Medizinische Klinik-Intensivmedizin Und Notfallmedizin最新文献_第8页

[Spotlight on neurological acute and emergency medicine]. [重点关注神经急症和急诊医学]。

IF 1.3 4区医学

Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2025-03-01 Epub Date: 2025-02-28 DOI: 10.1007/s00063-025-01248-x

Hagen B Huttner, Matthias Klein

引用次数: 0

[Management of acute community-acquired bacterial meningitis : Leading symptoms of impaired consciousness and fever with/without headache]. [急性社区获得性细菌性脑膜炎的处理：意识障碍和发热伴/不伴有头痛的主要症状]。

IF 1.3 4区医学

Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2025-03-01 Epub Date: 2024-11-14 DOI: 10.1007/s00063-024-01210-3

Susanne Dyckhoff-Shen, Matthias Klein

{"title":"[Management of acute community-acquired bacterial meningitis : Leading symptoms of impaired consciousness and fever with/without headache].","authors":"Susanne Dyckhoff-Shen, Matthias Klein","doi":"10.1007/s00063-024-01210-3","DOIUrl":"10.1007/s00063-024-01210-3","url":null,"abstract":"Background: Simultaneous symptoms of impaired consciousness and fever are suspicious for acute bacterial meningitis. This is a medical emergency and prompt action is essential.Objectives: The clinical workup for suspected bacterial meningitis as well as treatment recommendations and differential diagnosis for the main symptoms of decreased vigilance and fever are described.Methods: Evaluation of selective literature using PubMed (U.S. National Library of Medicine®, Bethesda, MD, USA), especially taking into account the AWMF (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften) guideline of community-acquired bacterial meningoencephalitis in adults.Results: Bacterial meningoencephalitis presents with the main symptoms of impaired consciousness, nuchal rigidity, headache and fever, which may, however, be absent in some cases. The diagnosis is confirmed by investigation of the cerebrospinal fluid. Further diagnostics include emergency laboratory tests, blood cultures, microbiological examinations, and cranial computed tomography (CCT). Empirical treatment should be administered promptly.Conclusion: Acute bacterial meningitis must be considered in cases of loss of vigilance and fever, requiring a rapid, structured approach in the emergency department.","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":"97-102"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Treatment algorithm: skin care in critically ill patients]. 【治疗算法：危重患者皮肤护理】。

IF 1.3 4区医学

Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2025-03-01 Epub Date: 2025-01-07 DOI: 10.1007/s00063-024-01226-9

Armin Hauss, Lars Krüger, Mandy Fröhlich, Franziska Dierkes, Vanessa Stork, Lara Konstanty, Tina Ellerhausen, Sebastian Rieks, Julia Ruhland, Marisa Wittor, Franziska Wefer

引用次数: 0

[Leading symptom: motor manifestations with impaired consciousnes : Management of epileptic seizures and status epilepticus]. 【主要症状：伴有意识受损的运动表现：癫痫发作和癫痫持续状态的处理】。

IF 1.3 4区医学

Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2025-03-01 Epub Date: 2024-12-27 DOI: 10.1007/s00063-024-01223-y

Leona Möller, Clara Jünemann, Christian Claudi, Patrick Schramm

{"title":"[Leading symptom: motor manifestations with impaired consciousnes : Management of epileptic seizures and status epilepticus].","authors":"Leona Möller, Clara Jünemann, Christian Claudi, Patrick Schramm","doi":"10.1007/s00063-024-01223-y","DOIUrl":"10.1007/s00063-024-01223-y","url":null,"abstract":"Epileptic seizures, which are often accompanied by a reduction in vigilance, are a common emergency. Every first-time epileptic seizure should be investigated further. Particular attention should be paid to whether it is an acute symptomatic seizure, which is an acute event characterized by a metabolic disorder or acute cerebral damage within a certain period of time, or possibly epilepsy. In terms of differential diagnosis, psychogenic nonepileptic seizures also pose a challenge, as they are often not easy to distinguish from epileptic seizures, but require a different therapeutic approach. Persistent epileptic seizures in the sense of status epilepticus (duration: > 5 min) are also common in the (pre)clinical emergency situation and require immediate initiation of adequate therapy, which consists of rapid and sufficient administration of benzodiazepines. Nasal administration is a quick and simple option here, particularly in the prehospital setting. Furthermore, persistent reductions in vigilance are a not infrequently occurring phenomenon in the (pre)clinical setting, which is, however, based on numerous differential diagnoses. Here, nonconvulsive status epilepticus should be considered as a possible cause and rapid diagnosis using EEG should be sought in order to begin early treatment, which improves patient outcomes.","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":"103-109"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Mechanical support with impella decreases mortality in cardiogenic shock (DanGer Shock trial)]. [使用冲击栓进行机械支持可降低心源性休克患者的死亡率（DanGer 休克试验）]。

IF 1.3 4区医学

Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2025-03-01 Epub Date: 2024-11-26 DOI: 10.1007/s00063-024-01213-0

Michael Buerke, Alexander Geppert

引用次数: 0

[Evaluation of the role of an advanced practice dietitian in the intensive care unit]. [评估高级营养师在重症监护室中的作用]。

IF 1.3 4区医学

Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2025-03-01 Epub Date: 2024-03-28 DOI: 10.1007/s00063-024-01124-0

Gioia Vinci, Reto Stocker

{"title":"[Evaluation of the role of an advanced practice dietitian in the intensive care unit].","authors":"Gioia Vinci, Reto Stocker","doi":"10.1007/s00063-024-01124-0","DOIUrl":"10.1007/s00063-024-01124-0","url":null,"abstract":"Background: In Swiss intensive care units (ICUs), nutritional management is hardly or not at all supported or supervised by dietitians. Nutritional management in the ICU is mainly performed by ICU nursing staff and intensive care specialists. In 2022, the role of an advanced practice dietitian (APD) was newly defined, created, and implemented in a Swiss ICU as part of a pilot project. In contrast to other countries, APDs are still scarce in Switzerland. Evaluation of the APD role is essential to further define the position and adapt it to needs. The aim of this survey was to evaluate the impact of the APD role 8 months after implementation.Materials and methods: The survey was conducted via online survey in February and March 2023. A total of 34 members of the ICU team participated, including physicians (n = 11), nurses (n = 20), and speech therapists (n = 3). In addition to workload, years worked in the company, and shiftwork, questions were asked about the level of awareness of the new APD position, integration of the APD into the ICU team, and the impact of the APD on nutritional management and the situation of the participants, as well as regarding documentation and prescribing skills. A descriptive analysis of the data was carried out in Microsoft Excel (Microsoft Corporation, Redmond, WA, USA).Results and conclusion: The majority are aware of the APD and consider her as part of the ICU team. From the treatment team's point of view, the quality of the nutritional care provided as by the APD has improved and there is added value for patients and the ICU team. The delegated prescribing competence seems to improve nutritional management noticeably and is perceived as helpful and relieving by a majority. How the position will develop in terms of the competence profile remains to be seen.","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":"145-152"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Mpox-diagnosis, treatment, immunization, and prognosis]. [麻疹-诊断、治疗、免疫和预后]。

IF 1.3 4区医学

Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2025-03-01 Epub Date: 2024-11-06 DOI: 10.1007/s00063-024-01198-w

Michael Buerke, Priyanka Böttger, Henning Lemm

{"title":"[Mpox-diagnosis, treatment, immunization, and prognosis].","authors":"Michael Buerke, Priyanka Böttger, Henning Lemm","doi":"10.1007/s00063-024-01198-w","DOIUrl":"10.1007/s00063-024-01198-w","url":null,"abstract":"Mpox (previously known as monkeypox) is receiving attention worldwide due to outbreaks in various countries since May 2022. On August 14, 2024, based on the increase Mpox infections, the World Health Organization (WHO) declared a public health emergency. The zoonotic disease is caused by the Mpox virus, an Orthopoxvirus related to other Poxviridae. The virus is transmitted via direct contact with infected bodily fluids, respiratory droplets, or contaminated objects and has an incubation time of 5-21 days. Symptoms include fever, headache, muscle pain, and a characteristic skin rash which progresses from macules, to papules, to vesicles, and to pustules before scabbing over. There are two main genetic clades of Mpox: clade I (Central Africa) and clade II (West Africa), whereby clade IIb was responsible for the 2022 outbreak. Diagnosis is based on PCR testing of skin lesions. Although Mpox may mimic other diseases such as chickenpox or syphilis, lymphadenopathy is a distinguishing feature. Treatment is primarily supportive, although antiviral agents such as tecovirimat and cidofovir have shown a certain efficacy. Vaccination is an important protective measure; MVA-BN and ACAM2000 are among the available vaccines. Prognosis depends on the clade, the access to medical care, and the underlying health status. Immunocompromised persons and children are at a higher risk of a severe course.","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":"141-144"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mitteilungen der ÖGIAIN. OGIAN通讯。

IF 1.3 4区医学

Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2025-03-01 DOI: 10.1007/s00063-025-01260-1

引用次数: 0

[In-hospital management of intracerebral hemorrhage]. [颅内出血的院内处理]。

IF 1.3 4区医学

Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2025-03-01 Epub Date: 2024-11-29 DOI: 10.1007/s00063-024-01216-x

Jochen Sembill, Stefan Schwab

{"title":"[In-hospital management of intracerebral hemorrhage].","authors":"Jochen Sembill, Stefan Schwab","doi":"10.1007/s00063-024-01216-x","DOIUrl":"10.1007/s00063-024-01216-x","url":null,"abstract":"Background: Intracerebral hemorrhage (ICH) is a medical emergency with high morbidity and mortality. General and specific therapeutic approaches aim to improve the patient's outcome.Objectives: The objective of this article is to present the current scientific state regarding the in-hospital care of patients with ICH.Materials and methods: This narrative review presents and analyzes the current evidence regarding treatment options for ICH.Results: The primary focus of acute therapy is to prevent the prognostically unfavorable enlargement of the hematoma. This is associated with specific computed tomographic markers, as well as the initial hematoma volume, the use of anticoagulants, and a shorter time from symptom onset. An elevated blood pressure should be promptly and precisely lowered to a systolic value below 140 mm Hg, and the inhibition of coagulation must be immediately antagonized. This should be constituted into a treatment bundle with optimal adjustment of vital parameters and implementation of basic intensive care measures. Intraventricular hemorrhage can be effectively treated by external ventricular drainage and intraventricular fibrinolysis, with or without additional lumbar drainage. Minimally invasive procedures for hematoma removal have the potential to improve outcomes in lobar ICH. A realistic prognostic assessment forms the basis for informed treatment decisions regarding ICH.Conclusions: In recent years, the evidence supporting aggressive therapeutic approaches in ICH has become increasingly robust, with reliable results now available regarding the efficacy of individual or combined measures.","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":"129-134"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Dermatological conditions requiring intensive care treatment]. [需要重症监护治疗的皮肤病]。

IF 1.3 4区医学

Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2025-03-01 Epub Date: 2025-02-13 DOI: 10.1007/s00063-024-01239-4

Christiane Marks, Eugen Widmeier, Reinhard Marks, Sylvia Kardaun

引用次数: 0