Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2011
Retraction Of Publication[Triem JG, Röhm KD, Boldt J, Piper SN. [Comparison of a propofol-based anesthesia regimen using optimated target-controlled-infusion (OTCI) and manually-controlled infusion (MCI) technique]. Anasthesiol Intensivmed Notfallmed Schmerzther 2006; 41: 150-155. Retraction].
The editorial board of AINS requests the retraction of the named article, as the studie has no IRB-approval.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2011
Retraction Of Publication[Piper SN, Triem JG, Röhm KD, Maleck WH, Schöllhorn TA, Boldt J. [ProSeal-laryngeal mask versus endotracheal intubation in patients undergoing gynaecologic laparoscopy]. Anasthesiol Intensivmed Notfallmed Schmerzther 2004; 39: 132-137. Retraction].
The editorial board of AINS requests the retraction of the named article, as the studie has no IRB-approval.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jun 2011
Review[Patient blood management (part 1) - patient-specific concept to reduce and avoid anemia, blood loss and transfusion].
Patient blood management (PBM) is a patient-specific multidisciplinary, multimodal, evidence-based concept to appropriately conserve and manage a patient's own blood as a vital resource. PBM is based on 3 pillars: the first is the optimization of the patient's endogenous red cell mass, the second is the minimization of bleeding and blood loss and the third involves harnessing and optimizing the patient-specific physiological tolerance of anemia, including adopting more restrictive transfusion thresholds. ⋯ PBM is applicable to surgical and medical patients. The application of PBM systematically reduces the impact of 3 major contributors to negative outcome: anemia, blood loss and transfusion.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jun 2011
Review[Technical possibilities and limitations of mechanical circulatory support].
Ventricular assist devices (VAD) to support the left (LVAD), the right (RVAD) or both ventricles (BVAD) have emerged as one standard of care for advanced heart failure patients. Initially used to bridge patients to transplantation (BTT) they are now more frequently implanted as permanent support (destination therapy, DT). Bridge to recovery (BTR) is a valid option for only a small number of patients. Although there are different devices available, patient selection, preoperative and intraoperative management, and the timing of VAD implantation are the elements critical to successful circulatory support.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jun 2011
Review[Transport with ongoing cardiopulmonary resuscitation - when does is it make sense?].
The currently valid guidelines for resuscitation of the European Resuscitation Council (ERC) do not give any unambiguous recommendations for "transport with ongoing cardiopulmonary resuscitation". Furthermore, up to now there are no generally accepted criteria for terminating cardiopulmonary resuscitation, apart from certain signs of death. ⋯ The use of mechanical chest compression devices with a better quality of chest compression, also under transport conditions, may have an influence on the number transports but this has not yet been evaluated sufficiently with regard to patient outcome. However, the decision to transport a patient resides with the responsible emergency physician who has to evaluate the prognosis for the patient on an individual basis.