Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie最新文献_第3页

[Platelet Concentrates - Indication, Informed Consent, Transfusion and Adverse Events]. [血小板浓缩物-适应症，知情同意，输血和不良事件]。

IF 0.3 4区医学

Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2025-01-01 Epub Date: 2025-01-08 DOI: 10.1055/a-2234-1341

Markus M Müller, Maximilian Lehmann, Vanessa Neef, Kai Zacharowski, Torsten Tonn

引用次数: 0

[Thoracoabdominal Trauma Caused by Blast and Gunshot Injuries]. [爆炸和枪伤造成的胸腹部创伤]。

IF 0.3 4区医学

Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-11-01 Epub Date: 2024-11-21 DOI: 10.1055/a-2176-3872

Angelina Klein, Sebastian Schaaf, Christoph Güsgen

{"title":"[Thoracoabdominal Trauma Caused by Blast and Gunshot Injuries].","authors":"Angelina Klein, Sebastian Schaaf, Christoph Güsgen","doi":"10.1055/a-2176-3872","DOIUrl":"10.1055/a-2176-3872","url":null,"abstract":"In Germany, blast and gunshot injuries are uncommon but complex injury entities. Due to the global political situation, terrorist attacks, accidents, or acts of violence, these injuries are potentially part of the reality of care for every anaesthetist, surgeon, and emergency physician. In principle, this type of injury should be treated in a trauma centre with appropriate expertise, but the knowledge of basic treatment principles is necessary for all practitioners. First, emergency training and surgical simulation courses should be carried out regularly to remain confident in emergency surgery techniques and treatment strategies. In addition, minimally invasive methods are predominantly used in elective surgery, meaning that the routine of primarily open surgery is missing. Therefore, it is important that surgeons learn surgical steps to be better prepared for emergency open surgery.The critical principle of damage control surgery is stopping the bleeding and the contamination and preventing a delay in intensive care therapy. For penetrating thoracic trauma, a chest tube must be inserted. If the patient is hemodynamically unstable, an anterolateral thoracotomy should be performed to achieve bleeding control, e.g., by cross-clamping the aorta or pulmonary hilum. For stable patients, a video-assisted thoracoscopy might be an option.The standard abdominal approach is the median laparotomy. Bleeding control can be achieved by hiatal aortic cross-clamping and packing of the abdomen, followed by a systematic exploration. If necessary, a laparostomy must be established. Moreover, if chest injuries are ruled out, the resuscitative endovascular balloon occlusion of the aorta (REBOA) can be considered as a bridge to surgery.Whether projectiles, fragments, or shrapnels require removal depends on the location and the potential complications of tissue dissection. Penetrating injuries due to blasts and gunshots are always contaminated.","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"59 11-12","pages":"650-663"},"PeriodicalIF":0.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142685816","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

Schusswaffen- und Explosionsverletzungen. 枪伤和爆炸伤。

IF 0.3 4区医学

Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-11-01 Epub Date: 2024-11-21 DOI: 10.1055/a-2387-2781

Hinnerk Wulf

引用次数: 0

[The Penny's Dropped - "Aha" Moments in Emergency Medicine Diagnostics]. [一分钱没了--急诊医学诊断中的 "啊哈 "时刻】。］

IF 0.3 4区医学

Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-11-01 Epub Date: 2024-11-21 DOI: 10.1055/a-2363-8039

Christian Engelen, Rebecca Junker, Klaus Fessele, Rüdiger Lange

引用次数: 0

[Gunshot and Blast Injuries from a Trauma Surgery Perspective]. [从创伤外科角度看枪伤和爆炸伤]。

IF 0.3 4区医学

Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-11-01 Epub Date: 2024-11-21 DOI: 10.1055/a-2176-3888

Catharina C Gäth, Dan Bieler, Sebastian Hentsch, Erwin Kollig, Florian Pavlu

{"title":"[Gunshot and Blast Injuries from a Trauma Surgery Perspective].","authors":"Catharina C Gäth, Dan Bieler, Sebastian Hentsch, Erwin Kollig, Florian Pavlu","doi":"10.1055/a-2176-3888","DOIUrl":"https://doi.org/10.1055/a-2176-3888","url":null,"abstract":"The severity and extent of gunshot and blast injuries are often misjudged due to a lack of specialist knowledge. The aim of this article is to outline the characteristics of gunshot and blast injuries, including emergency diagnostics and initial surgical treatment.Due to multiple high-energy penetrating injuries, barotrauma, or blunt trauma, affected patients are usually polytraumatized, with multiple organ damage and an average Injury Severity Score (ISS) of > 36. In addition to the complexity of the wounds, they are characteristically severely contaminated. After pre-hospital treatment, life-threatening injuries and conditions should be identified and initially treated in the trauma room phase. The procedure should be based on a standardized, internal hospital emergency medical and emergency surgical algorithm. Damage control surgery can then be used to treat acutely life-threatening complications of gunshot and blast injuries in order to prevent the fatal triad and the occurrence of further early complications. Examples of interventions include debridement and decontamination, fracture stabilization (external fixators and splints), surgical decompression (skull, thorax, compartment syndromes) and surgical hemostasis.","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"59 11-12","pages":"664-680"},"PeriodicalIF":0.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142685809","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

[Preclinical Treatment of Gunshot and Blast Injuries in Germany]. [德国枪伤和爆炸伤的临床前治疗]。

IF 0.3 4区医学

Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-11-01 Epub Date: 2024-11-21 DOI: 10.1055/a-2412-3200

Jan-Henrik Rathjen, Martin Kulla, Axel Franke, Erwin Kollig, Dan Bieler

引用次数: 0

[Reconciling Sustainability and Hygiene in the Healthcare Sector]. [兼顾医疗保健领域的可持续性和卫生]。

IF 0.3 4区医学

Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-11-01 Epub Date: 2024-11-21 DOI: 10.1055/a-2413-7408

Sebastian Schulz-Stübner, Mirjam Wolinski

{"title":"[Reconciling Sustainability and Hygiene in the Healthcare Sector].","authors":"Sebastian Schulz-Stübner, Mirjam Wolinski","doi":"10.1055/a-2413-7408","DOIUrl":"10.1055/a-2413-7408","url":null,"abstract":"In the course of climate change, doctors will not only be confronted with heat-related consequences, but also with the emergence of infectious diseases caused by previously tropical pathogens in temperate climate zones.Fortunately, the topics of sustainability and climate change are also becoming increasingly important in discussions in the healthcare sector, which accounts for 4.4% of global greenhouse gas emissions. The topic of hygienically safe sustainability in healthcare facilities is highly complex due to the large number of possible adjustments, but also offers a great deal of potential.Numerous measures can be implemented without any restrictions in terms of hygiene requirements or occupational safety.It is not always the large investments that make their contribution to reducing CO2-emissions - many smaller measures can also be implemented without high costs, but with great sustainability potential. Similar to hand hygiene compliance, behavior modification by each individual plays a decisive role in the implementation of such projects. There is great practical savings potential, for example, in the indication-based use of disposable medical gloves, the hygienically safe handling of medication or the decision between reusable and disposable medical products, just to name a few items discussed in the article.","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"59 11-12","pages":"682-700"},"PeriodicalIF":0.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142685813","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

[Panta rhei - Everything Flows]. [Panta rhei - 万物流动]。

IF 0.3 4区医学

Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-10-01 Epub Date: 2024-10-11 DOI: 10.1055/a-2374-1418

Patrick Meybohm

引用次数: 0

[Compulsory Training in Post-pandemic Times - Presence, Digital, Hybrid & Co. Using the Example of the University Hospital of Würzburg]. [后流行病时代的义务培训--存在、数字、混合与其他。以维尔茨堡大学医院为例]。

IF 0.3 4区医学

Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-10-01 Epub Date: 2024-10-11 DOI: 10.1055/a-2219-0024

Nils-Gerhard Eggers

{"title":"[Compulsory Training in Post-pandemic Times - Presence, Digital, Hybrid & Co. Using the Example of the University Hospital of Würzburg].","authors":"Nils-Gerhard Eggers","doi":"10.1055/a-2219-0024","DOIUrl":"https://doi.org/10.1055/a-2219-0024","url":null,"abstract":"With the end of the pandemic in April 2023 the whole learning environment had run through some major changes. The act of normal teaching was not that easy anymore during the pandemic. The size of a class had to be cut down to a size that fits the hygienic guidelines. Therefore, methods like blended learning and virtual classrooms came to life stronger than before. The methods were not new but never before needed in such a strong matter. Due to the experience with these methods of education, teaching and learning stayed different. Topics like virtual reality and even augmented reality stayed and are to some point part of the educational system nowadays. Due to the pandemic, it may seem that these new kinds of methods are worse compared to the ones we are used to but several studies can prove the opposite.The University Hospital Würzburg (UKW) has adapted to these kinds of changes. Every specialist training was formed to fit the necessary changes during the pandemic. It was not easy to keep up good practical education with the correct distance measurement, open windows for fresh air every 45 minutes or an FFP2 mask for protection. The rest of the close to 190 trainings held in the rooms of the academy of the UKW had to be cancelled or cut down to a group size allowed. Most of the known digital teaching and learning system that were installed at that time remained and are in use.","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"59 10","pages":"569-574"},"PeriodicalIF":0.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142405923","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

[Talking to Unconscious? - Therapeutic Communication During General Anaesthesia, Resuscitation and Therapy of Coma]. [与无意识者对话？- 全身麻醉、复苏和昏迷治疗期间的治疗性交流]。

IF 0.3 4区医学

Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-10-01 Epub Date: 2024-10-11 DOI: 10.1055/a-2046-4466

Nina Zech, Ernil Hansen

引用次数: 0