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[Process-oriented Work in the Outpatient Setting]. [门诊环境中的流程导向工作]。
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2025-05-01 Epub Date: 2025-06-02 DOI: 10.1055/a-2292-9358
Andreas Krier, Marc Dominik Schmittner, Jörg Karst, Volker Gebhardt
{"title":"[Process-oriented Work in the Outpatient Setting].","authors":"Andreas Krier, Marc Dominik Schmittner, Jörg Karst, Volker Gebhardt","doi":"10.1055/a-2292-9358","DOIUrl":"10.1055/a-2292-9358","url":null,"abstract":"<p><p>Outpatient surgery presents unique challenges for medical teams, requiring seamless coordination of perioperative logistics and postoperative care. The increasing shift of complex procedures to outpatient settings, driven by economic and demographic changes, necessitates continuous process optimization. This article explores key factors for efficient outpatient anesthesia management, emphasizing interdisciplinary collaboration, structured workflow organization, and the role of modern anesthetic techniques.Key aspects include patient selection based on medical and social criteria, optimized OR scheduling, and the use of digital planning tools to enhance communication and efficiency. The choice of anesthetic techniques plays a crucial role in reducing turnaround times, minimizing postoperative complications, and improving overall patient outcomes. Additionally, standardized protocols, staff training, and digital documentation contribute to better workflows and patient safety.A successful outpatient anesthesia system balances efficiency and quality while ensuring economic sustainability. By fostering team motivation and implementing structured processes, high-quality patient care can be maintained without compromising safety.</p>","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":"60 5","pages":"263-275"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210709","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
[Outpatient Anesthesia]. (门诊麻醉)。
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2025-05-01 Epub Date: 2025-06-02 DOI: 10.1055/a-2565-2875
Grietje Beck
{"title":"[Outpatient Anesthesia].","authors":"Grietje Beck","doi":"10.1055/a-2565-2875","DOIUrl":"https://doi.org/10.1055/a-2565-2875","url":null,"abstract":"","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":"60 5","pages":"260-261"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210706","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
[Preoperative Risk Assessment in Adult Congenital Heart Disease]. 成人先天性心脏病的术前风险评估
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2025-05-01 Epub Date: 2025-06-02 DOI: 10.1055/a-2259-7987
Nikolai Hulde, Ioana Maria Belciu, Vera von Dossow
{"title":"[Preoperative Risk Assessment in Adult Congenital Heart Disease].","authors":"Nikolai Hulde, Ioana Maria Belciu, Vera von Dossow","doi":"10.1055/a-2259-7987","DOIUrl":"https://doi.org/10.1055/a-2259-7987","url":null,"abstract":"","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":"60 5","pages":"307-315"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210708","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 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
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