Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Despite of some discussion, there is general acceptance of the brain death criterion. As for Germany, there is a quasi legal regulation (TPG §16): two physicians with a longstanding experience in the management of patients with severe brain lesions are personally responsive for the diagnostic procedure lege artis. ⋯ Nevertheless, discussions on brain death should not be instrumentalized by circumstances of organ explantation. Brain death should be part of a good educational background, to anticipate reflections free from the emotional binding of an acute incident.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Mar 2012
Case Reports[Transthoracic echocardiography in anesthesia - case studies].
Transthoracic echocardiography (TTE) is a well established tool in cardiology and cardiosurgery. The rapid availability of TTE, combined with high quality and quantity of diagnostic messages, provides the user an interesting option in the area of anesthesia and intensive care medicine. The presenting case reports describe the importance and possibilities of transthoracic echocardiography for anaesthetists in the non-cardiosurgical area.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Mar 2012
[Anaesthesia in patients after transplantation].
More than 17000 patients currently live in Germany who have had organ transplants. The implications of this for the anaesthetists are that they are very likely to be confronted by such a patient at some point during their active career. Besides the preoperative assessment which includes that of the function of the transplanted organ, appropriate immunosuppression poses a particular challenge. ⋯ Strictly aseptic measures are mandatory as well as detailed evaluation of the risk-benefit balance of all invasive procedures. There are no significant differences between the anaesthetic approaches and agents in transplant and non-transplant patients. However, in the latter group, homeostasis of all organ systems should be more focused on.