Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · May 2017
Review[Preoperative Optimization of Pulmonary Diseases - an Approach].
Preoperative identification of patients with an increased risk for perioperative pulmonary complications is crucial for the anesthesiological management. These complications were underestimated in the past, but are associated with an increased morbidity and mortality when occuring. ⋯ The knowledge of pathophysiology and pharmacological treatment options in this special subset of patients is essential. It has been shown that preventive programs in the preoperative setting were able to reduce pulmonary complications.
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Anasthesiol Intensivmed Notfallmed Schmerzther · May 2017
Case Reports[Hypercapnic Raised Intracerebral Pressure - Ecmo Therapy Despite Major Intracerebral Haemorrhage].
We report a case of a 29-year-old primigravida asian woman with severe peripartal HELLP-syndrome. During delivery she developed coma. ⋯ After 31 days of stabilization by extracorporeal membrane oxygenation (ECMO) and lung protective ventilation the patient was weaned of ECMO therapy. Following a period of 107 days including the weaning of respirator-therapy her neurologic status improved and she was able to follow commands, move upper and lower extremities on request, and recognize her relatives.
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The acute pain therapy in the setting of conventional or laparoscopic appendectomy has to be initiated by the surgeon. The success of acute pain therapy holds a direct relevance for quality of life, morbidity, chronification of pain, and economic aspects. ⋯ He becomes "part of the team". An efficient acute pain therapy always consists of a combination of non-medical procedures, technical operative aspects, and medical procedures.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 2017
Review[Antibiotic Stewardship and Infection Control - Two Pages of a Coin].
According to public awareness, high rates of multiresistant organisms in healthcare facilities are mainly associated with two terms: "Hospital" and "Infection control problem". The use of antibiotics in ambulatory and hospital care is probable at least as important or even more important. ⋯ Microbiome research will lead to a better understanding of this relationship and may provide new measures for preventing the spread of multiresistant organisms. The available data underline the need of a close interaction between antibiotic stewardship and infection control.