Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2015
[Conversations about end-of-life in the intensive care unit].
End-of-life decisions are frequently necessary in intensive care units. These decisions are made more difficult through rapidly changing disease dynamics, lack of continuity of care, differing expectations, as well as a lack of support. In these situations, structured communication concepts can help families and staff, e. g. through structured family conferences, the concept of family as the expert for the patient's preferences, and empathetic reactions to emotions. The article discusses concrete strategies how to communicate about end-of-life care.
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Today interventional procedures are frequently used for diagnosis and treatment in patients with various pulmonary diseases. Besides bronchoscopy in local- or general anesthesia jet-ventilation is commonly applied via catheter or rigid bronchoscope. Anesthesiologists should have profound knowledge of high-frequency ventilation and possible complications when assisting during interventional procedures.