[Erratum to: Performance of prehospital emergency anesthesia and airway management].
Abstract PMID: 30488145 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 28, 2018 Category: Anesthesiology Authors: Warnecke T, Dobbermann M, Becker TK, Bernhard M, Hinkelbein J Tags: Anaesthesist Source Type: research

[Erratum to: Delirium in intensive care patients. A  multiprofessional challenge].
[Erratum to: Delirium in intensive care patients. A multiprofessional challenge]. Anaesthesist. 2018 Nov 28;: Authors: Zoremba N, Coburn M, Schalte G Abstract PMID: 30488146 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 28, 2018 Category: Anesthesiology Authors: Zoremba N, Coburn M, Schalte G Tags: Anaesthesist Source Type: research

[Erratum to: Management of the difficult airway : Overview of the current guidelines].
r T Abstract PMID: 30470913 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 23, 2018 Category: Anesthesiology Authors: Schäuble JC, Heidegger T Tags: Anaesthesist Source Type: research

[Transfer of a cockpit strategy to anesthesiology : Clinical example: introduction of canned decisions to solve cannot intubate cannot oxygenate situations].
The objective is to reduce anesthesia-related mortality caused by the unexpected difficult airway through early detection and solution of cannot intubate cannot oxygenate (CICO) situations. METHODS: After approval by the responsible ethics committee, a prospective pilot study was conducted to analyze the process quality of uncomplicated induction of anesthesia on a simulator using audiovisual recording. An evaluation list with 44 items was created, which met the following requirements: items were dichotomous, accessible to an audiovisual evaluation and according to current scientific consensus should be...
Source: Der Anaesthesist - November 16, 2018 Category: Anesthesiology Authors: Vogelsang H, Botteck NM, Herzog-Niescery J, Kirov J, Litschko D, Weber TP, Gude P Tags: Anaesthesist Source Type: research

[How many potential organ donors are there really? : Retrospective analysis of why determination of irreversible loss of brain function was not performed in deceased patients with relevant brain damage].
CONCLUSION: The number of potential organ donors in Region East of the DSO could be significantly increased by identifying patients where BDD is indicated. By consistent evaluation of patients' wills in terms of organ donation before treatment is withdrawn in patients with poor neurological prognosis, additional potential organ donors could be identified. Furthermore, involving neurointensive care physicians in the care of all patients with brain damage could improve the prognostic assessment. PMID: 30446808 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 16, 2018 Category: Anesthesiology Authors: Brauer M, Günther A, Pleul K, Götze M, Wachsmuth C, Meinig T, Bauer M, Witte OW, Rahmel A Tags: Anaesthesist Source Type: research

Propofol-sparing effect of different concentrations of dexmedetomidine : Comparison of gender differences.
In this study 60 male and 60 female patients were randomly allocated to receive dexmedetomidine at target plasma concentrations of 0.0 ng/ml (0.0 group), 0.4 ng/ml (0.4 group), 0.6 ng/ml (0.6 group) and 0.8 ng/ml (0.8 group). Propofol was administered after dexmedetomidine had been intravenously infused for 15 min. The propofol infusion was targeted to provide an initial effect-site concentration of 1.0 μg/ml, followed by increments by 0.2 μg/ml when the effect-site concentration and target concentration of propofol were in equilibrium until LOC was established, where LOC was defined...
Source: Der Anaesthesist - November 7, 2018 Category: Anesthesiology Authors: Xiong M, Zheng Z-, Hu ZR, He J, Madubuko U, Grech D, Zhang XA, Xu B Tags: Anaesthesist Source Type: research

[Prehospital plasma transfusion in civilian trauma patients in hemorrhagic shock].
Abstract PMID: 30406276 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 7, 2018 Category: Anesthesiology Authors: Lier H, Grottke O Tags: Anaesthesist Source Type: research

Misleading symptoms and successful noninvasive rewarming of a  patient with severe hypothermia (23.1 °C).
This article reports a case of severe hypothermia in a geriatric hypothyroid patient, where despite a body core temperature of 23.1 °C the patient presented conscious and with stable vital signs, pronounced motor response, and a Glasgow Coma Scale score of 9. Blood gas analysis (alpha stat at 37 °C) indicated sufficient pulmonary function. A noninvasive rewarming approach proved successful and resulted in discharge without sequelae. This case highlights that symptoms considered pathognomonic for specific stages of hypothermia should be interpreted with great care in clinical practi...
Source: Der Anaesthesist - October 30, 2018 Category: Anesthesiology Authors: Woehrle T, Lichtenauer U, Bayer A, Brunner S, Angstwurm M, Schäfer ST, Baschnegger H Tags: Anaesthesist Source Type: research

["Terminal" dehydration, part  2 : Medical indications and therapeutic approach].
["Terminal" dehydration, part 2 : Medical indications and therapeutic approach]. Anaesthesist. 2018 Oct 26;: Authors: Suchner U, Reudelsterz C, Gog C Abstract The approach in the clinical fluid management of the dying is still controversially discussed in specialist circles and also in the general population. In this article the importance of establishing the therapeutic indications is emphasized against the background of a lack of evidence. Options to achieve noninvasive objectification of assumed dehydration as well as assessment of the reversibility of the symptoms are shown and the ...
Source: Der Anaesthesist - October 26, 2018 Category: Anesthesiology Authors: Suchner U, Reudelsterz C, Gog C Tags: Anaesthesist Source Type: research

[Reduction of treatment time for children in the trauma room care : Impact of implementation of an interdisciplinary trauma room concept (iTRAPS)].
Abstract INTRODUCTION: In addition to infrastructural and conceptual planning, smooth interdisciplinary cooperation is crucial for trauma room care of severely injured children based on time-saving management and a clear set of priorities. The time to computed tomography (CT) is a well-accepted marker for the efficacy of trauma management. Up to now there are no guidelines in the literature for an adapted approach in pediatric trauma room care. METHODS: A step-by-step algorithm for pediatric trauma room care (Interdisciplinary Trauma Room Algorithm in Pediatric Surgery, iTRAPS) was developed wi...
Source: Der Anaesthesist - October 25, 2018 Category: Anesthesiology Authors: Lehner M, Hoffmann F, Kammer B, Heinrich M, Falkenthal L, Wendling-Keim D, Kurz M Tags: Anaesthesist Source Type: research

[Multiprofessional management of delirium : A challenge-not only for intensivists].
Abstract PMID: 30357447 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 24, 2018 Category: Anesthesiology Authors: Saller T Tags: Anaesthesist Source Type: research

[Systematic literature search in PubMed : A short introduction].
tschall E Abstract In order to identify current (and relevant) evidence for a specific clinical question within the unmanageable amount of information available, solid skills in performing a systematic literature search are essential. An efficient approach is to search a biomedical database containing relevant literature citations of study reports. In this article, we explain step by step how to perform a systematic literature search via PubMed (MEDLINE) by means of an example research question in the field of ophthalmology. First, we demonstrate how to translate the clinical problem into a&nbs...
Source: Der Anaesthesist - October 19, 2018 Category: Anesthesiology Authors: Blümle A, Lagrèze WA, Motschall E Tags: Anaesthesist Source Type: research

[Correction to: Drugs for intravenous induction of anesthesia: ketamine, midazolam and synopsis of current hypnotics].
Abstract PMID: 30341448 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 19, 2018 Category: Anesthesiology Authors: Halbeck E, Dumps C, Bolkenius D Tags: Anaesthesist Source Type: research

Epidural needle insertion : A  large registry analysis.
This study evaluated the risk of dural and vascular punctures and the unwanted events paraesthesia and multiple skin punctures related to midline needle insertion depth. MATERIAL AND METHODS: A total of 14,503 epidural catheter insertions including lumbar (L1-L5; n = 5367), low thoracic (T7-T12, n = 8234) and upper thoracic (T1-T6, n = 902) insertions, were extracted from the German Network for Regional Anaesthesia registry between 2007 and 2015. The primary outcomes were compared with logistic regression and adjusted (adj) for confounders to determine the risk of complications/events. Resul...
Source: Der Anaesthesist - October 18, 2018 Category: Anesthesiology Authors: Bomberg H, Paquet N, Huth A, Wagenpfeil S, Kessler P, Wulf H, Wiesmann T, Standl T, Gottschalk A, Döffert J, Hering W, Birnbaum J, Kutter B, Winckelmann J, Liebl-Biereige S, Meissner W, Vicent O, Koch T, Bürkle H, Sessler DI, Raddatz A, Volk T Tags: Anaesthesist Source Type: research

Vocal fold paralysis due to intracranial hypotension following spinal anesthesia.
This article describes a case of VFP due to vagus nerve injury following subarachnoid block. PMID: 30315318 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 12, 2018 Category: Anesthesiology Authors: Aytuluk HG, Aktas O Tags: Anaesthesist Source Type: research

[Video-assisted patient education in anesthesia : How do medical users assess the procedure?]
CONCLUSION: This survey among anesthetists confirmed most results obtained from patient-based studies: medical users attributed to VaPE a better information transfer and a time-sparing effect. Furthermore, users regarded VaPE as helpful for the preanesthesia interview. As compared to the patient-based results, however, many anesthetists seem to overrate the anxiety, caused by disclosure videos. From the users' point of view, VaPE is a highly appreciated method for patient education which can be recommended to colleagues. PMID: 30302517 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 9, 2018 Category: Anesthesiology Authors: Vogel H, Schaaf W, Jacob M Tags: Anaesthesist Source Type: research

[Delirium in intensive care patients : A  multiprofessional challenge].
[Delirium in intensive care patients : A multiprofessional challenge]. Anaesthesist. 2018 Oct 08;: Authors: Zoremba N, Coburn M, Schälte G Abstract Delirium is the most common form of cerebral dysfunction in intensive care patients and is a medical emergency that must be avoided or promptly diagnosed and treated. According to current knowledge the development of delirium seems to be caused by an interplay between increased vulnerability (predisposition) and simultaneous exposure to delirogenic factors. Since delirium is often overlooked in the clinical routine, a continuous screening fo...
Source: Der Anaesthesist - October 8, 2018 Category: Anesthesiology Authors: Zoremba N, Coburn M, Schälte G Tags: Anaesthesist Source Type: research

[Positioning of external pelvic stabilization devices in patients with multiple injuries : Retrospective computed tomographic evaluation].
CONCLUSION: While the prehospital use of pelvic slings is increasing, misplacement is very common. Especially inconsistencies between manufacturers' manuals and current scientific knowledge warrant further improvement. In systems with pneumatic cuffs malrotation of the device is common and clinically relevant. Hypoperfusion of the lower extremities is possible and should be taken into account when employing these devices. PMID: 30298271 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 8, 2018 Category: Anesthesiology Authors: Jansen G, Hefke T, Wittenberg G, Vordemvenne T, Mertzlufft F Tags: Anaesthesist Source Type: research

[Management of the difficult airway : Overview of the current guidelines].
r T Abstract Several national airway task forces have recently updated their recommendations for the management of the difficult airway in adults. Routinely responding to airway difficulties with an algorithm-based strategy is consistently supported. The focus is increasingly not on tools and devices but more on good planning, preparation and communication. In the case of anticipated airway difficulties the airway should be secured when the patient is awake with maintenance of spontaneous ventilation. Unaltered a flexible bronchoscopic intubation technique is advised as a standard of care in such patients. The imp...
Source: Der Anaesthesist - October 5, 2018 Category: Anesthesiology Authors: Schäuble JC, Heidegger T Tags: Anaesthesist Source Type: research

Ultrasound-guided intermediate cervical plexus and additional peripheral facial nerve block for carotid endarterectomy : A  prospective pilot study.
CONCLUSION: This study presents an ultrasound-guided subplatysmal block of the superficial ansa cervicalis for the first time, with the aim of optimizing anesthesia quality during surgical interventions in the carotid triangle. PMID: 30276418 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 1, 2018 Category: Anesthesiology Authors: Seidel R, Zukowski K, Wree A, Schulze M Tags: Anaesthesist Source Type: research

[The distress with the guidelines].
PMID: 30264357 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 27, 2018 Category: Anesthesiology Authors: Piepho T Tags: Anaesthesist Source Type: research

[Hemodynamic target variables in the intensive care unit].
Abstract Despite broad availability, extended hemodynamic monitoring is used in practice only in the minority of critical care patients. Pathophysiological reasoning suggests that systemic perfusion pressure (and thereby arterial as well as central venous pressure), cardiac stroke volume, and the systemic oxygen balance are key variables in maintaining adequate organ perfusion. In line with these assumptions, several studies support that a goal-directed optimization of these hemodynamic variables leads to a reduction in morbidity and mortality. The appropriate monitoring modality should be selected follo...
Source: Der Anaesthesist - September 27, 2018 Category: Anesthesiology Authors: Heringlake M, Sander M, Treskatsch S, Brandt S, Schmidt C Tags: Anaesthesist Source Type: research

[Septic shock in a female patient with miliary tuberculosis].
This article reports the fulminant course of a pneumogenic sepsis with severe ARDS (acute respiratory failure) in a 36-year-old female Indian patient, who died within 14 h after admission to the intensive care unit due to a multiorgan failure. During treatment the diagnosis of a miliary tuberculosis was suspected but was only confirmed by the autopsy. Due to high hygiene standards, miliary tuberculosis as the cause of septic shock is rare in Europe. Only 1-2% of the patients with pulmonary miliary tuberculosis develop an ARDS with a mortality of 60-90%. Based on this case the diagnostics as ...
Source: Der Anaesthesist - September 26, 2018 Category: Anesthesiology Authors: Fichte J, Neef V, Schöffner M, Bremerich D Tags: Anaesthesist Source Type: research

[Knowledge of German anesthetists on antibiotic stewardship].
PMID: 30251183 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 24, 2018 Category: Anesthesiology Authors: Mutlak H, Zacharowski K, Ernst C, May M Tags: Anaesthesist Source Type: research

[Anesthesia in patients with NBIA : Neurodegeneration with brain iron accumulation].
CONCLUSION: The handling of NBIA patients requires good preparation, including an interdisciplinary team and customized time management. In principle, both general anesthesia as a balanced method and total intravenous anesthesia (TIVA) seem to be possible/viable options. The main focus is on airway management. Even after brief sedation in the context of diagnostic measures, the patient should be monitored for longer than usual. PMID: 30238129 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 20, 2018 Category: Anesthesiology Authors: Warnecke T, Schmitz J, Kerkhoff S, Hinkelbein J Tags: Anaesthesist Source Type: research

Effect of prolonged inspiratory time on gas exchange during robot-assisted laparoscopic urologic surgery.
CONCLUSION: Decreased oxygenation by pneumoperitoneum was improved and PaCO2 did not increase after 1 h of I:E of 1:1; however, the effect of equal ratio ventilation longer than 1 h remains to be determined. There was no carryover effect of the two different I:E ratios. PMID: 30225665 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 17, 2018 Category: Anesthesiology Authors: Hur M, Park SK, Jung DE, Yoo S, Choi JY, Kim WH, Kim JT, Bahk JH Tags: Anaesthesist Source Type: research

[Non-beneficial therapy and emotional exhaustion in end-of-life care : Results of a  survey among intensive care unit personnel].
DISCUSSION: Using the example of EOLC, deficits in the work environment and stress factors were uncovered. Factors of the work environment are associated with perceived NBT. To reduce NBT and burnout, the quality of the work environment should be improved and intensive care specialization and emotional support within the team enhanced. Interprofessional decision-making among the ICU team and interprofessional collaboration should be improved by regular joint rounds and interprofessional case discussions. Mitigating stressful factors such as communication with relatives and high workload require allocation of respective res...
Source: Der Anaesthesist - September 12, 2018 Category: Anesthesiology Authors: Hartog CS, Hoffmann F, Mikolajetz A, Schröder S, Michalsen A, Dey K, Riessen R, Jaschinski U, Weiss M, Ragaller M, Bercker S, Briegel J, Spies C, Schwarzkopf D, SepNet Critical Care Trials Group – Ethicus II Studiengruppe Tags: Anaesthesist Source Type: research

[Transport of ventilated emergency patients from the air rescue service to the hospital destination (HOVER study) : Results of an online survey].
CONCLUSION: The management of the handover of ventilated emergency patients in German-speaking HEMS is heterogeneously structured. Only approximately 50% of the participants frequently carried the helicopter ventilator and emergency equipment during patient transport to the ER. Depending on the situation, more than 90% of the respondents used the helicopter ventilator and emergency backpack during the transport. The collection of the HEMS team by a hospital team at the helipad was appreciated by the majority of participants. The use of the helicopter ventilator for patient transport to the ER needs to be explored in f...
Source: Der Anaesthesist - September 11, 2018 Category: Anesthesiology Authors: Hilbert-Carius P, Struck MF, Hofer V, Hinkelbein J, Wurmb T, Bernhard M, Hossfeld B Tags: Anaesthesist Source Type: research

[Central venous pressure in liver surgery : A  primary therapeutic goal or a hemodynamic tessera?]
[Central venous pressure in liver surgery : A primary therapeutic goal or a hemodynamic tessera?] Anaesthesist. 2018 Sep 10;: Authors: Behem CR, Gräßler MF, Trepte CJC Abstract Central venous pressure (CVP) is deemed to be an important parameter of anesthesia management in liver surgery. To reduce blood loss during liver resections, a low target value of CVP is often propagated. Although current meta-analyses have shown a connection between low CVP and a reduction in blood loss, the underlying studies show methodological weaknesses and advantages with respect to mor...
Source: Der Anaesthesist - September 10, 2018 Category: Anesthesiology Authors: Behem CR, Gräßler MF, Trepte CJC Tags: Anaesthesist Source Type: research

[The patient blood group-the small but important difference].
PMID: 30194501 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 7, 2018 Category: Anesthesiology Authors: Zimmermann R, Hackstein H Tags: Anaesthesist Source Type: research

[Life-threatening metabolic acidosis after ingestion of fire extinguisher powder].
We present the case of a 31-year old male with ingestion of fire extinguisher powder in an attempted suicide. After consulting several poison information centres, the intoxication was initially classified as harmless; nevertheless, the patient was admitted to our intensive care unit for cardiopulmonary monitoring. Subsequently, due to the ingestion of ammonium sulphate and ammonium dihydrogen phosphate containing powder the patient developed severe metabolic acidosis with distinct electrolyte imbalance that required temporary haemodialysis. PMID: 30178118 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - September 3, 2018 Category: Anesthesiology Authors: Becker TS, Schuhmacher G, Stich R, Eyer F, Knuefermann P Tags: Anaesthesist Source Type: research

[Update Mallampati : Theoretical and practical knowledge of European anesthetists on basic evaluation of airways].
z T Abstract In 1985 Mallampati et al. published a non-invasive score for the evaluation of airways (Mallampati grading scale, MGS), which originally consisted of only three different classes and has been modified several times. At present it is mostly used in the version of Samsoon and Young consisting of four different classes. Class I: soft palate, fauces, uvula, palatopharyngeal arch visible, class II: soft palate, fauces, uvula visible, class III: soft palate, base of the uvula visible and class IV: soft palate not visible. Nevertheless, other versions of MGS still exist, each having ...
Source: Der Anaesthesist - August 31, 2018 Category: Anesthesiology Authors: Ilper H, Franz-Jäger C, Byhahn C, Klages M, Ackermann HH, Zacharowski K, Kunz T Tags: Anaesthesist Source Type: research

["Terminal" dehydration, part  1 : Differential diagnosis and body of evidence].
This article provides an overview of possible causes of dehydration at the end of life and places special emphasis on "terminal" dehydration in the dying. Empirical attitudes of healthcare professionals and persons concerned (patients and relatives) as well as evidence-based findings on "terminal" dehydration are elucidated and the limitations are described. Finally, it is concluded that the appropriate detection of the mode of dehydration (including its underlying pathophysiology) as well as the clinical evaluation of the "reversibility" of the symptoms after fluid therapy, is of central impo...
Source: Der Anaesthesist - August 30, 2018 Category: Anesthesiology Authors: Suchner U, Reudelsterz C, Gog C Tags: Anaesthesist Source Type: research

[Hemodynamic effects of cafedrine/theodrenaline on anesthesia-induced hypotension].
CONCLUSION: In anesthesia-induced hypotension caf/theo effectively increased the mean arterial blood pressure by combined effects on preload, contractility, and afterload without altering cardiovascular efficiency. PMID: 30132111 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 21, 2018 Category: Anesthesiology Authors: Weitzel M, Hammels P, Schorer C, Klingler H, Weyland A Tags: Anaesthesist Source Type: research

[Systematic analysis of airway registries in emergency medicine].
CONCLUSION: This study identified eleven EARs that sometimes widely differed concerning inclusion periods, inclusion criteria, definition of complications and application of newer methods of emergency airway management. Thus, comparability of the reported results and first-pass success rates is only possible to a limited extent. The authors therefore advocate the initiation of an airway registry in emergency medicine in German-speaking countries. PMID: 30105516 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 13, 2018 Category: Anesthesiology Authors: Girrbach FF, Hilbig F, Michael M, Bernhard M Tags: Anaesthesist Source Type: research

[High pain expectation and impairment from pre-existing pain are risk factors for severe postoperative pain : Results of a  study using the Lübeck Pain Risk Questionnaire].
[High pain expectation and impairment from pre-existing pain are risk factors for severe postoperative pain : Results of a study using the Lübeck Pain Risk Questionnaire]. Anaesthesist. 2018 Aug 13;: Authors: Vahldieck C, Lindig M, Nau C, Hüppe M Abstract BACKGROUND: The intensity of postoperative pain is characterized by large interindividual variability. Furthermore, strong postoperative pain is known to influence physical recovery after surgery. High (preoperative) pain expectation and pre-existing pain, which are associated with pain-related disability (impairing pain) are risk fact...
Source: Der Anaesthesist - August 13, 2018 Category: Anesthesiology Authors: Vahldieck C, Lindig M, Nau C, Hüppe M Tags: Anaesthesist Source Type: research

[Perspectives for anesthesiologists in hospital hygiene].
DISCUSSION: The program was able to increase the number of infection control physicians in a relatively short period of time; however, to guarantee a comparable quality of education it is necessary to standardize the requirements on a national level. The supervision also needs to be further specified. A new program is currently being developed by the German Medical Association, which will hopefully lead to an improvement of the educational program. Special strengths of the new infection control physicians are the broad clinical experience as well as the additional qualifications in antibiotic stewardshi...
Source: Der Anaesthesist - August 13, 2018 Category: Anesthesiology Authors: Bonsignore M, Alefelder C, Pausner N, Gastmeier P, Nachtigall I Tags: Anaesthesist Source Type: research

[Airway management for lung separation in thoracic surgery : An  update].
This article presents the most commonly used methods for lung isolation. These include the double lumen tube, the bronchus blockers by Arndt and Cohen, the EZ blocker, the Uniblocker, the Univent tube and the VivaSight-DL™. The effects of the one-lung ventilation are not described in detail and for this the reader should refer to the appropriate literature. This article is intended to provide an overview of the various possibilities for lung separation, especially for physicians in continued medical education and also for physicians who rarely use these procedures. PMID: 30083992 [PubMed - as supplied by publish...
Source: Der Anaesthesist - August 6, 2018 Category: Anesthesiology Authors: Meggiolaro KM, Wulf H, Feldmann C, Wiesmann T, Schubert AK, Risse J Tags: Anaesthesist Source Type: research

[Comments on: Fluid management for major general surgical interventions: liberal vs. restrictive].
PMID: 30083993 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 6, 2018 Category: Anesthesiology Authors: Van Waesberghe J, Coburn M Tags: Anaesthesist Source Type: research

[Intensive care studies from 2017/2018].
er T PMID: 30083994 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 6, 2018 Category: Anesthesiology Authors: Reuß CJ, Bernhard M, Beynon C, Hecker A, Jungk C, Nusshag C, Weigand MA, Michalski D, Brenner T Tags: Anaesthesist Source Type: research

[Drugs for intravenous induction of anesthesia: ketamine, midazolam and synopsis of current hypnotics].
Abstract Ketamine and midazolam form the endpoint of a series of articles about intravenous induction of anesthesia . Both substances can be used as single induction hypnotic drugs; however, in practice, this is unusual. Both substances, with the exception of a few very specific indications and clinical situations, are more frequently used in combination or with one of the more common alternatives propofol, barbiturates and etomidate. The reasons are the activity and side effects of both substances and their positive characteristics are used more as a supplement. In the concluding comparison the five dis...
Source: Der Anaesthesist - August 1, 2018 Category: Anesthesiology Authors: Halbeck E, Dumps C, Bolkenius D Tags: Anaesthesist Source Type: research

[Airway separation and one-lung ventilation : A special challenge for anesthetists].
PMID: 30027477 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - July 19, 2018 Category: Anesthesiology Authors: Kammerer T Tags: Anaesthesist Source Type: research

[Recommendations for extracorporeal cardiopulmonary resuscitation (eCPR) : Consensus statement of DGIIN, DGK, DGTHG, DGfK, DGNI, DGAI, DIVI and GRC].
Riessen R, Thiele H Abstract Extracorporeal cardiopulmonary resuscitation (eCPR) may be considered as a rescue attempt for highly selected patients with refractory cardiac arrest and potentially reversible etiology. Currently there are no randomized, controlled studies on eCPR, and valid predictors of benefit and outcome which might guide the indication for eCPR are lacking. Currently selection criteria and procedures differ across hospitals and standardized algorithms are lacking. Based on expert opinion, the present consensus statement provides a proposal for a standardized treatment algorithm for eCPR...
Source: Der Anaesthesist - July 16, 2018 Category: Anesthesiology Authors: Michels G, Wengenmayer T, Hagl C, Dohmen C, Böttiger BW, Bauersachs J, Markewitz A, Bauer A, Gräsner JT, Pfister R, Ghanem A, Busch HJ, Kreimeier U, Beckmann A, Fischer M, Kill C, Janssens U, Kluge S, Born F, Hoffmeister HM, Preusch M, Boeken U, Riessen Tags: Anaesthesist Source Type: research

[Ready for the hybrid operating room?]
her M PMID: 29974134 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - July 4, 2018 Category: Anesthesiology Authors: Raspé C, Bucher M Tags: Anaesthesist Source Type: research

[Rapid sequence induction and intubation in patients with risk of aspiration : Recommendations for action for practical management of anesthesia].
DISCUSSION: The consideration of all practical, clinical procedures in patients at risk for aspiration represents an effective prevention of pulmonary aspiration during the induction of anesthesia. These include the optimal drug pre-treatment with antacids (e. g. sodium citrate) for highly aspiration-endangered and proton pump inhibitors or H2 blockers in other patients the evening before. Each patient should be examined and explained prior to RSI according to the recommendations of the National German Society of Anesthesiology for preoperative evaluation. A RSI should be performed in patients with no 2h liquid and ...
Source: Der Anaesthesist - June 29, 2018 Category: Anesthesiology Authors: Eichelsbacher C, Ilper H, Noppens R, Hinkelbein J, Loop T Tags: Anaesthesist Source Type: research

[Hybrid operating theater].
Abstract A hybrid suite is an operating theater with imaging equipment equivalent to that used in an angiography suite with computed tomography (CT) and magnetic resonance imaging (MRI). They are often situated outside the operating room area and typically serve as multifunctional rooms designed to support a variety of catheter-based endovascular procedures and open surgery to be performed in the same location. The possibility to perform these in the same location facilitates the combination of both approaches to so-called hybrid procedures. Typical clinical applications of hybrid suites are cardiac, thoracic...
Source: Der Anaesthesist - June 29, 2018 Category: Anesthesiology Authors: Fuchs-Buder T, Settembre N, Schmartz D Tags: Anaesthesist Source Type: research

[Performance of prehospital emergency anesthesia and airway management : An online survey].
CONCLUSION: The results of the survey demonstrate heterogeneity in RSI techniques used by EMS physicians in Germany. Medical equipment and safe care practices, such as labeling of syringes varied considerably between different service areas. The recommendations of the S1 national guidelines on emergency airway management and anesthesia should be adhered to together with the implementation of local SOPs. PMID: 29959500 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 29, 2018 Category: Anesthesiology Authors: Warnecke T, Dobbermann M, Becker T, Bernhard M, Hinkelbein J Tags: Anaesthesist Source Type: research

[S1 guidelines on malignant hyperthermia : Update 2018].
Abstract The prevalence of malignant hyperthermia (MH) in Germany is 1:2000-1:3000 and therefore more common than previously assumed, so that anesthesia personnel will more often be confronted with susceptible patients in the clinical setting. After the initial treatment with 2.5 mg/kg body weight dantrolene, further therapy using up to 10 mg/body weight dantrolene can be indicated for 24 h. Under these circumstances it is important to have a sufficient amount of water available for injection purposes. For outpatient anesthesia a stockage of dantrolene is not necessary as long as the use of MH trigger substa...
Source: Der Anaesthesist - June 26, 2018 Category: Anesthesiology Authors: Wappler F Tags: Anaesthesist Source Type: research

Implementation of the Sepsis-3 definition in German university intensive care units : A  survey.
CONCLUSION: The results demonstrate the heterogeneity of Sepsis-3 implementation in German intensive care units. Sepsis-3 is finding its way but there is a need for standardized implementation. PMID: 29946857 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 26, 2018 Category: Anesthesiology Authors: Keppler U, Schmoch T, Siegler BH, Weigand MA, Uhle F Tags: Anaesthesist Source Type: research

[Bridging anticoagulation in patients receiving vitamin  K antagonists : Current status].
[Bridging anticoagulation in patients receiving vitamin K antagonists : Current status]. Anaesthesist. 2018 Jun 20;: Authors: Schellong SM, Riess H, Spannagl M, Omran H, Schwarzbach M, Langer F, Gogarten W, Bramlage P, Bauersachs RM Abstract Approximately 30% of patients receiving oral anticoagulation using vitamin K antagonists (VKA) require surgery within 2 years. In this context, a clinical decision on the need and the mode of a peri-interventional bridging with heparin is needed. While a few years ago, bridging was almost considered a standard of care, recen...
Source: Der Anaesthesist - June 20, 2018 Category: Anesthesiology Authors: Schellong SM, Riess H, Spannagl M, Omran H, Schwarzbach M, Langer F, Gogarten W, Bramlage P, Bauersachs RM Tags: Anaesthesist Source Type: research