Der Patient mit Thoraxtrauma

Anästhesiol Intensivmed Notfallmed Schmerzther 2017; 52: 406-407
DOI: 10.1055/s-0043-112229

Georg Thieme Verlag KG Stuttgart · New York

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Ultraschallgeräte in Rettungshubschraubern

Anästhesiol Intensivmed Notfallmed Schmerzther 2017; 52: 403-403
DOI: 10.1055/s-0043-110838

Georg Thieme Verlag KG Stuttgart · New York

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Protektive Beatmung während der Anästhesie: Sinn oder Unsinn?

Anästhesiol Intensivmed Notfallmed Schmerzther 2017; 52: 395-396
DOI: 10.1055/s-0043-112101

Georg Thieme Verlag KG Stuttgart · New York

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Kleinhirninfarkt nach CO-Intoxikation und hyperbarer Sauerstofftherapie

Anästhesiol Intensivmed Notfallmed Schmerzther 2017; 52: 463-470
DOI: 10.1055/s-0043-105146

Es wird von einem Patienten berichtet, der nach einem Suizidversuch mittels Kohlenmonoxidintoxikation einen raumfordernden Kleinhirninfarkt und konsekutiven okklusiven Hydrozephalus entwickelte. Durch das rechtzeitige Detektieren der intrazerebralen Läsion konnte ein Überleben des Patienten ohne schwerwiegendes neurologisches Defizit ermöglicht werden.
[...]

Georg Thieme Verlag KG Stuttgart · New York

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Konvulsiver Status epilepticus: Therapeutische Hypothermie bietet keinen Vorteil

Anästhesiol Intensivmed Notfallmed Schmerzther 2017; 52: 396-397
DOI: 10.1055/s-0043-105623

Georg Thieme Verlag KG Stuttgart · New York

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Erstes Netzwerk zur Angehörigenbetreuung von Organspendern

Anästhesiol Intensivmed Notfallmed Schmerzther 2017; 52: 403-404
DOI: 10.1055/s-0043-110993

Georg Thieme Verlag KG Stuttgart · New York

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Outcome nach Reanimation: Fibrin(ogen)-Spaltprodukte als Prädiktor

Anästhesiol Intensivmed Notfallmed Schmerzther 2017; 52: 396-396
DOI: 10.1055/s-0043-109604

Georg Thieme Verlag KG Stuttgart · New York

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Neue Empfehlungen zur präoperativen Diagnostik

Anästhesiol Intensivmed Notfallmed Schmerzther 2017; 52: 389-389
DOI: 10.1055/s-0043-111887

Georg Thieme Verlag KG Stuttgart · New York

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Scheinbare Allergie auf Lokalanästhetika bestätigt sich kaum

Anästhesiol Intensivmed Notfallmed Schmerzther 2017; 52: 397-398
DOI: 10.1055/s-0043-105631

Georg Thieme Verlag KG Stuttgart · New York

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Weaning erhöht Lebensqualität und senkt Kosten

Anästhesiol Intensivmed Notfallmed Schmerzther 2017; 52: 402-403
DOI: 10.1055/s-0043-110837

Georg Thieme Verlag KG Stuttgart · New York

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Surviving Sepsis Campaign 2016 – nichts Neues?

Anästhesiol Intensivmed Notfallmed Schmerzther 2017; 52: 398-399
DOI: 10.1055/s-0043-112098

Georg Thieme Verlag KG Stuttgart · New York

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Blick in die Lunge kann Leben retten

Anästhesiol Intensivmed Notfallmed Schmerzther 2017; 52: 403-403
DOI: 10.1055/s-0043-110992

Georg Thieme Verlag KG Stuttgart · New York

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Grundwissen zur Lagerung im OP

Anästhesiol Intensivmed Notfallmed Schmerzther 2017; 52: 400-400
DOI: 10.1055/s-0042-116381

Georg Thieme Verlag KG Stuttgart · New York

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3-D-Mikroroboter für minimalinvasive Chirurgie

Anästhesiol Intensivmed Notfallmed Schmerzther 2017; 52: 404-404
DOI: 10.1055/s-0043-110995

Georg Thieme Verlag KG Stuttgart · New York

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Effiziente Prüfungsvorbereitung

Anästhesiol Intensivmed Notfallmed Schmerzther 2017; 52: 400-400
DOI: 10.1055/s-0042-120972

Georg Thieme Verlag KG Stuttgart · New York

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Der Patient mit Thoraxtrauma: präklinische Versorgung

Anästhesiol Intensivmed Notfallmed Schmerzther 2017; 52: 408-421
DOI: 10.1055/s-0042-118056

Etwa jeder 10. Traumapatient in den Notaufnahmen weist ein stumpfes Thoraxtrauma auf, aus dem lebensbedrohliche Verletzungen wie Spannungspneumothorax oder Perikardtamponade resultieren können. Zeitkritische Diagnostik und Therapie stehen bei der Versorgung im Vordergrund. Die Durchführung lebensrettender therapeutischer Maßnahmen muss jedem Notarzt geläufig sein, und das Verletzungsmuster entscheidet über die Auswahl der Zielklinik.
[...]

Georg Thieme Verlag KG Stuttgart · New York

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Eritrea sucht Kollegen für Entwicklungshilfe

Anästhesiol Intensivmed Notfallmed Schmerzther 2017; 52: 402-402
DOI: 10.1055/s-0043-110836

Georg Thieme Verlag KG Stuttgart · New York

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Der Patient mit Thoraxtrauma: chirurgische Versorgung

Anästhesiol Intensivmed Notfallmed Schmerzther 2017; 52: 436-445
DOI: 10.1055/s-0042-118058

Bei Thoraxtraumata reicht das Spektrum von Verletzungen des Herzens und der großen Gefäße über Parenchymläsionen mit Pneumothorax, Blutungen aus den Interkostalgefäßen, bis hin zu chronischen Hämatothoraces und sekundären Empyemen. Die Anlage einer Thoraxdrainage stellt oft eine suffiziente Therapie dar, in bestimmten Fällen ist aber eine weitergehende chirurgische Therapie in minimalinvasiver Technik (VATS) oder via Thorakotomie erforderlich.
[...]

Georg Thieme Verlag KG Stuttgart · New York

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Der Patient mit Thoraxtrauma: anästhesiologisches Management

Anästhesiol Intensivmed Notfallmed Schmerzther 2017; 52: 422-435
DOI: 10.1055/s-0042-118055

In der anästhesiologischen Praxis ist das Thoraxtrauma eine große Herausforderung. Verletzungen von Atemwegen, Lunge, Zwerchfell, Herz und großen thorakalen Gefäßen sind die vorherrschenden Probleme. Art und Ausmaß des chirurgischen Eingriffs sowie Wirkungen von Anästhetika und mechanischer Ventilation auf die pulmonale und kardiale Funktion sind besonders zu beachten.
[...]

Georg Thieme Verlag KG Stuttgart · New York

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Comparison of efficacy of transversus abdominis plane block and iliohypogastric/ilioinguinal nerve block for postoperative pain management in patients undergoing inguinal herniorrhaphy with spinal anesthesia: a prospective randomized controlled open-label study

Abstract

Purposes

The purpose of this study was to compare the effects of lateral abdominal transversus abdominis plane block (TAP block) and iliohypogastric/ilioinguinal nerve block (IHINB) under ultrasound guidance for postoperative pain management of inguinal hernia repair. Secondary purposes were to compare the complication rates of the two techniques and to examine the effects of TAP block and IHINB on chronic postoperative pain.

Methods

This was a prospective randomized controlled open-label study. After approval of the Research Ethics Board, a total of 90 patients were allocated to three groups of 30 by simple randomized sampling as determined with a priori power analysis. Peripheral nerve blocks (TAP block or IHINB) were administered to patients following subarachnoid block according to their allocated group. Patient pain scores, additional analgesic requirements and complication rates were recorded periodically and compared.

Results

Pain scores were significantly lower in the study groups (p < 0.001, p < 0.001, p < 0.001, p = 0.002, p < 0.001, p < 0.001 for 1, 2, 4, 6, 24, and 48 h and at 1 and 6 months, respectively). First pain declaration times were significantly longer in the study groups (TAP block group [GT] 266.6 ± 119.7 min; IHINB group [GI] 247.2 ± 128.7 min; and control group [GC] 79.1 ± 66.2 min; p < 0.001). At 24 h, the numeric rating scale scores of GT were significantly lower than GI (p = 0.048). Additional analgesic requirements of GT and GI patients were found to be significantly lower than GC patients (p = 0.001, p < 0.001, p = 0.006, p = 0.002, p = 0.001, p < 0.001 for 1, 2, 4, 6, 24, and 48 h, respectively).

Conclusion

We conclude that administration of TAP block or IHINB for patients undergoing inguinal herniorrhaphy reduces the intensity of both acute and chronic postoperative pain and additional analgesic requirements.

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Reversible diabetes mellitus induced by use of, and improved after discontinuation of, the antiretroviral medication zidovudine: a case report

With the advent of effective antiretroviral therapy, the care of patients with human immunodeficiency virus infection became more like that of other chronic diseases. Diabetes mellitus can also occur as one of...

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Overlapping stent-assisted coil embolization for a ruptured intracranial vertebral artery dissection

Abstract

Ruptured intracranial vertebral artery dissection is a cause of non-traumatic subarachnoid hemorrhage. Urgent intervention should be considered to prevent fatal rebleeding. Endovascular parent artery occlusion, which is the initial treatment of choice, is not suitable for patients with a hypoplastic or occlusive contralateral vertebral artery. We report a case of ruptured vertebral artery dissection, which was successfully treated with double overlapping stent-assisted coiling.

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Presentation of secondary parasitic infection 37 years after primary infection

Abstract

Echinococcus granulosus (EG) is a neglected pathology that causes cystic echinococcosis and primarily affects the liver and lung. EG infects ~6 million worldwide and mortality is quoted as 2–4% per 100 000 inhabitants. The increase in human traffic from endemic regions demands clinician's awareness. Dogs are the most common definitive host for the EG tapeworm. Human infection requires ingestion of fecal parasitic eggs. Primary infection causes cysts to appear in affected organs, rupture of which leads to secondary infection. Ultrasound remains the mainstay of diagnosis. Treatment can be either; chemotherapeutic, radiological, surgical or a combination depending on the organ affected.

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Fronto-orbital mucocele with intracranial extension: a case report

Abstract

Frontal sinus mucoceles are benign, pseudocystic lesion deriving from the obliteration of the sinus ostium, resulting in a continuous mucous accumulation. The growing process of a mucocele leads to a progressive enlargement of the sinus cavity, thickening and eroding its bony walls up to invading the surrounding tissues. The surgical procedure through an endoscopic endonasal approach is the current treatment option for such conditions, but in cases with an extensive bone erosion and intracranial or intraorbital extension, a transcranial approach should be preferred. We report a case of a frontal sinus mucocele with unusual intraorbital and intracranial extension, causing exophthalmos and ophthalmoplegia, removed through a transcranial frontal approach and the subsequent obliteration of the sinus.

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Comments on "Effects of Obesity and Leptin Deficiency on Morphine Pharmacokinetics in a Mouse Model" by Dalesio et al, Anesth Analg. 2016;123: 1611-1617.

No abstract available

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Extravasated Fluid in Hip Arthroscopy and Pain: Is Quadratus Lumborum Block the Answer?.

No abstract available

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In Response.

No abstract available

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Closed-Loop Anesthesia: Not Ready for Takeoff.

No abstract available

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Distractions in the Anesthesia Work Environment: Impact on Patient Safety? Report of a Meeting Sponsored by the Anesthesia Patient Safety Foundation.

No abstract available

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Effect of Interscalene Brachial Plexus Block on the Pulmonary Function of Obese Patients: A Prospective, Observational Cohort Study.

BACKGROUND: The effect of interscalene block (ISB) on pulmonary function of obese participants has not been investigated. The goal of this study is to assess the association of obesity (body mass index [BMI] >29 kg/m2 vs BMI 29 kg/m2) and normal-weight (BMI .99, respectively) nor in the occurrence of intraoperative airway events (P > .99). CONCLUSIONS: ISB is associated with greater FVC and FEV1 reductions in obese participants undergoing shoulder surgery compared to normal-weight participants. Neither time (30 minutes versus PACU) nor position (sitting versus supine) affected this relationship. Despite these changes, obesity was not associated with increased clinical respiratory symptoms or events. (C) 2017 International Anesthesia Research Society

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Magic Mirror, On the Wall-Which Is the Right Study Design of Them All?-Part II.

The assessment of a new or existing treatment or other intervention typically answers 1 of 3 central research-related questions: (1) "Can it work?" (efficacy); (2) "Does it work?" (effectiveness); or (3) "Is it worth it?" (efficiency or cost-effectiveness). There are a number of study designs that, on a situational basis, are appropriate to apply in conducting research. These study designs are generally classified as experimental, quasiexperimental, or observational, with observational studies being further divided into descriptive and analytic categories. This second of a 2-part statistical tutorial reviews these 3 salient research questions and describes a subset of the most common types of observational study designs. Attention is focused on the strengths and weaknesses of each study design to assist in choosing which is appropriate for a given study objective and hypothesis as well as the particular study setting and available resources and data. Specific studies and papers are highlighted as examples of a well-chosen, clearly stated, and properly executed study design type. (C) 2017 International Anesthesia Research Society

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The Pediatric Sedation Home.

No abstract available

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