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Anaesthesiology, analgesia, critical care

Ralf Baron, Andreas Binder, Rolf Biniek, Stephan Braune, Hartmut Buerkle, Peter Dall, Sueha Demirakca, Rahel Eckardt, Verena Eggers, Ingolf Eichler, Ingo Fietze, Stephan Freys, Andreas Fründ, Lars Garten, Bernhard Gohrbandt, Irene Harth, Wolfgang Hartl, Hans-Jürgen Heppner, Johannes Horter, Ralf Huth, Uwe Janssens, Christine Jungk, Kristin Maria Kaeuper, Paul Kessler, Stefan Kleinschmidt, Matthias Kochanek, Matthias Kumpf, Andreas Meiser, Anika Mueller, Maritta Orth, Christian Putensen, Bernd Roth, Michael Schaefer, Rainhild Schaefers, Peter Schellongowski, Monika Schindler, Reinhard Schmitt, Jens Scholz, Stefan Schroeder, Gerhard Schwarzmann, Claudia Spies, Robert Stingele, Peter Tonner, Uwe Trieschmann, Michael Tryba, Frank Wappler, Christian Waydhas, Bjoern Weiss, Guido Weisshaar
In 2010, under the guidance of the DGAI (German Society of Anaesthesiology and Intensive Care Medicine) and DIVI (German Interdisciplinary Association for Intensive Care and Emergency Medicine), twelve German medical societies published the "Evidence- and Consensus-based Guidelines on the Management of Analgesia, Sedation and Delirium in Intensive Care". Since then, several new studies and publications have considerably increased the body of evidence, including the new recommendations from the American College of Critical Care Medicine (ACCM) in conjunction with Society of Critical Care Medicine (SCCM) and American Society of Health-System Pharmacists (ASHP) from 2013...
2015: German Medical Science: GMS E-journal
Ankit Agarwal
There was an era when bark of mandrake plant, boiled in wine was used to administer anesthesia. Ether, after reigning the kingdom of anaesthesiology for more than a century, came to be superseded by newer and newer agents. Anaesthesiology has witnessed tremendous developments since infancy. The introduction of advanced airway adjuncts, labour analgesia, patient controlled analgesia, fibreoptics, Bispectral Index monitors, workstations, simulators and robotic surgeries are only to name a further few. Anaesthesia for robotic surgery received much impetus and is still a dream to come true in many countries...
November 2012: Indian Journal of Anaesthesia
Marian Grade, Michael Quintel, B Michael Ghadimi
INTRODUCTION: The outcome of patients who are scheduled for gastrointestinal surgery is influenced by various factors, the most important being the age and comorbidities of the patient, the complexity of the surgical procedure and the management of postoperative recovery. To improve patient outcome, close cooperation between surgeons and anaesthesiologists (joint risk assessment) is critical. This cooperation has become increasingly important because more and more patients are being referred to surgery at an advanced age and with multiple comorbidities and because surgical procedures and multimodal treatment modalities are becoming more and more complex...
June 2011: Langenbeck's Archives of Surgery
J V Llau, J De Andrés, C Gomar, A Gómez-Luque, F Hidalgo, L M Torres
The wide use of anticlotting drugs by patients scheduled for surgery is a challenge for the anaesthesiologist when considering a regional anaesthesia technique. This practice seems safe if there is an appropriate management based on safety intervals established according to the pharmacology of the drug and the regional technique. Some anaesthesiology societies have published recommendations for the safe practice of regional anaesthesia with the simultaneous use of anticoagulants (heparin, low molecular weight heparins, oral anticoagulants (OA), fondaparinux and others) and antiplatelet agents (aspirin, clopidogrel, ticlopidine, argatroban and others)...
May 2007: European Journal of Anaesthesiology
W Wilhelm, M Wrobel, S Kreuer, R Larsen
Remifentanil is a 4-anilidopiperidine mu-opioid analgesic which is rapidly metabolized by unspecific blood and tissue esterases. According to its unique pharmacokinetic profile, remifentanil-based anaesthesia combines high-dosage opioid analgesia intraoperatively with a rapid and predictable postoperative awakening. When compared with a standard fentanyl-based technique, the use of remifentanil has changed our present anaesthetic regimens. This includes the anaesthesia induction sequence, the choice and dosage of anaesthetics when used as adjuncts to remifentanil, and even more, the proper planning of postoperative pain management...
June 2003: Der Anaesthesist
C Lentschener, Y Ozier, C Conseiller
OBJECTIVES: We assessed bibliographic facilities offered in departments of anaesthesia (DA) belonging to university hospitals in metropolitan France. METHODS: We mailed a questionnaire to the 76 heads of DA belonging to university hospitals in France to assess: a) which journals dealing with anaesthesia, analgesia, and critical care were available, on site, for consultation; b) whether a medical library existed within the institution; and c) whether all bibliographic informations required by any DA collaborators were charged to the institution...
March 2002: Annales Françaises D'anesthèsie et de Rèanimation
A Renghi, L Gramaglia, M Ciarlo, S Cerioli, A Albani
BACKGROUND: The aim of this work is to evaluate the efficacy of a new perioperative approach to improve the outcome and to reduce hospitalisation after abdominal aortic surgery. METHODS: HASH(0x4cb3e10) EXPERIMENTAL DESIGN: observational study on patients operated from October 1996 to October 1997 (Group 1996), and from November 1997 to November 1998 (group 1998). CENTRE: Anaesthesiology Department of Regional Hospital. PATIENTS: historical group: 56 patients surgically treated with abdominal aortic bypass in 1996...
June 2001: Minerva Anestesiologica
S Döhler, A Klippel, S Richter
Continuous spinal anaesthesia (CSA) was carried out via a 28-gauge spinal catheter in 154 surgical patients at the Department of Anaesthesiology and Critical Care at Radeberg Asklepios-ASB Hospital between May 1992 and March 1999. The method was used preferably in patients aged over 70 (mean age 82.3 years) with high general risk during anaesthesia (ASA III-IV) who underwent orthopaedic or general surgery of the lower limb and hypogastrium. Remarkably, an anaesthetic level of between Th 8 and Th 10 was achieved with the low initial dose of 7...
1999: Anaesthesiologie und Reanimation
J Radke
The anaesthesiological problems concerning the primary care of multiple trauma patients are diverse. In addition to the specific anaesthesiological tasks such as protection of the vital functions by ventilation and volume replacement, the anaesthetist has further responsibilities. Often he has to coordinate primary diagnostics and care. He has charge of effective analgetic therapy, too. Taking all this into account, the specific and general duties require an anaesthetist with wide clinical experience in dealing with multiple trauma patients...
1995: Anaesthesiologie und Reanimation
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