Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS最新文献

[Meralgia paraesthetica - Pain Management]. [神经痛-疼痛管理]。

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2025-07-01 Epub Date: 2025-07-18 DOI: 10.1055/a-2606-9765

Christine Gaik, Christian Volberg, Leona Möller

{"title":"[Meralgia paraesthetica - Pain Management].","authors":"Christine Gaik, Christian Volberg, Leona Möller","doi":"10.1055/a-2606-9765","DOIUrl":"https://doi.org/10.1055/a-2606-9765","url":null,"abstract":"Meralgia paraesthetica (MP) is a mononeuropathy of the lateral femoral cutaneous nerve (LFCN), typically caused by compression at the level of the inguinal ligament. The syndrome presents with burning pain, paraesthesia, and hypaesthesia in the anterolateral thigh, without motor deficits. The LFCN, derived from the L2-L3 spinal nerves, is vulnerable to compression or traction due to its anatomical course under the inguinal ligament. MP may result from both traumatic (e.g., surgery, injury) and non-traumatic causes (e.g., obesity, pregnancy, tight clothing). In some cases, the etiology remains unknown. Diagnosis is primarily clinical and based on patient history and physical examination. Imaging techniques and electroneurography can support diagnostic confirmation in unclear cases. If symptoms extend beyond the typical LFCN territory, are bilateral, or are accompanied by motor or reflex abnormalities, differential diagnoses - including radiculopathy, involvement of adjacent nerves, or anatomical variations of the LFCN - should be considered. Initial treatment is conservative and includes patient education, avoidance of precipitating factors, pharmacological pain management (NSAIDs, opioids, co-analgesics), and physiotherapy. Diagnostic and therapeutic nerve blocks using local anesthetics can provide symptom relief and aid diagnosis. Non-invasive adjunct therapies such as transcutaneous electrical nerve stimulation (TENS), Botulinum toxin A injections, acupuncture, and kinesio taping may offer additional pain relief in selected patients. In refractory cases, minimally invasive procedures including radiofrequency therapy or surgical decompression of the LFCN may be considered.","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":"60 7-08","pages":"431-438"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Solutions for Difficult Airway Management]. [困难气道管理的解决方案]。

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2025-07-01 Epub Date: 2025-07-18 DOI: 10.1055/a-2356-7430

Marc Kriege

引用次数: 0

[News from Obstetric Anesthesia - Summary of the 23rd Annual Conference of the Scientific Working Group on Obstetric Anesthesia of the DGAI]. [来自产科麻醉的消息- DGAI产科麻醉科学工作组第23届年会摘要]。

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2025-07-01 Epub Date: 2025-07-18 DOI: 10.1055/a-2577-1150

Daniel Chappell, Dorothee H Bremerich, Clemens Eichelsbacher, Thierry Girard, Susanne Greve, Haitham Mutlak, Vanessa Neef, Peter Kranke

引用次数: 0

[From Two to One - Techniques for One-lung Ventilation]. [从二到一-单肺通气技术]。

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2025-07-01 Epub Date: 2025-07-18 DOI: 10.1055/a-2356-8046

Jonas Weber, Jérôme Michel Defosse

{"title":"[From Two to One - Techniques for One-lung Ventilation].","authors":"Jonas Weber, Jérôme Michel Defosse","doi":"10.1055/a-2356-8046","DOIUrl":"https://doi.org/10.1055/a-2356-8046","url":null,"abstract":"One-lung ventilation (OLV) is a crucial technique in thoracic surgery, enabling effective lung isolation for procedures such as lung resections, lung-transplant, and the management of unilateral pulmonary diseases. The development of double-lumen tubes (DLTs) in 1949 by Carlens revolutionized lung separation, providing controlled ventilation of one lung while the other is deflated. Frank Robertshaw's modifications in 1962 improved safety and usability, making DLTs the gold standard for OLV. Modern DLTs, available as left- and right-sided DLTs, vary in size and material, allowing individual selection based on patient anatomy and procedure. Correct placement, verified via bronchoscopy, ensures optimal ventilation and minimizes complications like hypoxemia or airway trauma. Recent advancements include video-assisted DLTs (e.g., VivaSight), integrating real-time imaging to simplify placement and reduce the need for additional bronchoscopy.Bronchial blockers (BBs) offer an alternative to DLTs, particularly for patients with difficult airways or pediatric patients. However, BBs require advanced expertise and may dislocate more frequently than DLTs.Effective management of intraoperative hypoxemia during OLV includes recruitment maneuvers, PEEP, CPAP, or in severe cases, extracorporeal membrane oxygenation (ECMO). A comprehensive understanding of airway anatomy, device options, and ventilation strategies is crucial to the safe and effective application of OLV.","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":"60 7-08","pages":"401-414"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Wesentliche Aspekte des modernen Atemwegsmanagements. 现代呼吸管理的基本方面。

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2025-07-01 Epub Date: 2025-07-18 DOI: 10.1055/a-2615-8723

Frank Wappler

引用次数: 0

[Anesthesia in High Definition - Standards for Endoscopic and Videolaryngoscopic Airway Management]. 高清晰度麻醉-内镜和视频喉镜下气道管理标准。

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2025-07-01 Epub Date: 2025-07-18 DOI: 10.1055/a-2356-8062

Katharina Hardt, Henning Niedmers, Frank Wappler

{"title":"[Anesthesia in High Definition - Standards for Endoscopic and Videolaryngoscopic Airway Management].","authors":"Katharina Hardt, Henning Niedmers, Frank Wappler","doi":"10.1055/a-2356-8062","DOIUrl":"https://doi.org/10.1055/a-2356-8062","url":null,"abstract":"Airway management is a fundamental skill for anesthesiologists, particularly in the context of anticipated difficult airways. In such scenarios, current guidelines advocate for intubation under preserved spontaneous breathing - commonly referred to as awake intubation - as this approach minimizes the risk of upper airway collapse and ensures continuous ventilation.Flexible endoscopic intubation (FOI) has long been regarded as the gold standard for awake intubation. However, videolaryngoscopy (VL) is now firmly established in routine airway management, owing to its higher first-pass success rate and the growing familiarity among clinicians. As a result, VL is increasingly being used as a practical alternative to FOI in awake intubation, gradually displacing the latter in many institutions.This development presents both opportunities and challenges. While VL often enhances patient comfort and safety - especially in the hands of experienced users - it has also contributed to a decline in FOI proficiency. This is particularly concerning in cases where FOI remains indispensable, such as in patients with significantly restricted mouth opening or tumors of the oral or pharyngeal cavity. In such situations, the loss of routine FOI experience may compromise clinical outcomes.Future research and guideline development must acknowledge this evolving dynamic and seek to strike a balance between clinical efficiency, patient safety, and the preservation of core airway management competencies.","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":"60 7-08","pages":"415-429"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Correction: Common and New Regional Anaesthesia Techniques Under Review - From Head to Abdomen]. [更正：常见的和新的区域麻醉技术回顾-从头部到腹部]。

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2025-06-30 DOI: 10.1055/a-2639-8749

Thorsten Steinfeldt, Andreas Marx, Mark Dauster

引用次数: 0

[Anesthetic Considerations in Pregnancy Terminations, Miscarriages, Stillbirths, and Neonatal Palliative Care - Clinical Management and Ethical Challenges]. 【妊娠终止、流产、死产和新生儿姑息治疗中的麻醉考虑——临床管理和伦理挑战】。

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2025-06-01 Epub Date: 2025-06-13 DOI: 10.1055/a-1727-8683

Celina Wolters, Phil Niggemann, Rick Enste, Lars Garten, Matthias David, Claudia Spies, Lutz Kaufner

引用次数: 0

Palliativmedizin. . 2亿欧元

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2025-06-01 Epub Date: 2025-06-13 DOI: 10.1055/a-2592-7433

Christoph H R Wiese

引用次数: 0

[Pain Treatment for Herpes zoster]. [带状疱疹的疼痛治疗]。

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2025-06-01 Epub Date: 2025-06-13 DOI: 10.1055/a-2281-1256

Christine Gaik, Christian Volberg

{"title":"[Pain Treatment for Herpes zoster].","authors":"Christine Gaik, Christian Volberg","doi":"10.1055/a-2281-1256","DOIUrl":"10.1055/a-2281-1256","url":null,"abstract":"Herpes zoster (HZ), caused by reactivation of the varicella-zoster virus, primarily affects older or immunocompromised individuals and can lead to painful skin rashes and long-term complications such as postherpetic neuralgia (PHN). In Europe, approximately 1.7 million people are affected annually, with a lifetime risk of 20-30% that increases with age. PHN develops in 10-20% of cases and in up to 50% of individuals over 85. The disease progresses through three stages: a prodromal phase with localized pain, an acute phase with a vesicular rash, and a chronic phase often marked by persistent neuropathic pain. PHN is defined as pain lasting three months or more after the rash has resolved. Diagnosis is usually clinical, with PCR testing used in atypical presentations. Vaccination with the recombinant adjuvanted vaccine (Shingrix) is recommended for adults aged 60 and older and has proven effective in preventing both HZ and PHN. Antiviral therapy, such as aciclovir, should be initiated within 72 hours of symptom onset. Pain management depends on the severity and type of pain and may involve NSAIDs, opioids, anticonvulsants like pregabalin, antidepressants, as well as topical or interventional approaches in difficult cases. HZ represents a significant health burden, particularly in older adults, and prevention through vaccination along with early treatment is essential to reduce complications and improve patient outcomes.","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":"60 6","pages":"371-375"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0