Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2009
Review[Suicide and suicidality in emergency medicine].
Emergency physicians, paramedics and the staff of the emergency room play an increasingly important role in the medical and psychological emergency treatment of patients after suicide attempts, as well as in the crisis intervention of persons with acute suicidal tendency. This article aims to give an overview of prevalence rates, method of suicide or attempted suicide, and the problems faced by EPs when treating these patients. In addition, concepts are presented which allow for an adequate risk assessment of suicidality and showing possibilities of primary crisis intervention.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2009
[A German network for regional anaesthesia of the scientific working group regional anaesthesia within DGAI and BDA].
Regional anaesthesia generally is considered to be safe. However, reports of complications with different severities are also well known. ⋯ With the aid of a registry, we are now able to describe risk profiles and associations in case of a complication. Moreover, a benchmark has been implemented in order to continuously improve complication rates.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2009
Review[Perioperative management of patients with neuromuscular disorders].
Patients with neuromuscular disorders undergoing anaesthesia are at risk of various complications due to muscular weakness and the involvement of other organ systems. This article reviews the anaesthetic approach with regard to preoperative considerations and perioperative management in this heterogeneous group of patients.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2009
Review[Difficult airway management in paediatric patients].
A difficult airway in childhood is very uncommon. Therefore, it will always be an unfamiliar and menacing situation for most anaesthetists. ⋯ Endoscopical techniques are essential for the process. The following article shows how a difficult airway in childhood can be recognized and which anaesthesiological options exist to handle such a situation.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2009
Review[Malignant hyperthermia--diagnostics, treatment and anaesthetic management].
In malignant hyperthermia (MH) susceptible individuals volatile anaesthetics and the depolarizing muscle relaxant succinylcholine may induce a potentially lethal hypermetabolic syndrome of skeletal muscle due to an uncontrolled sarcoplasmic calcium release. Immediate discontinuation of triggering agents, oxygenation, correction of acidosis and electrolyte abnormalities and dantrolene application are essential for MH treatment. This article reviews the clinical symptoms of MH, the diagnostic criteria and the actual guidelines for treatment and management of anaesthesia in susceptible individuals.