[New challenges for anesthesia due to the climate change].
CONCLUSION: (I) Volatile anesthetics are highly potent greenhouse gases, especially desflurane has a major global warming potential. Total intravenous anesthesia (TIVA) with propofol or regional anesthetic techniques have a much lower impact on the climate. (II) Using sustainable energy sources as well as initiating energy sparing techniques, such as light-emitting diodes (LED) and motion sensors, can reduce CO2 emissions. (III) Waste can be managed by the reduce, reuse, recycle, rethink and research concept. Doctors should actively contribute to reach the climate goals. PMID: 32346776 [PubMed - as...
Source: Der Anaesthesist - April 27, 2020 Category: Anesthesiology Authors: Koch S, Pecher S Tags: Anaesthesist Source Type: research

[Outpatient treatment of acute injuries of upper extremities with axillary plexus anesthesia in the emergency department-Is that possible without continuous anesthesia attendance?]
This article retrospectively reports the authors' experiences with a treatment algorithm in which emergency patients were treated by ultrasound-guided axillary brachial plexus blocks (ABPB) and surgery carried out in the emergency department without further anesthesia attendance. METHODS: Patients were preselected by the surgeon if they were suitable for a standardized treatment without anesthesia attendance during surgery. If there were no anesthesiological or surgical contraindications patients received an ABPB in the holding area of the operating room (OR) under standard monitoring. Blocks were performed as a ...
Source: Der Anaesthesist - April 27, 2020 Category: Anesthesiology Authors: Rand A, Avila González CA, Feigl GC, Mäcken T, Weiß T, Zahn PK, Litz RJ Tags: Anaesthesist Source Type: research

[Effect of implementation of a trauma leader on process parameters for polytrauma treatment in the shock room of a tertiary care hospital].
Abstract BACKGROUND: In patients up to the age of 40 years old severe trauma is the most frequent cause of death in Germany. According to the current S3 guidelines on treatment of polytrauma and the severely injured, since 2011 the presence of a shock room coordinator should be considered, who can improve the survival of patients by optimized treatment quality and times. The aim of the present study was to analyze various parameters of shock room treatment for polytraumatized patients before and after implementation of a shock room coordinator for treatment of polytrauma. MATERIAL AND METHODS: To en...
Source: Der Anaesthesist - April 23, 2020 Category: Anesthesiology Authors: Schmitz J, Battenberg T, Drinhaus H, Eifinger F, Ries C, Hinkelbein J Tags: Anaesthesist Source Type: research

[Anesthesia and intensive care ventilators: differences and usability in COVID-19 patients].
Abstract The current coronavirus disease 2019 (Covid-19) pandemia is a highly dynamic situation characterized by therapeutic and logistic uncertainties. Depending on the effectiveness of social distancing, a shortage of intensive care respirators must be expected. Concomitantly, many physicians and nursing staff are unaware of the capabilities of alternative types of ventilators, hence being unsure if they can be used in intensive care patients. Intensive care respirators were specifically developed for the use in patients with pathological lung mechanics. Nevertheless, modern anesthesia machines offer similar tec...
Source: Der Anaesthesist - April 23, 2020 Category: Anesthesiology Authors: Notz Q, Herrmann J, Stumpner J, Schmid B, Schlesinger T, Kredel M, Kranke P, Meybohm P, Lotz C Tags: Anaesthesist Source Type: research

[Viral infection and lack of ventilators-d éjà vu?]
[Viral infection and lack of ventilators-déjà vu?] Anaesthesist. 2020 Apr 23;: Authors: Briegel J PMID: 32328694 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 22, 2020 Category: Anesthesiology Authors: Briegel J Tags: Anaesthesist Source Type: research

[Posterior reversible encephalopathy syndrome and hyperammonemia: two entities causing cerebral edema and status epilepticus in a female patient after lung transplantation].
bhenn J Abstract A 58-year-old woman developed rapidly progressive neurological symptoms and finally loss of vigilance 5 weeks following primarily successful lung transplantation. A posterior reversible encephalopathy syndrome (PRES) under treatment with tacrolimus as well as hyperammonemia due to sepsis with Ureaplasma urealyticum could be identified as the causes. Infections with Ureaplasma, bacteria which produce ammonia as a product of metabolism, are increasingly being identified in immunocompromised people by specific PCR (polymerase chain reaction) procedures and should routinely be taken into consider...
Source: Der Anaesthesist - April 20, 2020 Category: Anesthesiology Authors: Bächle F, Bansbach J, Hettich I, Lambeck J, Senbaklavaci Ö, Kalbhenn J Tags: Anaesthesist Source Type: research

[Machine learning in anesthesiology].
Abstract The application of artificial intelligence (AI) is currently changing very different areas of life. Artificial intelligence involves the emulation of human behavior with the aid of methods from mathematics and informatics. Machine learning (ML) represents a subdivision of AI. Algorithms for ML have the potential to optimize patient care, in that they can be utilized in a supportive way in personalized medicine, decision making and risk prediction. Although the majority of the applications in medicine are still limited to data analysis and research, it is certain that ML will become increasingly more impor...
Source: Der Anaesthesist - April 20, 2020 Category: Anesthesiology Authors: Sassenscheidt J, Jungwirth B, Kubitz JC Tags: Anaesthesist Source Type: research

[Treatment options for acute respiratory distress syndrome in neurointensive care. Individual management due to enhanced neuromonitoring? : A  case report series].
[Treatment options for acute respiratory distress syndrome in neurointensive care. Individual management due to enhanced neuromonitoring? : A case report series]. Anaesthesist. 2020 Apr 17;: Authors: Klocker E, Pietsch C, Pietsch U Abstract Severe pulmonary impairment can occur after traumatic brain injury or stroke. The resulting brain-lung interactions represent key points for the treatment and the subsequent outcome of the patient. Established treatment approaches, such as permissive hypercapnia and prone positioning, present the intensive care physician with divergent treatment goals in these...
Source: Der Anaesthesist - April 16, 2020 Category: Anesthesiology Authors: Klocker E, Pietsch C, Pietsch U Tags: Anaesthesist Source Type: research

Comparison of types 2 and 3 quadratus lumborum muscle blocks : Open inguinal hernia surgery in patients with spinal anesthesia.
In this study 60 patients undergoing open inguinal hernia surgery were randomly assigned to 3 groups. Group QLB2 received ultrasound-guided QLB type 2 and group QLB3 received ultrasound-guided QLB type 3 with 0.25% 20 mL bupivacaine. In the control group (group C) no intervention was performed. Postoperative analgesia was performed intravenously with 1000 mg paracetamol every 6 h and patient-controlled analgesia with fentanyl. Postoperative visual analog scale scores (VAS), opioid consumption, and first analgesic requirement time were evaluated. RESULTS: Fentanyl consumption was significantly higher in grou...
Source: Der Anaesthesist - April 16, 2020 Category: Anesthesiology Authors: Bagbanci O, Kursad H, Yayik AM, Ahiskalioglu EO, Aydin ME, Ahiskalioglu A, Karadeniz E Tags: Anaesthesist Source Type: research

[Perioperative blood pressure management : What is the optimal pressure?]
CONCLUSION: Anesthesiologists should avoid extensive and prolonged hypotension by timely interventions in order to improve the postoperative outcome of patients. PMID: 32296866 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 14, 2020 Category: Anesthesiology Authors: Welte M, Saugel B, Reuter DA Tags: Anaesthesist Source Type: research

[Liberal transfusion strategy for prevention of mortality and anemia-associated ischemic events in older noncardiac surgery patients-LIBERAL study].
“ PMID: 32291465 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 13, 2020 Category: Anesthesiology Authors: Schlesinger T, Studiengruppe „LIBERAL“ Tags: Anaesthesist Source Type: research

[Daptomycin-induced eosinophilic pneumonia associated with an early endoprosthesis infection].
Abstract Acute eosinophilic pneumonia (AEP) is a rare disease characteristically involving eosinophilic infiltration of lung parenchyma as well as fever, dyspnea, and coughing. A differentiation is made between primary and secondary AEP depending on the underlying etiology. Substances that most frequently cause secondary AEP are antibiotics, such as the lipopeptide daptomycin. This is a case report about a 69-year-old female patient who underwent antibiotic treatment with daptomycin for an infection of a knee prosthesis. During the treatment, signs of pneumonia developed and included the increa...
Source: Der Anaesthesist - April 7, 2020 Category: Anesthesiology Authors: Zimmer MA, Haffner E, Weisser CW, Mols G Tags: Anaesthesist Source Type: research

[Acute extended supply of inhalative oxygen in a pandemic].
enzel V PMID: 32246156 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 2, 2020 Category: Anesthesiology Authors: Kober B, Dötsch M, Götzelmann E, Vogel M, Eble M, Wenzel V Tags: Anaesthesist Source Type: research

[Volumetric capnography for analysis and optimization of ventilation and gas exchange].
This article presents parameters for making decisions at the bedside, which could previously only be obtained by extensive, more invasive, nonautomated procedures. PMID: 32240320 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 1, 2020 Category: Anesthesiology Authors: Böhm SH, Kremeier P, Tusman G, Reuter DA, Pulletz S Tags: Anaesthesist Source Type: research

[Foundations of Volumetric capnography : Principles of monitoring of metabolism and hemodynamics].
This article highlights the importance, particularly of volumetric capnography (VCap), for clinical monitoring of mechanically ventilated patients. The procedure provides important information on the breathing, ventilation, metabolism and hemodynamics of patients. PMID: 32239235 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 31, 2020 Category: Anesthesiology Authors: Böhm SH, Kremeier P, Tusman G, Reuter DA, Pulletz S Tags: Anaesthesist Source Type: research

[Erratum to: Management of patients with chronic pain in acute and perioperativemedicine : An interdisciplinary challenge].
etzke F PMID: 32221620 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 26, 2020 Category: Anesthesiology Authors: Erlenwein J, Pfingsten M, Hüppe M, Seeger D, Kästner A, Graner R, Petzke F Tags: Anaesthesist Source Type: research

[Safety of cell salvage in tumor surgery : Systematic review with meta-analysis].
CONCLUSION: Randomized controlled trials on a comparison of MAT and allogeneic blood transfusion as well as LDF and irradiation would be desirable but are not available. From observational trials and more than 6300 subjects and various tumors, cell salvage in cancer surgery with or without LDF appears to be sufficiently safe. The efficacy of leucocyte depletion of autologous salvaged blood is equivalent to irradiation. Unavailability of radiation is not a contraindication for cell salvage use in cancer surgery. By usage of leucocyte depleted salvaged autologous blood, the risks of allogeneic transfusion can be avoided. ...
Source: Der Anaesthesist - March 26, 2020 Category: Anesthesiology Authors: Frietsch T, Steinbicker AU, Hackbusch M, Nguyen XD, Dietrich G Tags: Anaesthesist Source Type: research

[Erratum to: Infections due to multidrug-resistant pathogens : Pathogens, resistance mechanisms and established treatment options].
PMID: 32211919 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 23, 2020 Category: Anesthesiology Authors: Richter DC, Brenner T, Brinkmann A, Grabein B, Hochreiter M, Heininger A, Storzinger D, Briegel J, Pletz M, Weigand MA, Lichtenstern C Tags: Anaesthesist Source Type: research

Coronavirus disease 2019 (COVID-19): update for anesthesiologists and intensivists March 2020.
r M Abstract The current outbreak of coronavirus disease (COVID-19) has reached Germany. The majority of people infected present with mild disease, but there are severe cases that need intensive care. Unlike other acute infectious diseases progressing to sepsis, the severe courses of COVID19 seemingly show prolonged progression from onset of first symptoms to life-threatening deterioration of (primarily) lung function. Diagnosis relies on PCR using specimens from the respiratory tract. Severe ARDS reflects the hallmark of a critical course of the disease. Preventing nosocomial infections (primarily by correct use ...
Source: Der Anaesthesist - March 23, 2020 Category: Anesthesiology Authors: Thomas-Rüddel D, Winning J, Dickmann P, Ouart D, Kortgen A, Janssens U, Bauer M Tags: Anaesthesist Source Type: research

[Erratum to: 58-year-old male with sepsis after perforation of a  sigmoid colon diverticulum : Preparation for the medical specialist examination: part 44].
[Erratum to: 58-year-old male with sepsis after perforation of a sigmoid colon diverticulum : Preparation for the medical specialist examination: part 44]. Anaesthesist. 2020 Mar 20;: Authors: Dumps C, Umrath V PMID: 32198575 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 19, 2020 Category: Anesthesiology Authors: Dumps C, Umrath V Tags: Anaesthesist Source Type: research

[Coronavirus disease 2019 (COVID-19): update for anesthesiologists and intensivists March  2020].
[Coronavirus disease 2019 (COVID-19): update for anesthesiologists and intensivists March 2020]. Anaesthesist. 2020 Mar 18;: Authors: Thomas-Rüddel D, Winning J, Dickmann P, Ouart D, Kortgen A, Janssens U, Bauer M Abstract The current outbreak of coronavirus disease (COVID-19) has reached Germany. The majority of people infected present with mild disease, but there are severe cases that need intensive care. Unlike other acute infectious diseases progressing to sepsis, the severe courses of COVID19 seemingly show prolonged progression from onset of first symptoms to life-threatening deteriora...
Source: Der Anaesthesist - March 17, 2020 Category: Anesthesiology Authors: Thomas-Rüddel D, Winning J, Dickmann P, Ouart D, Kortgen A, Janssens U, Bauer M Tags: Anaesthesist Source Type: research

Unilateral transversus abdominis plane block and port-site infiltration : Comparison of postoperative analgesic efficacy in laparoscopic cholecystectomy.
Abstract PURPOSE: To compare the analgesic efficacy of unilateral subcostal transversus abdominis plane (TAP) block with local anesthetic infiltration, applied to the port site in patients undergoing laparoscopic cholecystectomy (LC). METHODS: Group T received a unilateral subcostal TAP block, group I received a local anesthetic infiltration at port sites, and group C was the control group. Groups T and I received 20 mL 0.25% bupivacaine. Intravenous patient-controlled analgesia with tramadol was similarly applied to all groups. Postoperative pain levels during rest and cough were e...
Source: Der Anaesthesist - March 11, 2020 Category: Anesthesiology Authors: Arık E, Akkaya T, Ozciftci S, Alptekin A, Balas Ş Tags: Anaesthesist Source Type: research

[Hypotension induced by spinal anesthesia during cesarean section : Current treatment concepts].
Abstract Arterial hypotension during cesarean delivery under spinal anesthesia can cause maternal and fetal adverse effects. Therefore, current guidelines recommend the continuous and preferably prophylactic use of vasopressors, emphasizing the use of alpha-agonists, such as phenylephrine. Besides a left lateral uterine displacement either an intravenous colloid preloading or a crystalloid co-loading is recommended. The blood pressure goal is to maintain a systolic arterial blood pressure of at least 90% of the initial baseline value and to avoid a drop to less than 80% of this baseline. To achieve ...
Source: Der Anaesthesist - March 11, 2020 Category: Anesthesiology Authors: Fantin R, Ortner CM, Klein KU, Putz G, Marhofer D, Jochberger S Tags: Anaesthesist Source Type: research

[A  protestant pastor as the pioneer of emergency medicine : Sebastianus Albinus published the first emergency manual 400 years ago].
[A protestant pastor as the pioneer of emergency medicine : Sebastianus Albinus published the first emergency manual 400 years ago]. Anaesthesist. 2020 Mar 12;: Authors: Brandt L, Artmeier-Brandt U Abstract In 1588 Sebastian Weiß, the son of a miller, became the first Lutheran pastor of Dittersbach in Saxony. At home he had repeatedly witnessed successful resuscitation of drowned persons by means of simple measures by his parents. Missing appropriate recommendations in the medical literature, in 1620 as "Sebastianus Albinus" he published a booklet with measures for reviv...
Source: Der Anaesthesist - March 11, 2020 Category: Anesthesiology Authors: Brandt L, Artmeier-Brandt U Tags: Anaesthesist Source Type: research

The influence of preoperative epidural labor analgesia on postoperative pain in parturients undergoing emergency cesarean section : A  retrospective analysis.
The influence of preoperative epidural labor analgesia on postoperative pain in parturients undergoing emergency cesarean section : A retrospective analysis. Anaesthesist. 2020 Mar 09;: Authors: Park HY, Park YW, Hwang JW, Do SH, Na HS Abstract BACKGROUND: Intense noxious input from the periphery may result in central sensitization and hyperexcitability, thus accentuating subsequent postoperative pain. Parturients who undergo emergency cesarean section (C-sec) after experiencing labor pain often develop labor pain-induced sensitization. OBJECTIVE: This retrospective study evaluated whether p...
Source: Der Anaesthesist - March 8, 2020 Category: Anesthesiology Authors: Park HY, Park YW, Hwang JW, Do SH, Na HS Tags: Anaesthesist Source Type: research

Preoperative ankle block for postoperative analgesia in  foot surgery.
CONCLUSION: Ankle block is an effective and simple technique for reducing postoperative pain and opioid consumption. It reduced the time to mobilization without a delay in hospital discharge. It is concluded that the routine administration of AB before GA may be an effective and simple method for pain relief after foot surgery. PMID: 32152738 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 8, 2020 Category: Anesthesiology Authors: Özhan MÖ, Tanrıöver A, Atik B, Özhan Çaparlar C, Eşkin BM, Süzer AM Tags: Anaesthesist Source Type: research

[Recommendations for emergency management of patients with permanent mechanical circulatory support : Consensus statement of DGTHG, DIVI, DGIIN, DGAI, DGINA, DGfK and DGK].
chels G Abstract The prevalence of patients living with long-term mechanical circulatory support (MCS) is rapidly increasing due to improved technology, improved survival, reduced adverse event profiles, greater reliability and mechanical durability, and limited numbers of organs available for donation. Patients with long-term MCS are very likely to require emergency medical support due to MCS-associated complications (e.g., right heart failure, left ventricular assist device malfunction, hemorrhage and pump thrombosis) but also due to non-MCS-associated conditions. Because of the unique characteristics of mechani...
Source: Der Anaesthesist - March 2, 2020 Category: Anesthesiology Authors: Pilarczyk K, Boeken U, Beckmann A, Markewitz A, Schulze PC, Pin M, Gräff I, Schmidt S, Runge B, Busch HJ, Preusch MR, Haake N, Schälte G, Gummert J, Michels G Tags: Anaesthesist Source Type: research

Comparison of intubating conditions after induction with propofol and remifentanil or sufentanil : Randomized controlled REMIDENT trial for  surgical tooth extraction.
CONCLUSION: When intubation without muscle relaxants is required, intubating conditions are much better when a remifentanil bolus is used compared to a sufentanil bolus. The remifentanil/propofol rapid induction technique is a valuable technique to quickly intubate and achieve good conditions. PMID: 32112114 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - February 27, 2020 Category: Anesthesiology Authors: Dolsan A, Bruneteau L, Roche C, Ferré F, Labaste F, Sommet A, Conil JM, Minville V Tags: Anaesthesist Source Type: research

[Selection of the optimal anesthesia regimen for cesarean section].
Abstract Approximately one third of all children in Germany are delivered by cesarean section. Depending on the individual patient's condition and the situation, the anesthesiologist has to choose between a general or a regional anesthesia regimen. The decisive factor for the selection is the obstetric urgency (decision-delivery time) after ascertainment of the indications. Furthermore, the need for postoperative analgesia varies depending on the chosen anesthesia regimen. PMID: 32076739 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - February 18, 2020 Category: Anesthesiology Authors: Schubert AK, Wiesmann T, Neumann T, Annecke T Tags: Anaesthesist Source Type: research

[Stocktaking of local anesthetics 2020].
Abstract For decades local anesthetics have proven to be safe and effective drugs in the clinical practice, crucially promoting the enormous achievements in regional anesthesia. Meanwhile, it is a well-known fact that local anesthetics are much more than just "simple" sodium channel blockers. They also interact with numerous other ion channels and subcellular structures, enhancing nerve blockade and resulting in systemic "alternative" effects, which can sometimes even be clinically used. By the simultaneous administration of various adjuvants (e.g., opioids, corticosteroids and α2-re...
Source: Der Anaesthesist - February 18, 2020 Category: Anesthesiology Authors: Zink W, Steinfeldt T, Wiesmann T Tags: Anaesthesist Source Type: research

[Anesthesia for patients suffering from neuromuscular diseases].
This article describes along the treatment pathway how preoperative evaluation, choice of the anesthetic procedure and postoperative care can be effectively and safely tailored to the needs of patients with NMD. Concise and practical recommendations for carrying out anesthesia for the most important NMDs are presented as well as relevant external sources of practice recommendations. PMID: 32076741 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - February 18, 2020 Category: Anesthesiology Authors: Prottengeier J, Amann B, Münster T Tags: Anaesthesist Source Type: research

Efficacy of a certified modular ultrasound curriculum.
CONCLUSION: This study shows that although this US course curriculum has positively enhanced the trainees' theoretical knowledge of US practice, it does not enhance the practical application of that theoretical knowledge. To improve this curriculum, a supervised clinically practical training should follow the course. PMID: 32055882 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - February 12, 2020 Category: Anesthesiology Authors: Tomasi R, Stark K, Scheiermann P Tags: Anaesthesist Source Type: research

[Diaphragm ultrasound to predict weaning failure-absence of evidence is not evidence of absence].
PMID: 32055883 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - February 12, 2020 Category: Anesthesiology Authors: Umlauf J, Heller A Tags: Anaesthesist Source Type: research

[Vasopressin in distributive shock : Brief summary of the guidelines of the Canadian Critical Care Society published in December 2019].
r E Abstract The Canadian Critical Care Society performed a meta- analysis to assess the benefits and risks of the application of vasopressin and vasopressin- analogues in distributive shock. Their results were formulated as a Guideline in 2019. In the meta- analysis mainly included were studies with patients suffering from sepsis causing the distributive shock. The recommendations of the Surviving Sepsis Campaign 2016 concerning catecholamine therapy clearly prefer norepinephrin as the first- choice vasopressor, the use of vasopressin as an additionally administered drug is rated more tentative. Also the Canadian...
Source: Der Anaesthesist - February 12, 2020 Category: Anesthesiology Authors: Bayerl S, Wöhrle T, Kilger E Tags: Anaesthesist Source Type: research

[Airway management in preclinical emergency anesthesia with respect to specialty and education].
CONCLUSION: The level of training in airway management especially for non-anesthetists is inhomogeneous. The recently published German S1 guidelines for prehospital airway management recommend education and training as well as the primary use of the video laryngoscope with Macintosh blade. The implementation could lower the incidence of subjective difficult airways. PMID: 32055885 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - February 12, 2020 Category: Anesthesiology Authors: Luckscheiter A, Lohs T, Fischer M, Zink W Tags: Anaesthesist Source Type: research

[Is the discipline associated with self-confidence in handling rational antibiotic prescription? : Results from the MR2 study in German hospitals].
m M Abstract BACKGROUND: Besides public awareness and specialist knowledge and training of physicians, their self-confidence plays a key role for clinical decision-making in the respective area. OBJECTIVE: This exploratory study investigated the influence of the discipline on differences in self-confidence in dealing with antibiotics and in the self-rated knowledge. METHODS: In 2015 the multi-institutional reconnaissance of practice with multiresistant bacteria (MR2) questionnaire containing items on antibiotic prescription and multiresistant pathogens was sent out to 1061 physicians working in departmen...
Source: Der Anaesthesist - February 12, 2020 Category: Anesthesiology Authors: Schneider F, Schulz CM, May M, Schneider G, Jacob M, Mutlak H, Pawlik M, Zoller M, Kretzschmar M, Koch C, Kees MG, Burger M, Lebentrau S, Novotny A, Hübler M, Koch T, Heim M Tags: Anaesthesist Source Type: research

Effect of favorite music on postoperative anxiety and pain.
This study aimed to evaluate the effects of listening to preoperative favorite music on postoperative anxiety and pain. MATERIAL AND METHODS: This prospective, randomized, single-blinded, controlled trial included the American Society of Anesthesiologists (ASA) I-III patients, aged 18-70 years, undergoing elective inguinal hernia surgery. Demographic data and anxiety status were recorded. Anxiety status was measured using the Spielberger state-trait anxiety inventory form 1 (STAI-1) and state-trait anxiety inventory form 2 (STAI-2). After recording baseline heart rate, blood pressure and STAI level...
Source: Der Anaesthesist - February 10, 2020 Category: Anesthesiology Authors: Kavak Akelma F, Altınsoy S, Arslan MT, Ergil J Tags: Anaesthesist Source Type: research

[Advance directive 2.0].
PMID: 32020263 [PubMed - in process] (Source: Der Anaesthesist)
Source: Der Anaesthesist - January 31, 2020 Category: Anesthesiology Authors: Ostgathe C Tags: Anaesthesist Source Type: research

International survey of neurosurgical anesthesia (iSonata) : An international survey of current practices in neurosurgical anesthesia.
CONCLUSION: The data demonstrate that many aspects of anesthesia management during elective intracranial surgery vary between European institutions. The data also suggest that a broad consensus exists regarding the implementation of total intravenous anesthesia, airway management (endotracheal intubation), the implementation of urinary catheters, large bore peripheral venous lines and the broad availability of cross-matched red blood cell concentrates. Nevertheless, anesthesia management (e.g. central venous catheterization, moderate hypothermia, neuromuscular monitoring) is still handled differently across many Europ...
Source: Der Anaesthesist - January 30, 2020 Category: Anesthesiology Authors: Löser B, Lattau T, Sies V, Recio Ariza O, Reuter DA, Schlömerkemper N, Petzoldt M, Haas SA Tags: Anaesthesist Source Type: research

[Analgesia for trauma patients in emergency medicine].
nhard M Abstract Adequate analgesia is one of the most important measures of emergency care in addition to treatment of vital function disorders and, if indicated, should be promptly undertaken; however, a large proportion of emergency patients receive no or only inadequate pain therapy. The numeric rating scale (NRS) is recommended for pain assessment but is not applicable to every group of patients; therefore, vital signs and body language should be included in the assessment. Pain therapy should reduce the NPRS to
Source: Der Anaesthesist - January 29, 2020 Category: Anesthesiology Authors: Häske D, Böttiger BW, Bouillon B, Fischer M, Gaier G, Gliwitzky B, Helm M, Hilbert-Carius P, Hossfeld B, Schempf B, Wafaisade A, Bernhard M Tags: Anaesthesist Source Type: research

[Transdermal intoxication through broken opioid ampules : Accidental intoxication in a paramedic].
This article presents the case of an accidental transdermal opioid intoxication in a paramedic. During an ambulance flight mission for patient repatriation several ampules containing opioids were broken unnoticed inside the ampule kit in the outside pocket of the work trousers of the paramedic. He developed the typical clinical picture of opioid intoxication with clouding of consciousness, miosis, and respiratory depression. This necessitated continuous monitoring of vital signs as well as repetitive administration of naloxone under the improvised circumstances of a mission abroad. PMID: 32002562 [PubMed - a...
Source: Der Anaesthesist - January 29, 2020 Category: Anesthesiology Authors: Bartram U, Schmidt R Tags: Anaesthesist Source Type: research

[Erratum to: 76-year-old [male] total hip arthroplasty. Preparation for the medical specialist examination: part 32].
PMID: 31996944 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - January 28, 2020 Category: Anesthesiology Authors: Neuhaus C, Fella E, Breuer G Tags: Anaesthesist Source Type: research

[Erratum to: Palliative sedation : Development and consensus of a  German language documentation template].
[Erratum to: Palliative sedation : Development and consensus of a German language documentation template]. Anaesthesist. 2020 Jan 24;: Authors: Klein C, Wittmann C, Wendt KN, Ostgathe C, Stiel S PMID: 31980838 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - January 23, 2020 Category: Anesthesiology Authors: Klein C, Wittmann C, Wendt KN, Ostgathe C, Stiel S Tags: Anaesthesist Source Type: research

[Management of patients with chronic pain in acute and perioperative medicine : An interdisciplinary challenge].
etzke F Abstract Chronic pain is a frequent comorbidity of patients in hospitals and has an influence on the clinical course and the duration of hospitalization. There is a need to have a better understanding of chronic pain as a comorbidity and it should be considered to a greater extent in understanding diseases, in treatment concepts and hospital structures to ensure a resource-oriented and high-quality care. This begins on admission by identifying pre-existing pain and related risk factors with the medical history and taking these into account in the treatment regimen. A multimodal tre...
Source: Der Anaesthesist - January 12, 2020 Category: Anesthesiology Authors: Erlenwein J, Pfingsten M, Hüppe M, Seeger D, Kästner A, Graner R, Petzke F Tags: Anaesthesist Source Type: research

[Patient blood management : Medical concept for increasing patient safety].
Abstract Patient blood management (PBM) is a multidisciplinary evidence-based treatment model. Aims are to provide treatment of pre-existing or recently occureed deficits in blood volume and of substances that are important for erythropoiesis in patients, as well as the targeted administration of cellular and non-cellular blood products within reasonable and scientifically proven limits. The overall goal is therefore a safe therapy and complication-free course of the disease. PBM follows a strategy based on three pillars, which encompasses the aspects of optimization of anemia and hemoglobin, the handling of bleed...
Source: Der Anaesthesist - January 9, 2020 Category: Anesthesiology Authors: Olivier RMR, Fischer L, Steinbicker AU Tags: Anaesthesist Source Type: research

[Hot topics in obstetric anesthesia].
ranke P Abstract In 2019 the annual conference of the scientific working group on obstetric anesthesiology of the German Society of Anesthesiology and Intensive Care Medicine (DGAI) took place in the usual manner. Emergency situations, such as the challenge of a preclinical birth or the recognition and treatment of an amniotic fluid embolism were discussed. In addition, topics on the correct treatment of a female patient with a known addictive disorder were of great interest as well as the discussion on the question when a transfusion should be performed in postpartum anemia and which risks accompany the increasin...
Source: Der Anaesthesist - January 6, 2020 Category: Anesthesiology Authors: Brück S, Annecke T, Bremerich D, Byhahn C, Chappell D, Kaufner L, Schlösser L, Kranke P Tags: Anaesthesist Source Type: research

[Covert perioperative stroke-cause of postoperative cognitive deficits? Comments on the NeuroVISION study].
n M PMID: 31872287 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 22, 2019 Category: Anesthesiology Authors: Röhl AB, Coburn M Tags: Anaesthesist Source Type: research

[Editorial Note to: The hemodynamic effects of various hydroxyethyl starch solutions in heart surgery patients _RETRACTED].
PMID: 31858174 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 18, 2019 Category: Anesthesiology Authors: Wolff I Tags: Anaesthesist Source Type: research

[Editorial Note to: Hyperosmolar volume replacement in heart surgery_RETRACTED].
PMID: 31858175 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 18, 2019 Category: Anesthesiology Authors: Wolff I Tags: Anaesthesist Source Type: research

[Editorial Note to: Homologous fresh frozen plasma in heart surgery _RETRACTED].
PMID: 31858176 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 18, 2019 Category: Anesthesiology Authors: Wolff I Tags: Anaesthesist Source Type: research