Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2015
Review Case Reports Comparative Study[Hyperbaric therapy and diving medicine - hyperbaric chambers in use].
Hyperbaric oxygen therapy (HBOT) is a scientifically justified and internationally established therapy, which is however not well-known thus rarely used in Germany. During a HBOT, the ambient pressure is raised while the patient breathes 100% O2, causing tissue partial oxygen pressure (ptO2) to increase distinctly. Through that, various pressure- and O2-associated processes are initiated. Herein 3 case studies are described that illustrate the mechanism of action and the range of applications of HBOT.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2015
Review[Hyperbaric therapy and diving medicine - diving medicine - present state and prospects].
The diving accident (decompression incident, DCI) occurs in the decompression phase of dives. The DCI can either be caused by an arterial gas embolism (AGE) subsequent to a pulmonary barotrauma or by the formation of inert gas bubbles subsequent to a reduction of ambient pressure during the ascent from depth. In contrast to the traditional assumption that decompression incidents only occur if decompression rules are neglected, recent data indicate that a vast amount of diving accidents occur even though divers adhered to the rules. ⋯ Fluid substitution is performed by i. v. infusion of 500-1000ml/h of cristalloids. If consciousness is not impaired, the diver is positioned in a supine position, in case of impaired or absent consciousness in a lateral recovery position. Especially in severe cases of DCI a fast transfer to a qualified hyperbaric center and the earliest possible hyperbaric O2-therapy is essential.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2015
Editorial Practice Guideline[In Process Citation].
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2015
Case Reports[Case report: Snake bite - an odd case].
Emergency medical service is called by a 54-year-old man bitten by his rattlesnake. Upon initial survey we find the patient in a cardiopulmonary stable condition. ⋯ The snake raiser has already called the poison control center in Munich. By the help of this institution we bring him to a hospital having the right antivenom on hand.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2015
Case Reports[Case Report - Really a diving accident?].
A 17 y old male SCUBA diver presents himself for hospital admission after a suspected diving accident. All clinical signs are favouring the initial diagnosis: loss of leg motor function, paresthesia, disturbed vision and headache. What are your further diagnostic and therapeutic steps? Can you proof the initial diagnosis? What differential diagnoses are relevant or even mimicked?