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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
Sedation for fiberoptic bronchoscopy: fewer adverse cardiovascular effects with propofol than with midazolam. 纤维支气管镜镇静:异丙酚对心血管的不良影响小于咪达唑仑。
IF 0.4
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2004-10-01 DOI: 10.1055/s-2004-825919
T Oztürk, A Cakan, G Gülerçe, G Olgaç, S Deren, A Ozsöz
{"title":"Sedation for fiberoptic bronchoscopy: fewer adverse cardiovascular effects with propofol than with midazolam.","authors":"T Oztürk,&nbsp;A Cakan,&nbsp;G Gülerçe,&nbsp;G Olgaç,&nbsp;S Deren,&nbsp;A Ozsöz","doi":"10.1055/s-2004-825919","DOIUrl":"https://doi.org/10.1055/s-2004-825919","url":null,"abstract":"<p><strong>Objective: </strong>To study the influence of the sedatives propofol and midazolam on cardiovascular parameters in patients undergoing fiberoptic bronchoscopy (FOB).</p><p><strong>Methods: </strong>100 patients without a history of cardiac disease undergoing diagnostic FOB were investigated in a prospective-randomized design. After premedication with intramuscular atropine (0.01 mg/kg BW) patients received sedation with either propofol (group P, n = 50) or midazolam (group M, n = 50). Heart rate, arterial oxygen saturation (psaO (2)) and non-invasive blood pressure were recorded prior to and immediately after induction of sedation, when at the level of vocal cords, during the interventional diagnostic procedure (IDP) and 15 min after the end of the FOB.</p><p><strong>Results: </strong>The mean heart rate and systolic pressure were significantly lower in group P when compared with group M when at the level of vocal cords and during the IDP (p < 0.05). The total incidence of major arrhythmias was 10 % and the incidence of minor arrhythmias was 62 %. A decline in psaO (2) < 90 % occurred in 16 patients of group M and 5 patients of group P (p = 0.44).</p><p><strong>Conclusion: </strong>Propofol, when used as a sedative for FOB, is associated with lower hemodynamic side effects than in patients undergoing FOB with midazolam. In addition, it is well-tolerated by patients with pre-existing pulmonary disease. Even patients without a history of heart disease should be monitored for cardiac arrhythmia while undergoing FOB for pulmonary disease, especially patients with a FEV (1) of less than 50 % of the predicted value.</p>","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":" ","pages":"597-602"},"PeriodicalIF":0.4,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2004-825919","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40920709","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: 26
[The Turco-German relations in anaesthesiology]. [麻醉学中的土耳其-德国关系]。
IF 0.4
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2004-10-01 DOI: 10.1055/s-2004-826009
J-P Jantzen, G Hempelmann
{"title":"[The Turco-German relations in anaesthesiology].","authors":"J-P Jantzen,&nbsp;G Hempelmann","doi":"10.1055/s-2004-826009","DOIUrl":"https://doi.org/10.1055/s-2004-826009","url":null,"abstract":"","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":" ","pages":"585-6"},"PeriodicalIF":0.4,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2004-826009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40920707","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
[Anesthesia in thoracic surgery]. [胸外科麻醉]。
IF 0.4
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2004-10-01 DOI: 10.1055/s-2004-825978
K Wiedemann, C Männle, M Layer, F Herth
{"title":"[Anesthesia in thoracic surgery].","authors":"K Wiedemann,&nbsp;C Männle,&nbsp;M Layer,&nbsp;F Herth","doi":"10.1055/s-2004-825978","DOIUrl":"https://doi.org/10.1055/s-2004-825978","url":null,"abstract":"","PeriodicalId":520554,"journal":{"name":"Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS","volume":" ","pages":"616-47; quiz 648-50"},"PeriodicalIF":0.4,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2004-825978","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40922416","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: 10
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