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Der Anaesthesist

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https://www.readbyqxmd.com/read/28808821/-airway-anatomy-relevant-structures-in-emergency-medicine
#1
M Schulze, A Wree
The subject of this article is the anatomy of the respiratory tract with an emphasis on the larynx. A differentiation is made between the upper and lower airways according to topographical and functional aspects, the limits of which are marked by the lower section of the larynx. The focus is on the anatomy of the structures involved, which are relevant for emergency medicine.
August 14, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28798972/diagnostic-precision-of-triage-algorithms-for-mass-casualty-incidents-english-version
#2
A R Heller, N Salvador, M Frank, J Schiffner, R Kipke, C Kleber
BACKGROUND: Regarding survival and quality of life recent mass casualty incidents again emphasize the importance of early identification of the correct degree of injury/illness to enable prioritization of treatment amongst patients and their transportation to an appropriate hospital. The present study investigated existing triage algorithms in terms of sensitivity (SE) and specificity (SP) as well as its process duration in a relevant emergency patient cohort. METHODS: In this study 500 consecutive air rescue missions were evaluated by means of standardized patient records...
August 10, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28795197/ultrasound-guided-interscalene-brachial-plexus-block-in-a%C3%A2-child-with-acute-upper-respiratory-infection-a%C3%A2-case-report
#3
T Ergönenç, H Can, S Gökhan Beyaz
The brachial plexus is commonly blocked at the interscalene level for shoulder and proximal humeral surgery. There are only a few publications about the interscalene technique in pediatric patients for a peripheral nerve block. Ultrasound-guided peripheral nerve block has become increasingly more popular for pediatric patients because of high success rates and safety concerns. We used ultrasound-guided interscalene brachial plexus block in an 18-month-old child with an acute upper respiratory infection who had a supracondylar fracture of the humerus...
August 9, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28785773/-approaches-to-pre-hospital-bleeding-management-current-overview-on-civilian-emergency-medicine
#4
REVIEW
H Lier, M Bernhard, J Knapp, C Buschmann, I Bretschneider, B Hossfeld
Severe bleeding is a typical result of traumatic injuries. Hemorrhage is responsible for almost 50% of deaths within the first 6 h after trauma. Appropriate bleeding control and coagulation therapy depends on an integrated concept of local hemostasis by primary pressure with the hands, compression, and tourniquets accompanied by prevention of hypothermia, acidosis and hypocalcemia. Additionally, permissive hypotension is accepted for suitable patients and tranexamic acid should be administered early. Multiple publications prove that prehospital transfusion of blood products (e...
August 7, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28776177/-rudolf-frey-a-biographical-sketch-on-the-occasion-of-his-100th%C3%A2-birthday
#5
REVIEW
M Goerig, J P A H Jantzen
The life of an outstanding human being, a creative personality, will find the interest of posterity if he is acknowledged not only as a representative of his time but also decades later can be described as a formative character. This applies to Rudolf Frey who, like no other, has deeply influenced the development of German language anesthesiology after the Second World War. In the 1950s and 1960s as a visionary he already portrayed the four pillars of our discipline as the future field of work of anesthetists: anesthesiology, intensive care, emergency medicine and pain therapy...
August 3, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28766056/-anesthesia-management-in-microsurgical-reconstructions
#6
A Rand, M Ayoub, C H Meyer-Frießem, P K Zahn, M Bauer
Microsurgical procedures for construction of anastomoses present new challenges for anesthetists in the perioperative setting. Despite their increasing importance, so far no perioperative management guidelines for these patients existed. Anesthetists can influence the success of surgery (e. g. successful perfusion of a flap) via an optimal preoperative, intraoperative and postoperative approach. Patients should be carefully evaluated preoperatively for increased risks to avoid poor postoperative outcomes...
August 1, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28752184/-hans%C3%A2-f-%C3%A2-e-killian-and-rudolf-frey-two-pioneers-of-german-anesthesia
#7
EDITORIAL
B Zwissler, R Rossaint
No abstract text is available yet for this article.
July 27, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28752183/-erratum-to-residual-neuromuscular-blockade
#8
T Fuchs-Buder, D Schmartz
No abstract text is available yet for this article.
July 27, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28726013/-hans-killian-surgical-protagonist-of-german-anesthesia
#9
EDITORIAL
H Böhrer, H Petermann
No abstract text is available yet for this article.
July 19, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28710612/-diagnostic-quality-of-triage-algorithms-for-mass-casualty-incidents
#10
A R Heller, N Salvador, M Frank, J Schiffner, R Kipke, C Kleber
BACKGROUND: Regarding survival and quality of life, recent mass casualty incidents have once more emphasized the importance of early identification of the correct degree of injury or illness, to enable prioritizing treatment of patients and transportation to an appropriate hospital. The present study investigated international triage algorithms in terms of sensitivity (SE) and specificity (SP) as well as the process duration in a relevant emergency patient cohort. METHODS: A total of 500 consecutive air rescue missions were evaluated by means of standardized patient records...
July 14, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28698983/-hans-franz-edmund-killian-nestor-of-german-anesthesia-critical-appraisal-on-the-125th-anniversary-of-his-birth
#11
REVIEW
L Brandt, M Goerig, U Artmeier-Brandt
The surgeon Hans Killian was born on 5 August 1892 in Freiburg im Breisgau, Germany. Together with the pharmacologist Hellmut Weese and the surgeon Helmut Schmidt he was one of the nestors of modern German anesthesia. Early on during his scientific and clinical career, he addressed problems of surgical anesthesia and in 1928 he became one of the editors of the first German journal of anesthesia Narcosis and Anesthesia ("Narkose und Anästhesie"). In 1934 he published the textbook Anesthesia for Surgical Purposes ("Narkose zu operativen Zwecken")...
July 11, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28685255/-erratum-to-structured-patient-handovers-in-perioperative-medicine-rationale-and-implementation-in-clinical-practice
#12
M J Merkel, V von Dossow, B Zwißler
No abstract text is available yet for this article.
July 6, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28681071/-anesthesia-for-thrombectomy
#13
LETTER
S Schönenberger, W Wick, J Bösel
No abstract text is available yet for this article.
July 5, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28677018/-importance-of-instrument-based-neuromonitoring-during-carotid-surgery-using-regional-anesthesia
#14
LETTER
A Koköfer, J Nawratil, M Opperer
No abstract text is available yet for this article.
July 4, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28677017/-is-neurological-assessment-sufficient-for-carotid-endarterectomy-under-regional-anesthesia
#15
LETTER
V-S Eckle
No abstract text is available yet for this article.
July 4, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28667421/-intensive-care-studies-from-2016-2017
#16
C J Reuß, M Bernhard, C Beynon, A Hecker, C Jungk, D Michalski, C Nusshag, M A Weigand, T Brenner
No abstract text is available yet for this article.
June 30, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28667420/-choosing-wisely-in-anesthesia-an-important-step-in-quality-optimization
#17
EDITORIAL
R Rossaint, M Coburn
No abstract text is available yet for this article.
June 30, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28660415/-new-onset-atrial-fibrillation-in-patients-with-sepsis
#18
REVIEW
M Keller, R Meierhenrich
BACKGROUND: Atrial fibrillation is the most common new onset arrhythmia in patients hospitalized with sepsis; however, there are no specific treatment guidelines and the ideal therapeutic approaches still remain unclear. OBJECTIVES: To begin with the current state of knowledge concerning the underling mechanisms, the incidence and prognostic impact of new onset atrial fibrillation during sepsis are presented. Then a possible therapeutic algorithm for the special situation of sepsis is derived with respect to the currently existing atrial fibrillation guidelines...
June 28, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28660414/-stocks-of-dantrolene-in-anesthesia-and-intensive-care-units-in-germany-nationwide-online-survey-with-1673-participants
#19
E Pfenninger, S Heiderich, W Klingler
BACKGROUND: A malignant hyperthermia (MH) crisis is a potentially fatal complication in anesthesia and intensive care units (ICU). Rapid administration and adequate dosage of dantrolene is the only known effective pharmacological and causal treatment of an MH crisis. International anesthesiology societies recommend an initial dose of 2.0-2.5 mg/kg body weight (BW). The necessary total dosage should be titrated up to 10 mg/kg BW depending on the effectiveness. OBJECTIVE: The goal of this study was an analysis of the stocking situation of dantrolene in Germany...
June 28, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28660412/-erratum-to-difficulties-with-children-of-abnormal-weight
#20
S Wirtz, C Eich, K Becke, S Brenner, A Callies, U Harding, C Höhne, F Hoffmann, J Kaufmann, B Landsleitner, H Marung, T Nicolai, F Reifferscheid, U Trappe, P Jung
No abstract text is available yet for this article.
June 28, 2017: Der Anaesthesist
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