Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2013
[Knowledgetransfer in the light of changingvalues].
Besides its formal and legal relevance, postgraduate medical education plays an important role in recruiting and retaining employees. Success of graduate education is affected by a changing environment: the former employer market is turning into an employee market. Demographic changes are taking place and a new generation of employees 'Generation Y' is entering the job market. ⋯ These changes and conditions will shape graduate medical education. On the one hand, medical interventions are becoming increasingly complex, on the other hand patients are getting older and sicker. Therefore, simulation-based learning will play an important role in medical training.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2013
Case Reports[Case report: Extracorporeal life support for treatment of fulminant pulmonary embolism in a young woman during pregnancy].
During pregnancy, prothrombotic changes of the coagulation system are associated with an increased risk for thrombotic events such as deep vein thrombosis and/or pulmonary embolism. We report the case of a thirty-one year old woman, who suffered severe pulmonary embolism with cardiogenic shock during pregnancy. Systemic fibrinolysis failed to improve hemodynamic deterioration. Finally, insertion of an extracorporeal life support system with subsequent pulmonary thromboendarterectomysaved the life of the patient.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2013
[Explosion injuries - Prehospital care and management].
Explosion injuries are not restricted to war-like military conflicts or terrorist attacks. The emergency physician may also encounter such injuries in the private or industrial fields, injuries caused by fireworks or gas explosions. ⋯ Emergency medical personnel must be prepared to cope with explosion trauma not only in individual cases but also in major casualty incidents (MCI). This necessitates a sound knowledge about the mechanisms and processes of an explosion as well as the particular pathophysiological relationships of explosion injuries in order to be able to initiate the best possible, guideline-conform trauma therapy.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2013
[Anaesthesia for extrathoracal vascular surgical procedures - Part 1: Optimization on the preoperative therapy].
Vascular surgical patients have an increased perioperative risk for cardiovascular complications because of high incidence of cardiovascular risk factors. An optimization of the preoperative therapy is able to reduce the preventable cardiac complications. Cardiovascular risk factors such as high blood pressure, diabetes mellitus, heart failure have to be identified and treated.