Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 2016
Multicenter Study Meta Analysis[In Process Citation].
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Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 2016
Review[Alternative airwaymanagement in theprehospitalsetting].
Airway management in the prehospital setting is a particular challenge. Even with numerous alternative devices, endotracheal intubation still represents the gold standard. ⋯ For the management of the difficult airway emergency physicians can use alternatives to tracheal intubation such as extraglottic airway devices, videolaryngoscopy and cricothyroidotomy. Both direct laryngoscopy as well as the use of alternative devices require experience and continuous training.
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Due to its relevance to patient outcome, management of the difficult airway is a major topic in the training of anesthesiologists. Algorithms may serve as a plan for a difficult situation. Since 1993, many professional organizations have published guidelines for airway management. ⋯ Extraglottic airway devices and video laryngoscopes are integral part of all these algorithms. In the DGAI guideline, spontaneous breathing is essential, in contrast to the ASA algorithm. Furthermore, the DGAI guideline is much more specific than the ASA guideline in regard to the anticipated difficult airway, extubation strategy and continuing training of anesthesiologists.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 2016
Review[Perioperative management of patients equipped with cardiac implanted electronic devices].
Anaesthetists are in increasing frequency confronted with patients equipped with cardiac implantable electrical devices. A consensus conference standardized the handling of such patients for elective cases. ⋯ However, risks associated with electrocautery or electromagnetic interference can be easily handled applying a significantly easier approach. Telemetric reprogramming and/or postoperative interrogation of the cardiac implanted eletronical device can be avoided in most cases.