Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2016
[Research activities and Graduate Medical Education in Germany].
Time spent for research activities can count as time spent in GMA (graduate medical education) as long as requirements according to EU directive 2005/36 concerning minimum time in GMA are fulfilled and the necessary knowledge, experience and competencies have been acquired. First results from a project in Westfalia-Lippe are positive.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2016
[Are subspecialties and fellowship programs in German Anesthesia required?].
Rapid progress in medical science and technique offer new complex individual treatment modalities. Distinct profile qualifications like echocardiography, electroencephalography are required for anesthesia in high risk populations (cardiovascular, pediatric and neuro surgical patients) to guarantee best patient care and outcome. Accredited subspecialties and distinct fellowship programs are required to improve medical education, training and research.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2016
[Emergence delirium in children - prophylaxis and treatment].
Emergence Delirium in children after general anesthesia is a common and self limitating event. Although it might be seen as being harmless it can cause other serious complications and might leave both parents and other caregivers with a negative impression behind. Although the cause may still not be clear, potential predictors can be named: preschool age, the use of fast acting volatile anesthestics, higher preoperative anxiety levels and postoperative pain. ⋯ Parents who witnessed ED in their children should be guided and followed up. Explaining this phenomenon to parents beforehand should be part of the pre anaesthesia clinic talk and written consent. Standard protocols should be in place for treatment in the postoperative period.