[Focus on neurosurgery : Intensive care studies from 2018-2019].
gk C PMID: 31440787 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 21, 2019 Category: Anesthesiology Authors: Beynon C, Bernhard M, Brenner T, Dietrich M, Nusshag C, Weigand MA, Reuß CJ, Michalski D, Jungk C Tags: Anaesthesist Source Type: research

[Retraction Note to: Comparison of sublingual and intravenous administration of lorazepam in psychiatric emergencies in emergency medical services].
FG Abstract Retraction Note to: Anaesthesist 2018 https://doi.org/10.1007/s00101-018-0513-7 Die Schriftleitung von Der Anaesthesist zieht den Artikel [1] zurück. Die Autoren erhielten die Freigabe der Ethikkommission der Ärztekammer des Saarlandes in 2003. Das Design der Studie, die ab 2005 durchgeführt wurde, wurde jedoch von diesem Ethikvotum nicht vollumfänglich abgedeckt. PMID: 31435717 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 20, 2019 Category: Anesthesiology Authors: Schwerthöffer D, Pajonk FG Tags: Anaesthesist Source Type: research

[Considerations concerning the perioperative use of metamizole].
CONCLUSION: The perioperative use of metamizole is possible after a thorough evaluation of the indications as it provides good analgesia with a generally favorable side effect profile and is administered intravenously. The risk of agranulocytosis is small but needs to be mentioned during patient informed consent in order to optimize early recognition. Intraoperative administration aims at reducing the expected severe postoperative pain. A documentation and justification for the evaluation of the indications are recommended. PMID: 31435718 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 20, 2019 Category: Anesthesiology Authors: Sittl R, Bäumler P, Stumvoll AM, Irnich D, Zwißler B Tags: Anaesthesist Source Type: research

[PGE1-assisted treatment of microcirculation disturbance in complicated falciparum malaria].
This article reports the course of a complicated malaria in a 41-year-old male patient. After spending several months in Mali, the patient decompensated shortly after onset of the first symptoms. Under the signs of a multi-organ failure and with an initial parasitic load of 25%, the patient developed a microcirculation disturbance in the acra. In addition to sepsis-induced disseminated microthrombosis, high-dose catecholamine treatment contributes to the genesis of this disease with a high clinical probability. To improve the peripheral blood circulation, intravenous treatment with the synthetic prostag...
Source: Der Anaesthesist - August 15, 2019 Category: Anesthesiology Authors: Markoff S, Wilk-Vollmann S, Foroutan B, Borchardt C Tags: Anaesthesist Source Type: research

[Analysis of a  first responder system for emergency medical care in rural areas: first results and experiences].
CONCLUSION: The first responders from Nordhardt received an emergency call nearly every day. In two thirds of the calls they were faster than the EMS as they usually have local sites with a shorter distance to the emergency scene where they are able to deal with critical medical cases until the EMS arrives. Despite the small case numbers, it could be concluded that the early medical treatment with respect to resuscitation based on earlier arrival on site may help to increase the survival rate of patients. The first responders were also able to manage airway problems with additional oxygen or other airway devices. Othe...
Source: Der Anaesthesist - August 15, 2019 Category: Anesthesiology Authors: Lichtenhahn A, Kruse M, Büsing J, Vogel M, Konrad C Tags: Anaesthesist Source Type: research

[Recommendations for the perioperative use of dipyrone : Expert recommendation of the working group on acute pain of the German Pain Society, the scientific working group on pain medicine of the German Society for Anesthesiology and Intensive Care Medicine and the surgical working group on acute pain of the German Society for Surgery with participation of representatives of the Drug Commission of the German Medical Association].
CONCLUSION: The group's recommendations shall be communicated in order to raise medical staff's and patients' awareness of the appropriate use of dipyrone in the perioperative period. PMID: 31396674 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 7, 2019 Category: Anesthesiology Authors: Stamer UM, Stammschulte T, Erlenwein J, Koppert W, Freys S, Meißner W, Ahrens P, Brede EM, Lindig M, Dusch M, Heitfeld S, Hoffmann E, Lux EA, Müller E, Pauli-Magnus D, Pogatzki-Zahn E, Quaisser-Kimpfbeck C, Ringeler U, Rittner H, Ulma J, Wirz S Tags: Anaesthesist Source Type: research

[Hemophagocytic lymphohistiocytosis in unspecific virus infection].
This report describes the case of a 30-year-old previously healthy male patient who was admitted to the normal infectiology ward of the Charité - Universitätsmedizin Berlin with unclear fever after a 3‑month journey around Asian and South America. The patient was transferred to the ICU after 3 days because of respiratory failure. Due to the immediate diagnostics of HLH and initiation of specific immunosuppressive treatment with dexamethasone, immunoglobulins and anakinra, the patient completely recovered and could finally be discharged after a 2‑week stay in hospital. Furthermore, the current diag...
Source: Der Anaesthesist - August 7, 2019 Category: Anesthesiology Authors: Lachmann G, Knaak C, La Rosée P, Spies C, Nyvlt P, Oberender C, Sander LE, Suttorp N, Müller-Redetzky H Tags: Anaesthesist Source Type: research

[Various scenarios for billing and remuneration of preoperative management of iron deficiency anemia in the German healthcare system].
This article gives an overview of various billing modalities and payment arrangements for management of preoperative anemia in the German healthcare system. PMID: 31396676 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - August 7, 2019 Category: Anesthesiology Authors: Piekarski F, Thalheimer M, Seyfried T, Kron F, Jung N, Sandow P, Isik S, Fuellenbach C, Choorapoikayil S, Marschall U, Winterhalter M, Wunderer F, Kloka J, Tellbach JH, Zacharowski K, Meybohm P Tags: Anaesthesist Source Type: research

[Nonoperating room anesthesia].
Abstract Anesthesia services outside central surgical facilities (nonoperating room anesthesia, NORA) have become more important. Nonoperating room anesthesia is a challenging field with a wide range of patient ages and interventions. The anesthesiologist is caught between the existing expertise in sedation, respiratory and emergency management and the fact that it may be a potentially avoidable cost factor. The efforts of some specialist departments to carry out sedation themselves even with more complex interventions have therefore increased. In order to permanently establish anesthesia here, apar...
Source: Der Anaesthesist - August 1, 2019 Category: Anesthesiology Authors: Kramer J, Malsy M, Sinner B, Graf BM Tags: Anaesthesist Source Type: research

[Treatment of preoperative anemia - Recommendations for reimbursement in clinical routine.]
n C PMID: 31372672 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - July 31, 2019 Category: Anesthesiology Authors: Bauer M, Doll D, Hönemann C Tags: Anaesthesist Source Type: research

[Diagnostics and treatment of preoperative anemia].
Abstract Approximately 14-40% of patients in industrialized countries present with preoperative anemia. Depending on the severity, anemia is associates with increased perioperative morbidity and mortality. One of the most important causes of preoperative anemia is iron deficiency which is usually easy to treat. Implemented in the multimodal concept of patient blood management, the diagnostics and treatment of preoperative anemia are important aspects for improvement of perioperative outcome. Adequate and early diagnostics of the cause of anemia before treatment is important because treatment options, e.g. with iro...
Source: Der Anaesthesist - July 31, 2019 Category: Anesthesiology Authors: Rosenthal C, von Heymann C, Kaufner L Tags: Anaesthesist Source Type: research

[Conventional intubation and laryngeal tube in cervical spine instability : Changes in the width of the dural sac in unfixed human body donors].
CONCLUSION: In an unfixed human cadaver model with combined atlanto-occipital dislocation and atlanto-axial instability, placement of the LTS-D caused less reduction in the width of the dural sac than conventional intubation at the level of the craniocervical junction. The LTS-D also caused less angulation and could be placed faster. It could therefore also be advantageous over conventional intubation in living patients with an unstable cervical spine. PMID: 31338524 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - July 22, 2019 Category: Anesthesiology Authors: Weilbacher F, Schneider NRE, Liao S, Münzberg M, Weigand MA, Kreinest M, Popp E Tags: Anaesthesist Source Type: research

Defibrillator charging before rhythm analysis causes peri-shock pauses exceeding guideline recommended maximum 5  s : A randomized simulation trial.
This study was carried out to confirm the safety and feasibility of the anticipatory method. It was hypothesized that this anticipatory method results in shorter total no-flow times, while other parameters of defibrillation efficacy including defibrillator safety and minimization of peri-shock pauses are unchanged. METHODS: This manikin study assigned 243 medical students randomly to study groups, 121 to the anticipatory method and 122 to the recommended European Resuscitation Council (ERC) algorithm. Of these 237 students ultimately underwent training (112 anticipatory method vs. 125 ERC algorithm). Participants were...
Source: Der Anaesthesist - July 21, 2019 Category: Anesthesiology Authors: Kemper M, Zech A, Lazarovici M, Zwissler B, Prückner S, Meyer O Tags: Anaesthesist Source Type: research

[Anesthesiological management in endovascular stroke treatment].
Abstract Early recanalization of the closed cerebral arteries after acute ischemic stroke (AIS) is the only treatment to minimize long-term disability and to reduce the associated morbidity and mortality. For a long time the only proven causal treatment of AIS was intravenous thrombolysis; however, after the publication of a series of randomized prospective studies concerning endovascular mechanical thrombectomy using stent retriever systems after AIS, new guidelines were published. It was found that endovascular treatment (EVT) dramatically improves the outcome of eligible patients. The stent retriever ...
Source: Der Anaesthesist - July 18, 2019 Category: Anesthesiology Authors: Theilen HJ, Gerber JC Tags: Anaesthesist Source Type: research

[Mass casualty incidents and attacks involving a  multitude of children and adolescents-Overview of policy recommendations and challenges].
[Mass casualty incidents and attacks involving a multitude of children and adolescents-Overview of policy recommendations and challenges]. Anaesthesist. 2019 Jul 11;: Authors: Breuer F, Beckers SK, Poloczek S Abstract Fortunately, mass casualty incidents involving a large number of children and adolescents are rare and the experience in this field, both in terms of medical as well as psychosocial emergency care is comparatively low. Children represent a vulnerable group and have a particularly high risk of developing posttraumatic stress disorder in the aftermath of experiencing disaste...
Source: Der Anaesthesist - July 10, 2019 Category: Anesthesiology Authors: Breuer F, Beckers SK, Poloczek S Tags: Anaesthesist Source Type: research

Staff and organizational requirements for pain services in hospitals : A  recommendation from the German Society for Anaesthesiology and Intensive Care Medicine.
Staff and organizational requirements for pain services in hospitals : A recommendation from the German Society for Anaesthesiology and Intensive Care Medicine. Anaesthesist. 2019 Jul 10;: Authors: Erlenwein J, Meißner W, Petzke F, Pogatzki-Zahn E, Stamer U, Koppert W Abstract Although pain services have been established in many hospitals, there is considerable heterogeneity among them with respect to organization of service, staff and qualifications of staff, and treatment approaches.With this recommendation, the German Society for Anesthesiology and Intensive Care Medicine defines require...
Source: Der Anaesthesist - July 9, 2019 Category: Anesthesiology Authors: Erlenwein J, Meißner W, Petzke F, Pogatzki-Zahn E, Stamer U, Koppert W Tags: Anaesthesist Source Type: research

[Influence of EEG-guided administration of anesthesia on postoperative delirium in older patients].
ST PMID: 31286162 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - July 7, 2019 Category: Anesthesiology Authors: Saller T, Schäfer ST Tags: Anaesthesist Source Type: research

[Principles and pitfalls of arterial blood pressure measurement].
This article explains the principles of the individual methods, the sources of errors, advantages and disadvantages and discusses the fields of application in the clinical routine. PMID: 31270554 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - July 2, 2019 Category: Anesthesiology Authors: Meidert AS, Briegel J, Saugel B Tags: Anaesthesist Source Type: research

[Relevant aspects of the ESC guidelines for the management of cardiovascular diseases during pregnancy for  obstetric anaesthesia (update 2018)].
[Relevant aspects of the ESC guidelines for the management of cardiovascular diseases during pregnancy for obstetric anaesthesia (update 2018)]. Anaesthesist. 2019 Jul 02;: Authors: Brück S, Seeland U, Kranke E, Kranke P Abstract The current update of the ESC (European Society of Cardiology) guidelines on managing cardiovascular diseases during pregnancy provides instructions for doctors in daily practice. Heart diseases are the most common reason for maternal death during pregnancy in western countries. Among other things, the following topics are dealt with: congenital heart disease, pulmo...
Source: Der Anaesthesist - July 1, 2019 Category: Anesthesiology Authors: Brück S, Seeland U, Kranke E, Kranke P Tags: Anaesthesist Source Type: research

Hyperbaric oxygen therapy for iatrogenic arterial gas embolism after CT-guided lung biopsy : A  case report.
This article reports on a case of a 74-year-old male patient who underwent computed tomography (CT)-guided lung biopsy of suspect nodules after squamous cell carcinoma of the tonsils. During puncture, sudden cardiovascular arrest occurred. The CT scan documented severe arterial gas embolism in the aorta, spinal canal, left heart ventricle, and brain. The patient was then transferred to our hospital for HBOT. After the first HBOT, an additional CT scan showed regression of all gas inclusions. In the treatment of gas embolism, HBOT is considered the gold standard and is indispensable. It is primarily used to reduce...
Source: Der Anaesthesist - June 30, 2019 Category: Anesthesiology Authors: Hellinger L, Keppler AM, Schoeppenthau H, Perras J, Bender R Tags: Anaesthesist Source Type: research

[Mortality after high-risk surgery in Jehovah's Witness patients].
CONCLUSION: Given optimal management JW patients can undergo major surgery without an excessive risk of death. The 6.6% in-hospital mortality observed in this institution was in the range of the 4% generally observed after surgery in Europe. The majority of JW patients accepted a variety of blood conservation strategies following appropriate elucidation. This also included coagulation factor concentrates extracted from human plasma enabling an effective treatment of even severe bleeding complications. In this analysis postoperative hemoglobin concentrations below 6 g/dl in older JW patients were associated with a&nb...
Source: Der Anaesthesist - June 23, 2019 Category: Anesthesiology Authors: Habler O, Thörner M, Schmidt C, Hofmann P, Döbert U, Höhler M, Klingler S, Moog S, Oehme A, Schäufele M, Wege C, Voß B Tags: Anaesthesist Source Type: research

[Needlestick injuries of healthcare workers].
Abstract Injuries of healthcare workers with sharp instruments are considered among the most frequent occupational accidents in hospitals. In at least half of the cases, the instruments are contaminated with blood and therefore bear an infection risk with bloodborne pathogens, such as hepatitis B, hepatitis C and human immunodeficiency virus (HIV). Needlestick injuries require besides immediate medical intervention, such as rinsing and disinfection of the wound or skin contamination, a prompt clarification of the immune status and if necessary a postexposure prophylaxis. Furthermore, follow-up ...
Source: Der Anaesthesist - June 18, 2019 Category: Anesthesiology Authors: Ochmann U, Wicker S Tags: Anaesthesist Source Type: research

[Perioperative cardiovasular morbidity and mortality in noncardiac surgical interventions : Measures for optimal anesthesiological care].
nn J Abstract Because of new surgical techniques, advanced monitoring modalities and improvements in perioperative care, perioperative mortality and morbidity have been significantly reduced in the last decades; however, patients still suffer from high perioperative mortality and morbidity, especially those with pre-existing cardiovascular diseases. Not only perioperative myocardial infarction but also myocardial injury after non-cardiac surgery, which presents without clinical symptoms, is associated with an adverse outcome. Patients at risk require particular interdisciplinary attention throughout the perioperat...
Source: Der Anaesthesist - June 13, 2019 Category: Anesthesiology Authors: Janßen H, Dehne S, Giannitsis E, Weigand MA, Larmann J Tags: Anaesthesist Source Type: research

[Comparison of current critical care information systems from the perspective of clinical users : Summary of the results of a German nationwide survey].
CONCLUSION: Those functions that were identified as useful based on the ratings of clinical ICU staff should be implemented in current CCIS. The list of these functions might be regarded as a first step towards providing a catalog of functional requirements for CCISs. Furthermore, as the results show that the quality of the available functions was rated lower than the availability of the functions, manufacturers should shift more of the effort away from the development of new features and focus on improving the user-friendliness and quality of existing functions. PMID: 31168685 [PubMed - as supplied by publi...
Source: Der Anaesthesist - June 4, 2019 Category: Anesthesiology Authors: Suchodolski K, von Dincklage F, Lichtner G, Friesdorf W, Podtschaske B, Ragaller M Tags: Anaesthesist Source Type: research

[About guidelines, recommendations and the consequence!]
PMID: 31161294 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 2, 2019 Category: Anesthesiology Authors: Timmermann A, Wenzel V, Gries A Tags: Anaesthesist Source Type: research

[Concepts, training and the variety of providers].
t J PMID: 31161295 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 2, 2019 Category: Anesthesiology Authors: Jakisch B, Gräsner JT, Seewald S, Renzing N, Wnent J Tags: Anaesthesist Source Type: research

[Perioperative myocardial ischemia : Current aspects and concepts].
Abstract In the future an increasing number of older patients with significant comorbidities will have to undergo major surgical procedures. Perioperative cardiovascular events account for many major complications and even fatalities. While perioperative myocardial infarction (PMI) is a generally well-known and recognized complication, the less severe myocardial injury after non-cardiac surgery (MINS) has not gained widespread scientific attention until recently; however, two large observational trials (VISION 1 and VISION 2) have shown a significantly increased mortality after MINS with even s...
Source: Der Anaesthesist - June 2, 2019 Category: Anesthesiology Authors: Bein B, Schiewe R, Renner J Tags: Anaesthesist Source Type: research

[Saving more lifes].
PMID: 31161297 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - June 2, 2019 Category: Anesthesiology Authors: Leidel BA, Dahmen J, Kanz KG Tags: Anaesthesist Source Type: research

[Perioperative infusion therapy in children : Are infusion sets with precision flow regulators suitable for pediatric anesthesia?]
CONCLUSION: The actual flow rates differed considerably from the adjusted flow rates in the evaluated infusion sets. The flow rates substantially depended on the static level of the infusion. First and foremost, regulation of the administered infusion volume does not seem to be reliable when using an infusion set with a precision flow regulator. PMID: 31143986 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - May 28, 2019 Category: Anesthesiology Authors: Bollinger M, Keller C, Theis C, Russo SG Tags: Anaesthesist Source Type: research

[From comprehension to treatment of perioperative inflammation].
PMID: 31134300 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - May 26, 2019 Category: Anesthesiology Authors: Wunder C Tags: Anaesthesist Source Type: research

[Statement of the Austrian Society for Anesthesiology, Resuscitation and Intensive Care Medicine ( ÖGARI) on the use of laryngeal tubes by ambulancemen and paramedics].
[Statement of the Austrian Society for Anesthesiology, Resuscitation and Intensive Care Medicine (ÖGARI) on the use of laryngeal tubes by ambulancemen and paramedics]. Anaesthesist. 2019 May 21;: Authors: Trimmel H, Halmich M, Paal P Abstract Due to an increasing number of severe complications reported during the prehospital application of laryngeal tubes, the Austrian Society for Anesthesiology, Resuscitation and Intensive Care Medicine (ÖGARI) is prompted to formulate a respective statement. With regard to the current training situation and the applicable laws, ÖGARI recommends t...
Source: Der Anaesthesist - May 20, 2019 Category: Anesthesiology Authors: Trimmel H, Halmich M, Paal P Tags: Anaesthesist Source Type: research

Measures influencing post-mortem organ donation rates in Germany, the Netherlands, Spain and the UK : A  systematic review.
CONCLUSION: Donation after cardiac death (DCD), expanded donor criteria, increasing public awareness and introduction of an organ donor register should be discussed as measures to increase organ donation rates in Germany. PMID: 31101922 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - May 16, 2019 Category: Anesthesiology Authors: Tackmann E, Dettmer S Tags: Anaesthesist Source Type: research

[Health services research in intensive care medicine in Germany : Status quo and future challenges exemplified by acute pulmonary failure].
This article provides an overview of the current state of HSR in intensive care medicine in Germany using the example of acute respiratory distress syndrome (ARDS). The ARDS still represents a clinical disease with high intra-hospital mortality (30-60%) despite progress in intensive care medicine. Survivors of ARDS have substantial long-term limitations on physical and mental health. The treatment of ARDS patients is tedious, laborious for intensive care unit staff and complex. Despite evident treatment recommendations, these are only insufficiently implemented in the clinical routine. With the help of quality indicat...
Source: Der Anaesthesist - May 16, 2019 Category: Anesthesiology Authors: Blecha S, Weber-Carstens S, Bein T Tags: Anaesthesist Source Type: research

[Platelet function disorder in trauma patients, an underestimated problem? Results of a single center study].
Abstract BACKGROUND: Plasmatic coagulation disorders in trauma patients are common and their management is subject to current guidelines. Less evidence exists for platelet function. Although it is known that several trauma-associated factors have a negative influence on platelet function, routine monitoring has not yet become established. METHODS: A retrospective single center study was carried out at a German level 1 trauma center from 2010 to 2016. In all patients fulfilling the requirements for the German Trauma Society (DGU) Traumaregister® who were admitted directly from the scene of the inciden...
Source: Der Anaesthesist - May 15, 2019 Category: Anesthesiology Authors: Hofer V, Wrigge H, Wienke A, Hofmann G, Hilbert-Carius P Tags: Anaesthesist Source Type: research

[Perioperative inflammation].
CONCLUSION: This article discusses the causes and effects of inflammatory processes in the perioperative phase. Additionally, it highlights the immunomodulatory effects of perioperatively administered therapeutics and anesthetics. Knowledge of this topic enables the reader to make qualified decisions in the perioperative setting to improve the individual patient outcome. PMID: 31076810 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - May 9, 2019 Category: Anesthesiology Authors: Rossaint J, Margraf A, Zarbock A Tags: Anaesthesist Source Type: research

[Advanced medical post within hospitals as possible tactical instrument for handling mass casualty incidents].
DISCUSSION: During acute scenarios with only short prior notice, the authors prefer concepts that supplement the normal hospital operation through additional staff and material. In circumstances with prior notice of more than 60 min an advanced intrahospital advanced medical post, staffed by civil protection units, could be a concept that enables the absorption of the first patient arrivals within the first hour of a mass casualty incident without disturbing the functionality of hospitals to any great extent. Further practice runs are, however, necessary to further develop and adjust this concept to real-life circum...
Source: Der Anaesthesist - May 8, 2019 Category: Anesthesiology Authors: Kippnich M, Kippnich U, Markus C, Dietz S, Braun R, Pierags G, Hack M, Kraus M, Wurmb T Tags: Anaesthesist Source Type: research

[Staff and organizational requirements for pain services in hospitals : A  recommendation from the German Society for Anaesthesiology and Intensive Care Medicine].
[Staff and organizational requirements for pain services in hospitals : A recommendation from the German Society for Anaesthesiology and Intensive Care Medicine]. Anaesthesist. 2019 May 07;: Authors: Erlenwein J, Meißner W, Petzke F, Pogatzki-Zahn E, Stamer U, Koppert W Abstract Although pain services have been established in many hospitals, there is considerable heterogeneity among them with respect to organization of service, staff and qualifications of staff, and treatment approaches.With this recommendation, the German Society for Anesthesiology and Intensive Care Medicine defines requi...
Source: Der Anaesthesist - May 6, 2019 Category: Anesthesiology Authors: Erlenwein J, Meißner W, Petzke F, Pogatzki-Zahn E, Stamer U, Koppert W Tags: Anaesthesist Source Type: research

[Hygiene aspects of multidrug-resistant pathogens in the operating room and intensive care unit].
Abstract The major multidrug-resistant pathogens (MRE) in human medicine are methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE) and multidrug-resistant Gram-negative rod bacteria (MRGN). MRE are a very heterogeneous group with respect to epidemiology and therapeutic or hospital hygiene consequences. After MRSA played an important role among MREs at the beginning of the twenty-first century, VRE and MRGN have come to the fore in recent years. During work in the operating room and on the intensive care unit, there are many possibilities for transmission of MRE between the...
Source: Der Anaesthesist - May 1, 2019 Category: Anesthesiology Authors: Schuler F, Lanckohr C, Pillukat MH, Scherf R, Mellmann A Tags: Anaesthesist Source Type: research

[Anesthesiological aspects of liver transplantation].
Abstract Liver transplantation (LTPL) is the only curative option for patients with end stage liver disease (ESLD) or with hepatocellular carcinoma (HCC). Eurotransplant in Leiden, the Netherlands, is responsible for organ allocation. The model of end stage liver disease (MELD) score, which describes the severity of the liver disease, is decisive for organ allocation. The heterogeneous patient collective and hepatic-related comorbidities and their dynamics represent challenges. The anesthesiologist is responsible for evaluating the overall prognosis, whereby cardiac, pulmonary, renal and neurological comorbidities...
Source: Der Anaesthesist - May 1, 2019 Category: Anesthesiology Authors: Dehne S, Lund F, Larmann J, Schmidt K, Brenner T, Weigand MA, von Haken R Tags: Anaesthesist Source Type: research

[Restructuring of inpatient emergency treatment : What will change?]
Abstract The resolution on the restructuring of inpatient emergency treatment was passed by the Federal Joint Committee (G-BA) on 19 April 2018 based on the Hospital Structure Act and became binding with the publication in the Bundesanzeiger on 18 May 2018. The resolution describes the future structural and qualitative prerequisites for participation of hospitals in the provision of emergency treatment in three levels: basic emergency treatment, extended emergency treatment and comprehensive emergency treatment. Furthermore, a level of nonparticipation is also planned. In addition, there are special modules, e.g. ...
Source: Der Anaesthesist - April 24, 2019 Category: Anesthesiology Authors: Brokmann JC, Pin M, Bernhard M, Walcher F, Gries A Tags: Anaesthesist Source Type: research

Comparison of lateral and supine positions for tracheal extubation in children : A  randomized clinical trial.
CONCLUSION: In pediatric patients deep extubation in the lateral position improved SpO2 and reduced the incidence of stridor and laryngospasm in the early emergence period when compared to extubation in the supine position. PMID: 30993350 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 15, 2019 Category: Anesthesiology Authors: Jung H, Kim HJ, Lee YC, Kim HJ Tags: Anaesthesist Source Type: research

[Erratum to: Simulation training as part of clinical riskmanagement : A  health economic view].
[Erratum to: Simulation training as part of clinical riskmanagement : A health economic view]. Anaesthesist. 2019 Apr 12;: Authors: Speer T, Mühlbradt T, Fastner C, Schöffski O, Schröder S PMID: 30980182 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 11, 2019 Category: Anesthesiology Authors: Speer T, Mühlbradt T, Fastner C, Schöffski O, Schröder S Tags: Anaesthesist Source Type: research

[Erratum to: Certain and controversial components of "rapid sequence induction"].
[Erratum to: Certain and controversial components of "rapid sequence induction"]. Anaesthesist. 2019 Apr 12;: Authors: Mencke T, Zitzmann A, Reuter DA PMID: 30980183 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 11, 2019 Category: Anesthesiology Authors: Mencke T, Zitzmann A, Reuter DA Tags: Anaesthesist Source Type: research

[Erratum to: Catheterization of the subclavian vein and the risk of pneumothorax : Mechanical ventilation increases the risk of pneumothorax during infraclavicular subclavian vein catheterization: a  prospective randomized trial].
[Erratum to: Catheterization of the subclavian vein and the risk of pneumothorax : Mechanical ventilation increases the risk of pneumothorax during infraclavicular subclavian vein catheterization: a prospective randomized trial]. Anaesthesist. 2019 Apr 12;: Authors: Palmaers T, Frank P, Eismann H, Sieg L, Leffler A, Schmitt H, Scholler A PMID: 30980184 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 11, 2019 Category: Anesthesiology Authors: Palmaers T, Frank P, Eismann H, Sieg L, Leffler A, Schmitt H, Scholler A Tags: Anaesthesist Source Type: research

[Analysis of the personnel development in anesthesiology over the last two decades with special attention to gender aspects].
JC Abstract Skills shortage of nursing staff and physicians is a "hot topic" in health politics. For the future recruitment of medical staff in anesthesiology, an analysis of the staff development during the last decades considering gender aspects seems to be important. Therefore, the authors conducted a comparative analysis of data from the "Statistisches Bundesamt" (Fachserie 12 Reihe 7.3.1 and Fachserie 12 Reihe 6.1.1.) from 1994 until 2015. The analysis compared the development of anesthesiological staff (physicians) with the overall development of medical staff (physicians)...
Source: Der Anaesthesist - April 11, 2019 Category: Anesthesiology Authors: van den Bussche H, Scherer M, Zöllner C, Kubitz JC Tags: Anaesthesist Source Type: research

[Renal replacement therapy in acute kidney injury : From the indications to cessation].
CONCLUSION: Risk identification and prevention of AKI are essential. In the absence of absolute indications, initiation and accomplishment of RRT should be patient-adapted and carried out in the clinical context. Newly developed biomarkers could be helpful in the future for a better estimation of the prognosis and for a more precise definition of therapeutic strategies of RRT. PMID: 30980186 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 11, 2019 Category: Anesthesiology Authors: Küllmar M, Zarbock A Tags: Anaesthesist Source Type: research

[Deployment of the in-hospital emergency team in a  tertiary care university hospital : Data analysis for the time period 2013-2016 in North-Rhine/Westphalia].
CONCLUSION: Analysis of data revealed that the number of MET calls, total operating time and average deployment time increased from 2013 to 2016. The primary reason for MET activations was collapse or syncope and every 17th deployment was for cardiopulmonary resuscitation. The incidence of in-hospital cardiac arrests decreased during the study period. PMID: 30969357 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 9, 2019 Category: Anesthesiology Authors: Schmitz J, Kerkhoff S, Sander D, Schulz G, Warnecke T, Hinkelbein J Tags: Anaesthesist Source Type: research

[Publications by university Departments of Anaesthesiology from Germany, Austria and Switzerland in 2011-2015 : Scientific publications by university hospitals in D ‑A-CH].
CONCLUSION: Strategies to foster academic work in anaesthesiology in Germany, Austria and Switzerland are required. PMID: 30941445 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 1, 2019 Category: Anesthesiology Authors: Miller C, Ausserer J, Putzer G, Hamm P, Herff H, Wenzel V, Paal P Tags: Anaesthesist Source Type: research

Cardiopulmonary resuscitation: when guidelines provide no answers.
This article reports on a 71-year-old man who suffered an OHCA. Persisting gasping and recurrent ventricular fibrillation made the prehospital management difficult and imposed challenges on the whole team. The guidelines provided no answers to this specific situation. Wittingly, the emergency physician decided to abandon the standard approach. Based on this case, this article discusses the pathophysiological considerations and an approach deviating from the standard approach, which could have led to a positive patient outcome without casting doubt on the current resuscitation guidelines. PMID: 30937467 [PubM...
Source: Der Anaesthesist - March 31, 2019 Category: Anesthesiology Authors: Ventzke MM, Kemming GI Tags: Anaesthesist Source Type: research

[2018 update ESC/ESH guidelines on management of arterial hypertension : What is important for anesthesiologists?]
This article highlights the most important innovations in the ESC/ESH guidelines 2018 on management of arterial hypertension. PMID: 30937468 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 31, 2019 Category: Anesthesiology Authors: Löser B, Öner A Tags: Anaesthesist Source Type: research