Der Anaesthesist
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Severe clinical incidents occur in up to 10% of all non-intensive care unit (ICU) patients, which have an estimated mortality of 5-8%. As in the prehospital setting, early clinical warning signs can be identified in the majority of cases. ⋯ According to this concept, METs would evaluate and treat non-ICU patients at risk at an early stage before a potentially fatal deterioration of cardiorespiratory parameters occurs. This article reviews available data on preventive in-hospital intensive care medicine and reflects on the circumstances for an implementation of METs in Germany, Austria and Switzerland.
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Letter Case Reports
[Accidental intravascular bupivacaine administration].
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Electrical impedance tomography (EIT) is a non-invasive, radiation-free functional imaging technique, which offers the possibility of continuous bedside measurement of regional lung ventilation. The principle of EIT is based on the input of alternating current and voltage measurement via surface electrodes placed around the thorax, which measure changes of electrical impedance parallel to changes in aeration within the lungs. ⋯ For more than 20 years EIT has been intensively used for research purposes, but has not yet been used for the monitoring of regional lung function in the routine clinical setting. This review describes the status of EIT in the clinical routine, its possibilities and limitations.