Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2008
Case Reports[Case Report: prehospital treatment on a major injured motorcycle driver].
This case report describes the prehospital care of a 42-year-old person damaged by a severe motorcycle accident in a rural scene. The injured person was unconscious, one pupil was dilated and rib fractures were palpable. ⋯ The prehospital therapy took 35 minutes in total. The time benefit by using a rescue helicopter is illustrated: time to initial treatment is minimized and duration of transport as well - direct transport to a trauma center is possible.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2008
[World Federation of Societies of Anaesthesiologists (WFSA) - security in anaesthesia - worldwide].
In many countries of the world, standards of anaesthesiology are poor. Even the most modern equipment cannot be used properly without people who are able to work and deal with it. ⋯ The society works closely with WHO, ESA, FEEA and other international societies. Its aim: to make surgery safer throughout the world.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2008
[Incident reporting systems in anesthesiology--methods and benefits using the example of PaSOS].
Preventing patient harm is one of the main tasks for the field of anesthesiology from early on. With the introduction of the national German incident reporting system PaSOS, which is hosted by the German anesthesia society, anesthesiology is again leading the field of patient safety. Important elements, success factors and background information for the introduction of successful incident reporting systems in an organization are given. Examples by and from PaSOS are given.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2008
Review[Transesophageal echocardiography in critically ill patients--techniques, indications and possibilities].
TEE is one of the most versatile modalities for diagnosing and guiding treatment of critically ill patients due to its ease of use at patient bedside, the high quality imaging, the rapid availability of diagnostic information and its low complication rate (2.6%). Numerous studies habe shown a significant diagnostic (67%) and therapeutic (36%) impact on patient management in critically ill patients, particularly in cardiological and cardiosurgical populations.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2008
Review[Parenteral, enteral or combined parenteral and enteral nutrition].
Perioperatively early oral food intake is achieved in most cases. A temporary protein and energy deficit is rarely associated with increased complication rates. Concerning the route of nutritional support there is no difference in mortality but in complication rates. ⋯ But in case of gastrointestinal failure nutritional support is limited to the intravenous route. Increasingly a combined parenteral and enteral nutrition is proposed in cases of malnutrition or expected perioperative complications with delayed enteral food ingestion. Up to now there is no good scientific evidence for such approach.