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Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie最新文献

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Tranexamsäure verbessert langfristiges Überleben nach schwerem Trauma nicht 特氟酸在遭受严重伤害后不会改善长期生存
4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2023-10-01 DOI: 10.1055/a-2165-2706
{"title":"Tranexamsäure verbessert langfristiges Überleben nach schwerem Trauma nicht","authors":"","doi":"10.1055/a-2165-2706","DOIUrl":"https://doi.org/10.1055/a-2165-2706","url":null,"abstract":"Blutungen, die durch traumabedingte Koagulopathie infolge von Gewebeverletzungen hervorgerufen werden, sind die häufigste Todesursache bei jungen Menschen. Tranexamsäure, ein Antifibrinolytikum, könnte eine wirksame Behandlung darstellen. Die PATCH-Trauma- und die ANZICS-Forschungsgruppe untersuchten Wirksamkeit und Sicherheit der Therapie mittels Tranexamsäure bei Patienten mit schwerem Trauma mit Risiko einer traumabedingten Koagulopathie.","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135707721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Schmerzsensitivität unterliegt zirkadianer Rhythmik, Schlaf beeinflusst weniger 律动越来越快
4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2023-10-01 DOI: 10.1055/a-2165-3139
{"title":"Schmerzsensitivität unterliegt zirkadianer Rhythmik, Schlaf beeinflusst weniger","authors":"","doi":"10.1055/a-2165-3139","DOIUrl":"https://doi.org/10.1055/a-2165-3139","url":null,"abstract":"Die Wahrnehmung der Intensität von Schmerzen ist nach klinischen Beobachtungen je nach Tageszeit unterschiedlich, die Studienlage ist aber uneinheitlich und die Mechanismen dieser Fluktuation sind unklar. Die vorliegende Studie untersucht, ob die Temperatur-Schmerz-Wahrnehmung einer 24-Stunden-Rhythmik nachkommt und ob die Schmerzsensitivität durch Schlafentzug verändert wird.","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135707846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Correction: EPA, SPA and PPH...] [更正：EPA、SPA和PPH…]
IF 0.4 4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2023-10-01 Epub Date: 2023-10-31 DOI: 10.1055/a-2198-6844
Vanessa Neef, Patrick Meybohm
{"title":"[Correction: EPA, SPA and PPH...]","authors":"Vanessa Neef, Patrick Meybohm","doi":"10.1055/a-2198-6844","DOIUrl":"https://doi.org/10.1055/a-2198-6844","url":null,"abstract":"","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"58 10","pages":"e1"},"PeriodicalIF":0.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71419912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Frühe ECMO bessert bei außerklinischem Herzstillstand nicht die Ergebnisse 早睡效果不会更好
4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2023-10-01 DOI: 10.1055/a-2165-3091
{"title":"Frühe ECMO bessert bei außerklinischem Herzstillstand nicht die Ergebnisse","authors":"","doi":"10.1055/a-2165-3091","DOIUrl":"https://doi.org/10.1055/a-2165-3091","url":null,"abstract":"Ventrikuläre Arrhythmien zählen zu den Hauptursachen eines sich außerhalb von Krankenhäusern abspielenden Herz-Kreislauf-Stillstands. Zwar bieten die sofortige Herz-Lungen-Reanimation (CPR) mit ausreichend kräftigen(!) und ausreichend häufigen(!) kardialen Kompressionen und eine baldmöglichste Defibrillation die besten Überlebenschancen, aber die sind immer noch sehr gering, vor allem, wenn man zusätzlich die neurologische Funktion berücksichtigt.","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135707850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
EPA, SPA and PPH... EPA、SPA和PPH。。。
IF 0.4 4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2023-10-01 Epub Date: 2023-10-13 DOI: 10.1055/a-2145-9148
Vanessa Neef, Patrick Meybohm
{"title":"EPA, SPA and PPH...","authors":"Vanessa Neef, Patrick Meybohm","doi":"10.1055/a-2145-9148","DOIUrl":"10.1055/a-2145-9148","url":null,"abstract":"PDA, SPA und PPH, EKG, ITS und SSW, BGA, EKs und BEL…","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"58 10","pages":"568-569"},"PeriodicalIF":0.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41188733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Einblick 了解
4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2023-09-01 DOI: 10.1055/a-2120-3175
{"title":"Einblick","authors":"","doi":"10.1055/a-2120-3175","DOIUrl":"https://doi.org/10.1055/a-2120-3175","url":null,"abstract":"Am 4. Juli 2023 erlangte Dr. Peter Nydahl, Pflegewissenschaftler am Universitätsklinikum Schleswig-Holstein (UKSH), seine Habilitation an der Paracelsus Medizinischen Privatuniversität (PMU). Mit mehr als drei Jahrzehnten Erfahrung in der Intensivpflege am UKSH hat sich Dr. Nydahl einen Namen in der Pflegewissenschaft und -entwicklung gemacht. Seine Karriere wurde durch das engagierte Pflegemanagement am UKSH aktiv gefördert.","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135249229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rechtsticker Rechtsticker
4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2023-09-01 DOI: 10.1055/a-2120-3852
Tobias Weimer
{"title":"Rechtsticker","authors":"Tobias Weimer","doi":"10.1055/a-2120-3852","DOIUrl":"https://doi.org/10.1055/a-2120-3852","url":null,"abstract":"Das OLG Frankfurt gab der Berufung der Ärzte sowie der Pflegefachperson statt und wies die Klage des Klägers ab. Er befand sich im Alter von 14 Monaten unter anderem wegen einer obstruktiven Bronchitis und drohenden respiratorischen Insuffizienz stationär in der Klinik. Als die Kinderkrankenschwester ein Antibiotikum verabreichen wollte, begann der Kläger zu schreien und wurde bewusstlos. Ursache dafür war, dass ein Apfelstück in die Luftröhre des Kindes gelangt war und diese verschloss. Der Kläger hat wegen dieser Geschehnisse einen hypoxischen Hirnschaden erlitten und wird lebenslang ein Pflegefall bleiben.","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135249240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effekte durch Simulationstrainings auf Intensivpflegende 通过模拟训练对重症病人的治疗
4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2023-09-01 DOI: 10.1055/a-2120-3264
Eilaw Danz, Patrick Dormann
{"title":"Effekte durch Simulationstrainings auf Intensivpflegende","authors":"Eilaw Danz, Patrick Dormann","doi":"10.1055/a-2120-3264","DOIUrl":"https://doi.org/10.1055/a-2120-3264","url":null,"abstract":"Der Outcome von Patienten, besonders in kritischen Situationen, ist nicht nur vom fachlichen Wissen, sondern auch von der Handlungskompetenz und Zusammenarbeit der Behandelnden abhängig. Doch wie lassen sich solche fachpraktischen Kompetenzen erwerben? Bietet Simulationstraining hier eine Antwort? Welche Auswirkungen hat Simulationstraining speziell auf Intensivpflegende? Diese Fragen werden im folgenden Artikel tiefgreifend thematisiert.","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135254548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Pharmacological Management of Postoperative Delirium]. [术后谵妄的药理学管理]。
IF 0.4 4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2023-09-01 Epub Date: 2023-09-19 DOI: 10.1055/a-2065-3780
Lisa Vasiljewa, Anika Müller, Claudia Spies
{"title":"[Pharmacological Management of Postoperative Delirium].","authors":"Lisa Vasiljewa,&nbsp;Anika Müller,&nbsp;Claudia Spies","doi":"10.1055/a-2065-3780","DOIUrl":"https://doi.org/10.1055/a-2065-3780","url":null,"abstract":"<p><p>Postoperative delirium (POD) is a complex disorder with significant implications for health and well-being. Over the last few years, there has been a significant increase in awareness of the pathophysiological processes, the different clinical forms and the prevention of POD. It is known that POD develops when anaesthetic- and surgery-related precipitating factors coincide with the patient's predisposing vulnerability. Consequently, assessing the preoperative physical, cognitive, psychological, social and resilience capabilities of patients scheduled for surgery is critical to assessing overall risk and determining optimal preoperative, intraoperative and postoperative management, particularly as pharmacological treatment options remain limited. For treatment, non-pharmacological measures remain in the foreground, pharmacological therapy is only used for severe symptoms, and should be symptom-oriented and low-dosed. There is no drug that is suitable for delirium treatment alone.</p>","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"58 9","pages":"513-524"},"PeriodicalIF":0.4,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41095507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
[Diagnostic Stewardship - The right test for the right patient with the right consequences]. [诊断管理-为正确的患者进行正确的测试，并产生正确的后果]。
IF 0.4 4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2023-09-01 Epub Date: 2023-09-19 DOI: 10.1055/a-2154-1215
Sebastian Schulz-Stübner
{"title":"[Diagnostic Stewardship - The right test for the right patient with the right consequences].","authors":"Sebastian Schulz-Stübner","doi":"10.1055/a-2154-1215","DOIUrl":"https://doi.org/10.1055/a-2154-1215","url":null,"abstract":"<p><p>In 2023, the Society for Healthcare Epidemiology of America (SHEA) Task Force issued a practice recommendation on the integration of diagnostic stewardship into antibiotic stewardship (ABS) programs, which focuses on optimizing sample collection, processing, and reporting to ensure a correct test result on the one hand, and on the justifying indication to perform diagnostics on the other.Unnecessary microbiological or serological tests produce results that can then lead to unnecessary further tests for clarification or unnecessary antibiotic administration. A classic example is \"routine\" urine cultures before non-urological, surgical interventions, which often lead to the treatment of asymptomatic bacteriuria. Every microbiological diagnosis must therefore be preceded by a specific question, whereby screening examinations from epidemiological questions must be clearly distinguished from clinical requirements. A particular problem is the distinction between contamination, colonization and infection, especially when samples are taken from catheters or drains. These materials should always be evaluated with extreme caution and may only be accepted at all if the clinical question is clear and subject to this very reservation. This article summarizes the existing evidence on diagnostic stewardship interventions and recommendations on their implementation, extrapolating the international literature to the specifications of the German health care system.</p>","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"58 9","pages":"540-550"},"PeriodicalIF":0.4,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41098183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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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