journal
MENU ▼
Read by QxMD icon Read
search

Der Anaesthesist

journal
https://www.readbyqxmd.com/read/29789877/-meta-analyses-on-measurement-precision-of-non-invasive-hemodynamic-monitoring-technologies-in-adults
#1
G Pestel, K Fukui, M Higashi, I Schmidtmann, C Werner
An ideal non-invasive monitoring system should provide accurate and reproducible measurements of clinically relevant variables that enables clinicians to guide therapy accordingly. The monitor should be rapid, easy to use, readily available at the bedside, operator-independent, cost-effective and should have a minimal risk and side effect profile for patients. An example is the introduction of pulse oximetry, which has become established for non-invasive monitoring of oxygenation worldwide. A corresponding non-invasive monitoring of hemodynamics and perfusion could optimize the anesthesiological treatment to the needs in individual cases...
May 22, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29767825/-palliative-sedation-development-and-consensus-of-a-german-language-documentation-template
#2
C Klein, C Wittmann, K N Wendt, C Ostgathe, S Stiel
BACKGROUND: Palliative sedation (PS) serves as a therapeutic option in cases of otherwise intractable suffering. As the use of sedative and hypnotic medication in many diverse situations is a core competency of anesthesiology, anesthesiologists are confronted with questions of sedative therapy at the end of life in institutions for specialized palliative care, in intensive care units and intermediate care wards. In recent years a number of guidelines have been published internationally but so far no official guidelines exist in Germany...
May 16, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29766208/-adequate-anti-infective-treatment-importance-of-individual-dosing-and-application
#3
A Brinkmann, A C Röhr, A Köberer, T Fuchs, W A Krüger, C König, D Richter, M A Weigand, O R Frey
Sepsis-induced changes in pharmacokinetic parameters are a well-known problem in intensive care medicine. Dosing of antibiotics in this setting is therefore challenging. Alterations to the substance-specific kinetics of anti-infective substances have an effect on the distribution and excretion processes in the body. Increased clearance and an increased distribution volume (Vd ) and particularly compromized organ function with reduced antibiotic elimination are often encountered in patients with sepsis. Renal replacement treatment, which is frequently used in intensive care medicine, represents a substantial intervention in this system...
May 15, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29766207/risks-and-prevention-of-surgical-fires-a-systematic-review
#4
I Kezze, N Zoremba, R Rossaint, A Rieg, M Coburn, G Schälte
Surgically induced fire is a life-threatening hazard; this topic has received little attention, although only 3 factors, the so-called fire triad, are needed for surgical fires to occur: an oxidizer, fuel and an ignition source. This systematic review aims to determine the impact of each component and to delegate every staff member an area of responsibility, thus ensuring patient health through prevention or protection. The trial was registered in Prospero CRD42018082656. A database search of eligible, preferably evidence-based studies was conducted...
May 15, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29761259/-sense-of-coherence-scale-according-to-antonovsky-as-a-possible-predictor-for-return-to-work-for-cardiac-surgery-intensive-care-patients
#5
C Benstoem, R Wübker, M Lüngen, T Breuer, G Marx, R Autschbach, A Goetzenich, H Schnoering
BACKGROUND: For cardiac surgery patients who were employed prior to surgery, the return to their professional life is of special importance. In addition to medical reasons, such as pre-existing conditions, the success of the operation or postoperative course and patient-intrinsic reasons, which can be assessed with the Sense of Coherence (SOC) scale by Antonovsky, may also play a role in the question of a possible return into working life. METHODS: In this study 278 patients (invasive coronary artery bypass graft surgery and/or surgery on heart valves, age < 60 years, employed) were questioned postoperatively via post with the SOC questionnaire...
May 14, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29761258/-back-to-the-roots-of-training-and-further-training-in-anesthesiology
#6
EDITORIAL
A E Goetz
No abstract text is available yet for this article.
May 14, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29744526/-drugs-for-intravenous-induction-of-anesthesia-barbiturates
#7
C Dumps, E Halbeck, D Bolkenius
The discovery of barbituric acid and research on its derivatives have long been of importance in advancements in modern anesthesia. Decades of clinical use of barbiturates worldwide and their abuse has led to an enormous amount of knowledge. Thiopental and methohexital are ultra-short acting derivatives of barbiturates. Their clinical application has been accompanied by an enormous increase in the knowledge of the pharmacology of cerebrally active drugs, in particular gamma-aminobutyric acid (GABAA ) receptor and GABA-induced effects on nerve cell membranes...
May 9, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29736556/-correct-positioning-of-central-venous-catheters-in-pediatrics-are-current-formulae-really-useful
#8
REVIEW
C Cleff, M Boensch, F Eifinger, J Hinkelbein
BACKGROUND: Correct positioning of a central venous catheter (CVC) tip in pediatric patients is very important. Malpositioning may lead to direct complications, such as arrhythmia and increase the risk of thrombosis, infections, valve failures or pericardial tamponade. OBJECTIVE: The aim of this review was to identify and summarize published formulae for the correct positioning of the CVC tip in children and to discuss the benefits of these formulae for the daily routine...
May 7, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29736555/-basic-manual-skills-in-pediatric-anesthesia
#9
EDITORIAL
M Jöhr
No abstract text is available yet for this article.
May 7, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29736554/-percutaneous-and-surgical-options-for-mechanical-circulatory-support-in-treatment-of-terminal-heart-failure
#10
EDITORIAL
S Eifert
No abstract text is available yet for this article.
May 7, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29728710/-comments-on-timing-of-operative-treatment-of-fractures-near-the-hip-joint
#11
M-G Gerards, B Haraszti, J Hess, A C D Houpert, P D Idel, F N Klaeren, J Krause, M Coburn
No abstract text is available yet for this article.
May 4, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29671002/-hemorrhage-of-the-innominate-artery-during-percutaneous-dilatation-tracheotomy
#12
N Hulde, M Köppen, M Gratzke, H Kisch-Wedel, P Brenner, V Huge
The report describes the rare case of a periprocedural hemorrhage during percutaneous dilatation tracheotomy. In the final analysis, the innominate artery could be identified as the source of the hemorrhage. Particular attention must be paid to preprocedural evaluation of the puncture site and the procedure following unexpected hemorrhage. Continuation of the percutaneous tracheotomy, with only a clinical suspicion of a vascular injury while the bleeding source remained undetectable, seemed to be the most reasonable option...
April 18, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29666925/-which-patients-benefit-from-transport-with-ongoing-cardiopulmonary-resuscitation-retrospective-analysis-of-70-patients-with-refractory-preclinical-cardiac-arrest
#13
C Adler, C Paul, J Hinkelbein, G Michels, R Pfister, A Krings, A Lechleuthner, R Stangl
BACKGROUND: Mortality in patients with out-of-hospital cardiac arrest (OHCA) remains very high despite advances in resuscitation algorithms. Most of these patients die at the scene and do not reach hospital. It is currently the subject of discussion whether transport to hospital with ongoing cardiopulmonary resuscitation (CPR) improves survival and neurological outcome in patients with OHCA. OBJECTIVE: The aim of this study was to identify predictors of survival and good neurological outcome in patients after OHCA who were transported to hospital with ongoing CPR...
April 17, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29654495/-physiological-changes-during-pregnancy
#14
L M Kohlhepp, G Hollerich, L Vo, K Hofmann-Kiefer, M Rehm, F Louwen, K Zacharowski, C F Weber
The physiological state of a woman experiences multiple changes in the body during pregnancy. These alterations could be of particular importance in the medical care of pregnant women. This review article highlights the physiological developments of various organ systems throughout gestation with a focus on endocrinology, the cardiovascular system, hematology, the respiratory system and water balance.
April 13, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29644445/-perioperative-onset-of-sarcoidosis-rare-differential-diagnosis-of-a-difficult-airway
#15
G Jansen, A Nowak
Sarcoidosis is a rare multisystemic chronic inflammatory condition. Typically, there is a big discrepancy between the patient's subjectively perceived symptoms and the presence of clinical signs. Due to the high number of potential sites of onset (e. g. larynx, lungs, heart, liver, kidneys) the affected organs may show functional restrictions that are relevant for decisions related to anesthesia. Therefore, an anesthetists working in a clinical setting should be familiar with the special needs of this patient collective...
April 11, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29644444/-s3-guidelines-on-intensive-medical-care-of-cardiac-surgery-patients-hemodynamic-monitoring-and-cardiovascular-system-an-update
#16
REVIEW
M Habicher, T Zajonz, M Heringlake, A Böning, S Treskatsch, U Schirmer, A Markewitz, M Sander
An update of the S3- guidelines for treatment of cardiac surgery patients in the intensive care unit, hemodynamic monitoring and cardiovascular system was published by the Association of Scientific Medical Societies in Germany (AWMF) in January 2018. This publication updates the guidelines from 2006 and 2011. The guidelines include nine sections that in addition to different methods of hemodynamic monitoring also reviews the topic of volume therapy as well as vasoactive and inotropic drugs. Furthermore, the guidelines also define the goals for cardiovascular treatment...
April 11, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29623383/-mechanical-circulatory-support-in-terminal-heart-failure
#17
REVIEW
M Derwall, A Moza, A Brücken
BACKGROUND: After exhaustion of all conservative measures in the treatment of acute and chronic heart insufficiency, there is the possibility to temporarily or permanently support or replace the pump performance of the heart by mechanical circulatory support (MCS) systems. OBJECTIVE: Presentation of the most important cardiac support systems for intensive care medicine, their indications and important risk factors. MATERIAL AND METHODS: Critical review of device manufacturer's specifications, current research and expert opinions...
April 5, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29623382/-the-heart-catheter-table-is-not-the-operating-table-intraindividual-comparison-of-pulmonary-artery-pressures
#18
M U Ziegler, H Reinelt
BACKGROUND: Patients undergoing cardiac surgery need extensive and invasive monitoring, which needs to be individually adapted for each patient and requires a diligent risk-benefit analysis. The use of a pulmonary artery catheter (PAC) seems to be justifiable in certain cases; therefore, the preoperative diagnosis of pulmonary hypertension represents an indication for perioperative monitoring with PAC in the S3 guidelines of the German Society for Anesthesiology and Intensive Care Medicine (DGAI)...
April 5, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29594408/-hypotheses-must-be-tested
#19
LETTER
M Bernhard, N H Behrens, M Fischer
No abstract text is available yet for this article.
March 28, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29594407/-fatal-flecainide-intoxication-in-a-17-year-old-girl
#20
M Dokter, G Talarico, S Armbrust, E Below, B Bockholdt
A 17-year-old girl was found vomiting and somnolent at home and was taken to a hospital. The girl initially presented with ventricular tachycardia with broad QRS complexes which was very difficult to control. During the course a subsequent cardiogenic shock developed and despite exhaustion of all therapeutic options the fatal outcome could not be averted. The medicolegal autopsy revealed no evidence of any form of violence but the signs of medical treatment. Furthermore, no pathology of internal organs was detected...
March 28, 2018: Der Anaesthesist
journal
journal
23323
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"