Die Anaesthesiologie最新文献

{"title":"Impending esophago-arterial fistula after battery ingestion-First preventive operation on a toddler worldwide.","authors":"Judith Lohmann, Tobias Klein, Martin Stenzel, Marko Aleksic, Paul Fuchs, Thomas Boemers, Jost Kaufmann","doi":"10.1007/s00101-024-01487-1","DOIUrl":"https://doi.org/10.1007/s00101-024-01487-1","url":null,"abstract":"","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959743","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}

{"title":"[The time after - Late sequelae of intensive care treatment: successes and challenges].","authors":"Konrad Schmidt","doi":"10.1007/s00101-024-01494-2","DOIUrl":"https://doi.org/10.1007/s00101-024-01494-2","url":null,"abstract":"","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":"74 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017385","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}

{"title":"Erratum zu: Intraoperative Hypotonie beim Kind – Messung und Therapie.","authors":"Sebastian Bratke, Sebastian Schmid, Vijyant Sabharwal, Bettina Jungwirth, Karin Becke-Jakob","doi":"10.1007/s00101-024-01495-1","DOIUrl":"10.1007/s00101-024-01495-1","url":null,"abstract":"","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":" ","pages":"50-51"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967594","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}

{"title":"[Intensive care treatment of cardiac surgery patients: focus on hemodynamics].","authors":"Heidi Görler","doi":"10.1007/s00101-024-01497-z","DOIUrl":"10.1007/s00101-024-01497-z","url":null,"abstract":"<p><p>Hemodynamic treatment is a core task in the intensive medical care of cardiac surgery patients. The patient's underlying disease, the type of surgical procedure and the patient's individual characteristics play key roles in the selection of the treatment regimen. The basis of any targeted hemodynamic treatment is the differential diagnosis of the underlying pathological disorder. The established basic monitoring can be expanded if necessary. Postoperative circulatory dysfunction can occur as low cardiac output syndrome (LCOS) predominantly with left or right heart failure or as vasoplegic syndrome (VS). In addition to catecholamines in the narrow sense, various vasoactive and inotropic substances are available for treatment. Knowledge of the recommended target parameters and indication-appropriate monitoring are essential. This article summarizes the current guideline recommendations for the treatment of postoperative circulatory dysfunction.</p>","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":" ","pages":"52-60"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959742","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}

{"title":"[Alfred Kirstein-A pioneer of direct laryngoscopy].","authors":"M Goerig","doi":"10.1007/s00101-024-01492-4","DOIUrl":"10.1007/s00101-024-01492-4","url":null,"abstract":"<p><p>On 23 April 1895, the Berlin ENT medical specialist Alfred Kirstein performed the first direct examination of the larynx using a Casper esophagoscope equipped with electric lighting, which he called an \"autoscope\". The examination of the larynx, which had previously only been possible indirectly using mirror systems, was named by him \"autoscopy\". The development of the device enabled a more precise observation than before and laryngeal or tracheal foreign bodies could be removed better and more easily. The new instrumental development and examination technique he described met with rapid approval and great interest in specialist circles. Shortly afterwards the first publications on orotracheal intubation for anesthesia appeared in scientific journals, that should also be possible with the aid of Kirstein's autoscope. Although he never propagated this himself, it was also possible to perform these under visualization using a tongue depressor equipped with a light, which he had developed a short time later. Both developments are already very close to today's laryngoscopes. Kirstein's contribution in this respect has so far hardly been appreciated, especially in German-speaking countries.</p>","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":" ","pages":"31-37"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820182","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}

{"title":"[Focus neurological intensive care medicine 2023/2024 : Summary of selected studies in intensive medical care].","authors":"Dominik Michalski, Christine Jungk, Christopher Beynon, Thorsten Brenner, Christian Nusshag, Christopher J Reuß, Mascha O Fiedler-Kalenka, Michael Bernhard, Andreas Hecker, Markus A Weigand, Maximilian Dietrich","doi":"10.1007/s00101-024-01490-6","DOIUrl":"10.1007/s00101-024-01490-6","url":null,"abstract":"","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":" ","pages":"38-49"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781933","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}

{"title":"[Post-Intensive Care Syndrome: functional impairments of critical illness survivors].","authors":"Nicolas Paul, Björn Weiss","doi":"10.1007/s00101-024-01483-5","DOIUrl":"10.1007/s00101-024-01483-5","url":null,"abstract":"<p><p>With a decrease in mortality of critically ill patients in recent years, intensive care medicine research has shifted its focus on functional impairments of intensive care units (ICU) survivors. ICU survivorship is characterized by long-term impairments of cognition, mental health, and physical health. Since 2012, these impairments have been summarized with the umbrella term Post-Intensive Care Syndrome (PICS). Mental health impairments frequently entail new are aggravated symptoms of depression, anxiety, and posttraumatic stress disorder. Beyond impairments in the three PICS domains, critical illness survivors frequently suffer from chronic pain, dysphagia, and nutritional deficiencies. Furthermore, they have a higher risk for osteoporosis, bone fractures, and diabetes mellitus. Taken together, these sequelae reduce their health-related quality of life. Additionally, ICU survivors are challenged by social problems such as isolation, economic problems such as treatment costs and lost earnings, and return to previous employment. Yet, patients and caregivers have described post-ICU care as inadequate and fragmented. ICU follow-up clinics could improve post-ICU care, but there is insufficient evidence for their effectiveness. Thus far, large high-quality trials with multicomponent and interdisciplinary post-ICU interventions have mostly failed to improve patient outcomes. Hence, preventing PICS and minimizing risk factors by optimizing ICU care is crucial, e.g. by implementing the ABCDE bundle. Future studies need to identify effective components of post-ICU recovery interventions and determine which patient populations may benefit most from ICU recovery services.</p>","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":" ","pages":"3-14"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831138","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}

{"title":"[Treatment quality with and without an electronic cognitive aid for emergencies in anaesthesia (eGENA) : The DANGER pilot study part 2 in randomized controlled in-situ emergency simulations].","authors":"Florian Rückert, Victoria Truxa, Philipp Dussmann, Thomas Schmidt, Timo Seyfried","doi":"10.1007/s00101-024-01493-3","DOIUrl":"10.1007/s00101-024-01493-3","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The electronic cognitive aid for emergencies in anesthesia (eGENA) is an app that offers digital support in anesthesiological emergency situations as a cognitive aid tool via checklists for memory and making decisions. The eGENA was published by the German Society of Anesthesiology and has been implemented in the emergency management of the anesthesiological team of the clinic in Potsdam, Germany.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The primary endpoint was to observe the influence of eGENA on the anesthesiological emergency management on the subjective feeling of assurance as well as on quality of treatment and, therefore, patient safety.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Material and methods: &lt;/strong&gt;All employees in the anesthesia department (nursing staff and physicians) took part in the initial implementation of eGENA. The implementation phase covered crew resource management (CRM) principles and eGENA use as well as 10 case studies that were discussed with help from eGENA. Afterwards in a randomized controlled simulation study, realistic case studies were processed and evaluated. In this, 18 cases were handled by 9 groups with 4 persons in each group. Treatment during these simulations was assessed using a predetermined 20-point evaluation form and 10 resuscitation-related and 10 case-related points were awarded. Significance tests were carried out using the Wilcoxon-test (significance level p &lt; 0.05) and two evaluations were completed by the attendees at the beginning and the end of the eGENA implementation process.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Scenarios 1 and 2 showed comparable overall scores (14.9 vs. 16.3 points out of 20, not significant). Higher case-associated scores (7.6 vs. 5.6 out of 10, p = 0.03) and higher total scores were achieved with the help of eGENA (16.9 vs. 14.3 out of 20, p = 0.02). Resuscitation-associated scores did not differ significantly (9.3 vs. 8.8 of 10, p = 0.1). During eGENA use for cases the execution of the algorithm-based resuscitation measures was not delayed or accelerated. With eGENA, however, differential diagnoses were discussed significantly more frequently and expanded treatment and diagnostic measures were implemented. During simulation cases eGENA was mainly used by physicians. The initially very positive responses of the evaluations toned down over time. Planned eGENA use for self-study was less frequent (p = 0.006) and there was less approval of the quality of treatment by eGENA than in the first survey (p = 0.002). The cooperation between doctors and nurses in emergency treatment showed an improvement (p &lt; 0.001). The questions about self-assessed safety in emergency treatment on a scale from 0 to 10 showed higher values in all categories at the second survey (except only circulatory emergencies and 'other' emergencies). The respondents were more likely to be involved in emergency treatment at the second time of the survey (p = 0.03) after a median of 20 months.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Disc","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":" ","pages":"15-23"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967593","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}

{"title":"Anaphylactic shock with cardiac arrest triggered by tranexamic acid : A case report and review of the literature.","authors":"Andrina Neff, Anna Grünewald, Andrei Korbut, Johannes Erhardt, Daniel Yerly, Barbara Ballmer-Weber, Thomas Heidegger","doi":"10.1007/s00101-024-01491-5","DOIUrl":"10.1007/s00101-024-01491-5","url":null,"abstract":"","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":" ","pages":"24-27"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803106","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}

{"title":"[Impending oesophago-arterial fistula after battery ingestion-the world's first preventive surgical intervention in a toddler].","authors":"Judith Lohmann, Tobias Klein, Martin Stenzel, Marko Aleksic, Paul Fuchs, Thomas Boemers, Jost Kaufmann","doi":"10.1007/s00101-024-01477-3","DOIUrl":"10.1007/s00101-024-01477-3","url":null,"abstract":"","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":" ","pages":"28-30"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}