Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie最新文献

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Muskelrelaxanzien - ein Update. 肌肉松弛剂--最新进展。
IF 0.3 4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-08-01 Epub Date: 2024-08-28 DOI: 10.1055/a-2356-4372
Wolfgang Koppert
{"title":"Muskelrelaxanzien - ein Update.","authors":"Wolfgang Koppert","doi":"10.1055/a-2356-4372","DOIUrl":"https://doi.org/10.1055/a-2356-4372","url":null,"abstract":"","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"59 9","pages":"492-493"},"PeriodicalIF":0.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142091423","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
[A Local Gender Equality Plan - A Modern Human Resources Development Tool]. [地方性别平等计划--现代人力资源开发工具]。
IF 0.3 4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-08-01 Epub Date: 2024-08-28 DOI: 10.1055/a-2258-7123
Marieke Jüttner, Johanna Steinberg, Sebastian Pantke, Oliver Keil, Christiane Beck, Kerstin Cotugno, Wolfgang Koppert
{"title":"[A Local Gender Equality Plan - A Modern Human Resources Development Tool].","authors":"Marieke Jüttner, Johanna Steinberg, Sebastian Pantke, Oliver Keil, Christiane Beck, Kerstin Cotugno, Wolfgang Koppert","doi":"10.1055/a-2258-7123","DOIUrl":"https://doi.org/10.1055/a-2258-7123","url":null,"abstract":"<p><p>The implementation of equal opportunities is a challenge for the staff of an anaesthesia department. At the Department of Anaesthesiology and Intensive Care Medicine at Hannover Medical School, a local Gender Equality plan has been implemented to create a secure and transparent framework for reconciling scientific and clinical careers with family responsibilities. Today, family and career should be equally compatible for men and women. Unfortunately, in medical professions it is often still an either/or decision. At the same time, it is important to offer an attractive workplace in view of the increasing shortage of qualified staff. In order to provide equal opportunities for all employees and to increase satisfaction, it is necessary for employers to address the issues of equality and work-life balance, to identify challenges and to create structures for improvement.</p>","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"59 9","pages":"538-547"},"PeriodicalIF":0.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142091400","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
[Neuromuscular Blockade in Paediatric Patients]. [儿科患者的神经肌肉阻滞]。
IF 0.3 4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-08-01 Epub Date: 2024-08-28 DOI: 10.1055/a-2348-2556
Oliver Keil, Vanessa Rigterink
{"title":"[Neuromuscular Blockade in Paediatric Patients].","authors":"Oliver Keil, Vanessa Rigterink","doi":"10.1055/a-2348-2556","DOIUrl":"https://doi.org/10.1055/a-2348-2556","url":null,"abstract":"<p><p>The administration of muscle relaxants has been used in anesthesia for decades and continues to play an important role in modern anaesthesia. Special patient populations, such as infants or very young patients require adapted use. The article discusses the specifics of muscle relaxant administration in these patient groups.</p>","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"59 9","pages":"518-527"},"PeriodicalIF":0.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142091402","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
[Update: Neuromuscular Blockade during General Anesthesia]. [更新:全身麻醉期间的神经肌肉阻滞]。
IF 0.3 4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-08-01 Epub Date: 2024-08-28 DOI: 10.1055/a-2195-8785
Lion Sieg, Sebastian Heiderich
{"title":"[Update: Neuromuscular Blockade during General Anesthesia].","authors":"Lion Sieg, Sebastian Heiderich","doi":"10.1055/a-2195-8785","DOIUrl":"https://doi.org/10.1055/a-2195-8785","url":null,"abstract":"<p><p>The correct use of muscle relaxants and neuromuscular monitoring during anesthesia has been subject of controversial discussions for decades. Particularly important in clinical practice are identification and management of residual neuromuscular blockages and avoidance of associated complications. Despite the differences in the molecular mechanisms of action between depolarizing and non-depolarizing muscle relaxants the blockade of the postsynaptic nicotinic acetylcholine receptor remains a common ending pathway. Due to its unfavorable side effect profile, succinylcholine should only be used in justified exceptional cases. The use of muscle relaxants generally reduces the complication rate in airway management. However, even the single use of muscle relaxants increases the likelihood of postoperative pulmonary complications. These complications associated with the use of muscle relaxants, such as residual neuromuscular blockade, must be anticipated. The application of guideline-based approaches, including continuous neuromuscular monitoring and the application of muscle relaxant reversal agents, may significantly reduce the rate of adverse events associated with the use of muscle relaxants.</p>","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"59 9","pages":"494-504"},"PeriodicalIF":0.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142091422","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
[Neuromuscular Blockade in the Critically Ill]. [危重病人的神经肌肉阻滞]。
IF 0.3 4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-08-01 Epub Date: 2024-08-28 DOI: 10.1055/a-2195-8851
Carolin Jung, Thomas Stüber
{"title":"[Neuromuscular Blockade in the Critically Ill].","authors":"Carolin Jung, Thomas Stüber","doi":"10.1055/a-2195-8851","DOIUrl":"https://doi.org/10.1055/a-2195-8851","url":null,"abstract":"<p><p>The management of sedation in intensive care medicine has changed substantially in the last few years. Neuromuscular blocking agents (NMBA) are only rarely indicated in modern intensive care medicine. In this review, the mechanism of action, potential side effects, and special considerations for the application of NMBA to critically ill patients will be discussed. We further present the rationale for the use of NMBA for the remaining indications, such as endotracheal intubation, selected cases of severe acute respiratory distress syndrome, and shivering during temperature control after cardiac arrest. The review will close with a description of potential side effects of NMBA use in the intensive care setting, such as awareness, acquired skeletal muscle weakness as well as corneal injuries, and how monitoring of sedation and peripheral muscle blockade may be handled.</p>","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"59 9","pages":"506-516"},"PeriodicalIF":0.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142091421","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
[Emergency Treatment of Traumatic Brain Injury]. [创伤性脑损伤的紧急治疗]。
IF 0.3 4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-07-01 Epub Date: 2024-07-29 DOI: 10.1055/a-2075-9193
Tobias Hofmann
{"title":"[Emergency Treatment of Traumatic Brain Injury].","authors":"Tobias Hofmann","doi":"10.1055/a-2075-9193","DOIUrl":"https://doi.org/10.1055/a-2075-9193","url":null,"abstract":"<p><p>Traumatic brain injury (TBI) is a temporary or permanent damage to the cerebral functions caused by external force on the skull. TBI is one of the most common causes of death worldwide and has significant socioeconomic and health consequences. This article examines classification, clinical pictures and adequate emergency treatment with diagnostics, surgical therapy and prognosis.</p>","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"59 7-08","pages":"412-419"},"PeriodicalIF":0.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141791709","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
Quiz intensiv – stellen Sie die Diagnose! 强化测验--做出诊断!
IF 0.3 4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-07-01 Epub Date: 2024-07-29 DOI: 10.1055/a-2239-5748
Nicolas Hall, Evangelos Karasimos
{"title":"Quiz intensiv – stellen Sie die Diagnose!","authors":"Nicolas Hall, Evangelos Karasimos","doi":"10.1055/a-2239-5748","DOIUrl":"10.1055/a-2239-5748","url":null,"abstract":"","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"59 7-08","pages":"480-483"},"PeriodicalIF":0.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141791712","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
Aktuelles Management bei Schädel-Hirn-Trauma. 目前对脑外伤的管理。
IF 0.3 4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-07-01 Epub Date: 2024-07-29 DOI: 10.1055/a-2329-6724
Thomas Hachenberg
{"title":"Aktuelles Management bei Schädel-Hirn-Trauma.","authors":"Thomas Hachenberg","doi":"10.1055/a-2329-6724","DOIUrl":"10.1055/a-2329-6724","url":null,"abstract":"","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"59 7-08","pages":"408-411"},"PeriodicalIF":0.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141791711","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
[Anaesthesiological Management of Traumatic Brain Injury]. [创伤性脑损伤的麻醉管理]。
IF 0.3 4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-07-01 Epub Date: 2024-07-29 DOI: 10.1055/a-2075-9299
Raphael-Donatus Hein, Jan Arne Blancke, Stefan J Schaller
{"title":"[Anaesthesiological Management of Traumatic Brain Injury].","authors":"Raphael-Donatus Hein, Jan Arne Blancke, Stefan J Schaller","doi":"10.1055/a-2075-9299","DOIUrl":"https://doi.org/10.1055/a-2075-9299","url":null,"abstract":"<p><p>Traumatic brain injury (TBI) is the main cause of death in people < 45 years in industrial countries. Minimising secondary injury to the injured brain is the primary goal throughout the entire treatment. Anaesthesiologic procedures aim at the reconstitution of cerebral perfusion and homeostasis. Both TBI itself as well as accompanying injuries show effects on cardiac and pulmonary function. Time management plays a crucial role in ensuring a safe anaesthesiologic environment while minimizing unnecessary procedures. Furthermore, growing medical drug pre-treatment demands for further knowledge e.g., in antagonization of anticoagulation.</p>","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"59 7-08","pages":"420-437"},"PeriodicalIF":0.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141791706","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
[Current Aspects of Intensive Medical Care for Traumatic Brain Injury - Part 2 - Secondary Treatment Strategies, Long-term Outcome, Neuroprognostics and Chronification]. [创伤性脑损伤重症医疗护理的现状 - 第二部分 - 辅助治疗策略、长期疗效、神经诊断和慢性化]。
IF 0.3 4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-07-01 Epub Date: 2024-07-29 DOI: 10.1055/a-2332-1423
André Hagedorn, Helge Haberl, Michael Adamzik, Alexander Wolf, Matthias Unterberg
{"title":"[Current Aspects of Intensive Medical Care for Traumatic Brain Injury - Part 2 - Secondary Treatment Strategies, Long-term Outcome, Neuroprognostics and Chronification].","authors":"André Hagedorn, Helge Haberl, Michael Adamzik, Alexander Wolf, Matthias Unterberg","doi":"10.1055/a-2332-1423","DOIUrl":"https://doi.org/10.1055/a-2332-1423","url":null,"abstract":"<p><p>This two-part article deals with the intensive medical care of traumatic brain injury. Part 1 addresses the primary treatment strategy, haemodynamic management and multimodal monitoring, Part 2 secondary treatment strategies, long-term outcome, neuroprognostics and chronification. Traumatic brain injury is a complex clinical entity with a high mortality rate. The primary aim is to maintain homeostasis based on physiological targeted values. In addition, further therapy must be geared towards intracranial pressure. In addition to this, there are other monitoring options that appear sensible from a pathophysiological point of view with appropriate therapy adjustment. However, there is still a lack of data on their effectiveness. A further aspect is the inflammation of the cerebrum with the \"cross-talk\" of the organs, which has a significant influence on further intensive medical care.</p>","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"59 7-08","pages":"466-478"},"PeriodicalIF":0.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141791708","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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