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[Frailty Diagnosis in Different Settings]. [不同环境下的虚弱诊断]。
IF 0.4
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2022-11-01 Epub Date: 2022-11-29 DOI: 10.1055/a-1760-8228
Nils Drewniok, Rudolf Mörgeli, Rahel Eckardt-Felmberg
{"title":"[Frailty Diagnosis in Different Settings].","authors":"Nils Drewniok,&nbsp;Rudolf Mörgeli,&nbsp;Rahel Eckardt-Felmberg","doi":"10.1055/a-1760-8228","DOIUrl":"https://doi.org/10.1055/a-1760-8228","url":null,"abstract":"<p><p>Frailty Syndrome has been recognized in several settings as a major predictor of negative outcomes. A frailty diagnosis can have important consequences for clinical decision-making and provides the opportunity to implement preventive strategies. Despite its importance, a gold standard for the diagnosis of frailty is still lacking. There are distinct frailty models and a large number of assessments are available, and they vary greatly in terms of time, training, and equipment necessary, but also on their relevance to specific outcomes. Diagnostic tools must be based on the resources available and on their relevance for the particular setting. The current review offers insights on current models and the most successful diagnostic instruments used in the anesthesia, intensive care, emergency, and palliative settings.</p>","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":" ","pages":"682-696"},"PeriodicalIF":0.4,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40711463","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: 5
[Left Lateral Positioning during Caesarean Section - Myth or Truth?] 剖宫产术中左侧卧位-神话还是事实?］
IF 0.4
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2022-11-01 Epub Date: 2022-11-29 DOI: 10.1055/a-1931-1546
Christina Massoth, Peter Kranke, Manuel Wenk
{"title":"[Left Lateral Positioning during Caesarean Section - Myth or Truth?]","authors":"Christina Massoth,&nbsp;Peter Kranke,&nbsp;Manuel Wenk","doi":"10.1055/a-1931-1546","DOIUrl":"https://doi.org/10.1055/a-1931-1546","url":null,"abstract":"Abstract Positioning the pregnant patient in her third trimester in a 15° left lateral tilt position with the rationale to reduce inferior vena cava (IVC) compression is a longstanding practice of both obstetric and anesthesia care. Recent data from MRI imaging studies have challenged this traditional dogma, since the IVC was found to remain compressed at a 15° angle, with a tilt of at least 30° necessary to provide a certain relief of the vessel. However, even the 15° tilt is regularly underestimated by visual judgement and improperly executed, but comes with several disadvantages without adding any benefit on fetal outcome. Current evidence supports all efforts to cease the dogma of a 15° left lateral position for its lack of effectiveness and instead put emphasis on proven measures, such as volume coloading and the timely administration of vasopressors. Das Dogma der 15°-Linksseitenlagerung im geburtshilflichen Setting ist fester Bestandteil geburtshilflicher Praxis und Literatur sowie Teil aktueller Leitlinienempfehlungen – aber ist es auch sinnvoll?","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":" ","pages":"737-739"},"PeriodicalIF":0.4,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40711395","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
[Caudal Anesthesia: Overview and Practical Recommendations]. [尾侧麻醉:概述和实用建议]。
IF 0.4
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2022-11-01 Epub Date: 2022-11-29 DOI: 10.1055/a-1467-8624
Tobias Hüppe, Griseldis Pattar, Birgit Maass
{"title":"[Caudal Anesthesia: Overview and Practical Recommendations].","authors":"Tobias Hüppe,&nbsp;Griseldis Pattar,&nbsp;Birgit Maass","doi":"10.1055/a-1467-8624","DOIUrl":"https://doi.org/10.1055/a-1467-8624","url":null,"abstract":"<p><p>Caudal anesthesia is one of the most commonly performed forms of regional anesthesia in childhood, which is relatively easy to learn and very effective. Indications for sacral block are all interventions below the costal arch. The puncture can be performed on premature babies and children up to 50 kg body weight. The use of ultrasound increases the success rate and verifies the epidural injection. Bupivacaine and ropivacaine can be combined with adjuvants such as clonidine, morphine or ketamine, which lead to a prolonged effect. In selected patient groups, the operation can also be performed under caudal anesthesia with sedation in order to maintain spontaneous breathing and avoid respiratory complications. This review article gives an overview of caudal anesthesia and offers practical instructions for blocks during general anesthesia and sedation.</p>","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":" ","pages":"724-736"},"PeriodicalIF":0.4,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40711394","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
Frailty als Herausforderung im klinischen Alltag. Frailty对日常生活的挑战
IF 0.4
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2022-11-01 Epub Date: 2022-11-29 DOI: 10.1055/a-1760-8270
Eva Schönenberger, Rudolf Mörgeli, Friedrich Borchers
{"title":"Frailty als Herausforderung im klinischen Alltag.","authors":"Eva Schönenberger,&nbsp;Rudolf Mörgeli,&nbsp;Friedrich Borchers","doi":"10.1055/a-1760-8270","DOIUrl":"https://doi.org/10.1055/a-1760-8270","url":null,"abstract":"<p><p>In order to prevent short-term complication, patients with frailty syndrome require special attention and care in the perioperative context. The implementation of a frailty screening and if possible, an advanced geriatric assessment in the clinical routine should take into account the clinical setting, the patient population as well as time and human resources. Individual treatment pathways must allow for a multidisciplinary exchange and a multimodal approach when dealing with these challenging patients. Key aspects of such pathways include physiotherapeutic interventions, nutritional counselling, adequate pain medication, delirium prevention, patient blood management and extended perioperative monitoring. An interdisciplinary shared decision-making process together with patients can help develop realistic and individual treatment concepts to improve safety and outcome of frail patients.</p>","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":" ","pages":"709-723"},"PeriodicalIF":0.4,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40711465","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
[The Frail Patient in a Fictitious Case Study]. [虚构案例研究中的虚弱病人]。
IF 0.4
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2022-11-01 Epub Date: 2022-11-29 DOI: 10.1055/a-1760-8119
Nils Daum, Jörn Kiselev, Stefan J Schaller
{"title":"[The Frail Patient in a Fictitious Case Study].","authors":"Nils Daum,&nbsp;Jörn Kiselev,&nbsp;Stefan J Schaller","doi":"10.1055/a-1760-8119","DOIUrl":"https://doi.org/10.1055/a-1760-8119","url":null,"abstract":"<p><p>Various limitations in everyday life can indicate a frailty syndrome. These limitations are not always directly visible and result from a wide variety of domains. Fried et al. described these limitations of different domains as frailty syndrome. This syndrome can be acutely worsened by different influencing factors. One major risk factor is an upcoming anesthesia and surgery. Frailty is associated with a significantly increased risk of peri- and postoperative complications. To avoid acute deterioration due to anesthesia and surgery, the concept of prehabilitation was developed. The aim is to specifically address the respective deficits and to develop an individual training concept together with the patient. Prehabilitation can significantly improve the risk of complications and the outcome of frail patients. In this context, it is important to establish routine screening in order to detect a frailty syndrome in everyday clinical practice and to create opportunities for prehabilitation.</p>","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":" ","pages":"674-681"},"PeriodicalIF":0.4,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40711462","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: 2
[Prehabilitation for Preparing Older People with Frailty for Surgery]. [为虚弱的老年人准备手术的康复]。
IF 0.4
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2022-11-01 Epub Date: 2022-11-29 DOI: 10.1055/a-1760-8244
Jörn Kiselev, Stefan J Schaller, Katrin Schmidt, Claudia Spies
{"title":"[Prehabilitation for Preparing Older People with Frailty for Surgery].","authors":"Jörn Kiselev,&nbsp;Stefan J Schaller,&nbsp;Katrin Schmidt,&nbsp;Claudia Spies","doi":"10.1055/a-1760-8244","DOIUrl":"https://doi.org/10.1055/a-1760-8244","url":null,"abstract":"<p><p>Older people demonstrate a higher risk for the occurrence of peri- and postsurgical complications. A frequent risk factor for this is the prevalence of a status called \"frailty\". In general, this status can be reversed by adequate therapeutic and medical interventions. More, current evidence suggests that these measures, as part of a so-called prehabilitation, can reduce the risk for experiencing peri- and postsurgical complications and thus assist the rehabilitation process, increase quality of life, and avoid care dependency and a loss of autonomy of these patients. In this article, we describe the concept of prehabilitation, its options to adapt and design this new form of intervention, as well as presenting current evidence. An actual project and a case example on prehabilitation provide an example and outlook.</p>","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":" ","pages":"697-708"},"PeriodicalIF":0.4,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40711464","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: 2
[Correction: Safe and Appropriate Pharmacotherapy in Paediatric Anaesthesia]. [更正:安全适当的儿科麻醉药物治疗]。
IF 0.4
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2022-10-01 Epub Date: 2022-09-14 DOI: 10.1055/a-1942-7834
Jost Kaufmann, Ehrenfried Schindler
{"title":"[Correction: Safe and Appropriate Pharmacotherapy in Paediatric Anaesthesia].","authors":"Jost Kaufmann,&nbsp;Ehrenfried Schindler","doi":"10.1055/a-1942-7834","DOIUrl":"https://doi.org/10.1055/a-1942-7834","url":null,"abstract":"","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":" ","pages":"613"},"PeriodicalIF":0.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40357353","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
[Contra: cuff tubing in anesthesia in children. Anasthesiol Intensivmed Notfal 2004; 39: 368-370Anasthesiol Intensivmed Notfal 2004; 39: 368-370]. [对照：儿童麻醉中的袖带导管。Anasthesiol Intensivmed Notfal 2004；39:368-370 Anasthesio Intensivmd Notfal，2004；39:368-370]。
IF 0.4
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2004-11-01
Markus Weiss
{"title":"[Contra: cuff tubing in anesthesia in children. Anasthesiol Intensivmed Notfal 2004; 39: 368-370Anasthesiol Intensivmed Notfal 2004; 39: 368-370].","authors":"Markus Weiss","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":" ","pages":"701; author reply 701-3"},"PeriodicalIF":0.4,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24856964","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
[Prof. Dr. med. Dr. h. c. Jochen Schulte am Esch: A Visionary of Our Specialty Celebrates his 65th Birthday]. [Prof. Dr. med. Dr. h. c. Jochen Schulte am Esch:我们专业的远见者庆祝他65岁生日]。
IF 0.4
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2004-10-01 DOI: 10.1055/s-2004-826008
C Krier, T Standl, M Goerig
{"title":"[Prof. Dr. med. Dr. h. c. Jochen Schulte am Esch: A Visionary of Our Specialty Celebrates his 65th Birthday].","authors":"C Krier,&nbsp;T Standl,&nbsp;M Goerig","doi":"10.1055/s-2004-826008","DOIUrl":"https://doi.org/10.1055/s-2004-826008","url":null,"abstract":"","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":" ","pages":"583-4"},"PeriodicalIF":0.4,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2004-826008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40920706","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
[Risks posed by venomous animals -- accidents due to snakebite envenomation]. 【有毒动物带来的风险——毒蛇咬伤中毒事故】。
IF 0.4
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2004-10-01 DOI: 10.1055/s-2004-825993
K Erkens, G Boecken
{"title":"[Risks posed by venomous animals -- accidents due to snakebite envenomation].","authors":"K Erkens,&nbsp;G Boecken","doi":"10.1055/s-2004-825993","DOIUrl":"https://doi.org/10.1055/s-2004-825993","url":null,"abstract":"<p><p>In regions where poisonous animals are widely distributed, the management of injuries due to these animals is part of the routine medical care. Personnel e. g. deployed for humanitarian aid missions in these areas have to be prepared to face these challenges as well. Beside this group zoo personnel and snake charmers here in Europe are also endangered. The most common form of animal poisoning is due to snake bites. There are approximately 600 different species of poisonous snakes, commonly found in the warm climatic regions. But poisoning from spiders, scorpions and some marine animals can also be life threatening. There are different kinds of snake venoms, which result into different clinical presentations depending on the components of the venom. The venom may be cytotoxic, hematotoxic, neurotoxic, rhabdomyolytic, cardiotoxic, renotoxic or may cause an autoimmune reaction by complement activation. In the management of injuries following animal poisoning, besides the first aid measures taken, the injured is supposed to be managed according to the poison component in the venom with specific antivenin treatment and supportive therapeutic care. There are mono- and polyvalent antivenins available. Noneffective first-aid measures or measures which can cause further trauma must always be avoided. In general adapted behaviour in the field can prevent envenomation. Education on preventive measures with the aim of behaviour change are central components for pre-deployment preparations.</p>","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":" ","pages":"587-96"},"PeriodicalIF":0.4,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2004-825993","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40920708","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: 1
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