Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2012
[Aviation and high-altitude medicine for anaesthetists: part 1: physical basics and pathophysiology].
Air travel has become a natural part of modern life. Both the environment, they take place in and the physical changes humans are exposed to must not be underestimated. ⋯ It is the artificial environment of the aircraft cabin that allows travel in usual flight levels. Nevertheless, mild hypoxia and its sequeale have to be considered.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2012
[First aid and trauma management: results from the German resuscitation registry].
Every year a large number of patients suffer from cardiac arrest and must be reanimated. The German Resuscitation Registry was founded in 2007 in order to analyze and optimize these measures. ⋯ In addition, the major significance of percutaneous catheter interventions and active cooling after cardiac arrest has been demonstrated. In future, the platform of the German Resuscitation Registry will be further expanded to enable an interdisciplinary exchange of information as well as scientific research.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2012
[Anaesthesia and pain therapy: perioperative management of patients with complex regional pain syndrome].
The complex regional pain syndrome (CRPS) is indeed a very complex pain situation. The treatment of CRPS is challenging. ⋯ Recommendations for the management of such patients will be described in the article. High degree of evidence exists for high doses of vitamin C to prevent the development of a CRPS in trauma patients.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2012
Case Reports[Serious complications following a marathon run: interactive case report of a dramatic course].
A marathon runner collapses after crossing the finish line and shows neurological disorders. Aftertreatment at the scene hyponatremia and cerebral edema are found at hospital admission. Thepatient is treated for "exercise-associated hyponatremia" (EAH) on the ICU for six days. ⋯ Symptoms include nausea and vomiting, desorientation, dizziness, seizures or coma. Therapyincludes fluid restriction and application of hypertonic saline. Plasma sodium concentration shouldbe checked at the scene in all collapsed athletes showing neurological symptoms to differentiatebetween exercise-associated hyponatremia and dehydration.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2012
[First aid and management of multiple trauma: in-hospital trauma care].
Injuries remain the leading cause of death in children and young adults. Management of multiple trauma patients has improved in recent years by quality initiatives (trauma network, S3 guideline "Polytrauma"). On this basis, strong links with preclinical management, structured treatment algorithms, training standards (ATLS®), clear diagnostic rules and an established risk- and quality management are the important factors of a modern emergency room trauma care. We describe the organizational components that lead to successful management of trauma in hospital.