Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Venipunctures in children are difficult. Some factors can hardly be influenced, for example, a well-developed subcutaneous fat tissue. Technical devices may help to identify invisible veins. ⋯ Missing practice venipuncture and inadequate knowledge of appropriate puncture sites can be met easily by practicing and reading. The possibility of intraosseous puncture today is standard of anesthesia care for children. Within in a few seconds, a secure access to the vein system can be created.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 2013
Review[Regional anaesthesia in children--caudal anaesthesia and trunk blocks].
In children, elective surgery is often performed in the trunk region. Regional anaesthetic techniques allow good analgesia with reduced opioid consumption, and enhance rapid discharge of the small patients. This review focuses on indication, anatomic structures, puncture techniques and potential complications of caudal anaesthesia, transversus abdominis plane block, ilioinguinal/iliohypogastric nerve block and rectus sheath block.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 2013
[Flight and altitude medicine for anesthetists-part 3: emergencies on board commercial aircraft].
The demographic trend of industrialized societies is also reflected in commercial airlines' passengers: passengers are older nowadays and long-haul flights are routine mode of transport despite considerable chronic and acute medical conditions. Moreover, duration of non-stop flight routes and the number of passengers on board increase. Thus, the probability of a medical incident during a particular flight event increases, too. ⋯ Besides flight operations and technical aspects, the medical infrastructure on the ground has to be considered carefully. Regardless of the amount of experience of a physician medical emergencies on board an aircraft usually represent a particular challenge. This is mainly due to the unfamiliar surroundings, the characteristics of the cabin atmosphere, the often existing cultural and language barriers and legal liability concerns.