Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS最新文献_第7页

[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？］

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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

引用次数: 0

[Pain Therapy for Phantom Pain]. [幻肢痛的疼痛治疗]。

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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":"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.","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]。

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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

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":"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]。

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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

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

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Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Pub Date : 2025-07-01 Epub Date: 2026-04-01 DOI: 10.1055/a-2692-6806

Jonas Weber, Jérôme Michel Defosse

引用次数: 0

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

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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":"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":0.7,"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

[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":"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

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