Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2012
[Regional anaesthesia in obese patients: what's different?].
Basically regional anaesthesia offers a lot of advantages compared with general anaesthesia for obese patients, e.g. avoiding airway manipulation and systemic application of opioids. Although anesthesiologists are increasingly faced with obesity, regional anaesthesia poses a challenge because of missing landmarks, increased depth of nerval structures and difficulties in positioning these patients. ⋯ Ultrasound guidance may be an important aid but it is associated with specific phenomena caused by obesity. Further studies are needed to optimize regional anaesthesia techniques and dosing of local anaesthetics avoiding block failures as well to improve the patients' safety and outcome.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2012
[Aviation and high-altitude medicine for anaesthetists: part 1: physical basics and pathophysiology].
Air travel has become a natural part of modern life. Both the environment, they take place in and the physical changes humans are exposed to must not be underestimated. ⋯ It is the artificial environment of the aircraft cabin that allows travel in usual flight levels. Nevertheless, mild hypoxia and its sequeale have to be considered.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2012
[First aid and trauma management: results from the German resuscitation registry].
Every year a large number of patients suffer from cardiac arrest and must be reanimated. The German Resuscitation Registry was founded in 2007 in order to analyze and optimize these measures. ⋯ In addition, the major significance of percutaneous catheter interventions and active cooling after cardiac arrest has been demonstrated. In future, the platform of the German Resuscitation Registry will be further expanded to enable an interdisciplinary exchange of information as well as scientific research.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2012
Case Reports[Serious complications following a marathon run: interactive case report of a dramatic course].
A marathon runner collapses after crossing the finish line and shows neurological disorders. Aftertreatment at the scene hyponatremia and cerebral edema are found at hospital admission. Thepatient is treated for "exercise-associated hyponatremia" (EAH) on the ICU for six days. ⋯ Symptoms include nausea and vomiting, desorientation, dizziness, seizures or coma. Therapyincludes fluid restriction and application of hypertonic saline. Plasma sodium concentration shouldbe checked at the scene in all collapsed athletes showing neurological symptoms to differentiatebetween exercise-associated hyponatremia and dehydration.