Wiener medizinische Wochenschrift
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Wien Med Wochenschr · Jul 2011
Review Comparative Study[Actual state and perspectives of e-health in Austria and international--an overview].
eHealth will influence the development of the Austrian health and social care significantly. The main part will be the implementation of an electronic health record. There are many hospital and outpatient information systems already implemented and the challenge is to enable a patient-centered communication of all health care providers by defining technical standards and the organizational and legal framework. ⋯ Also, companies offering information systems have to improve the usability of their systems. One very important application is the filtering of relevant information according to a user profile and the optimal presentation in tables and graphs. The stepwise modular implementation and the use of international standards can be considered as a very positive approach to eHealth in Austria.
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Wien Med Wochenschr · Apr 2011
ReviewThe role of milrinone in children with cardiovascular compromise: review of the literature.
Cardiovascular instability is a common complication in children after cardiac surgery and in various forms of shock. ⋯ There are a limited number of RCTs in children that suggest a beneficial effect of milrinone in the optimization of cardiovascular function after cardiac surgery and in septic shock.
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During preoperative patient evaluation, anaesthesiologists assess the patient's bleeding history and risks for thrombosis and initiate individualized coagulation management. New potent anticoagulants may increase blood loss and the risk for spinal haematoma in patients scheduled for neuraxial anaesthesia. Postoperative start of thromboprophylaxis and recommendations on the timing of invasive interventions help in controlling these risks. Before widespread use for cardiological indications open questions need to be answered e.g. oral drug administration in postoperative vomiting and potential interactions with postoperative pain therapy.