Noninvasive respiratory support and invasive ventilation in COVID ‑19 : Where do we stand today?
Anaesthesist. 2022 Apr 9. doi: 10.1007/s00101-022-01114-x. Online ahead of print.ABSTRACTThe controversy surrounding ventilation in coronavirus disease 2019 (COVID-19) continues. Early in the pandemic it was postulated that the high intensive care unit (ICU) mortality may have been due to too early intubation. As the pandemic progressed recommendations changed and the use of noninvasive respiratory support (NIRS) increased; however, this did not result in a clear reduction in ICU mortality. Furthermore, large studies on optimal ventilation in COVID-19 are lacking. This review article summarizes the pathophysiological basis...
Source: Der Anaesthesist - April 10, 2022 Category: Anesthesiology Authors: Ines Schroeder Michael Irlbeck Michael Zoller Source Type: research
Add-on-LUCAS2 ™ resuscitation at NEF Innsbruck
DISCUSSION: By using add-on LUCAS2™ CPR a percentage increase in survival rate can be achieved and thus appears advantageous (1.4% in our study). This means that high-quality CPR can be carried out on patients with favorable prognostic factors, even with technically complex rescue operations (turntable ladder, staircase, transport in an ambulance) and thus transport can be made possible; however, there is a higher admission rate under CPR and thus the treatment target decision is shifted to the shock room.PMID:35389080 | DOI:10.1007/s00101-022-01112-z (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 7, 2022 Category: Anesthesiology Authors: D Schwaiger A Zanvettor A Neumayr M Baubin Source Type: research
Add-on-LUCAS2 ™ resuscitation at NEF Innsbruck
DISCUSSION: By using add-on LUCAS2™ CPR a percentage increase in survival rate can be achieved and thus appears advantageous (1.4% in our study). This means that high-quality CPR can be carried out on patients with favorable prognostic factors, even with technically complex rescue operations (turntable ladder, staircase, transport in an ambulance) and thus transport can be made possible; however, there is a higher admission rate under CPR and thus the treatment target decision is shifted to the shock room.PMID:35389080 | DOI:10.1007/s00101-022-01112-z (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 7, 2022 Category: Anesthesiology Authors: D Schwaiger A Zanvettor A Neumayr M Baubin Source Type: research
Add-on-LUCAS2 ™ resuscitation at NEF Innsbruck
DISCUSSION: By using add-on LUCAS2™ CPR a percentage increase in survival rate can be achieved and thus appears advantageous (1.4% in our study). This means that high-quality CPR can be carried out on patients with favorable prognostic factors, even with technically complex rescue operations (turntable ladder, staircase, transport in an ambulance) and thus transport can be made possible; however, there is a higher admission rate under CPR and thus the treatment target decision is shifted to the shock room.PMID:35389080 | DOI:10.1007/s00101-022-01112-z (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 7, 2022 Category: Anesthesiology Authors: D Schwaiger A Zanvettor A Neumayr M Baubin Source Type: research
Imagine that it was your child!
Anaesthesist. 2022 Apr;71(4):253-254. doi: 10.1007/s00101-022-01117-8. Epub 2022 Apr 6.NO ABSTRACTPMID:35384442 | DOI:10.1007/s00101-022-01117-8 (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 6, 2022 Category: Anesthesiology Authors: Christoph Eich Karin Becke-Jakob Katharina R öher Source Type: research
Imagine that it was your child!
Anaesthesist. 2022 Apr;71(4):253-254. doi: 10.1007/s00101-022-01117-8. Epub 2022 Apr 6.NO ABSTRACTPMID:35384442 | DOI:10.1007/s00101-022-01117-8 (Source: Der Anaesthesist)
Source: Der Anaesthesist - April 6, 2022 Category: Anesthesiology Authors: Christoph Eich Karin Becke-Jakob Katharina R öher Source Type: research
Management of acutely decompensated liver cirrhosis in emergency and critical care medicine
Anaesthesist. 2022 Mar 31. doi: 10.1007/s00101-022-01113-y. Online ahead of print.ABSTRACTAcute decompensation in patients with liver cirrhosis is characterized by the development of ascites, gastrointestinal bleeding, hepatic encephalopathy, or bacterial infection and is often accompanied by further extrahepatic organ dysfunction. Since critically ill patients with decompensated cirrhosis have a high mortality risk, rapid identification and treatment of the triggering event of decompensation (e.g., infection, hemorrhage, drugs) as well as specific measures for the treatment of concomitant extrahepatic organ dysfunctions a...
Source: Der Anaesthesist - March 31, 2022 Category: Anesthesiology Authors: Philipp Kasper Frank Tacke Guido Michels Source Type: research
Management of acutely decompensated liver cirrhosis in emergency and critical care medicine
Anaesthesist. 2022 Mar 31. doi: 10.1007/s00101-022-01113-y. Online ahead of print.ABSTRACTAcute decompensation in patients with liver cirrhosis is characterized by the development of ascites, gastrointestinal bleeding, hepatic encephalopathy, or bacterial infection and is often accompanied by further extrahepatic organ dysfunction. Since critically ill patients with decompensated cirrhosis have a high mortality risk, rapid identification and treatment of the triggering event of decompensation (e.g., infection, hemorrhage, drugs) as well as specific measures for the treatment of concomitant extrahepatic organ dysfunctions a...
Source: Der Anaesthesist - March 31, 2022 Category: Anesthesiology Authors: Philipp Kasper Frank Tacke Guido Michels Source Type: research
Management of acutely decompensated liver cirrhosis in emergency and critical care medicine
Anaesthesist. 2022 Mar 31. doi: 10.1007/s00101-022-01113-y. Online ahead of print.ABSTRACTAcute decompensation in patients with liver cirrhosis is characterized by the development of ascites, gastrointestinal bleeding, hepatic encephalopathy, or bacterial infection and is often accompanied by further extrahepatic organ dysfunction. Since critically ill patients with decompensated cirrhosis have a high mortality risk, rapid identification and treatment of the triggering event of decompensation (e.g., infection, hemorrhage, drugs) as well as specific measures for the treatment of concomitant extrahepatic organ dysfunctions a...
Source: Der Anaesthesist - March 31, 2022 Category: Anesthesiology Authors: Philipp Kasper Frank Tacke Guido Michels Source Type: research
Management of acutely decompensated liver cirrhosis in emergency and critical care medicine
Anaesthesist. 2022 Mar 31. doi: 10.1007/s00101-022-01113-y. Online ahead of print.ABSTRACTAcute decompensation in patients with liver cirrhosis is characterized by the development of ascites, gastrointestinal bleeding, hepatic encephalopathy, or bacterial infection and is often accompanied by further extrahepatic organ dysfunction. Since critically ill patients with decompensated cirrhosis have a high mortality risk, rapid identification and treatment of the triggering event of decompensation (e.g., infection, hemorrhage, drugs) as well as specific measures for the treatment of concomitant extrahepatic organ dysfunctions a...
Source: Der Anaesthesist - March 31, 2022 Category: Anesthesiology Authors: Philipp Kasper Frank Tacke Guido Michels Source Type: research
Management of acutely decompensated liver cirrhosis in emergency and critical care medicine
Anaesthesist. 2022 Mar 31. doi: 10.1007/s00101-022-01113-y. Online ahead of print.ABSTRACTAcute decompensation in patients with liver cirrhosis is characterized by the development of ascites, gastrointestinal bleeding, hepatic encephalopathy, or bacterial infection and is often accompanied by further extrahepatic organ dysfunction. Since critically ill patients with decompensated cirrhosis have a high mortality risk, rapid identification and treatment of the triggering event of decompensation (e.g., infection, hemorrhage, drugs) as well as specific measures for the treatment of concomitant extrahepatic organ dysfunctions a...
Source: Der Anaesthesist - March 31, 2022 Category: Anesthesiology Authors: Philipp Kasper Frank Tacke Guido Michels Source Type: research
Anesthesia in patients with acute porphyria
Anaesthesist. 2022 Mar 29. doi: 10.1007/s00101-022-01107-w. Online ahead of print.ABSTRACTPorphyrias are a group of rare, mostly inherited metabolic disorders of heme biosynthesis. Each type of porphyria results from a specific deficiency of one of the pathway enzymes, causing a characteristic accumulation and excretion of heme precursors. Diagnosis is confirmed by the biochemical detection of these porphyrins and the precursors in urine, feces and blood. Porphyrias can be classified into acute and non-acute forms. The clinical presentation is unspecific and includes acute neurovisceral and/or cutaneous symptoms. The laten...
Source: Der Anaesthesist - March 30, 2022 Category: Anesthesiology Authors: Dominique Lederer Markus A Weigand Jan Larmann Source Type: research
Anesthesia in patients with acute porphyria
Anaesthesist. 2022 Mar 29. doi: 10.1007/s00101-022-01107-w. Online ahead of print.ABSTRACTPorphyrias are a group of rare, mostly inherited metabolic disorders of heme biosynthesis. Each type of porphyria results from a specific deficiency of one of the pathway enzymes, causing a characteristic accumulation and excretion of heme precursors. Diagnosis is confirmed by the biochemical detection of these porphyrins and the precursors in urine, feces and blood. Porphyrias can be classified into acute and non-acute forms. The clinical presentation is unspecific and includes acute neurovisceral and/or cutaneous symptoms. The laten...
Source: Der Anaesthesist - March 30, 2022 Category: Anesthesiology Authors: Dominique Lederer Markus A Weigand Jan Larmann Source Type: research
Quality and safe anesthesia for all children : That is their right!
Anaesthesist. 2022 Mar 28. doi: 10.1007/s00101-022-01111-0. Online ahead of print.ABSTRACTIn 1989 the United Nations passed the "United Nations Convention on the Rights of the Child" (UNCRC) and, among others, demanded the highest attainable standard of health for children. Safe Anesthesia for Every Tot (SAFETOTS, www.safetots.org ), an association of internationally active pediatric anesthetists, has derived 10 rights, the 10 R's, which are of essential importance for the pediatric anesthetic practice. The first right (R1) postulates: "Children have the right to enjoy the highest possible standard of health. Children belo...
Source: Der Anaesthesist - March 29, 2022 Category: Anesthesiology Authors: Markus Weiss Andreas Machotta Source Type: research
Quality and safe anesthesia for all children : That is their right!
Anaesthesist. 2022 Mar 28. doi: 10.1007/s00101-022-01111-0. Online ahead of print.ABSTRACTIn 1989 the United Nations passed the "United Nations Convention on the Rights of the Child" (UNCRC) and, among others, demanded the highest attainable standard of health for children. Safe Anesthesia for Every Tot (SAFETOTS, www.safetots.org ), an association of internationally active pediatric anesthetists, has derived 10 rights, the 10 R's, which are of essential importance for the pediatric anesthetic practice. The first right (R1) postulates: "Children have the right to enjoy the highest possible standard of health. Children belo...
Source: Der Anaesthesist - March 29, 2022 Category: Anesthesiology Authors: Markus Weiss Andreas Machotta Source Type: research
