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[Disaster Medicine and Civil Defense]. [灾害医学与民防]。
IF 0.7
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2025-09-01 Epub Date: 2025-09-04 DOI: 10.1055/a-2651-5754
Thomas Wurmb, Patrick Meybohm, Maximilian Kippnich
{"title":"[Disaster Medicine and Civil Defense].","authors":"Thomas Wurmb, Patrick Meybohm, Maximilian Kippnich","doi":"10.1055/a-2651-5754","DOIUrl":"https://doi.org/10.1055/a-2651-5754","url":null,"abstract":"","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":"60 9","pages":"464-465"},"PeriodicalIF":0.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002733","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
[Prehospital Disaster Medicine and Civil Protection]. 院前灾害医学与民防。
IF 0.7
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2025-09-01 Epub Date: 2025-09-04 DOI: 10.1055/a-2582-8352
Maximilian Kippnich, Chris Speicher, Björn Hossfeld, Patrick Meybohm, Thomas Wurmb
{"title":"[Prehospital Disaster Medicine and Civil Protection].","authors":"Maximilian Kippnich, Chris Speicher, Björn Hossfeld, Patrick Meybohm, Thomas Wurmb","doi":"10.1055/a-2582-8352","DOIUrl":"10.1055/a-2582-8352","url":null,"abstract":"<p><p>Disaster medicine faces complex challenges and will play an increasing role in the future. Disaster medicine is dominated by a phased imbalance of available and required resources. Various factors, such as a possible hazard for the rescue forces, inaccessible terrain or even destroyed infrastructure increase the complexity enormously. For casualties, this can mean a concentration of medical care on life-threatening conditions. The primary goal of emergency planning is to ensure standard or contingency care and to avoid crisis care.</p>","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":"60 9","pages":"467-478"},"PeriodicalIF":0.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002735","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
[Inhospital Management of Mass Casualty Incidents (MASCAL)]. 院内大规模伤亡事故管理（MASCAL）。
IF 0.7
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2025-09-01 Epub Date: 2025-09-04 DOI: 10.1055/a-2593-3516
Chris Speicher, Thomas Wurmb, Patrick Meybohm, Maximilian Kippnich
{"title":"[Inhospital Management of Mass Casualty Incidents (MASCAL)].","authors":"Chris Speicher, Thomas Wurmb, Patrick Meybohm, Maximilian Kippnich","doi":"10.1055/a-2593-3516","DOIUrl":"10.1055/a-2593-3516","url":null,"abstract":"<p><p>Over the past 12 months, Germany has experienced a number of significant events that have led to mass casualty incidents. Major emergencies, natural disasters and hazardous situations, including terrorism and amok, are characterized by an unexpected and simultaneous occurrence of a large number of casualties. Hospitals are key elements in the management of a mass casualty incident. After the emergency care on site, the casualties must be quickly transferred to hospitals ready to receive them. In order to ensure structured patient treatment in such an exceptional situation, hospitals must develop, train and practice emergency plans. Essential elements of contingency plans are the setup of a command and control structure, definition of dedicated treatment areas, triage, staff deployment and the stocking of materials. In prolonged scenarios the sustainment of treatment capacity is vital. Strategic hospital command and control is in charge to manage such situations.</p>","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":"60 9","pages":"479-491"},"PeriodicalIF":0.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002749","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
[Dexamethasone - Risk Factor for Wound Healing Disorder and Hyperglycaemia?] 地塞米松-伤口愈合障碍和高血糖的危险因素？］
IF 0.7
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2025-09-01 Epub Date: 2025-09-04 DOI: 10.1055/a-2643-7242
Manuel Wenk, Christina Massoth
{"title":"[Dexamethasone - Risk Factor for Wound Healing Disorder and Hyperglycaemia?]","authors":"Manuel Wenk, Christina Massoth","doi":"10.1055/a-2643-7242","DOIUrl":"10.1055/a-2643-7242","url":null,"abstract":"<p><p>The single administration of 8 mg dexamethasone during surgery reduces postoperative nausea, pain and hospitalisation without increasing the risk of wound healing disorders. This application is also safe for patients with well-controlled diabetes mellitus and, although it leads to a slight increase in blood sugar, this usually remains clinically insignificant.</p>","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":"60 9","pages":"512-514"},"PeriodicalIF":0.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002724","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
[Pain Therapy for Phantom Pain]. [幻肢痛的疼痛治疗]。
IF 0.7
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2025-09-01 Epub Date: 2025-09-04 DOI: 10.1055/a-2577-2504
Moritz Erk, Christian Volberg, Christine Gaik
{"title":"[Pain Therapy for Phantom Pain].","authors":"Moritz Erk, Christian Volberg, Christine Gaik","doi":"10.1055/a-2577-2504","DOIUrl":"https://doi.org/10.1055/a-2577-2504","url":null,"abstract":"<p><p>Phantom pain (PP) is a neuropathic pain syndrome that occurs after limb amputation and is perceived in the absent body part. Its exact pathophysiology remains unclear but involves peripheral nerve lesions, central sensitization, and cortical reorganization. Psychological and social factors also play a significant role in its manifestation. Phantom pain after amputation shows wide variability, affecting up to 82% of patients within the first postoperative year, with lifetime prevalence exceeding 80%, and higher rates observed after proximal or major amputations (e.g., transfemoral). Symptoms are typically described as intermittent, burning, or electric-like pain, often accompanied by non-painful phantom sensations. Diagnosis requires thorough neurological evaluation, detailed pain documentation, and the exclusion of differential diagnoses. Preventive strategies include perioperative nerve blocks and adequate surgical soft tissue coverage. Effective treatment is based on a multimodal approach. Pharmacological options such as morphine and pregabalin have shown efficacy, while others like tramadol or gabapentin appear less effective. Non-pharmacological methods - including mirror therapy and transcutaneous electrical nerve stimulation (TENS) - can support pain relief. Psychological interventions, particularly trauma-focused therapy, may be beneficial, especially in patients with post-traumatic stress symptoms. For optimal management, an individualized treatment plan combining pharmacological, physical, and psychological strategies is recommended.</p>","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":"60 9","pages":"504-510"},"PeriodicalIF":0.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002759","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
[Resilient Hospitals during Disaster, Crisis and War]. [灾难、危机和战争中的复原医院]。
IF 0.7
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2025-09-01 Epub Date: 2025-09-04 DOI: 10.1055/a-2582-6896
Thomas Wurmb, Chris Speicher, Björn Hossfeld, Felix Kolibay, Patrick Meybohm, Maximilian Kippnich
{"title":"[Resilient Hospitals during Disaster, Crisis and War].","authors":"Thomas Wurmb, Chris Speicher, Björn Hossfeld, Felix Kolibay, Patrick Meybohm, Maximilian Kippnich","doi":"10.1055/a-2582-6896","DOIUrl":"10.1055/a-2582-6896","url":null,"abstract":"<p><p>Hospitals play a major role in civil protection. Maintaining medical care in the event of major emergencies, disasters, crises and wars is an essential component in coping with such situations and forms an important pillar for increasing the resilience of a society. In order to meet these requirements, hospitals must not only be designated as critical infrastructure, they must also be treated and equipped as such in order to form the basis for a robust healthcare system. In addition to the essential organizational measures to increase the safety of hospitals, structural and non-structural components must be incorporated into the planning of hospitals. Just as fire protection and hygiene do not need to be discussed when planning new hospitals, this should also be required for all aspects of safety listed in this article.</p>","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":"60 9","pages":"493-502"},"PeriodicalIF":0.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002731","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
[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":"10.1055/a-2606-9765","url":null,"abstract":"<p><p>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.</p>","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
{"title":"[Solutions for Difficult Airway Management].","authors":"Marc Kriege","doi":"10.1055/a-2356-7430","DOIUrl":"10.1055/a-2356-7430","url":null,"abstract":"<p><p>A difficult airway, whether expected or unexpected, represents a rare but challenging situation for anaesthesiologists in clinical practice. Knowledge of predictors of a difficult airway, technical characteristics of individual airway techniques, algorithms, and final documentation are essential for every anaesthesiologist. This article discusses definitions, perioperative risk assessment, and approaches to managing expected and unexpected difficult airways.</p>","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":"60 7-08","pages":"389-400"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669229","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
[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
{"title":"[News from Obstetric Anesthesia - Summary of the 23rd Annual Conference of the Scientific Working Group on Obstetric Anesthesia of the DGAI].","authors":"Daniel Chappell, Dorothee H Bremerich, Clemens Eichelsbacher, Thierry Girard, Susanne Greve, Haitham Mutlak, Vanessa Neef, Peter Kranke","doi":"10.1055/a-2577-1150","DOIUrl":"10.1055/a-2577-1150","url":null,"abstract":"<p><p>On May 4, 2024, the 23rd Obstetric Anesthesia Symposium took place as an event of the scientific working group \"Obstetric Anesthesia\" of the German Society of Anesthesiology (DGAI). As in previous years, topics related to obstetric anesthesiological practice were presented by experienced speakers and intensively discussed with the participants. Among other things, personal \"recipes\" and recommendations for daily practice, various options for analgesia in the delivery room, patient blood management in the delivery room, alternatives to obstetric epidurals, management of post-puncture headaches, and analgesia after cesarean section were addressed.</p>","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":"60 7-08","pages":"440-451"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669228","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
[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":"10.1055/a-2356-8046","url":null,"abstract":"<p><p>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.</p>","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
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