Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2002
[Funding of research projects--the importance of foundations].
Without outside funding, scientific research would widely stagnate. Funding of research projects by German foundations was analysed and specified for different medical disciplines. ⋯ None-industrial, none-governmental supported research is based on foundations. The range of support by foundations is very large, reaching from very high to only very small support. Increase in the foundation-based financial support would help to improve medical research in several disciplines.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2002
Case Reports[Anesthesia for section caesarean with aortic dissection in Marfan Syndrome].
Marfan Syndrome (MFS) is associated with an increased anaesthesia risk because of the pathological manifestations in anaesthesia-relevant organ systems. If, in addition, a typical MFS complication - acute aortic dissection - presents and this in pregnant patients, a high-risk anaesthesia must be assumed. In the case reported, a 30 year old woman in the 35 th week of gestation presented with an acute aortic dissection, initially in the region of the descending aorta and later, in the course of the ascending aorta. ⋯ On the one hand, the risk of an aorta rupture needs to be kept as low as possible and on the other hand, the vital functions of the baby have to be maintained. A general anaesthesia procedure under mild controlled hypotension was selected. Optimal monitoring and absolute freedom from pain were the prerequisites both for the anaesthesia management of the Caesarean section as well as for the immediate transport to a clinic for further treatment after completion of anaesthesia.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2002
Review[Risk predictors, scoring systems and prognostic models in anesthesia and intensive care. Part I: anesthesia].
Risk predictors and scoring systems are commonly used in medicine to provide a reliable and objective estimation of disease prognoses, probability of adverse events and outcome. Furthermore, they were designed to classify severity of illness or the course of diagnostic and therapeutic interventions and to perform a risk stratification for scientific studies in a standardized way. In quality management and cost control, scoring systems and predictors are used for risk adjustment and evaluation of care performance. ⋯ Risk check lists and risk indices are superior to the ASA classification of physical status in providing more exact results and the possibility of statistic risk calculation. Nevertheless, they are not frequently used in clinical routine. Because of its simplicity and easy handling the ASA classification has worldwide popularity and recent studies demonstrated at least equal prognostic performance.