Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2008
Review[Dysregulation of homeostasis in severe sepsis: relevance and therapeutic options].
Severe sepsis and septic shock may have a lasting effect on all human endocrinologic, coagulatory and metabolic regulatory circuits with the consequence of severe dysregulation of homoeostasis. Adjunctive therapeutic options like intensive insulin therapy, low-dose hydrocortisone and modulation of coagulation by drotrecogin alfa (activated) are still controversial discussed, but should be used according to the national and international guidelines for a sophisticated treatment of septic heterostasis.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2008
Review[Postoperative cognitive dysfunction in geriatric patients].
Postoperative cognitive dysfunction occurs in geriatric patients after major operations and influences morbidity and mortality of these patients. Clinical observations and neuropsychological tests can be used to diagnose cognitive disorders after an operation. Until today no specific medical treatment is known for the therapy of cognitive dysfunctions after an operation and, therefore, in high risk patients perioperative preventive measures is the only way to decrease the incidence and extend of this disease.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2008
Case Reports[Case Report: prehospital treatment on a major injured motorcycle driver].
This case report describes the prehospital care of a 42-year-old person damaged by a severe motorcycle accident in a rural scene. The injured person was unconscious, one pupil was dilated and rib fractures were palpable. ⋯ The prehospital therapy took 35 minutes in total. The time benefit by using a rescue helicopter is illustrated: time to initial treatment is minimized and duration of transport as well - direct transport to a trauma center is possible.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2008
[World Federation of Societies of Anaesthesiologists (WFSA) - security in anaesthesia - worldwide].
In many countries of the world, standards of anaesthesiology are poor. Even the most modern equipment cannot be used properly without people who are able to work and deal with it. ⋯ The society works closely with WHO, ESA, FEEA and other international societies. Its aim: to make surgery safer throughout the world.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2008
[Incident reporting systems in anesthesiology--methods and benefits using the example of PaSOS].
Preventing patient harm is one of the main tasks for the field of anesthesiology from early on. With the introduction of the national German incident reporting system PaSOS, which is hosted by the German anesthesia society, anesthesiology is again leading the field of patient safety. Important elements, success factors and background information for the introduction of successful incident reporting systems in an organization are given. Examples by and from PaSOS are given.