Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 2003
Historical Article[A short history of the Swiss Society of Anaesthesiology and Reanimation (SSAR)].
In common with most continental countries, anaesthesia in post-World War II Switzerland was clearly in arrears in comparison to the Anglo-American and Scandinavian countries. As early as in 1947, however, motivated young physicians left Switzerland for England, Scandinavia and the USA to familiarise themselves with the advances made in modern anaesthesia. In March, 1951, three of these pioneers, Ch. ⋯ In 1967 the name was changed to Swiss Society of Anaesthesiology and Reanimation (SSAR). Since coming into existence, the Society has grown more than 40-fold, with a total membership approaching 800 by 2002 end. In recent years, the SSAR took a particular interest in promoting both the training and CME of anaesthesiologists, in supporting research by its young members and in improving the quality and safety of anaesthesia.
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Anaesthesia today is a cross-over of all medical sub-specialities, based on a stable scientific fundament and a high margin of safety. Anaesthetic techniques are sophisticated and enable a differentiated treatment of pre-, intra- and post-operative medical demands. ⋯ This could be prevented by an improved medical school and training. Anaesthesiologists in science address either fundamental questions as to mechanisms of anaesthesia and epidemiological aspects of peri-operative medicine.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 2003
Review[Pain treatment today--current standing of pain treatment in Germany].
Beyond doubt the provision of pain therapy for patients with acute and chronic pain in Germany has improved over the last 30 years. This positive development comprises i. e. the growing impact of acute pain services on the treatment of patients with postoperative pain and the implementation of new developments in research into the clinical setting of obstetric pain therapy. Nevertheless, the provision of pain therapy for patients with chronic pain syndromes, for children, and in the fields of cancer pain and palliative medicine is neither qualitatively nor quantitatively sufficient.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 2003
Review[Anaesthesia tomorrow. Looking to the future].
As in past and present times anaesthesiology will remain the central and original part in the spectrum of anaesthesiology, emergency, pain and intensive-care medicine also in the future. Nevertheless, profound changes will take place within the next few years promoting the anaesthesiologist to the manager of the perioperative workflow. ⋯ Improvements in selectivity of pharmacology and monitoring in anaesthesiology and reduction of perioperative morbidity should also be actively promoted. To provide independence from commercial goals of industrial companies and to enable developments from basic research up to evidence-based clinical applications, concentration of knowledge and financial resources in centres of excellence will be imperative.