Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Mar 2009
[The German Protection against Infection Act (Infektionsschutzgesetz (IfSG))].
As a Federal law, the German Protection against Infection Act (Infektionsschutzgesetz (IfSG)) regulates the prevention and management of infectious diseases in humans. For the physician actively engaged in the management of patients, the requirement to report infectious diseases and the surveillance responsibility for specific nosocomial infections are of particular importance.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Mar 2009
Practice Guideline[Guidelines of the German Medical Association for Therapy with Blood Components and Plasma Derivatives--an introduction. Evidence-based recommendations for the risk-benefit analysis in hemotherapy].
The German transfusion laws authorize and instruct the German Medical Association to institute a working group to provide "Guidelines for Therapy with Blood Components and Plasma Derivatives" for the critical use of blood products to promote a standardized hemotherapy and to help to protect patients from avoidable risks. In particular, because the collection of such products requires the willingness of numerous volunteers to donate blood, the responsible and carefully considered application of blood products is mandatory. For the first time, the recommendations have been evaluated on evidence-based criteria and listed for many specific medical interventions so that comprehensive procedures can now be created for the transfusion personnel in hospitals and clinics.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Feb 2009
Review[The Intensive Care Delirium Screening Checklist (ICDSC)--translation and validation of intensive care delirium checklist in accordance with guidelines].
Although Delirium is the most common psychiatric disease in ICU settings, it is recognized late or not at all in up to 84 % of all cases. ⋯ The ICDSC is suitable for delirium screening by nurses even on ventilated patients. Besides a high sensitivity another advantage is the possibility to screen for a subsyndromal delirium.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Feb 2009
Review[Initial care of the severely burned patient].
The care of severely burned patient is still an interdisciplinary challenge. Despite improvements in the understanding of the pathophysiology of burn disease, mortality is high if more than 25 % of body surface area is burned. ⋯ Initially, the burn trauma leads to a capillary leakage syndrome, resulting in severe hypovolemia. Therefore, adequate volume substitution is the primary therapy to prevent potential life-threatening hypovolemic shock.