Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2016
[Emergence delirium in children - prophylaxis and treatment].
Emergence Delirium in children after general anesthesia is a common and self limitating event. Although it might be seen as being harmless it can cause other serious complications and might leave both parents and other caregivers with a negative impression behind. Although the cause may still not be clear, potential predictors can be named: preschool age, the use of fast acting volatile anesthestics, higher preoperative anxiety levels and postoperative pain. ⋯ Parents who witnessed ED in their children should be guided and followed up. Explaining this phenomenon to parents beforehand should be part of the pre anaesthesia clinic talk and written consent. Standard protocols should be in place for treatment in the postoperative period.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2016
[Are subspecialties and fellowship programs in German Anesthesia required?].
Rapid progress in medical science and technique offer new complex individual treatment modalities. Distinct profile qualifications like echocardiography, electroencephalography are required for anesthesia in high risk populations (cardiovascular, pediatric and neuro surgical patients) to guarantee best patient care and outcome. Accredited subspecialties and distinct fellowship programs are required to improve medical education, training and research.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2016
[Graduate Medical Education in intensive care medicine - How can the European concept be integrated in Germany?].
Within the European Union, medical disciplines also have been organized. At the European level, the Union Européenne des Médecins Spécialistes (UEMS) currently represents the interests of 42 medical disciplines and offers support to doctors to work in any European country. For this purpose, guidelines were adopted already in 2005, which, among others, regulate automatic recognition of professional qualifications. ⋯ For this purpose, a multidisciplinary joint committee of the UEMS formulated the so-called "European Training Requirements" (ETR), the aim of which was to raise the professional skills of European doctors working in the field of intensive care to a uniformly high level. The ETR are currently in the process of being voted upon. As things stand, additional training in intensive care medicine in Germany as currently practised would meet the conditions and requirements of the ETR.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2016
[Graduate Medical Education - Structured, competency based training in Anesthesiology].
The "Joint Commission of BDA and DGAI for Graduate Medical Education and Further Education" presents a concept for postgraduate training in anesthesiology. Aiming at a different and demanding generation of young physicians it proposes a new approach to an attractive training in anesthesiology e. g. by simulation as one key concept. ⋯ The article describes the new concept of graduate medical education by the German Medical Association and the respective aims and objectives of the Scientific Medical Societies in Germany. An existing implementation in a hospital is given as an example of feasibility.