Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2014
Review[Resuscitation between the Guidelines].
The standards of treatment of patients suffering cardiac arrest is defined by international guidelines for cardiopulmonary resuscitation, that are updated every five years. Scientific knowledge is continuously increasing and recent studies should be considered and discussed to improve the results of daily emergency care. ⋯ The strategies of postresuscitation care are also in the focus of interest. This review presents and discusses the value of recent investigations on resuscitation science.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2014
Review[Subsyndromal delirium - Experiences from the psychiatry - expectations for postoperative management].
The phenomenon of delirium is well known since over 100 years. The anesthesiology has recognized that early detection and therapy results in significant improvement of postoperative clinical state of health of the patients. In the following article it will be discussed that it could be profitable to make a further step: threatening the subsyndromal delirium. Because there are only few experiences in anesthesiology, this thesis will be substantiated by datas from psychiatry.
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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.
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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.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2014
Review[Patient safety - mission for the future - The importance of CriticalIncidentReportingSystems (CIRS)in clinical practice].
Every day patients experience harm due to errors and complications. To improve this situation, patient safety is increasingly becoming important in the treatment process. ⋯ Observers and members of the care team are given the opportunity to anonymously report critical incidents and thus allow an analysis by an evaluation team. The goal is not to sanction the behavior of an individual, but to identify particular structural and organizational sources of error and to derive improvements.