Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Feb 2012
Review[Process optimization in pediatric anesthesia-- fast-track: what is possible: what makes sense?].
Process optimization offers the opportunity to improve the quality and efficiency of medical care. Various approaches are possible in a pre-, peri- and postoperative care setting: It is almost always possible to prepare the children for surgery on an outpatient basis. This allows for hospital admission the same day or the evening before the procedure. ⋯ Sufficient staff and facilities are a prerequisite for this. The use of ultrasound for vascular access and regional anesthesia raises the success rate and saves time. In the postoperative period good analgesia with a fixed therapeutic regime, immediate postoperative feeding and mobilization improve the care.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Feb 2012
Review[Is there any indication for perioperative use of the pulmonary artery catheter?].
The benefit of the pulmonary-artery catheter (PAC) is a matter of discussion since years. The development of alternative monitoring techniques especially for measurement of volume parameters has decreased routine use of the PAC. ⋯ The concerns about the available monitoring techniques bear mainly on the fear being too invasive. Up to now, there is no technique complying with all requirements of an ideal monitoring system.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Feb 2012
Case Reports[Cardiac arrest and hypothermia caused by suicidal intoxication with butane: a case report].
In the emergency medicine field cases of intoxication by sniffing agents do not occur very often. Nevertheless, considering the easy availability of butane the option of abuse especially by adolescent persons cannot be ignored. ⋯ In this case the emergency treatment has to allow for special pathophysiological changes explained by physicochemical characteristics of butane. The following case report describes the symptomatology and pre-hospital treatment of an intoxication by butane with a suicidal intention.