Patient blood management : The next revolution in obstetric anesthesia?
Anaesthesist. 2022 Mar;71(3):169-170. doi: 10.1007/s00101-022-01103-0. Epub 2022 Mar 9.NO ABSTRACTPMID:35262775 | DOI:10.1007/s00101-022-01103-0 (Source: Der Anaesthesist)
Source: Der Anaesthesist - March 9, 2022 Category: Anesthesiology Authors: Jens Meier Source Type: research

Resuscitative endovascular balloon occlusion of the aorta in severely injured patients in the emergency trauma room: a case series
Anaesthesist. 2022 Mar 7. doi: 10.1007/s00101-022-01100-3. Online ahead of print.ABSTRACTHemorrhage is the cause of death in 30-40% of severely injured patients due to trauma and the most frequent avoidable cause of death. In civilian emergency medical services, the majority of life-threatening hemorrhages are found in incompressible body regions (e.g. abdomen and pelvis). Resuscitative endovascular balloon occlusion of the aorta (REBOA) has therefore been discussed in recent years as a lifesaving procedure for temporary bleeding control in multiple trauma patients. Since August 2020 REBOA is implented in the treatment of ...
Source: Der Anaesthesist - March 7, 2022 Category: Anesthesiology Authors: J ürgen Knapp Dominik A Jakob Tobias Haltmeier Beat Lehmann Wolf E Hautz Source Type: research

Resuscitative endovascular balloon occlusion of the aorta in severely injured patients in the emergency trauma room: a case series
Anaesthesist. 2022 Mar 7. doi: 10.1007/s00101-022-01100-3. Online ahead of print.ABSTRACTHemorrhage is the cause of death in 30-40% of severely injured patients due to trauma and the most frequent avoidable cause of death. In civilian emergency medical services, the majority of life-threatening hemorrhages are found in incompressible body regions (e.g. abdomen and pelvis). Resuscitative endovascular balloon occlusion of the aorta (REBOA) has therefore been discussed in recent years as a lifesaving procedure for temporary bleeding control in multiple trauma patients. Since August 2020 REBOA is implented in the treatment of ...
Source: Der Anaesthesist - March 7, 2022 Category: Anesthesiology Authors: J ürgen Knapp Dominik A Jakob Tobias Haltmeier Beat Lehmann Wolf E Hautz Source Type: research

Resuscitative endovascular balloon occlusion of the aorta in severely injured patients in the emergency trauma room: a case series
Anaesthesist. 2022 Mar 7. doi: 10.1007/s00101-022-01100-3. Online ahead of print.ABSTRACTHemorrhage is the cause of death in 30-40% of severely injured patients due to trauma and the most frequent avoidable cause of death. In civilian emergency medical services, the majority of life-threatening hemorrhages are found in incompressible body regions (e.g. abdomen and pelvis). Resuscitative endovascular balloon occlusion of the aorta (REBOA) has therefore been discussed in recent years as a lifesaving procedure for temporary bleeding control in multiple trauma patients. Since August 2020 REBOA is implented in the treatment of ...
Source: Der Anaesthesist - March 7, 2022 Category: Anesthesiology Authors: J ürgen Knapp Dominik A Jakob Tobias Haltmeier Beat Lehmann Wolf E Hautz Source Type: research

Chances and challenges of increasing digitalization of teaching in the discipline anesthesiology from the perspective of students
CONCLUSION: This study highlights several opportunities and challenges associated with digital teaching. The availability of prerecorded lectures at any time and place seems to facilitate access and increases student motivation. It also promotes individualization of student learning. Main disadvantages are the lack of communication with teachers and other students as well as the missing opportunity to reinforce the theoretical knowledge through application in practical courses, which, however, are essential for medical education. Therefore, a possible solution in the future could be the introduction of the "inverted classr...
Source: Der Anaesthesist - March 4, 2022 Category: Anesthesiology Authors: S Hunck K Engelhard P Mildenberger S Kurz Source Type: research

Postpartum hemorrhage : Interdisciplinary consideration in the context of patient blood management
Anaesthesist. 2022 Mar 4. doi: 10.1007/s00101-022-01098-8. Online ahead of print.ABSTRACTPostpartum hemorrhage (PPH) nowadays still represents a severe complication of both a vaginal delivery and a cesarean section. In German-speaking areas a new definition of the term has recently become established and the nomenclature with respect to the severe form of PPH was dropped. The handling of misoprostol as a uterotonic during treatment of PPH is also new, which is available in Germany only as a medical direct import. For adequate diagnostics and targeted treatment interdisciplinary and standardized algorithms should be establi...
Source: Der Anaesthesist - March 4, 2022 Category: Anesthesiology Authors: Philipp Helmer Tobias Schlesinger Sebastian Hottenrott Michael Papsdorf Achim W öckel Magdalena Sitter Tobias Skazel Thomas Wurmb Ismail T ürkmeneli Christoph H ärtel Stefan Hofer Ibrahim Alkatout Leila Messroghli Thierry Girard Patrick Meybohm Peter K Source Type: research

Chances and challenges of increasing digitalization of teaching in the discipline anesthesiology from the perspective of students
CONCLUSION: This study highlights several opportunities and challenges associated with digital teaching. The availability of prerecorded lectures at any time and place seems to facilitate access and increases student motivation. It also promotes individualization of student learning. Main disadvantages are the lack of communication with teachers and other students as well as the missing opportunity to reinforce the theoretical knowledge through application in practical courses, which, however, are essential for medical education. Therefore, a possible solution in the future could be the introduction of the "inverted classr...
Source: Der Anaesthesist - March 4, 2022 Category: Anesthesiology Authors: S Hunck K Engelhard P Mildenberger S Kurz Source Type: research

Postpartum hemorrhage : Interdisciplinary consideration in the context of patient blood management
Anaesthesist. 2022 Mar 4. doi: 10.1007/s00101-022-01098-8. Online ahead of print.ABSTRACTPostpartum hemorrhage (PPH) nowadays still represents a severe complication of both a vaginal delivery and a cesarean section. In German-speaking areas a new definition of the term has recently become established and the nomenclature with respect to the severe form of PPH was dropped. The handling of misoprostol as a uterotonic during treatment of PPH is also new, which is available in Germany only as a medical direct import. For adequate diagnostics and targeted treatment interdisciplinary and standardized algorithms should be establi...
Source: Der Anaesthesist - March 4, 2022 Category: Anesthesiology Authors: Philipp Helmer Tobias Schlesinger Sebastian Hottenrott Michael Papsdorf Achim W öckel Magdalena Sitter Tobias Skazel Thomas Wurmb Ismail T ürkmeneli Christoph H ärtel Stefan Hofer Ibrahim Alkatout Leila Messroghli Thierry Girard Patrick Meybohm Peter K Source Type: research

Chances and challenges of increasing digitalization of teaching in the discipline anesthesiology from the perspective of students
CONCLUSION: This study highlights several opportunities and challenges associated with digital teaching. The availability of prerecorded lectures at any time and place seems to facilitate access and increases student motivation. It also promotes individualization of student learning. Main disadvantages are the lack of communication with teachers and other students as well as the missing opportunity to reinforce the theoretical knowledge through application in practical courses, which, however, are essential for medical education. Therefore, a possible solution in the future could be the introduction of the "inverted classr...
Source: Der Anaesthesist - March 4, 2022 Category: Anesthesiology Authors: S Hunck K Engelhard P Mildenberger S Kurz Source Type: research

Postpartum hemorrhage : Interdisciplinary consideration in the context of patient blood management
Anaesthesist. 2022 Mar 4. doi: 10.1007/s00101-022-01098-8. Online ahead of print.ABSTRACTPostpartum hemorrhage (PPH) nowadays still represents a severe complication of both a vaginal delivery and a cesarean section. In German-speaking areas a new definition of the term has recently become established and the nomenclature with respect to the severe form of PPH was dropped. The handling of misoprostol as a uterotonic during treatment of PPH is also new, which is available in Germany only as a medical direct import. For adequate diagnostics and targeted treatment interdisciplinary and standardized algorithms should be establi...
Source: Der Anaesthesist - March 4, 2022 Category: Anesthesiology Authors: Philipp Helmer Tobias Schlesinger Sebastian Hottenrott Michael Papsdorf Achim W öckel Magdalena Sitter Tobias Skazel Thomas Wurmb Ismail T ürkmeneli Christoph H ärtel Stefan Hofer Ibrahim Alkatout Leila Messroghli Thierry Girard Patrick Meybohm Peter K Source Type: research

Patient blood management in the preparation for birth, obstetrics and postpartum period
Anaesthesist. 2022 Mar 2. doi: 10.1007/s00101-022-01109-8. Online ahead of print.ABSTRACTThe implementation of patient blood management (PBM) is increasingly becoming standard in operative medicine. Recently, interest has also been shown for the vulnerable collective of pregnant women and neonates. As the information regarding anesthesiological procedures for pregnant women and the peripartum period including an informed consent process should be carried out long before childbirth, this provides a good possibility in this connection to incorporate PBM. An anesthesiological risk estimation as well as the diagnostic workup a...
Source: Der Anaesthesist - March 2, 2022 Category: Anesthesiology Authors: Philipp Helmer Tobias Schlesinger Sebastian Hottenrott Michael Papsdorf Achim W öckel Joachim Diessner Jan Stumpner Magdalena Sitter Tobias Skazel Thomas Wurmb Christoph H ärtel Stefan Hofer Ibrahim Alkatout Thierry Girard Patrick Meybohm Peter Kranke Source Type: research

Patient blood management in the preparation for birth, obstetrics and postpartum period
Anaesthesist. 2022 Mar 2. doi: 10.1007/s00101-022-01109-8. Online ahead of print.ABSTRACTThe implementation of patient blood management (PBM) is increasingly becoming standard in operative medicine. Recently, interest has also been shown for the vulnerable collective of pregnant women and neonates. As the information regarding anesthesiological procedures for pregnant women and the peripartum period including an informed consent process should be carried out long before childbirth, this provides a good possibility in this connection to incorporate PBM. An anesthesiological risk estimation as well as the diagnostic workup a...
Source: Der Anaesthesist - March 2, 2022 Category: Anesthesiology Authors: Philipp Helmer Tobias Schlesinger Sebastian Hottenrott Michael Papsdorf Achim W öckel Joachim Diessner Jan Stumpner Magdalena Sitter Tobias Skazel Thomas Wurmb Christoph H ärtel Stefan Hofer Ibrahim Alkatout Thierry Girard Patrick Meybohm Peter Kranke Source Type: research

Hypoxic and hypoglycemic brain damage as a  result of an adrenal cortex crisis-An important differential diagnosis in cases of unspecific symptoms
This article reports about a female patient with a known secondary adrenal cortex insufficiency who developed the complete picture of an adrenal crisis. Despite rapid diagnosis and initiation of treatment massive brain damage could not be averted due to hypoxia and hypoglycemia. This case report demonstrates the potential symptoms, in particular a massive hypoglycemia and an initial shock refractory to catecholamine. It also shows the severity of that disease and the importance of rapid treatment even though it is difficult to make the diagnosis.PMID:35226122 | DOI:10.1007/s00101-022-01088-w (Source: Der Anaesthesist)
Source: Der Anaesthesist - February 28, 2022 Category: Anesthesiology Authors: C Mayer C Hackenbroch S Mayer M Helm T M üller Source Type: research

Hypoxic and hypoglycemic brain damage as a  result of an adrenal cortex crisis-An important differential diagnosis in cases of unspecific symptoms
This article reports about a female patient with a known secondary adrenal cortex insufficiency who developed the complete picture of an adrenal crisis. Despite rapid diagnosis and initiation of treatment massive brain damage could not be averted due to hypoxia and hypoglycemia. This case report demonstrates the potential symptoms, in particular a massive hypoglycemia and an initial shock refractory to catecholamine. It also shows the severity of that disease and the importance of rapid treatment even though it is difficult to make the diagnosis.PMID:35226122 | DOI:10.1007/s00101-022-01088-w (Source: Der Anaesthesist)
Source: Der Anaesthesist - February 28, 2022 Category: Anesthesiology Authors: C Mayer C Hackenbroch S Mayer M Helm T M üller Source Type: research

Hypoxic and hypoglycemic brain damage as a  result of an adrenal cortex crisis-An important differential diagnosis in cases of unspecific symptoms
This article reports about a female patient with a known secondary adrenal cortex insufficiency who developed the complete picture of an adrenal crisis. Despite rapid diagnosis and initiation of treatment massive brain damage could not be averted due to hypoxia and hypoglycemia. This case report demonstrates the potential symptoms, in particular a massive hypoglycemia and an initial shock refractory to catecholamine. It also shows the severity of that disease and the importance of rapid treatment even though it is difficult to make the diagnosis.PMID:35226122 | DOI:10.1007/s00101-022-01088-w (Source: Der Anaesthesist)
Source: Der Anaesthesist - February 28, 2022 Category: Anesthesiology Authors: C Mayer C Hackenbroch S Mayer M Helm T M üller Source Type: research