Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2016
[Graduate Medical Education in intensive care medicine - How can the European concept be integrated in Germany?].
Within the European Union, medical disciplines also have been organized. At the European level, the Union Européenne des Médecins Spécialistes (UEMS) currently represents the interests of 42 medical disciplines and offers support to doctors to work in any European country. For this purpose, guidelines were adopted already in 2005, which, among others, regulate automatic recognition of professional qualifications. ⋯ For this purpose, a multidisciplinary joint committee of the UEMS formulated the so-called "European Training Requirements" (ETR), the aim of which was to raise the professional skills of European doctors working in the field of intensive care to a uniformly high level. The ETR are currently in the process of being voted upon. As things stand, additional training in intensive care medicine in Germany as currently practised would meet the conditions and requirements of the ETR.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2016
Review[Anesthesia and Multiple Sclerosis: What needs to be considered?].
Patients with rare neurological diseases are always a challenge in routine clinical activity. In particular, anesthetic interventions can be fraught with many problems. This article deals with the current state of knowledge on multiple sclerosis in anesthesia. Here, the authors refer to the safe preparation for and implementation of various forms of anesthesia as well as the prevention and if necessary, treatment of possible complications.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2016
Case Reports[Case Report - Bilateral humeral intraosseous access for CPR in a 3-years-old child].
On-scene invasive emergency procedures, such as intraosseous puncture, are often unavoidable, when indicated, and present a challenge for the emergency physician. Personal, temporal or local conditions are often unsuitable. Even with regular intervention by the emergency medical service, "last resort" measures occur very infrequently, particularly in pediatric emergencies. For the first time, this case report presents the use of intraosseous access at the humeral head with children, with reference to indication, implementation, problems and risks.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2016
[Cardiac evaluation before non-cardiac surgery].
Before non-cardiac surgery, evaluation of cardiac function is no frequent part of surgical treatment. European societies of anesthesiology and cardiology published consensus-guidelines in 2014 to present a reasonable approach for preoperative evaluation. This paper intends to differentiate the composite of perioperative risk and to display the guidelines methodical approach to handle it. ⋯ Cardiac biomarkers are useful to discover risk of complications or mortality, that cannot be assessed by clinical signs. After preoperative optimization and perioperative cardiac protection, the observation of the postoperative period remains, to prohibit complications or even death. In consideration of limited resources of intensive care department, postoperative ward rounds beyond intensive care units are considered to be an appropriate instrument to avoid or recognize complications early to reduce postoperative mortality.