Die Anaesthesiologie最新文献

{"title":"[Social media in anesthesiology: a systematic review on typology as well as opportunities and risks].","authors":"Tobias Weigl, Mark Coburn","doi":"10.1007/s00101-026-01660-8","DOIUrl":"10.1007/s00101-026-01660-8","url":null,"abstract":"<p><strong>Background: </strong>Social media have proliferated globally, with an estimated 5.1-5.5 billion active users and are gaining increasing relevance in anesthesiology. Social media are now firmly established as a medium for knowledge acquisition and information retrieval. In this context, \"medfluencers\" (individuals and institutions) play a growing role in disseminating health-related and discipline-specific information.</p><p><strong>Objective: </strong>The aim of this article is firstly, to develop a clearer understanding of \"medfluencers\" in anesthesiology and secondly, to synthesize the opportunities and risks of social media for anesthesiology through a structured literature analysis.</p><p><strong>Methods: </strong>Following specification of the two core research questions, a systematic literature search was conducted using predefined search strings in PubMed. Relevant contents from identified publications were synthesized into a typology of \"medfluencers\" and/or opportunities and risks of social media in anesthesiology. The literature search was performed in a systematic PRISMA-oriented manner and due to the heterogeneity of study designs and outcomes a narrative synthesis of the evidence was carried out.</p><p><strong>Results: </strong>A total of 1727 possible publications were identified and after the screening process 49 articles (original studies and reviews) were included. From the results five types of \"medfluencers\" in anesthesiology with distinct competencies, resources and aims were delineated. Social media activities in anesthesiology were synthesized into six opportunities and six risks for the respective \"medfluencer\" groups.</p><p><strong>Discussion: </strong>Virality is not a proxy for quality. Simultaneously, social media create a broad coverage and therefore entail content, ethical and legal responsibility. The use of social media offers novel possibilities for anesthesiology but requires a critical, evidence-based and legally compliant utilization. Concrete mitigation strategies to minimize risks are discussed, from which practical dos and don'ts for \"medfluencers\" are derived. Further studies are needed to be able to assess the effects on specific anesthesiological practices and the impacts on patient outcomes.</p>","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":" ","pages":"319-332"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13128759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367451","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}

{"title":"[Therapeutic impoverishment in modern anesthesiology-Between safety culture, regulations and loss of clinical diversity : A critical analysis].","authors":"Daniel Chappell, Peter Kranke","doi":"10.1007/s00101-026-01680-4","DOIUrl":"10.1007/s00101-026-01680-4","url":null,"abstract":"<p><p>Traditionally, anesthesiology has been a discipline with a broad pharmacological spectrum. In recent years, however, there has been a clear trend toward reducing this range of therapeutic options. Numerous well-established agents have lost importance in many hospitals or have disappeared entirely from the routine clinical practice. This decline is only partly based on new evidence, more often, didactic simplification, cultural standardization, ecological discussions and regulatory interventions by authorities play a decisive role. This article analyzes the causes and mechanisms of this therapeutic impoverishment and compares these developments with other medical disciplines. Finally, it outlines ways in which indication-based, evidence-oriented and differentiated pharmacotherapy in anesthesiology can be strengthened once again.</p>","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":" ","pages":"351-355"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147701005","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":"KI beim Publizieren: Was Ärzt*innen wissen und konkret beachten sollten.","authors":"Ines Wolff, Henning Schönenberger","doi":"10.1007/s00101-026-01668-0","DOIUrl":"10.1007/s00101-026-01668-0","url":null,"abstract":"","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":" ","pages":"316-318"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147534806","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":"Advance Care Planning und Ethikberatung: wirksame Instrumente zur Reduktion von Überversorgung in der Intensivmedizin.","authors":"Georg Marckmann, Jürgen In der Schmitten","doi":"10.1007/s00101-026-01685-z","DOIUrl":"10.1007/s00101-026-01685-z","url":null,"abstract":"","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":" ","pages":"301-303"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147719156","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 latest SOFA score update: a balancing act between ambition and reality].","authors":"Philippe Kruse, Christian Bode","doi":"10.1007/s00101-026-01655-5","DOIUrl":"10.1007/s00101-026-01655-5","url":null,"abstract":"","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":" ","pages":"356-358"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147273207","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":"Successful lipid rescue therapy after prolonged cardiac arrest in acute cocaine intoxication : A case report and mini-review.","authors":"Anja Laska, Mario Moser, Torsten Dilger, Tobias Schnaidt, Agnes S Meidert, Volker Huge","doi":"10.1007/s00101-026-01659-1","DOIUrl":"10.1007/s00101-026-01659-1","url":null,"abstract":"<p><p>A 24-year-old male experienced cardiac arrest following a generalized seizure shortly after being stopped at a border control. Paramedics administered intranasal midazolam, after which the patient became asystolic and underwent prolonged cardiopulmonary resuscitation. The patient had a history of cocaine abuse. Suspected acute cocaine intoxication prompted the administration of intravenous lipid emulsion (ILE). Shortly thereafter, the rhythm converted to ventricular fibrillation and return of spontaneous circulation occurred 80 min after the arrest. No underlying cause was identified on diagnostic imaging or coronary angiography. Toxicological testing confirmed markedly elevated cocaine levels, consistent with body stuffing. Despite initial stabilization in the intensive care unit (ICU), the patient developed multiorgan failure and progressive cerebral edema leading to malignant intracranial hypertension. The patient died within 24 h of admission. This case highlights the potentially fulminant course of cocaine toxicity and suggests that lipid emulsion therapy may be considered as an early rescue intervention in refractory cocaine-induced cardiac arrest when conventional treatment fails.</p>","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":" ","pages":"344-347"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13128754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367434","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}

{"title":"[Ethically challenging determination of treatment goals in the intensive care unit: reasons, frequency and possible solutions].","authors":"Hannah Richter, Thorsten Brenner, Martin Schuster","doi":"10.1007/s00101-026-01682-2","DOIUrl":"10.1007/s00101-026-01682-2","url":null,"abstract":"<p><p>Modern intensive care medicine enables many patients to recover and return to normal life despite suffering from very severe acute illnesses. However, as intensive care patients are increasingly elderly and frail or suffer from advanced incurable chronic diseases, it is important to discuss the limits of intensive care medicine. Some medical interventions in the intensive care unit (ICU) may not support patients' individual therapeutic goals which are tailored to patients' conditions and in accordance with personal wishes. Such interventions can be experienced as ethically challenging by ICU staff and can be burdensome and stressful for patients and their relatives. This review paper discusses the issue of potentially inappropriate care in ICUs from the perspective of patients and their relatives, ICU staff and society. Possible reasons for the occurrence of potentially inappropriate treatment are identified and possible ways for avoidance are shown. The reasons for potentially inappropriate treatment are multifaceted and include patient-related and staff-related reasons. Treatment teams, patients and family members are facing numerous uncertainties concerning the patient's will and medical prognoses, e.g. possible future cognitive impairment. Structured communication and time-limited trials are possible strategies to avoid potentially inappropriate treatment, to explore patient wishes and decide upon individually tailored treatment strategies. It is indispensable to regularly re-evaluate therapeutic goals. Interprofessional support by palliative teams, psychologists, counselling and ethics advisory boards can be useful to improve patient-centered care. A structured approach is needed when deciding to withhold or withdraw care. There are a number of strategies that treatment teams in ICUs can implement to reduce the stress caused by potentially inappropriate care. Ultimately, however, a societal debate on the topic is indispensable.</p>","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":" ","pages":"304-315"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693927","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":"[Move as one! : Claiming sustainable growth for the commonwealth of modern anesthesiology].","authors":"Gunther Pestel","doi":"10.1007/s00101-026-01679-x","DOIUrl":"10.1007/s00101-026-01679-x","url":null,"abstract":"","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":" ","pages":"348-350"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678985","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 on neurological intensive care medicine 2024/2025-Summary of selected studies in intensive care medicineal 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/s00101-026-01653-7","DOIUrl":"10.1007/s00101-026-01653-7","url":null,"abstract":"","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":" ","pages":"268-281"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147291679","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":"[Contrast-induced nephropathy: a real issue or a myth?]","authors":"Silke Fortenbacher, Stefan John","doi":"10.1007/s00101-026-01662-6","DOIUrl":"10.1007/s00101-026-01662-6","url":null,"abstract":"<p><strong>Background: </strong>Contrast-induced nephropathy or contrast-induced acute kidney injury (CI-AKI) has been regarded for decades as a relevant complication of iodinated contrast medium administration, particularly in perioperative and intensive care settings. However, recent epidemiological and clinical data increasingly challenge this presumed causal relationship and suggest that the associated risk is substantially overestimated.</p><p><strong>Objective: </strong>The aim of this article is to critically appraise the current evidence and to reassess the clinical relevance of contrast medium administration within the context of multifactorial acute kidney injury development.</p><p><strong>Materials and methods: </strong>This editorial is based on a narrative and commentary-driven analysis of selected clinical studies, meta-analyses, and current recommendations regarding the use of iodinated contrast media in perioperative and intensive care settings. The published data were evaluated with a particular emphasis on patient-related risk factors and clinically relevant practical aspects.</p><p><strong>Results: </strong>The majority of contemporary studies demonstrate no or only a marginal causal association between the administration of iodinated contrast media and the development of AKI. Instead, the occurrence of AKI closely correlates with patient-related factors such as pre-existing chronic kidney disease, hemodynamic instability, sepsis, and systemic inflammation. Preventive measures beyond individualized volume therapy and hemodynamic optimization have not shown consistent effectiveness. Contrast medium administration frequently appears to be a marker of severe disease rather than a primary trigger for AKI.</p><p><strong>Conclusion: </strong>The long-assumed nephrotoxicity of iodinated contrast media requires reevaluation. From an anesthesiological perspective, the focus should shift away from contrast avoidance towards ensuring adequate organ perfusion and hemodynamic stability. Unwarranted reluctance to perform urgently indicated imaging may lead to diagnostic delays and potentially compromises patient safety. A rational evidence-based approach to contrast medium administration within an interdisciplinary risk-benefit assessment is essential.</p>","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":" ","pages":"225-230"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147328424","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}