[Communication with children : Practical hints and tools for the anesthesiology routine].
CONCLUSION: Meeting at eye level, talking to the child instead of just about it, a language appropriate for children but not childish, comprehensible information and explanations, return of control and care more than pure technical distance, all play an important role. A serious look into such communication strategies can help the anesthetist to overcome uncertainties that a child can easily sense. PMID: 25776207 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 17, 2015 Category: Anesthesiology Authors: Zech N, Seemann M, Signer-Fischer S, Hansen E Tags: Anaesthesist Source Type: research

[Telemedicine : Stopgap or future concept?]
r S PMID: 25776208 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 17, 2015 Category: Anesthesiology Authors: Prückner S Tags: Anaesthesist Source Type: research

[Protoplasm, coagulation and colloids : Forgotten chapter in the research history of anesthesia between zeitgeist and paradigm].
Abstract The historically most important mechanistic theories attributed the fundamental cause of anesthesia to interactions betweeen anesthetics and proteins as early as the 1870s. According to the underlying thought, the resulting changes in the consistency of cellular protoplasm were the cause of the anesthetized state of the whole organism.These protoplasm coagulation theories, as they were collectively referred to, brought the contemporary enthusiasm for protoplasm, the rapid advances in colloid chemistry and the unified theory of narcosis proclamed by Claude Bernard under a unified mechanistic theory that re...
Source: Der Anaesthesist - March 17, 2015 Category: Anesthesiology Authors: Perouansky M Tags: Anaesthesist Source Type: research

[Current capabilities of telemedicine in anaesthesiology].
Abstract Because of an ageing population and a relative lack of professionals, the German health system is under great pressure. In rural regions in particular, anesthesiology is also affected - nursing staff, anesthetists, intensive care physicians, and emergency physicians often have to be supported by freelancers from other regions and from abroad - at least periodically. In addition to the increasing number of treatments, the potential quality of therapy is also increasing owing to progress in medical research. Against this background the need for resources is increasing to ensure the optimal quality of treatm...
Source: Der Anaesthesist - March 14, 2015 Category: Anesthesiology Authors: Czaplik M, Brokmann J, Hochhausen N, Beckers SK, Rossaint R Tags: Anaesthesist Source Type: research

[Necessity for standards in pediatric anesthesia].
Authors: PMID: 25764347 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 13, 2015 Category: Anesthesiology Tags: Anaesthesist Source Type: research

Cafedrine/theodrenaline in anaesthesia : Influencing factors in restoring arterial blood pressure.
This study aimed to examine the drug combination in real-life clinical practice and recorded time to 10 % mean arterial blood pressure (MAP) increase and heart rate. Furthermore, potential factors that influence drug effectiveness under anaesthesia were assessed. METHODS: Data were collected within a standardised anaesthesia protocol. A total of 353 consecutive patients (female/male = 149/204) who received cafedrine/theodrenaline after a drop in MAP ≥ 5 % were included in the study. The time to 10 % increase in MAP, dosage of cafedrine/theodrenaline, volume loading, blood p...
Source: Der Anaesthesist - March 11, 2015 Category: Anesthesiology Authors: Heller AR, Heger J, Gama de Abreu M, Müller MP Tags: Anaesthesist Source Type: research

[Safety in pediatric anesthesia : Standards and checklists].
r M PMID: 25757553 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 11, 2015 Category: Anesthesiology Authors: Jöhr M Tags: Anaesthesist Source Type: research

[Stress and job satisfaction of future colleagues in anesthesiology].
er S PMID: 25757554 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 11, 2015 Category: Anesthesiology Authors: Kasch R, Eßer J, Merk H, Adler S Tags: Anaesthesist Source Type: research

[Perioperative evaluation and treatment of cardiovascular risk patients for noncardiac surgery : Guidelines of the European Society of Cardiology/European Society of Anaesthesiology 2014.]
This article summarizes the essential aspects of the guidelines in a clearly arranged form. PMID: 25701066 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - February 22, 2015 Category: Anesthesiology Authors: Grossmann E, Ninke T, Probst S, Kaisers UX Tags: Anaesthesist Source Type: research

[Coping with complex medical emergency situations : Competent and successful decision-making, communication and leadership.]
CONCLUSION: Research in aviation and psychology has provided various tools to improve performance during stressful events and should be taken into consideration for routine daily use. PMID: 25701067 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - February 22, 2015 Category: Anesthesiology Authors: Vetter B, Gasch B, Padosch SA Tags: Anaesthesist Source Type: research

[Form and extent of informed consent on anesthesia risks : Evaluation of a survey of all legal experts in Austria.]
CONCLUSION: In future new methods of knowledge transfer to the patients should be developed. In addition, a standardization of the evaluation criteria for CWs in terms of improvement of legal certainty would be desirable. PMID: 25630518 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - January 30, 2015 Category: Anesthesiology Authors: Andel D, Röder G, Markstaller K, Andel H Tags: Anaesthesist Source Type: research

[Multimodal therapy programs for chronic pain.]
Abstract Chronic pain is a common and disabling disorder with major consequences for patient quality of life and it is also a major economic burden to society. The management of chronic pain comprises a large range of different intervention strategies including pharmacological therapy, non-medicinal and invasive therapeutic options. While non-pharmacological and multimodal options are underused, monomodal options, especially pharmacotherapy and invasive therapies are overused. The effectiveness of multidisciplinary and multimodal treatment programs including physical and rehabilitation interventions and psychologi...
Source: Der Anaesthesist - January 25, 2015 Category: Anesthesiology Authors: Kopf A, Gjoni E Tags: Anaesthesist Source Type: research

[Multimodal pain therapy : End of an odyssey.]
er W PMID: 25616570 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - January 25, 2015 Category: Anesthesiology Authors: Meißner W Tags: Anaesthesist Source Type: research

[Acute treatment of patients with severe traumatic brain injury.]
CONCLUSION: Hypoxia, hypotension and hypercarbia should strictly be avoided to improve survival and neurological outcome in patients with severe TBI. The prehospital decision to intubate must be made on a case by case basis at the accident site. A level I trauma center should be the destination for this patient group. PMID: 25608499 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - January 23, 2015 Category: Anesthesiology Authors: Juratli TA, Stephan SE, Stephan AE, Sobottka SB Tags: Anaesthesist Source Type: research

[Standardized treatment protocols in acute postoperative pain therapy : Analysis of contents of standardized medicinal concepts.]
CONCLUSION: Content, structure and type of the evaluated treatment standards showed a considerable heterogeneity with respect to the availability of rescue and baseline medication. Safety aspects were not addressed in many cases. These findings show that despite the requirements of the German guidelines for treatment of perioperative and posttraumatic pain for treatment standards, there are still no practical recommendations with respect to contents and structure of such standards. PMID: 25608500 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - January 23, 2015 Category: Anesthesiology Authors: Erlenwein J, Emons M, Hecke A, Nestler N, Wirz S, Bauer M, Meißner W, Petzke F Tags: Anaesthesist Source Type: research

[Occupational exposure to blood in multiple trauma care.]
CONCLUSION: The process of treatment in prehospital settings is less predictable than in other settings in which invasive procedures are performed. Periodic training and awareness programs for trauma care personnel are required to increase the knowledge of occupational infections and the compliance with standard precautions. The legal and ethical aspects of testing an index patient for blood-borne pathogens after a needlestick injury of a healthcare worker have to be clarified in Germany. PMID: 25566692 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - January 9, 2015 Category: Anesthesiology Authors: Wicker S, Wutzler S, Schachtrupp A, Zacharowski K, Scheller B Tags: Anaesthesist Source Type: research

[Spinal anesthesia in high-volume, low-concentration technique for Caesarean sections : Retrospective analysis.]
CONCLUSION: The high-volume, low-concentration technique is an effective approach for spinal anesthesia with a small number of cases needing general anesthesia or additional analgesics. The rate of hypotension was moderate compared to other studies; however, because of the retrospective and non-randomized study design the dependence of this rate on dose and given volume should be interpreted with caution. PMID: 25537617 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 25, 2014 Category: Anesthesiology Authors: Jokinen J, Adametz V, Kredel M, Muellenbach RM, Hönig A, Wöckel A, Dietl J, Roewer N, Kranke P Tags: Anaesthesist Source Type: research

[Pediatric emergencies in the emergency medical service.]
This article provides a practical approach concerning the diagnostics and therapy of emergencies involving children. PMID: 25523319 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 20, 2014 Category: Anesthesiology Authors: Silbereisen C, Hoffmann F Tags: Anaesthesist Source Type: research

[Tapia's syndrome : Rare complication of securing airways.]
Abstract Nerve injuries are a rare complication of airway management. Two cases of Tapia's syndrome following orotracheal intubation are reported. Case 1: a 23-year-old male patient underwent an otorhinolaryngology (ENT) surgical procedure with orotracheal intubation. A left-sided Tapia's syndrome was verified 3 days later. Case 2: a 67-year-old patient developed a right-sided Tapia's syndrome following an arthroscopic intervention of the left shoulder in the beach-chair position. In both cases there was permanent damage of both nerves. On the basis of a comprehensive literature survey the reasons for an intubatio...
Source: Der Anaesthesist - December 20, 2014 Category: Anesthesiology Authors: Brandt L Tags: Anaesthesist Source Type: research

[Ultrasound-guided infraclavicular venipuncture at the junction of the axillary and subclavian veins.]
CONCLUSION: This presented technique can provide benefits for operators experienced in in-plane puncture. PMID: 25523321 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 20, 2014 Category: Anesthesiology Authors: Gaus P, Heß B, Müller-Breitenlohner H Tags: Anaesthesist Source Type: research

[Hot topics in neuroanesthesiology : Three important publications in 2013 and 2014.]
PMID: 25523322 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 20, 2014 Category: Anesthesiology Authors: Michels P, Schneider G, Crozier TA Tags: Anaesthesist Source Type: research

[Skilled communication as "intervention" : Models for systematic communication in the healthcare system.]
This article provides an overview of the communication models of Shannon, Watzlawick et al. and Schulz von Thun et al. and describes their limitations. The "Process Communication Model®" (PCM) is also introduced. An overview is provided with examples of how this tool can be used to look at the communication process from a systematic point of view. People have different psychological needs. Not taking care of these needs will result in individual stress behavior, which can be graded into first, second and third degrees of severity (driver behavior, mask behavior and desperation). These behavior patterns become...
Source: Der Anaesthesist - December 19, 2014 Category: Anesthesiology Authors: Weinert M, Mayer H, Zojer E Tags: Anaesthesist Source Type: research

[Assessment of the transplantation scandal by the media : Scientific discourse analysis of selected German newspapers.]
CONCLUSION: German newspapers as important opinion-leading and opinion-forming media have a substantial impact in accomplishing the demands for objective and factual information of transplantation medicine. Physicians, ethicists, journalists and politicians are invoked to have a closer collaboration in the future. PMID: 25501682 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 13, 2014 Category: Anesthesiology Authors: Hoisl A, Barbey R, Graf BM, Briegel J, Bein T Tags: Anaesthesist Source Type: research

[Epigenetic regulation in sepsis : Current state of knowledge.]
This article provides a current overview of epigenetic sepsis research and the sepsis-induced effects on the immune system. PMID: 25471356 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 5, 2014 Category: Anesthesiology Authors: Weiterer S, Uhle F, Siegler BH, Lichtenstern C, Bartkuhn M, Weigand MA Tags: Anaesthesist Source Type: research

[Airway management in emergency medicine.]
PMID: 25468255 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 4, 2014 Category: Anesthesiology Authors: - Tags: Anaesthesist Source Type: research

[Patron saints of anesthesia.]
Abstract Patron saints act as facilitators between God and humans. Humans appeal to patron saints for support in devastating, often futile situations in life. Patron saints may intercede for trade and professional guilds, every so often they hold a protective hand over objects. Saint Barbara is venerated as the patron saint of surgeons. In anesthesia she also oversees barbiturates, protects anesthetized patients, anesthetists and anesthesia nursing personnel. Within the Anglo-American language area Saint René is venerated by anesthetists and anesthesia nursing personnel. During anesthesia or critical care t...
Source: Der Anaesthesist - December 4, 2014 Category: Anesthesiology Authors: Lewandowski K Tags: Anaesthesist Source Type: research

[Negative behavioral changes in children and adolescents after anesthesia : Development of a German language version of the Post Hospitalization Behavior Questionnaire.]
CONCLUSION: With the German translation of the PHBQ presented here an instrument is available to detect negative behavioral changes after anesthesia in children among German speaking populations. The translation is comparable to the English version with minor differences concerning its factorial structure, which may be due to the predominant role of anxiety in all items. Like the original, this questionnaire does not per se discriminate between anesthesia and hospitalization induced behavioral changes. However, the German translation of the PHBQ is a questionnaire that is feasible for clinical routine and scientific settin...
Source: Der Anaesthesist - December 3, 2014 Category: Anesthesiology Authors: Buehrer S, Klaghofer R, Weiss M, Schmitz A Tags: Anaesthesist Source Type: research

[Air rescue : Current significance and practical issues.]
pp E Abstract Germany has a nationwide and powerful helicopter emergency medical services system (HEMS), which executes primary rescue missions and interhospital transfer of intensive care patients. In recent years the range of HEMS missions has become modified due to demographic changes and structural changes in the healthcare system. Furthermore, the number of HEMS missions is steadily increasing. If reasonably used air rescue contributes to desired reductions in overall preclinical time. Moreover, it facilitates prompt transport of patients to a hospital suitable for definitive medical care and treatment can be...
Source: Der Anaesthesist - November 29, 2014 Category: Anesthesiology Authors: Schellhaaß A, Popp E Tags: Anaesthesist Source Type: research

[Standardized telephone-assisted instructions on resuscitation by laypersons : Feasibility study using Video-assisted quality analysis.]
CONCLUSION: The results demonstrate that the local T-CPR concept for untrained laypersons is feasible in a mock scenario. No substantial errors were observed for the majority of the untrained responders but the simulation also showed that not every emergency witness implemented the instructions according to the dispatcher's expectations. The T-CPR procedure was also more time-consuming than expected; therefore, every standardized T-CPR concept should be tested for local practicability. In accordance with current studies, the results suggest that the focus should be on compression-only CPR instructions in urban settings. Di...
Source: Der Anaesthesist - November 29, 2014 Category: Anesthesiology Authors: Nest JC, Steinbrunner D, Karger M, Hiltl M, von Kaufmann F, Kanz KG, Kreimeier U Tags: Anaesthesist Source Type: research

[Anesthesiological management of awake craniotomy : Asleep-awake-asleep technique or without sedation.]
Abstract Awake craniotomy is indicated in deep brain stimulation (DBS) for treatment of certain movement disorders, such as in Parkinson disease patients or in the surgery of brain tumors in close vicinity to the language area. The standard procedure is the asleep-awake-asleep technique where general anesthesia or analgosedation is intermittently interrupted for neurological testing. In DBS the intraoperative improvement of symptoms, stereotactic navigation and microelectrode reading guide to the optimal position. In brain tumor resection, reversible functional impairments during electrical stimulation on the brai...
Source: Der Anaesthesist - November 26, 2014 Category: Anesthesiology Authors: Seemann M, Zech N, Graf B, Hansen E Tags: Anaesthesist Source Type: research

Anesthesia in swine : Optimizing a laboratory model to optimize translational research.
In conclusion, swine are an excellent laboratory animal for bench to bedside research and can be managed properly when basic knowledge and adequate skills on careful handling, anesthesia and surgical considerations are present. PMID: 25384955 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 12, 2014 Category: Anesthesiology Authors: Pehböck D, Dietrich H, Klima G, Paal P, Lindner KH, Wenzel V Tags: Anaesthesist Source Type: research

[Simulation as possible training for palliative emergencies : Prospective initial data analysis of participants from two simulation training sessions.]
CONCLUSION: The literature review and the expectations of the participants underlined that the development and characteristics of palliative emergencies will become increasingly more important in outpatient emergency medicine. All participants considered palliative care to be very important concerning the competency for end-of-life decisions in palliative patients. For this reason, special curricula and simulation for dealing with palliative care patients and special treatment decisions in emergency situations seem to be necessary. PMID: 25384956 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 12, 2014 Category: Anesthesiology Authors: Wiese CH, Bosse G, Schröder T, Lassen CL, Bundscherer AC, Graf BM, Zausig YA Tags: Anaesthesist Source Type: research

[Malignant hyperthermia.]
Abstract Malignant hyperthermia (MH) is a rare hereditary, mostly subclinical myopathy. Trigger substances, such as volatile anesthetic agents and the depolarizing muscle relaxant succinylcholine can induce a potentially fatal metabolic increase in predisposed patients caused by a dysregulation of the myoplasmic calcium (Ca) concentration. Mutations in the dihydropyridine ryanodine receptor complex in combination with the trigger substances are responsible for an uncontrolled release of Ca from the sarcoplasmic reticulum. This leads to activation of the contractile apparatus and a massive increase in cellular ener...
Source: Der Anaesthesist - November 12, 2014 Category: Anesthesiology Authors: Metterlein T, Schuster F, Graf BM, Anetseder M Tags: Anaesthesist Source Type: research

[Power of words.]
PMID: 25384958 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 12, 2014 Category: Anesthesiology Authors: Meissner K, Merrow M Tags: Anaesthesist Source Type: research

[Every year …]
[Every year …] Anaesthesist. 2014 Nov 12; Authors: Wappler F PMID: 25384959 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 12, 2014 Category: Anesthesiology Authors: Wappler F Tags: Anaesthesist Source Type: research

[Acute perioperative hemodilution without using hydroxyethyl starch : Hemodynamic alterations under "controlled" hypovolemia.]
CONCLUSION: In the study population, the loss of intravascular fluid during perioperative haemodilution could be compensated by an increase in cardiac performance. However, whether patients with a reduced cardiac capacity (i.e. older patients) are capable to improve their cardiac output sufficiently in order to compensate hypovolemia accompanying perioperative haemodilution with crystalloids remains questionable. PMID: 25380794 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 9, 2014 Category: Anesthesiology Authors: Hofmann-Kiefer K, Chappell D, Jacob M, Schülke A, Helfen T, Anetzberger J, Rehm M Tags: Anaesthesist Source Type: research

[Eleven years of core data set in intensive care medicine : Severity of disease and workload are increasing.]
This study analyzed the core date set of the DIVI between 2000 and 2010 in respect to changes in disease severity using the simplified acute physiology score (SAPS II), the sequential organ failure assessment (SOFA), the need for therapeutic interventions with the therapeutic intervention scoring system (TISS 28) and intensive care unit (ICU) mortality. MATERIAL AND METHODS: Inclusion criteria were participation in the registry for at least 4 years, SAPS II, SOFA, TISS28 scores available and data on ICU discharge. A standardized mortality rate (SMR) was calculated for each year. RESULTS: The mean SAPS II score in...
Source: Der Anaesthesist - November 8, 2014 Category: Anesthesiology Authors: Bingold TM, Lefering R, Zacharowski K, Waydhas C, Scheller B Tags: Anaesthesist Source Type: research

[Nocebo effects and negative suggestion in anesthesia.]
Abstract Anesthetists have an impact on patients and healing processes not only through drugs, interventions and therapy but also significantly by their words and personality. A substantial part of observed side effects is caused by nocebo effects and negative suggestion, i.e. by the doctor and the medical surroundings. Every symptom of an illness, side effect or complication can also be induced by the wrong way of talking about it. Patients perceive medical situations, such as an emergency, anesthesia or intensive care as extreme or even as life-threatening. This can induce a natural trance, an altered state of c...
Source: Der Anaesthesist - October 19, 2014 Category: Anesthesiology Authors: Zech N, Seemann M, Hansen E Tags: Anaesthesist Source Type: research

[Perioperative management of patients with rheumatoid arthritis.]
g W Abstract Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by joint and systemic manifestations. As the prevalence in the adult population is approximately 1 %, anesthesia management in patients with RA has to be performed on a regular basis. Besides elective orthopedic surgery, e.g. surgery of the cervical spine, all other types of planned and emergency surgery should also be anticipated. Administering anesthesia to a patient with RA can be challenging not only due to a higher incidence of difficult intubation but also because of various organ manifestations as well as an elevated...
Source: Der Anaesthesist - October 17, 2014 Category: Anesthesiology Authors: Müller M, Pippi-Ludwig W Tags: Anaesthesist Source Type: research

[Question prompt list for premedication consultation : Patient-oriented information on anesthesia.]
CONCLUSION: The QPL-A is a useful tool for meeting the subjective information needs of patients which could improve the patient orientation of the anesthesia premedication consultation. PMID: 25318622 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 17, 2014 Category: Anesthesiology Authors: Fischbeck S, Zimmer S, Laufenberg-Feldmann R, Laubach W Tags: Anaesthesist Source Type: research

[Terminology in the context of anesthesia for preterm and term newborns and infants.]
This article provides an overview of conventional definitions and technical terms. It also puts forward terminological principles for a model of risk stratification of anesthesia in the newborn period and infancy. PMID: 25287297 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 8, 2014 Category: Anesthesiology Authors: Entenmann A, Michel M, Detsch O Tags: Anaesthesist Source Type: research

[Unexpected hemorrhage complications in association with celecoxib : Spontaneously reported case series after perioperative pain treatment in gynecological operations.]
Abstract A series of cases of postoperative bleeding were reported to the Drug Commission of the German Medical Association (Arzneimittelkommission der deutschen Ärzteschaft, AkdÄ) within the spontaneous reporting system after the regimen for postoperative pain treatment was changed from diclofenac (150 mg per day) to celecoxib (400 mg per day). All patients underwent elective gynecological surgery and 7 out of 11 patients with postoperative bleeding required revision surgery. Although alternative causes for the hemorrhage incidents could not be excluded, the documented circumstances could have...
Source: Der Anaesthesist - October 4, 2014 Category: Anesthesiology Authors: Stammschulte T, Brune K, Brack A, Augenstein H, Arends G, Gundert-Remy U Tags: Anaesthesist Source Type: research

[Interdisciplinary management of trauma patients : Update 3 years after implementation of the S3 guidelines on treatment of patients with severe and multiple injuries.]
CONCLUSION: The recommendations on interdisciplinary trauma management contained in the S3 guidelines on the treatment of patients with severe and multiple injuries should be implemented into the clinical routine. Additionally, the knowledge gained from more recent scientific studies is necessary for anesthetists and emergency physicians to be able to adequately implement the core statements of the S3 guidelines for the treatment of patients with severe and multiple injuries. PMID: 25227879 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 18, 2014 Category: Anesthesiology Authors: Donaubauer B, Fakler J, Gries A, Kaisers UX, Josten C, Bernhard M Tags: Anaesthesist Source Type: research

[Differences of analgesic efficacy and complication rates between ultrasound and nervestimulator guided peripheral nerve catheters : Database analysis on patient-relevant target parameters.]
Abstract BACKGROUND: Peripheral nerve catheters (PNC) play an important role in postoperative pain treatment following major extremity surgery. There are several trials reported in the literature which investigated the efficacy and safety of ultrasound (US) and nerve stimulator (NS) guided PNC placement; however, most of these trials were only small and focused mainly on anesthesiologist-related indicators of block success (e.g. block onset time and procedure time) but not primarily on patient-related outcome data including postoperative pain during movement. AIM: This retrospective analysis compared the anal...
Source: Der Anaesthesist - September 18, 2014 Category: Anesthesiology Authors: Schnabel A, Middendorf B, Boschin MG, Gottschalk A, Van Aken H, Zahn PK, Pogatzki-Zahn EM Tags: Anaesthesist Source Type: research

[Spectrum of missions for a rescue helicopter : Changes in a south German urban area over the last 25 years.]
CONCLUSION: The changes in the spectrum of missions up to more emergencies involving non-trauma patients and older patients must be taken into consideration during training and advanced training. PMID: 25227881 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 18, 2014 Category: Anesthesiology Authors: Viergutz T, Bayer O, Weiss C, Braun J, Kalenka A Tags: Anaesthesist Source Type: research

[From fishing trip to the critical care unit : Successful resuscitation after a near drowning accident.]
DISCUSSION: Section 8 of the ERC guidelines provides additional information for resuscitation under specific conditions. In this case report, hypothermia was one of the main criteria leading to an adjusted pharmacological therapy. Furthermore, selection of the appropriate hospital for an optimal advanced treatment including controlled warming of the patient and management of hypothermia-induced complications had to be evaluated. PMID: 25227882 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 18, 2014 Category: Anesthesiology Authors: Kippnich M, Keller D, Jokinen J, Kilgenstein C, Muellenbach RM, Markus C, Roewer N, Kranke P Tags: Anaesthesist Source Type: research

[Sleep disorders among physicians on shift work.]
l B Abstract Sleep disorders in physicians who perform shift work can result in increased risks of health problems that negatively impact performance and patient safety. Even those who cope well with shift work are likely to suffer from sleep disorders. The aim of this manuscript is to discuss possible causes, contributing factors and consequences of sleep disorders in physicians and to identify measures that can improve adaptation to shift work and treatment strategies for shift work-associated sleep disorders. The risk factors that influence the development of sleep disorders in physicians are numerous and inclu...
Source: Der Anaesthesist - September 13, 2014 Category: Anesthesiology Authors: Schlafer O, Wenzel V, Högl B Tags: Anaesthesist Source Type: research

[Fluid resuscitation in hemorrhage.]
Abstract How fluid resuscitation has to be performed for acute hemorrhage situations is still controversially discussed. Although the forced administration of crystalloids and colloids has been and still is practiced, nowadays there are good arguments that a cautious infusion of crystalloids may be initially sufficient. Saline should no longer be used for fluid resuscitation. The main argument for cautious fluid resuscitation is that no large prospective randomized clinical trials exist which have provided evidence of improved survival when fluid resuscitation is applied in an aggressive manner. The explanation th...
Source: Der Anaesthesist - September 11, 2014 Category: Anesthesiology Authors: Roessler M, Bode K, Bauer M Tags: Anaesthesist Source Type: research

[Cost minimization analysis in postoperative pain management : Economic efficiency and effectiveness of two infusion pump systems.]
CONCLUSION: Both pain pump systems provide equally effective pain management, while the electronic model caused less costs. Both pumps offer advantages and disadvantages that should be considered based on local circumstantial demands. PMID: 25189935 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 6, 2014 Category: Anesthesiology Authors: Bräscher AK, Blunk J, Söhle S, Feldmann RE, Bauer M, Benrath J Tags: Anaesthesist Source Type: research

[Ernst von der Porten : Looking for facts before and after forced emigration.]
Abstract The Ernst von der Porten medal has been awarded for many years to exceptional personalities by the Alliance of German Anesthesiologists to honor the outstanding achievements of the physician Ernst von der Porten from Hamburg in the development of anesthesiology as an autonomous discipline Only recent access to hitherto inaccessible documents enabled the reconstruction of his final years. He was persecuted and excluded by the National Socialist (NS) regime due to his Jewish roots and finally forced to emigrate. Records revealed that even in the so-called safe exile, degrading treatment and humiliation cont...
Source: Der Anaesthesist - September 5, 2014 Category: Anesthesiology Authors: Goerig M, Bruijn L Tags: Anaesthesist Source Type: research