Deutsche medizinische Wochenschrift
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Dtsch. Med. Wochenschr. · Sep 2020
[Contract of the German Health Insurance AOK Hessen Concerning Prolonged Weaning-Methods and First Experiences].
In recent years, the number of patients requiring mechanical ventilation has increased steadily. In some cases, weaning is not successful. These patients depend on home mechanical ventilation and intensive outpatient care. Surprisingly, most of these patients were never treated in a weaning center. Thus, weaning might still be possible in at least some of them. Health insurance companies have recognized this problem. ⋯ In this paper, we introduce the concept of the home care ventilation centers. Initial data suggests that home care ventilation centers can contribute to successful weaning.
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Dtsch. Med. Wochenschr. · Sep 2020
Case Reports[Delayed Takotsubo syndrome - A critical perioperative incident].
The term Takotsubo syndrome (TTS) describes a transient ventricular dysfunction. Symptoms and complication rate are similar to those of a myocardial infarction. ⋯ Dynamic ECG changes in the perioperative situation always require differentiated diagnosis and possibly longer monitoring. TTS is a relevant differential diagnosis because it is subject to severe complications.