Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2012
Review[Therapy of trauma-induced coagulopathy - what is the evidence?].
The increasing understanding of trauma-induced coagulopathy has led to an expansion of treatment strategies in the acute management of trauma patients. The aim of this manuscript is to give a summary of current recommendations for the treatment of trauma-induced coagulopathy based on current literature and valid guidelines. Thetrauma-induced coagulopathyis an independentacutemultifactorial diseasewith significantimpact on the mortalityof severelyinjured patients. ⋯ For diffuse bleeding or thrombocytopathic patients desmopressin might be a therapeutic option. If a factor XIII (FXIII) measurement is not promptly available, a factor XIII blind-dose should be considered in severe ongoing bleeding. The use of recombinant activated coagulation factor VII (rFVIIa) be considered if major bleeding persists despite standard attempts to control bleeding and best practice use of blood components.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2012
[Hospital hygiene - transport of patients with multi-resistant pathogens].
An ever occurring problem in the health-care services is the handling of patients who are carriers of multi-resistant pathogens (MRP). As a general rule, these patients must be isolated. ⋯ As a rule, the measures of "standard hygiene" are sufficient for an adequate protection of patients and personnel. Above all, hand disinfection is of decisive importance.