Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
-
Anasthesiol Intensivmed Notfallmed Schmerzther · Feb 2007
Case Reports[Case report: severe neck injury caused by an angle grinder].
EMS is called to a construction worker with serious cutting injuries of the neck from an angle grinder. The patient was found on the upper floor of a construction building accessible only through a scaffolding with narrow ladders. Primary examination reveals severe hemorrhagic shock. ⋯ The history reveals alcohol abuse and depression. Attempted suicide appears to be the most likely cause of the injury. The case report further discusses proper coordination of medical and technical measures in rescue operations, recommended treatment of hemorrhagic shock, and the unusual finding of paradoxical bradycardia despite volume depletion.
-
Anasthesiol Intensivmed Notfallmed Schmerzther · Feb 2007
Review[Strategies in the treatment of infections with antibiotics in intensive care medicine].
The treatment of infections is one of the central elements in post-operative intensive care and contributes significantly to outcome. Measures of quality of antibiotic therapy include survival, duration of ICU or in-patient stay and rates of organ failure, antibiotic resistance or nosocomial infection. ⋯ These standards should reflect local resistance patterns and should be regularly reviewed. The aim of this educational article is to portray a selection of the pre-requisites and strategies available in the treatment of infections with antibiotics in intensive care medicine.
-
Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2007
[Safety and effectiveness of the cervical paravertebral approach to the brachial plexus--data from the Regional Anesthesia Surveillance System (RASS)].
This is the first report of the Regional Anesthesia Surveillance System (RASS) analyzing complication data of the relatively new cervical posterior approach to the brachial plexus. ⋯ The cervical posterior approach to the brachial plexus is an alternative to the interscalene approach with the advantages of high success rate and secure catheter placement. Neck pain can be a disadvantage of the technique and acute complications like pneumothorax and local anesthetic toxicity seem to be similar to those reported with interscalene blocks in the literature.