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Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie最新文献

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Kardiale Rhythmusstörungen durch Vibrationstherapie? 共鸣疗法心律失常
4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2023-11-01 DOI: 10.1055/a-2162-5356
Jochen Bräunig
{"title":"Kardiale Rhythmusstörungen durch Vibrationstherapie?","authors":"Jochen Bräunig","doi":"10.1055/a-2162-5356","DOIUrl":"https://doi.org/10.1055/a-2162-5356","url":null,"abstract":"Dass Frühmobilisation von Intensivpatienten positive Effekte erzielt, ist mittlerweile wissenschaftlich solide belegt. Doch eine Frage ist nicht eindeutig geklärt: Können mechanisch oder maschinell erzeugte Klopfungen und/oder Vibrationen zur Sekret-mobilisation bei Intensivpatienten mögliche Prädikatoren für eine kardiale Arrhythmie sein? Die aktuellen Fakten hierzu sollen in diesem Beitrag vorgestellt werden.","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"47 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135411282","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 : 2023-11-01 DOI: 10.1055/a-2152-5596
{"title":"Einblick","authors":"","doi":"10.1055/a-2152-5596","DOIUrl":"https://doi.org/10.1055/a-2152-5596","url":null,"abstract":"Der infarktbedingte kardiogene Schock ist die schwerste Form des akuten Herzversagens mit einer Sterblichkeit von 40–50 Prozent nach 30 Tagen. Eine frühe Revaskularisation der Infarktläsion gilt als einzige evidenzbasierte Maßnahme zur Senkung der Sterblichkeit. Der zusätzliche Einsatz aktiver mechanischer Kreislaufunterstützung, etwa durch eine veno-arterielle Herz-Lungen-Maschine (va-ECMO), nimmt weltweit rapide zu. Bisher hoffte man, dass diese Systeme das Überleben verbessern – bei gleichzeitiger unzureichender Evidenz für deren Einsatz. Jetzt hat Prof. Holger Thiele, Präsident der Deutschen Gesellschaft für Kardiologie – Herz- und Kreislaufforschung e. V. (DGK) eine randomisierte klinische Studie im „New England Journal of Medicine“ (DOI: 10.1056/nejmoa2307227) sowie eine Metaanalyse von randomisierten Studien mit individuellen Patientendaten im „Lancet“ (DOI: 10.1016/S0140-6736(23)01607-0) publiziert. Ergebnis: Das Verfahren der va-ECMO biete zwar den möglichen Vorteil einer kompletten Übernahme der Zirkulation, sei allerdings auch oft mit Komplikationen vergesellschaftet und der gewollte Benefit somit womöglich gar nicht vorhanden.","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"47 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135411284","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
ICF in der Pflege ICF在医疗中心
4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2023-11-01 DOI: 10.1055/a-2152-5729
{"title":"ICF in der Pflege","authors":"","doi":"10.1055/a-2152-5729","DOIUrl":"https://doi.org/10.1055/a-2152-5729","url":null,"abstract":"Malek M, Nickel I, Seidel A. ICF in der Pflege – Praxishandbuch zur internationalen Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit für Pflegefachpersonen. Bern: Hogrefe; 2023. ISBN 978-3-4568-6256-9, 128 S., 34,95 €","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"45 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135411296","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
Rundumblick Rundumblick
4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2023-11-01 DOI: 10.1055/a-2152-5626
{"title":"Rundumblick","authors":"","doi":"10.1055/a-2152-5626","DOIUrl":"https://doi.org/10.1055/a-2152-5626","url":null,"abstract":"Zum Beschluss der Pflegekommission, den Pflege-Mindestlohn in der Langzeitpflege deutlich anzuheben, erklärt Christine Vogler, Präsidentin des Deutschen Pflegerats e. V. (DPR):","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135411287","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
Leben oder überleben? 活着还是活下去?
4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2023-11-01 DOI: 10.1055/a-2152-5672
Verena Feldhofer, Alexandra Haas
{"title":"Leben oder überleben?","authors":"Verena Feldhofer, Alexandra Haas","doi":"10.1055/a-2152-5672","DOIUrl":"https://doi.org/10.1055/a-2152-5672","url":null,"abstract":"Ein Aufenthalt auf einer Intensivstation ist für viele Patienten ein einschneidendes, traumatisches Erlebnis. Oft bleiben noch lange nach der Entlassung vielfältige Beeinträchtigungen zurück – auch bei den Angehörigen. Der folgende Beitrag zeichnet ein umfassendes Bild dieses Post-Intensive-Care-Syndroms und seiner Risikofaktoren, schildert aber auch, welche Möglichkeiten zur Prävention es gibt und wie eine Nachsorge gelingen kann. – Die Autorinnen haben mit ihrem Beitrag den 5. Platz beim 25. intensiv-Pflegepreis 2021 belegt.","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"45 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135411297","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
Leserbrief 篇
4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2023-10-01 DOI: 10.1055/a-2107-5881
Rainer J. Litz, Peter Schwarzkopf, Georg Feigl
{"title":"Leserbrief","authors":"Rainer J. Litz, Peter Schwarzkopf, Georg Feigl","doi":"10.1055/a-2107-5881","DOIUrl":"https://doi.org/10.1055/a-2107-5881","url":null,"abstract":"Leserbrief zu den Beiträgen Gaik C, Wiesmann T. Anästhesie und perioperatives Management der Karotis-Endarteriektomie (CEA) – Teil 1: Anästhesieverfahren. Anästhesiol Intensivmed Notfallmed Schmerzther 2022; 57: 53 – 66, Anästhesie und perioperatives Management der Karotis-Endarteriektomie (CEA) – Teil 2: Neuromonitoring und perioperative Komplikationen. Anästhesiol Intensivmed Notfallmed Schmerzther 2022; 57: 127 – 137","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"36 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":"135707525","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
[Postpartum Hemorrhage]. [产后出血]。
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-2043-4451
Christina Massoth, Philipp Helmer, Ulrich Pecks, Dietmar Schlembach, Patrick Meybohm, Peter Kranke
{"title":"[Postpartum Hemorrhage].","authors":"Christina Massoth,&nbsp;Philipp Helmer,&nbsp;Ulrich Pecks,&nbsp;Dietmar Schlembach,&nbsp;Patrick Meybohm,&nbsp;Peter Kranke","doi":"10.1055/a-2043-4451","DOIUrl":"10.1055/a-2043-4451","url":null,"abstract":"<p><p>Postpartum hemorrhage (PPH) affects about 4% of all deliveries in high-income countries and continues to rise, a trend attributable to the increase in caesarean section rates and maternal morbidity. Preventive measures such as the precautionary administration of uterotonics effectively reduce the risk of severe bleeding irrespective of birth mode. As a time-critical condition and a significant contributor to adverse maternal outcomes, PPH needs to be diagnosed early by measuring, not estimating, blood losses. Institutional treatment algorithms should be available to guide stage-based interdisciplinary management without delay. The main therapy goals are to identify the etiology and stop the bleeding by using uterotonics and mechanical and surgical interventions, to restore hemodynamic stability by volume and transfusion therapy and to optimize hemostasis by laboratory- and viscoelastic assay-guided factor replacement. This review highlights current recommendations for prevention, diagnosis and treatment of PPH.</p>","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"58 10","pages":"583-597"},"PeriodicalIF":0.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41188731","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
[Pregnant in the Intensive Care Unit]. [在重症监护室怀孕]。
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-2043-4435
Magdalena Sitter, Ulrich Pecks, Christoph Härtel, Patrick Meybohm, Michael K Bohlmann
{"title":"[Pregnant in the Intensive Care Unit].","authors":"Magdalena Sitter,&nbsp;Ulrich Pecks,&nbsp;Christoph Härtel,&nbsp;Patrick Meybohm,&nbsp;Michael K Bohlmann","doi":"10.1055/a-2043-4435","DOIUrl":"10.1055/a-2043-4435","url":null,"abstract":"<p><p>Although admission to an intensive care unit during pregnancy is rare, pregnant women may become critically ill due to either obstetric or non-obstetric illness. Whilst critical illness due to obstetric reasons during the peripartum period (e.g. peripartum haemorrhage, HELLP-syndrome) is more common, it is also important to know how to care for critically ill pregnant women with non-obstetric illness (e.g. infection, cardiovascular diseases, neurological diseases, trauma). Physiological changes during pregnancy may affect critical care treatment, variation in standard and target values for blood pressure management or artificial ventilation. Pregnancy specific reference values in interpretation of blood chemistry are important issues to consider. The use of different drugs is inevitable in critical care, knowing which drugs are safe to use during the different stages of pregnancy is essential. Caring for mother and unborn child in the ICU is a challenge, open communication, ethical considerations and interdisciplinary as well as multiprofessional collaborations should be key points when caring for critically ill pregnant patients.</p>","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"58 10","pages":"598-611"},"PeriodicalIF":0.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41188732","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
[Obstetric Anesthesia]. 【产科麻醉】。
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-2043-4329
Vanessa Neef, Manuel Wenk, Peter Kranke
{"title":"[Obstetric Anesthesia].","authors":"Vanessa Neef,&nbsp;Manuel Wenk,&nbsp;Peter Kranke","doi":"10.1055/a-2043-4329","DOIUrl":"10.1055/a-2043-4329","url":null,"abstract":"<p><p>Patient safety and reduction of possible complications are the top priorities for anesthesiologists in everyday clinical practice. Thus, interdisciplinary early assessment and optimization of patient specific medical conditions and risk factors are crucial. In obstetrics, regional anesthesia and general anesthesia are routinely being performed. To ensure maternal and fetal safety, knowledge regarding physiological changes during pregnancy is highly important. Regional anesthesia, particularly epidural analgesia, has its main field of application in the context of natural birth in the delivery room. Spinal anesthesia, as well as epidural and combined spinal-epidural anesthesia (CSE) are widely used for caesarean section. In this context, special attention should be paid to possible bleeding disorders. The combination of risk stratification and strategies to improve the patient's preoperative medical status is capable to reduce maternal and fetal complications.</p>","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"58 10","pages":"570-582"},"PeriodicalIF":0.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41188730","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: 2
Tubuslagekontrolle – klinische Tests keine Alternative zur Kapnografie! 教会医师测试绝对是无法替代教会的欺骗
4区 医学
Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2023-10-01 DOI: 10.1055/a-2165-1759
{"title":"Tubuslagekontrolle – klinische Tests keine Alternative zur Kapnografie!","authors":"","doi":"10.1055/a-2165-1759","DOIUrl":"https://doi.org/10.1055/a-2165-1759","url":null,"abstract":"Die Atemwegssicherung ist die ureigene Aufgabe des Fachgebietes Anästhesiologie. Aber mit der Platzierung des Tubus ist es nicht getan. Von erfolgreicher Atemwegssicherung kann erst gesprochen werden, wenn die korrekte Lage des Beatmungsschlauches sichergestellt ist – d. h. die Lage in der Trachea und nicht im Ösophagus. Zu den sicheren Intubationszeichen zählt die Kapnografie oder die Visualisierung des Tubus in der Trachea durch Bronchoskopie oder Laryngoskopie.","PeriodicalId":7789,"journal":{"name":"Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie","volume":"189 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":"135707569","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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