Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2016
Review[Management of acute pain therapy: guidelines, recommendations and current practice in german hospitals].
Organisational requirements and the education and training of stuff provide the basis for an adequate supply of quality in acute pain and should be the focus of efforts. Although organizational recommendations of the German guideline on "treatment of acute perioperative and post-traumatic pain" have been increasingly established in practice within the last few years, in many German hospitals there is still lagging far behind in the implementation of general supply conditions, such as regular pain measurement or the introduction of appropriate standardized treatment protocols for all areas of the hospital. As specialized care structures acute pain services have been implemented in 80% of the German hospitals, but only 45% of them meet quality criteria. Due to the heterogeneous realization of acute pain management in different hospitals, it comes apparent, that general guideline recommendations and binding definitions are required to achieve adequate supply conditions.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2016
Review[Multimodal pain therapy in Germany: structure and quality].
Multimodal Pain Management is a comprehensive treatment of complex chronic pain syndromes. In addition to medical therapy various other specialized therapeutical interventions based on the biopsychosocial model of pain origin and chronic pain development are added. Medical indications are given for patients with chronic pain syndromes, but also if there is an elevated risk of chronic pain in the early stadium of the disease and aiming at delaying the process of chronification. ⋯ As there is still a lack of clarity and of consistency about the implementation of multimodal pain management the ad-hoc-Kommission on multimodal interdisciplinary pain management of the German Pain Society has proposed a position paper that has been worked out in a multilevel and interdisciplinary consensus process. Moreover a basic tool for documentation and quality management of pain therapy was developed by the German Pain Society (KEDOQ-Schmerz) as the data basis for nationwide, cross-sectional and independent scientific research in health services in Germany. In future KEDOQ-Schmerz will also used as a method for external quality management in chronic pain therapy in Germany.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2016
Case Reports[Case Report: Zinc phosphide poisoning after ingestion of a rodentizide in suicidal intention].
Zinc phosphide normally serves as a rodenticide but is occasionally ingested for suicide, potentially causing multiorgan failure. Phosphine gas is commonly in use for fumigation of grain silos and shipping containers. We describe a suicide attempt of a 54 year old female, the clinical symptoms, the treatment, the chemical and biochemical background and we give information on the potential occurrence of zinc phosphide and phosphine gas.