Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Mar 2012
[End-of-life decisions - what is important for our routine duties in critical care medicine?].
End-of-life decisions (EOLD) are frequently used in patients who die in the intensive care unit. The decision to limit life support and the extent of limitation depends on the nature of the disease, its progress and the presumed prognosis and, equally important, the patient's preferences. These preferences should be stated by the patient if he or she is able to do so. ⋯ Withdrawing life-sustaining treatment and changing to palliative care should be considered if intensive care medicine is futile because of the severity of the patient's condition. It is vital to find an interdisciplinary consensus about EOLD within the medical team as well as with the patient/surrogate decision maker. The agreement is documented in the patient's chart.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Mar 2012
[Mental disorders in intensive care medicine - part 1: Principles and diagnostics].
This two-part article on mental disorders in intensive care medicine aims to provide an understanding of the most frequent mental disorders in critical care medicine. Part 1 highlights the basic principles, disturbances and diagnostics and part 2 deals with prevention and therapeutic approaches. ⋯ The consequences thereof include increased morbidity, mortality, and duration of hospitalization. The early participation of a psychiatrist in the diagnostic process is to be recommended.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Feb 2012
Review[Is there any indication for perioperative use of the pulmonary artery catheter?].
The benefit of the pulmonary-artery catheter (PAC) is a matter of discussion since years. The development of alternative monitoring techniques especially for measurement of volume parameters has decreased routine use of the PAC. ⋯ The concerns about the available monitoring techniques bear mainly on the fear being too invasive. Up to now, there is no technique complying with all requirements of an ideal monitoring system.