Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2022
[Hospital Crisis Management in the Pandemic].
Pandemics pose different challenges for hospitals than classic damage events. Crises require a specific management structure on the operational and the strategic level. Hospitals therefore need crisis management structures and processes. ⋯ They should also be established in hospitals on the operational and the strategic level. Since crisis teams in hospitals are not part of everyday work, regular training and exercises are indispensable. Furthermore, financing including training and staffing must be provided.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2022
[Perioperative Pain Management in Children].
Acute pain therapy in children is highly complex. Already preoperatively, the course for a successful therapy is set in the interaction with the child and parents. The goal of the treatment is a satisfied child. ⋯ Non-opioids and adjuvants - individually or in combination - have an established place in perioperative pain management. Non-pharmacological interventions can reduce anxiety and pain. Anxiety is one of the risk factors for chronic postsurgical pain.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2022
[Perioperative Complications in Pediatric Anesthesia].
Perioperative complications are more frequent in younger children, especially under the age of 3 years and in infants. The anatomy and physiology of children cause more respiratory adverse events compared to adult patients. Respiratory adverse events account for 60% of all anesthetic complications. ⋯ Routine prophylaxis of PONV above the age of 3 years is recommended. Frequency and severity of perioperative adverse events in pediatric anesthesia can be reduced by using algorithms and defined processes to allow for structured actions. Efficient communication and organization are mainstays for utilizing all medical options to reduce the risk of complications.