[Lege artis eye coverage performed during gynecological/urological laser surgery. Results of a  survey of nursing experts].
CONCLUSION: The findings from the expert interviews are to be understood as practice recommendations. Further research is needed in the future. PMID: 31807798 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 4, 2019 Category: Anesthesiology Authors: Dieplinger AM, Kundt FS, Klösch M Tags: Anaesthesist Source Type: research

[Frailty as potential indicator of perioperative risk for older patients].
CONCLUSION: In contrast to commonly used perioperative risk classifications, frailty is a sensitive marker for the patient's biological age. Therefore, it appears more suitable for estimating the perioperative risk than chronological age or other conventional tools, such as the ASA classification and is therefore a prerequisite for patient centered treatment pathways. PMID: 31802172 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 3, 2019 Category: Anesthesiology Authors: Derwall M, Coburn M Tags: Anaesthesist Source Type: research

[Prehospital management of acute coronary syndrome in patients on long-term direct oral anticoagulant treatment].
CONCLUSION: In Germany there is currently a heterogeneous practice of emergency treatment of ACS patients under DOAC therapy with respect to the administration of heparin and ASA. Therefore, guidelines of the specialist medical societies should address the prehospital emergency anticoagulation management of ACS in patients under therapy with DOAC, which correspond to the needs of patients and emergency physicians. PMID: 31802173 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - December 3, 2019 Category: Anesthesiology Authors: Schneck E, Schneck FK, Wolter JS, Hamm CW, Mann V, Hauch H, Kemkes-Matthes B, Gräsner JT, Groesdonk HV, Dirkmann D, Sander M, Koch C, Brenck F Tags: Anaesthesist Source Type: research

[Medical specialist training anesthesiology-the second special issue is ready : A total of 50 practically relevant case examples combined with well-founded background knowledge].
PMID: 31802138 [PubMed - in process] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 30, 2019 Category: Anesthesiology Authors: Wolff I, Wasser B Tags: Anaesthesist Source Type: research

[Anti-Trendelenburg, beach chair and the sequelae : Positioning and the cardiorespiratory system].
PMID: 31802139 [PubMed - in process] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 30, 2019 Category: Anesthesiology Authors: Buhre W Tags: Anaesthesist Source Type: research

[On the quality of the external post-mortem examination in cases of fatal head trauma : A comparison of death certificate and forensic autopsy].
Abstract BACKGROUND: In Germany it is required by law that basically every type of physician needs to be capable of executing a correct external post-mortem examination of a corpse. In recent years, numerous investigations on external post-mortem examinations repeatedly reported systematic mistakes and erroneous procedures in various clinical and medicolegal case groups. Accordingly, the completion of death certificates is frequently performed incorrectly. As one of the typical unnatural death cases, decedents dying from fatal head trauma (FHT) represent a special autopsy case group, which is expected to...
Source: Der Anaesthesist - November 28, 2019 Category: Anesthesiology Authors: Kronsbein K, Budczies J, Pfeiffer H, Karger B, Wittschieber D Tags: Anaesthesist Source Type: research

[3-week-old male after realized severe anesthesia risk and questionable breach of duty for clarification : Preparation for the medical specialist examination: part 30].
PMID: 31776594 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 26, 2019 Category: Anesthesiology Authors: Biermann E Tags: Anaesthesist Source Type: research

Perioperative analgesia during thymectomy via median sternotomy : Ultrasound-guided bilateral parasternal block.
In this study, an ultrasound-guided regional anesthetic technique called a parasternal block, which can be used to relieve postoperative surgical pain after thymectomy via median sternotomy by blocking the medial nerve branch of the anterior cutaneous branch is presented. In this patient bilateral parasternal blocks provided long-lasting analgesia (18 h) with no side effects. While these are preliminary findings, further confirmatory clinical trials will be conducted. In summary, ultrasound-guided bilateral parasternal block appears to be a safe, simple, effective and minimally invasive technique for surgery vi...
Source: Der Anaesthesist - November 24, 2019 Category: Anesthesiology Authors: Song W, Wang W, Zhan L Tags: Anaesthesist Source Type: research

[76-year-old [male] total hip arthroplasty : Preparation for the medical specialist examination: part 32].
PMID: 31758213 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 21, 2019 Category: Anesthesiology Authors: Neuhaus C, Falla E, Breuer G Tags: Anaesthesist Source Type: research

[Postoperative remote monitoring].
Abstract During the course of surgical interventions, complications mostly occur in the postoperative period. Slight clinical indications can be observed, which precede a significant deterioration of the patient's condition. On the general ward vital parameters, such as heart and breathing frequencies are measured every 4-8 h. Even if the monitoring of critically ill patients is increased to every 2 h and the measurement of vital functions takes 10 min, the patient is only monitored for 120 min in a 24 h period and remains postoperatively on the general ward without monitoring for 22 out of 24 h. ...
Source: Der Anaesthesist - November 21, 2019 Category: Anesthesiology Authors: Preckel B, Posthuma LM, Visscher MJ, Hollmann MW Tags: Anaesthesist Source Type: research

[High-dose vitamin C administration in patients with sepsis and acute respiratory distress syndrome: comments on the CITRIS-ALI study].
PMID: 31754727 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 20, 2019 Category: Anesthesiology Authors: Briegel J Tags: Anaesthesist Source Type: research

The German version of the Critical-Care Pain Observation Tool for critically ill adults : A  prospective validation study.
CONCLUSION: The validated German CPOT translation is a reliable tool for pain assessment in cardiac ICU patients in the absence of patients' ability for self-reporting. The use of this German version of CPOT now allows a better international comparability of corresponding data in future studies. PMID: 31748831 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 19, 2019 Category: Anesthesiology Authors: Kiesewetter I, Bartels U, Bauer A, Schneider G, Pilge S Tags: Anaesthesist Source Type: research

[Clinical pharmacokinetics of anti-infective drugs in extracorporeal membrane oxygenation].
ldner G Abstract Extracorporeal membrane oxygenation (ECMO) is becoming more and more clinically important. The extracorporeal circuit for membrane oxygenation consists of a pump, a membrane oxygenator and large volume tubing. The ECMO device forms an additional compartment, which can absorb drugs with high lipophilia and protein binding. Thus, ECMO affects the volume of distribution and the clearance. As a consequence, the pharmacokinetic-pharmacodynamic (pk-pd) target parameters cannot be achieved. The selection of an appropriate substance and the mode of application, combined with therapeutic dru...
Source: Der Anaesthesist - November 17, 2019 Category: Anesthesiology Authors: Reimer A, Vogl H, Schmid S, Gfrörer S, Bürle M, Hoffmann M, Geldner G Tags: Anaesthesist Source Type: research

[Transparency and anticorruption].
g B Abstract Transparency in healthcare has been demanded and promoted for years. The aim of such transparency is disclosure of relationships and interests, so that patients can draw their own conclusions regarding the economic relations of their treating physician. Furthermore, transparency measures aim to prevent illegitimate payments. Overall, transparency should keep healthcare free from non-medical considerations, which may stand in contrast to the patient's wellbeing. Part of this strategy is the legislation aimed at fighting corruption in healthcare passed 13 April 2016, the so-called Anticorruption Act. ...
Source: Der Anaesthesist - November 12, 2019 Category: Anesthesiology Authors: Müller M, Chiumento B, Rein S, Rehberg B Tags: Anaesthesist Source Type: research

[Cardiorespiratory effects of perioperative positioning techniques].
Abstract The supine position is still the most frequently used type of positioning during surgical procedures. Positions other than the supine position lead to physiological alterations that have a relevant influence on the course of anesthesia and surgery. As a matter of principle, hemodynamic stability is at risk because venous blood is pooled in the lower positioned body parts. In addition, head down positions (Trendelenburg position) may lead to an impairment of respiratory function by reducing lung volumes as well as lung compliance. Upright positions (beach chair position) are characterized by a relativ...
Source: Der Anaesthesist - November 11, 2019 Category: Anesthesiology Authors: Zeuzem-Lampert C, Groene P, Brummer V, Hofmann-Kiefer K Tags: Anaesthesist Source Type: research

Suspected seizure-survival of a  lethal dose of the rodenticide alpha-chloralose.
Suspected seizure-survival of a lethal dose of the rodenticide alpha-chloralose. Anaesthesist. 2019 Nov 07;: Authors: Bergrath S, Castillo-Vargas JS, Koc NJ, Haake H, Graeven U Abstract A 58-year-old female was admitted due to a suspected seizure. A blue colored pharyngeal fluid was visualized during intubation, which is indicative of poisoning. Clinical research revealed an ingestion of 2.4 g of alpha-chloralose, a rodenticide with a lethal dose of 1 g. Immediate detoxification by gastroscopy, gastric lavage and hemodialysis led to full recovery. Substance detection ...
Source: Der Anaesthesist - November 6, 2019 Category: Anesthesiology Authors: Bergrath S, Castillo-Vargas JS, Koc NJ, Haake H, Graeven U Tags: Anaesthesist Source Type: research

[Assessing pain in patients with dementia].
Abstract The diagnostics of pain in older people with cognitive impairments should always consist of a subjective self-report of pain and a structured observation of pain behavior. It is important to note that the subjective self-report of pain becomes less valid with increasing cognitive decline (starting with a moderate degree of dementia). The external observation of pain behavior should include at least the three behavioral domains facial expressions, body movements and vocalization and should be performed during resting situations and during activities of daily living. Moreover, the patient should b...
Source: Der Anaesthesist - November 6, 2019 Category: Anesthesiology Authors: Lautenbacher S, Kunz M Tags: Anaesthesist Source Type: research

[Medical specialist training anesthesiology-the second special issue is ready! : 25 further practically relevant case examples combined with well-founded background knowledge].
PMID: 31701174 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 6, 2019 Category: Anesthesiology Authors: Heller AR, Breuer G Tags: Anaesthesist Source Type: research

[24-years-old male with cholecystitis and vomiting during induction of anesthesia : Preparation for the medical specialist examination: part 41].
PMID: 31701175 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 6, 2019 Category: Anesthesiology Authors: Kahan AC, Ott K Tags: Anaesthesist Source Type: research

[51-year-old female, awareness with posttraumatic stress disorder : Preparation for the medical specialist examination: part 48].
PMID: 31701176 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 6, 2019 Category: Anesthesiology Authors: Wallenborn J Tags: Anaesthesist Source Type: research

[Workload in emergency departments : A Problem for personnel and patients?]
Abstract Apart from operating theaters, intensive care units and diagnostic services, the central emergency department is one of the areas of any hospital with a high workload, which is very susceptible to risk. The following aspects of routine daily work can lead to a great strain on the personnel working in the central emergency department: the need for quick, targeted decisions, especially for patients with life-threatening disorders, a high number of patients with insufficient available resources, dissatisfaction of patients with low treatment priority and longer waiting times and delayed inpatient a...
Source: Der Anaesthesist - November 4, 2019 Category: Anesthesiology Authors: Skowron N, Wilke P, Bernhard M, Hegerl U, Gries A Tags: Anaesthesist Source Type: research

[Regional anesthesia in daily clinical practice: an economic analysis based on case vignettes].
CONCLUSION: Even considering that this cost analysis was calculated based on data from only one medical institution (General Hospital of Vienna, Medical University of Vienna), regional anesthesia appeared to be cost efficient compared with other anesthesia procedures. Main cost drivers in this example were personnel costs. PMID: 31690960 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 4, 2019 Category: Anesthesiology Authors: Marhofer P, Kraus M, Marhofer D Tags: Anaesthesist Source Type: research

Awake craniotomy in a  super obese patient using high flow nasal cannula oxygen therapy (HFNC).
This article presents a super obese patient (BMI 57 kg/m2) with drug-refractory epilepsy and obstructive sleep apnea who underwent left anterior temporal lobectomy through awake craniotomy to preserve language and memory, using warmed humidified high flow nasal cannula (HFNC) oxygen therapy. Awake craniotomy was facilitated by the use of HFNC, which proved essential to prevent airway collapse by creating continuous positive airway pressure through high flow and facilitated intraoperative neurologic language and memory testing while maintaining adequate oxygenation. PMID: 31686115 [PubMed - as supplied b...
Source: Der Anaesthesist - November 3, 2019 Category: Anesthesiology Authors: Banik S, Parrent AG, Noppens RR Tags: Anaesthesist Source Type: research

[54-years-old female after reduction mammoplasty under general anesthesia : Preparation for the medical specialist examination: part 42].
PMID: 31673750 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 30, 2019 Category: Anesthesiology Authors: Knoth SN, Weber B, Eberhart LHJ Tags: Anaesthesist Source Type: research

[53-years-old female for elective spondylodesis for chronic back pain : Preparation for the medical specialist examination: part 40].
e F PMID: 31673752 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 30, 2019 Category: Anesthesiology Authors: Erlenwein J, Kästner A, Petzke F Tags: Anaesthesist Source Type: research

Erratum zu: Erreger, Resistenzmechanismen und etablierte Therapieoptionen bei Infektionen durch multiresistente Erreger.
n C PMID: 31664460 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 28, 2019 Category: Anesthesiology Authors: Richter DC, Brenner T, Brinkmann A, Grabein B, Hochreiter M, Heininger A, Störzinger D, Briegel J, Pletz M, Weigand MA, Lichtenstern C Tags: Anaesthesist Source Type: research

[Algorithm-based preventive strategies for avoidance of residual neuromuscular blocks].
Abstract BACKGROUND: Postoperative residual neuromuscular block (train of four ratio
Source: Der Anaesthesist - October 23, 2019 Category: Anesthesiology Authors: Unterbuchner C, Ehehalt K, Graf B Tags: Anaesthesist Source Type: research

[4 years old, female with distal radial fracture : Preparation for the medical specialist examination: part 35].
PMID: 31637471 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 20, 2019 Category: Anesthesiology Authors: Schimpf J, Dietrich C Tags: Anaesthesist Source Type: research

[70-year-old male pacemaker patient with resuscitation due to ventricular fibrillation after video-assisted thoracoscopic surgery : Preparation for the medical specialist examination: part 46].
PMID: 31624875 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 16, 2019 Category: Anesthesiology Authors: Forkmann M Tags: Anaesthesist Source Type: research

[63-year-old male with positive VRE anamnesis, elective indications for surgery and during the course VRE bacteremia : Preparation for the medical specialist examination: part 33].
PMID: 31624876 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 16, 2019 Category: Anesthesiology Authors: Schuler F, Kampmeier S, Lanckohr C Tags: Anaesthesist Source Type: research

[72-year-old male with arrhythmia during surgery : Preparation for the medical specialist examination: Part  45].
[72-year-old male with arrhythmia during surgery : Preparation for the medical specialist examination: Part 45]. Anaesthesist. 2019 Oct 17;: Authors: Princk M, Wnent J, Maurer H PMID: 31624877 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 16, 2019 Category: Anesthesiology Authors: Princk M, Wnent J, Maurer H Tags: Anaesthesist Source Type: research

[36-years-old male following motorcycle accident with high velocity trauma : Preparation for the medical specialist examination: part 34].
PMID: 31624878 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 16, 2019 Category: Anesthesiology Authors: Michael M, Picker O, Bernhard M Tags: Anaesthesist Source Type: research

[39-year-old male with obesity and obstructive sleep apnea scheduled for knee joint surgery : Preparation for the medical specialist examination: part 37].
PMID: 31624879 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 16, 2019 Category: Anesthesiology Authors: Lewandowski K Tags: Anaesthesist Source Type: research

[67-year-old female before extended gastrectomy for antral cancer : Preparation for the medical specialist examination: part 36].
PMID: 31624880 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 16, 2019 Category: Anesthesiology Authors: Nowak-Machen M Tags: Anaesthesist Source Type: research

[58-year-old male with sepsis after perforation of a  sigmoid colon diverticulum : Preparation for the medical specialist examination: part 44].
[58-year-old male with sepsis after perforation of a sigmoid colon diverticulum : Preparation for the medical specialist examination: part 44]. Anaesthesist. 2019 Oct 17;: Authors: Dumps C, Umrath V PMID: 31624881 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 16, 2019 Category: Anesthesiology Authors: Dumps C, Umrath V Tags: Anaesthesist Source Type: research

[33-year-old female with postanesthesia unconsciousness, tachycardia and excessively warm skin : Preparation for the medical specialist examination: part 47].
PMID: 31624882 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 16, 2019 Category: Anesthesiology Authors: Chackupurakal R, Wappler F, Sakka SG Tags: Anaesthesist Source Type: research

[62-year-old male with condition following emergency tracheotomy in metastasized hypopharyngeal cancer : Preparation for the medical specialist examination: part 39].
PMID: 31624883 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 16, 2019 Category: Anesthesiology Authors: Ostgathe C, Klein C Tags: Anaesthesist Source Type: research

[75-year-old male with planned partial liver resection : Preparation for the medical specialist examination: part 28].
PMID: 31624884 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 16, 2019 Category: Anesthesiology Authors: Lier H Tags: Anaesthesist Source Type: research

[56-year-old female undergoing total hip arthroplasty : Preparation for the medical specialist examination: part  29].
[56-year-old female undergoing total hip arthroplasty : Preparation for the medical specialist examination: part 29]. Anaesthesist. 2019 Oct 17;: Authors: Jurth C, von Dincklage F PMID: 31624885 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 16, 2019 Category: Anesthesiology Authors: Jurth C, von Dincklage F Tags: Anaesthesist Source Type: research

[59-year-old male to spinal surgery : Preparation for the medical specialist examination: part 50].
PMID: 31624886 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 16, 2019 Category: Anesthesiology Authors: Shmygalev S Tags: Anaesthesist Source Type: research

[68-year-old male with somnolence, tachypnea, tachycardia and hypotension 3 days after duodenopancreatectomy : Preparation for the medical specialist examination: part 43].
PMID: 31624887 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 16, 2019 Category: Anesthesiology Authors: Dusse F, Annecke T Tags: Anaesthesist Source Type: research

[82-year-old female with periprosthetic femoral fracture and the need for postoperative monitoring : Preparation for the medical specialist examination: part 26].
AR PMID: 31624888 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 16, 2019 Category: Anesthesiology Authors: Hölz W, Ackermann S, Zinsmeister T, Heller AR Tags: Anaesthesist Source Type: research

[71-year-old male for elective placement of a central vein catheter : Preparation for the medical specialist examination: part 27].
PMID: 31624889 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 16, 2019 Category: Anesthesiology Authors: Dietrich C, Schimpf J Tags: Anaesthesist Source Type: research

[21-year-old female with headaches after giving birth : Preparation for the medical specialist examination: part 49].
PMID: 31624890 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 16, 2019 Category: Anesthesiology Authors: Radke K, Radke OC Tags: Anaesthesist Source Type: research

Tracheoesophageal fistula following button battery ingestion in an infant : Airway management considerations.
Abstract A 13-month-old infant was admitted to hospital approximately 3 weeks after ingestion of a button battery, which was lodged in the esophagus and had caused a tracheoesophageal fistula requiring mechanical ventilation. Since the battery had partially penetrated into the tracheal lumen just above the carina and also was in direct contact with the pulmonary artery, extensive considerations regarding airway and circulatory management were required preoperatively, which are presented and discussed in this case report. PMID: 31624891 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 16, 2019 Category: Anesthesiology Authors: Hofmeyr R, Bester K, Willms A, Hewitson J, Byhahn C Tags: Anaesthesist Source Type: research

Analgesic efficacy of erector spinae plane block in percutaneous nephrolithotomy : A  randomized controlled trial.
CONCLUSION: The use of US-guided ESPB provides a good postoperative analgesia and decreases opioid consumption over 24 h in patients undergoing PCNL. PMID: 31620856 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - October 15, 2019 Category: Anesthesiology Authors: Ibrahim M, Elnabtity AM Tags: Anaesthesist Source Type: research

[Perioperative dexamethasone].
Abstract Dexamethasone is a synthetic steroid that has been used for many years in the clinical routine due to its anti-inflammatory, anti-allergic and immunosuppressive properties. Furthermore, dexamethasone has been used for a long time for prophylaxis and treatment of chemotherapy-induced nausea and vomiting. In the meantime dexamethasone has been approved as standard for the prophylaxis and treatment of postoperative nausea and vomiting (PONV). This review article outlines the indications and side effects of the perioperative administration of dexamethasone. PMID: 31595319 [PubMed - as supplied ...
Source: Der Anaesthesist - October 7, 2019 Category: Anesthesiology Authors: Sinner B Tags: Anaesthesist Source Type: research

[New antibiotics for severe infections due to multidrug-resistant pathogens : Definitive treatment and escalation].
n C Abstract Multidrug-resistant pathogens often lead to treatment failure of antimicrobial regimens. After a period of imbalance between the occurrence/spread of resistance mechanisms and the development of new substances, some new substances have meanwhile been approved and many more are currently undergoing clinical testing. They are particularly effective against specific resistance mechanisms/pathogens and should be preserved for definitive treatment of an isolated pathogen. In the absence of alternatives reserve antibiotics, such as aztreonam and colistin have experienced a renaissance. They are again used i...
Source: Der Anaesthesist - September 24, 2019 Category: Anesthesiology Authors: Richter DC, Brenner T, Brinkmann A, Grabein B, Hochreiter M, Heininger A, Störzinger D, Briegel J, Pletz M, Weigand MA, Lichtenstern C Tags: Anaesthesist Source Type: research

[Infections due to multidrug-resistant pathogens : Pathogens, resistance mechanisms and established treatment options].
n C Abstract The increase in resistant pathogens has long been a global problem. Complicated life-threatening infections due to multidrug-resistant pathogens (MRD) meanwhile occur regularly in intensive care medicine. An important and also potentially modifiable factor of the rapid spread of resistance is the irrational use of broad spectrum antibiotics in human medicine. In addition to many other resistance mechanisms, beta-lactamases play an important role in Gram-negative pathogens. They are not uncommonly the leading reason of difficult to treat infections and the failure of known routinely used broad spectrum...
Source: Der Anaesthesist - September 24, 2019 Category: Anesthesiology Authors: Richter DC, Brenner T, Brinkmann A, Grabein B, Hochreiter M, Heininger A, Störzinger D, Briegel J, Pletz M, Weigand MA, Lichtenstern C Tags: Anaesthesist Source Type: research

[Exit wave plan for structured secondary patient distribution : Logistic concept for mass victims of terrorist attacks].
CONCLUSION: The University Hospital of Ulm has made preparations to admit at least 100 injured patients for initial medical treatment following a terrorist attack. This corresponds to 10% of the hospital beds as required in the literature. Together with the neighboring Military Hospital and the University and Rehabilitation Hospital Ulm up to 300 injured patients can be treated; however, the number of available intensive care unit (ICU) beds and capacities in normal wards for definitive care is much lower, therefore, patients treated according to the principles of damage control resuscitation have to be relocated. By ...
Source: Der Anaesthesist - September 23, 2019 Category: Anesthesiology Authors: Pfenninger E, Königsdorfer M Tags: Anaesthesist Source Type: research