Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2013
[Helsinki Declaration on Patient Safety in Anaesthesiology -Part 9: Recommendations for clinical airway management organisation].
In the Helsinki Declaration terms and conditions are demanded to control problems in airway management in perioperative care situations. A differentiated airway management can reduce morbidity and mortality. ⋯ In this regard paediatric care requires special consideration. Furthermore the fibreoptic as the gold standard for the difficult airway as well as surgical airway management are essential and must be available at all times, whereas videolaryngoscopy takes on increasing evidence as an additional technique.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2013
[Weaning from mechanical ventilation: the pneumologist's perspective].
Weaning from mechanical ventilation plays a key-role in modern intensive care medicine: about 40% of all ventilated patients suffer from difficult/prolonged weaning causing about 50% of the total stay on the intensive care unit (ICU). Severe chronic airway, lung and thoracic disorders, neuromuscular diseases and morbid obesity cause respiratory muscle insufficiency and result in respiratory failure with prolonged weaning. In Germany, pneumologists have a wide ranging expertise with this patient cohort and established weaning centers over the past 25 years. This article illustrates the classification, the most important therapeutical strategies and organizational aspects when caring for patients under (long-term) mechanical ventilation from the pneumologist's perspective.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2013
Historical Article[Ether Day - no laughing matter. The birth of modern anaesthesia].
Since centuries the first public demonstration of the anaesthetic properties of ether by William Thomas Green Morton at the Massachusetts General Hospital in Boston on October 16th 1846 is celebrated as "Ether Day" world-wide. The news of the beneficial effects, primarily disposed as a "Yankee Invention", spread over all continents quickly. ⋯ The important discovery later became a patent case and was overshadowed by a long lasting priority claim. Nevertheless the readers of the New England Journal of Medicine voted in a survey that this article was the most important publication in the 200 years journals history ever.
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As a general rule drinking water in hospitals does not represent a risk for the normal patient. However, for high-risk patients with compromised immune defense systems drinking water in hospitals may become a source of nosocomial infections. ⋯ Of particular significance in such circumstances are the Gram-negative rods such as Pseudomonas aeruginosa, Acinetobacter spp. and Legionella bacteria. Accordingly, specific behavior patterns and measures in the handling of drinking water in hospitals are meaningful in order to reduce the risks of water-associated nosocomial infections.