report discusses diagnostic and therapeutic approaches in a patient with suspected ACE inhibitor-induced angioedema, who had initially been admitted for neoadjuvant radiochemotherapy of rectal cancer. PMID: 26194651 [PubMed - as supplied by publisher] (So...
Source: Der Anaesthesist - July 21, 2015 Category: Anesthesiology Authors: van der Heide V, Woehrle T, Ripperger M, Huge V Tags: Anaesthesist Source Type: research

[Perioperative thermal management in Germany varies depending on the hospital size].
CONCLUSION: Major differences were found in several aspects of perioperative thermal management depending on the hospital size. The main potential for improvement was found in smaller hospitals. Developmental needs primarily exist in the configuration of peripheral anesthesia workplaces, educational training, implementation of SOPs and prewarming of patients. PMID: 26194652 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - July 21, 2015 Category: Anesthesiology Authors: Waeschle RM, Russo SG, Sliwa B, Bleeker F, Russo M, Bauer M, Bräuer A Tags: Anaesthesist Source Type: research

[Venoarterial extracorporeal membrane oxygenation for out-of-hospital cardiac arrest : Case series of prehospital and in-hospital therapys].
This article on a case series discusses the management of ECPR in three patients with OHCA. All patients suffered from a witnessed OHCA and received effective bystander CPR. After subsequent advanced cardiac life support could not achieve a return of spontaneous circulation (ROSC), vaECMO support was established as a bridge to therapy on site or after transportation to a primary or tertiary hospital. During the course of therapy two patients died and one patient was discharged after a full recovery. Early ECPR might improve the outcome in patients with prolonged cardiac arrest without ROSC. The use of ECPR should be based ...
Source: Der Anaesthesist - July 21, 2015 Category: Anesthesiology Authors: Kippnich M, Lotz C, Kredel M, Schimmer C, Weismann D, Sommer C, Kranke P, Roewer N, Muellenbach RM Tags: Anaesthesist Source Type: research

[Individualized coagulation therapy : Wish or already reality?]
PMID: 26194654 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - July 21, 2015 Category: Anesthesiology Authors: Grottke O Tags: Anaesthesist Source Type: research

[Comparison of five video laryngoscopes and conventional direct laryngoscopy : Investigations on simple and simulated difficult airways on the intubation trainer].
CONCLUSION: In the manikin with normal intubation setting, conventional direct laryngoscopy using a Macintosh blade was convincing and superior to any VL used in this study. During simulated difficult intubation, a blade with video transmission, such as C-MAC and the GlideScope were superior compared to conventional direct laryngoscopy and any other VL tested. PMID: 26174747 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - July 15, 2015 Category: Anesthesiology Authors: Ruetzler K, Imach S, Weiss M, Haas T, Schmidt AR Tags: Anaesthesist Source Type: research

[Post-mortem organ donation].
Abstract In Germany approximately 3000 body organs are transplanted annually. In general, all artificially ventilated patients with diagnosed brain death are potential organ donors. All German hospitals are obliged to report potential organ donors and be actively involved in the organ donation process. These matters lie under the jurisdiction of the German transplantation act. An essential prerequisite for organ donation is the diagnosis of brain death according to the guidelines of the German Medical Association. Brain death is associated with complex pathophysiological changes in cardiopulmonary function as well...
Source: Der Anaesthesist - July 15, 2015 Category: Anesthesiology Authors: Goroll T, Gerresheim G, Schaffartzik W, Schwemmer U Tags: Anaesthesist Source Type: research

[Patient with a Fontan circulation undergoing caesarean section : Anesthesiological management].
This article presents the main principles of the pathophysiology and anesthesiological management of pregnant patients living with a Fontan circulation based on a case report, which was complicated by an aortic coarctation and atonic uterine hemorrhage. PMID: 26159666 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - July 10, 2015 Category: Anesthesiology Authors: Schneck E, Mann V, Körner C, Jost A, Thul J, Engel JB, Müller MF Tags: Anaesthesist Source Type: research

[CVP - farewell? Please don't! : Comments on the S3 guidelines on "intravascular volume therapy in adults"].
[CVP - farewell? Please don't! : Comments on the S3 guidelines on "intravascular volume therapy in adults"]. Anaesthesist. 2015 Jul 10; Authors: Siegler BH, Bernhard M, Brenner T, Gerlach H, Henrich M, Hofer S, Kilger E, Krüger WA, Lichtenstern C, Mayer K, Müller M, Niemann B, Oppert M, Rex S, Rossaint R, Weiterer S, Weigand MA PMID: 26159667 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - July 10, 2015 Category: Anesthesiology Authors: Siegler BH, Bernhard M, Brenner T, Gerlach H, Henrich M, Hofer 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

[Comments on: High-flow oxygen administration through a nasal cannula in acute hypoxemic respiratory failure].
n M PMID: 26159668 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - July 10, 2015 Category: Anesthesiology Authors: Schälte G, Coburn M Tags: Anaesthesist Source Type: research

[Early viscoelasticity-based coagulation therapy for severely injured bleeding patients : Report of the consensus group on the consensus conference 2014 for formulation of S2k guidelines].
This report summarizes the findings and recommendations of this consensus conference, which correspond to a S2k guideline according to the system of the Association of the Scientific Medical Societies in Germany (AWMF) and taking formal consensus findings including Delphi methods into consideration. PMID: 26136120 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - July 2, 2015 Category: Anesthesiology Authors: Maegele M, Inaba K, Rizoli S, Veigas P, Callum J, Davenport R, Fröhlich M, Hess J, Konsensusgruppe zur Erarbeitung einer viskoelastizitätsbasierten Leitlinie zur frühen Gerinnungstherapie bei blutenden Schwerverletzten Tags: Anaesthesist Source Type: research

Recovery from prolonged deep rocuronium-induced neuromuscular blockade : A randomized comparison of sugammadex reversal with spontaneous recovery.
Abstract BACKGROUND: Deep neuromuscular blockade (NMB) may not always be maintained to the end of surgery and the depth of block may be allowed to gradually diminish over time, particularly if reversal of NMB is not routinely performed. AIM: The current study aimed to assess recovery from deep rocuronium-induced NMB with sugammadex compared with placebo, provide data regarding the extent of residual blockade after deep rocuronium-induced NMB (placebo group), and to determine whether complete and reliable recovery could be provided by sugammadex (sugammadex group). MATERIALS AND METHODS: This was a random...
Source: Der Anaesthesist - July 1, 2015 Category: Anesthesiology Authors: Rahe-Meyer N, Berger C, Wittmann M, Solomon C, Abels EA, Rietbergen H, Reuter DA Tags: Anaesthesist Source Type: research

[Neuroleptic malignant syndrome : Rare cause of fever of unknown origin].
This article describes the case of a patient with schizoaffective disorder where initially the diagnosis of NMS was not clear. Eventually, fever and a markedly elevated serum creatine kinase (CK) led to the correct diagnosis and the appropriate therapy with dantrolene, bromocriptine and amantadine. Furthermore, a thorough review of the currently available literature on NMS is provided. PMID: 26122200 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 30, 2015 Category: Anesthesiology Authors: Chackupurakal R, Wild U, Kamm M, Wappler F, Reske D, Sakka SG Tags: Anaesthesist Source Type: research