Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
-
Today interventional procedures are frequently used for diagnosis and treatment in patients with various pulmonary diseases. Besides bronchoscopy in local- or general anesthesia jet-ventilation is commonly applied via catheter or rigid bronchoscope. Anesthesiologists should have profound knowledge of high-frequency ventilation and possible complications when assisting during interventional procedures.
-
Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2015
[The current situation of palliative medicine in Germany - clinical implications, education and research].
Palliative medicine (or palliative care, referring to its multi-professional character) denotes a comprehensive care concept for patients suffering from incurable and progressive disease, and their relatives. Specialized support structures are necessary, including (inpatient) palliative care units, (inpatient) consultation services, and (outpatient) specialized palliative home care services. Further, research and education is mandatory in order to gain and to spread this particular expertise and attitude. This contribution focuses on the current situation and on the development of palliative care structures in Germany.
-
Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2015
Case Reports[Unexpected drop in hemoglobin valueand acute renal failure after a routine laparoscopic cholecystectomy -an interactive case report].
An unexpected drop in hemoglobin value requiring immediate transfusion and an acute renal failure were noticed after a routine laparoscopic cholecystectomy because of symptomatic cholecystolithiasis in an 81-year-old woman on the second postoperative day. The management of these complications including the important differential diagnosis of anemia in combination with an acute renal failure are discussed in this case report.
-
Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2015
[Mechanically circulatory support devices - Management of typical emergencies].
The use of mechanically circulatory support devices (MCS) will become increasingly important as a therapy option in patients with end-stage heart failure, and emergency physicians will more frequently encounter MCS patients in the next few years. However, emergency management in MCS patients has not yet been standardized. In the following article, common MCS devices are presented and typical emergencies associated with MCS devices are discussed. Furthermore, we try to give recommendations for the management of MCS patients in an emergency situation and present an algorithm in order to facilitate a structured and timely efficient evaluation of the MCS patient.