Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2011
Review[Cardiac insufficiency: acute right heart failure].
Acute right heart failure (RHF) is a frequent and severe complication during perioperative and intensive care treatment in intensive care units (ICUs). The most common causes are pulmonary hypertension, left heart failure, pulmonary embolism, sepsis, acute lung injury (ALI) and thoracosurgical procedures. ⋯ Although many drugs are available for the treatment of RHF, randomized trials for this setting are still missing. This article gives an overview of aetiology and pathogenesis of RHF and reviews the diagnostic and therapeutic interventions currently available for providers in anaesthesiology and critical care.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2011
Review[Acute respiratory insufficiency: prehospital management of obstructive pulmonary diseases].
Acute respiratory insufficiency due to obstructive pulmonary diseases is a common problem presenting to the emergency medical service. Most frequent causes are acute asthma attacks or acute exacerbations of chronic obstructive pulmonary disease (COPD). The preclinical differentiation of both diseases may be difficult, so that the diagnosis is often made by precise anamnesis. This article reviews the prehospital management of asthma and COPD, including pharmacological options and techniques of mechanical ventilatory support (non-invasive vs. invasive).
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2011
[DGAI-certified seminar series: anaesthesia focussed echocardiography: module 4 cardiosonography].
The use of ultrasonography in perioperative medicine has developed rapidly within the last decade. Today ultrasonic techniques are established methods for peripheral and central venous access as well as for regional anaesthesia. However, transthoracic ultrasonography by non-cardiologists has not yet been routinely established perioperatively, in intensive care medicine or in emergency medicine. With the current module 4: Cardiosonography of the DGAI-certified seminar series in Anaesthesia Focussed Sonography (AFS) it is intended to provide a basis for a quality assured training and implementation of transthoracic sonography in anaesthesia, intensive care medicine and emergency medicine.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2011
[The DGAI training module 3 in anaesthetic focussed sonography: neurosonography].
Identification of the right puncture site and the target structures are mandatory in performing nerve blocks. Ultrasound is a new method, that visualizes target structures as well as the injection and spread of local anaesthetic solution. ⋯ It contains all essential nerve blocks of the upper and lower limb. Additionally the structural requirements to provide the course are included.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2011
[The DGAI training module 2 in anaesthetic focussed sonography: vascular sonography].
Modul 2 will provide the theory and practical training of the sonographically guided puncture of central and peripheral veins and arteries. In doing so patients of all age groups are taken into consideration. Combined with the content of the other modules this series of workshops, which was initiated by our society, might be a first step in defining a new core competency of our specialty. The confident use of ultrasound in vascular puncture sharpens our dedicated professional competence and will contribute to continuously improve the quality and safety of anaesthesiologic patient care.