Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2008
[Inhaled nitric oxide for rescue treatment of refractory hypoxemia in ARDS patients].
The acute respiratory distress syndrome (ARDS) is characterized by a maldistribution of pulmonary blood flow towards non-ventilated atelectatic lung areas being the main reason for intrapulmonary right-to-left shunt with the consequence of severe arterial hypoxemia. The application of inhaled nitric oxide (iNO) is a therapeutic option to selectively influence pulmonary blood flow in order to improve arterial oxygenation and to decrease pulmonary artery pressure without relevant systemic side effects. Although randomized controlled trials demonstrated no survival benefit in patient populations covering the entire severity range of acute lung injury, iNO represents a feasible rescue treatment for ARDS patients with severe refractory hypoxemia and is, therefore, an important option for ARDS therapy in specialized centers.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2008
[Career opportunities for anesthetists: to work and live in Abu Dhabi--a report].
This article describes an anaesthetist's experience working in a tertiary care hospital in the UAE. The health care system, with both private and government facilities, is subject to rapid development and diversification like the country as a whole. ⋯ Compared to a routine work day in Germany, work in the UAE is exciting and varied because of cultural differences and the nature of the cases being treated. Life in the UAE is characterized by its multinational, multicultural society which provides for absorbing encounters and great recreational opportunities including plenty of sun and sea.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2008
[The DGAI CPR registry - the datasets "hospital care" and "long-term process"].
After several years of preparation the German Society of Anaesthesiology and Intensive Care Medicine (Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin--DGAI) has, during its annual conference 2007, officially launched the DGAI CPR registry. After implementation of the dataset "primary care" in 2004, the datasets "definite care" and "long-term process" have now been released. ⋯ Data may be recorded online, and basic analyses be performed immediately. Beyond that benchmarks with other institutions are possible, by including the well accepted Utstein style on international level too.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2008
[Central venous cannulation--the important things, you should know!].
Central venous cannulation is essential for management of patients who are critically ill or require major surgery. Based on approximately 90 studies, the use and maintainance of catheters, typical complications, most common puncture sites and techniques were sighted to give an overview over the state-of-the-art concerning central venous catheters.