Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
-
Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2014
Case Reports[Case report: Aneurysmatic subarachnoid hemorrhage - Complicated course due to coincidental manifestation of an inverted Tako-Tsubo-cardiomyopathy].
We report the case of a patient who suffered a serious subarachnoid hemorrhage with a cardialaffection and development of an inverted Tako-Tsubo-cardiomyopathy. To avoid apparent cerebral ischemia due to severe cerebral vasospasm after exhaustion of conservative therapeutic options a temporarily endovascular therapy with continuous intra-arterial application of Nimodipine was necessary. In the overall protracted and complicated course the special challenge were the therapeutic efforts to avoid apparent cerebral ischemia in context to the significant cardial affection.
-
Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2014
Review[Patient safety - mission for the future - Managing with Complications: What do I Tell the Patients and What the Relatives?].
In cases of unintended treatment courses an adequate communication is mandatory. Empathetic conversations expressing human warmth can pave the way to the avoidance of forensic consequences. ⋯ The patient has a right to view his or her complete patient records and to demand that copy be made at the patient's expense. In the case of information to relatives the physician must observe the content and scope of his/her obligation to medical confidentiality.
-
Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2014
Review[Patient safety- missionforthefuture - Recommendations for the management of severe treatment complications and burdensome courses (preventing the "second victim")].
Avoiding complications is a major goal of all patient safety efforts. We are used to working with all kinds of algorithms for avoiding adverse events or for the diagnosis and treatment of possible unforeseen or inadvertent complications in our patients. ⋯ Therefore, the German Society of Anaesthesiology and Intensive Care Medicine (DGAI) has elaborated guidelines for the individual professional concerned, for the colleagues of doctors involved, as well as for the supervisors and hospital institutions. The aim of these recommendations is to encourage our professional society to set a focus on this problem and to offer a structured course of action for the case that a major complication occurs in spite of all our efforts to maintain our patient's safety.