Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
-
Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2001
Clinical Trial[Measurement of water vapour pressure in the airways of mechanically ventilated patient using different types of humidifiers].
AIM OF THE INVESTIGATION: To evaluate the performance of different types of humidifying systems (heat and moisture exchanger, HME, and heated humidifier, HH) in the tracheo bronchial airway system of intubated mechanically ventilated patients. ⋯ HME may differ substantially from one type to the other and should not be used as climatisation system without careful consideration of their performance data. Effective HME are equivalent to HH at 34 degrees C and may therefore also be used for long term ventilation.
-
Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2001
[Attempted CPR in nursing homes - life-saving at the end of life?].
We studied the course and success rate of cardiopulmonary resuscitation (CPR) attempted on nursing home residents by a physician-staffed pre-hospital advanced cardiac life support (ACLS) team. ⋯ In a high rate (35 %) the ACLS team with the emergency physician at the scene withheld CPR efforts in nursing home residents. Even if CPR was initiated, the benefits were very limited with only two patients (4,3 %) surviving severely disabled to hospital discharge.
-
Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2001
[Improvement of palliative outpatient treatment of terminally ill cancer patients - SUPPORT as example - The ethically preferable alternative to euthanasia].
Industrial countries are experiencing substantial increases in cancer prevalence. While advanced cancer therapies resulted in prolonged survival most neoplasms still are incurable. Especially advanced stages of cancer are often accompanied by severe pain and other disabling symptoms. Sufficient pain and symptom control is needed to maintain a decent quality of life for cancer patients. However, expert palliative care for patients suffering from cancer pain is still insufficient. These deficits have encouraged pro-euthanasia pressure groups demanding legitimation of physician-assisted-suicide in Germany. Acting under the guise of promoting patient's autonomy these groups are gaining additional momentum from similar legislation passed in the Netherlands. ⋯ When sufficiently supported at home by palliative experts the number of patients dying at home is reasonably higher than the rate observed under regular conditions. This would also comply with the wishes of most patients who prefer to die in the privacy of their own home. The project data suggest that the concept of SUPPORT should be capable to improve the current state of palliative medicine in other areas of Germany as well.
-
Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2001
[Treatment of chronic low back pain through intensive activation - an assessment of 10 years].
Treatment of chronic low back pain is a difficult problem and usually of low effectiveness. Aim of the study was to analyse the effectiveness of a multimodal treatment procedure. ⋯ Functional restoration programs for treatment of chronic low back pain have demonstrated effectiveness in several countries. By early use of these programs the high amount of costs due to back pain disability may be consequently reduced. Up to now in Germany these concepts are not well-known and insurance companies as well as the health system do not yet acknowledge them.