Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Feb 2014
Review[Nutrition of the critically ill - Is less more? How much energy for the ICU patient?].
Decreased nutritional intake or preexisting malnutrition is associated with increased morbidity and mortality during hospital stay. However nutritional support in particular for the ICU patient is not trivial. ⋯ Ideally about 25 kcal/kg/d should be targeted over a few days during metabolic monitoring. Alternatively indirect calorimetry should be applied where available.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Feb 2014
Review[Neuromonitoring in children - How deep does my patient sleep?].
The electroencephalogram (EEG) of wakefulness, sleep, and anaesthesia changes during childhood. Especially marked are the changes during the first year of life. In the second half of the first year, in most children EEG stages can be classified visually and automatically during anaesthesia which are similar to those observed in older children. In the first months of life, the EEG of anaesthesia is less differentiated, but it is still useful in patient monitoring during anaesthesia.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Feb 2014
Review[Awake fiberoptic intubation - Gold standard for the anticipated difficult airway].
Awake fiberoptic intubation seems to continually lose importance in recent years. Alternative options of airway management are coming more and more into the focus of clinical anaesthesia and are moreover advertised specifically for the difficult airway. ⋯ Against this background the equipment is described and tips and tricks are given for execution. The main focus are safety aspects and the success factor of a good topical mucosal anaesthesia, which is of greater importance than a concomitant sedation.