Hallo und herzlich Willkommen auch im neuen Jahr. 2023 und wir haben immer noch Bock für Euch FOAMed zu machen. Es warten viele coole Themen, spannende Projekte und natürlich auch viele Studien, die wir besprechen und für Euch versuchen zusammenzufassen!

In dieser Folge sprechen wir über das große Thema Delir, über den Intensivtransport und über CRM im OP. Zudem gibt es wie immer den bewährten Journal Club…

Also viel Spaß beim Hören!

Vermischtes

Symposium geburtshilfliche Anästhesie

Klicke, um auf Geburtshilfliches_Anaesthesiesymposium_Flyer_2023.pdf zuzugreifen

Journal Club:

Paula:

Saleem, Safwat et al. “Traumatic Injuries Following Mechanical versus Manual Chest Compression.” Open access emergency medicine : OAEM vol. 14 557-562. 4 Oct. 2022, doi:10.2147/OAEM.S374785

Pietsch, Urs et al. “Oral transmucosal fentanyl citrate analgesia in prehospital trauma care: an observational cohort study.” Scandinavian journal of trauma, resuscitation and emergency medicine vol. 31,1 2. 7 Jan. 2023, doi:10.1186/s13049-023-01066-0

Johannes:

Full moons are not associated with increases in emergency medical services (EMS) activations (911 calls) in the United States. Am J Emerg Med. 2022 Nov;61:227-228. doi: 10.1016/j.ajem.2022.07.044. Epub 2022 Jul 20.

Intra-articular lidocaine versus intravenous sedation for closed reduction of acute anterior shoulder dislocation in the emergency department: a systematic review and meta-analysis. CJEM. 2022 Dec;24(8):809-819. doi: 10.1007/s43678-022-00368-z. Epub 2022 Oct 1.

Dana:

Pfennig CL, Wilson CA, Britt TW, Pirrallo RG, Checura CM. A comparative analysis on fertility success among physician specialties. Acad Emerg Med. 2022 Jun;29(6):792-794. doi: 10.1111/acem.14463. Epub 2022 Feb 27. PMID: 35178827; PMCID: PMC9305146.

Colwill M, Somerville C, Lindberg E, Williams C, Bryan J, Welman T. Cardiopulmonary resuscitation on television: are we miseducating the public? Postgrad Med J. 2018 Feb;94(1108):71-75. doi: 10.1136/postgradmedj-2017-135122. Epub 2017 Oct 9. PMID: 28993522.

Horner-Syndrom nach PDK-Anlage:

• https://www.ai-online.info/abstracts/pdf/dacAbstracts/2012/P_PO_2.3_5_01609.pdf
• Park SY, Chun HR, Kim MG, Lee SJ, Kim SH, Ok SY, Cho A. Transient Horner’s syndrome following thoracic epidural anesthesia for mastectomy: a prospective observational study. Can J Anaesth. 2015 Mar;62(3):252-7. doi: 10.1007/s12630-014-0284-9. Epub 2015 Jan 6. PMID: 25560203.
• Rothe KF, von Finck M. Das Hornersyndrom in der Geburtshilfe. Eine seltene Komplikation rückenmarksnaher Regionalanaesthesieverfahren [Horner’s syndrome in obstetrics. A rare complication of peridural regional anesthetic procedures]. Reg Anaesth. 1985 Apr;8(2):36-8. German. PMID: 4001462.
• https://www.ai-online.info/images/ai-ausgabe/2016/02-2016/2016_2_80-82_Auftreten%20eines%20Horner-Syndroms%20mit%20Hemiparese%20und%20Hirnnervenlaehmung%20nach%20thorakaler%20P.pdf

Delir

https://register.awmf.org/assets/guidelines/030-006l-S1_Delir-und-Verwirrtheitszustaende-Alkoholentzugsdelir_2022-01.pdf
https://register.awmf.org/assets/guidelines/001-012l_S3_Analgesie-Sedierung-Delirmanagement-in-der-Intensivmedizin-DAS_2021-08.pdf
https://www.bjanaesthesia.org/action/showPdf?pii=S0007-0912%2820%2930566-3
NeuroVISION Investigators. “Perioperative covert stroke in patients undergoing non-cardiac surgery (NeuroVISION): a prospective cohort study.” Lancet (London, England) vol. 394,10203 (2019): 1022-1029. doi:10.1016/S0140-6736(19)31795-7

Aldecoa, César et al. “European Society of Anaesthesiology evidence-based and consensus-based guideline on postoperative delirium.” European journal of anaesthesiology vol. 34,4 (2017): 192-214. doi:10.1097/EJA.0000000000000594

Chan, Matthew T V et al. “BIS-guided anesthesia decreases postoperative delirium and cognitive decline.” Journal of neurosurgical anesthesiology vol. 25,1 (2013): 33-42. doi:10.1097/ANA.0b013e3182712fba

Hirsch, J et al. “Impact of intraoperative hypotension and blood pressure fluctuations on early postoperative delirium after non-cardiac surgery.” British journal of anaesthesia vol. 115,3 (2015): 418-26. doi:10.1093/bja/aeu458

Nelson, B J et al. “Intensive care unit drug use and subsequent quality of life in acute lung injury patients.” Critical care medicine vol. 28,11 (2000): 3626-30. doi:10.1097/00003246-200011000-00013

Treggiari, Miriam M et al. “Randomized trial of light versus deep sedation on mental health after critical illness.” Critical care medicine vol. 37,9 (2009): 2527-34. doi:10.1097/CCM.0b013e3181a5689f

Treggiari-Venzi, M et al. “Overnight sedation with midazolam or propofol in the ICU: effects on sleep quality, anxiety and depression.” Intensive care medicine vol. 22,11 (1996): 1186-90. doi:10.1007/BF01709334

Chanques, Gerald et al. “Impact of systematic evaluation of pain and agitation in an intensive care unit.” Critical care medicine vol. 34,6 (2006): 1691-9. doi:10.1097/01.CCM.0000218416.62457.56

Rijkenberg, S et al. “Pain measurement in mechanically ventilated critically ill patients: Behavioral Pain Scale versus Critical-Care Pain Observation Tool.” Journal of critical care vol. 30,1 (2015): 167-72. doi:10.1016/j.jcrc.2014.09.007

Klicke, um auf 20190211-cam-icu-ras-bps-a4.pdf zuzugreifen

Whipple, J K et al. “Analysis of pain management in critically ill patients.” Pharmacotherapy vol. 15,5 (1995): 592-9. doi:10.1002/j.1875-9114.1995.tb02868.x

Girard, Timothy D et al. “Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): a randomised controlled trial.” Lancet (London, England) vol. 371,9607 (2008): 126-34. doi:10.1016/S0140-6736(08)60105-1

van den Boogaard, Mark et al. “Influence of sedation on delirium recognition in critically ill patients: A multinational cohort study.” Australian critical care : official journal of the Confederation of Australian Critical Care Nurses vol. 33,5 (2020): 420-425. doi:10.1016/j.aucc.2019.12.002

Perpiñá-Galvañ, Juana, and Miguel Richart-Martínez. “Scales for evaluating self-perceived anxiety levels in patients admitted to intensive care units: a review.” American journal of critical care : an official publication, American Association of Critical-Care Nurses vol. 18,6 (2009): 571-80. doi:10.4037/ajcc2009682

Marra, Annachiara et al. “The ABCDEF Bundle in Critical Care.” Critical care clinics vol. 33,2 (2017): 225-243. doi:10.1016/j.ccc.2016.12.005

Burry, Lisa et al. “Daily sedation interruption versus no daily sedation interruption for critically ill adult patients requiring invasive mechanical ventilation.” The Cochrane database of systematic reviews vol. 2014,7 CD009176. 9 Jul. 2014, doi:10.1002/14651858.CD009176.pub2

Laerkner, Eva et al. “No-sedation during mechanical ventilation: impact on patient’s consciousness, nursing workload and costs.” Nursing in critical care vol. 21,1 (2016): 28-35. doi:10.1111/nicc.12161

Pisani, Margaret A et al. “Association of cumulative dose of haloperidol with next-day delirium in older medical ICU patients.” Critical care medicine vol. 43,5 (2015): 996-1002. doi:10.1097/CCM.0000000000000863

Wan, Ruth Y Y et al. “Quetiapine in refractory hyperactive and mixed intensive care delirium: a case series.” Critical care (London, England) vol. 15,3 R159. 28 Jun. 2011, doi:10.1186/cc10294

Lonergan, E et al. “Antipsychotics for delirium.” The Cochrane database of systematic reviews ,2 CD005594. 18 Apr. 2007, doi:10.1002/14651858.CD005594.pub2

Veiga, Viviane Cordeiro et al. “Adverse events during intrahospital transport of critically ill patients in a large hospital.” “Eventos adversos durante transporte intra-hospitalar de pacientes críticos em hospital de grande porte.” Revista Brasileira de terapia intensiva vol. 31,1 (2019): 15-20. doi:10.5935/0103-507X.20190003

Wang, Kun et al. “Effects of dexmedetomidine on perioperative stress, inflammation, and immune function: systematic review and meta-analysis.” British journal of anaesthesia vol. 123,6 (2019): 777-794. doi:10.1016/j.bja.2019.07.027

Wu, Xin-Hai et al. “Low-dose Dexmedetomidine Improves Sleep Quality Pattern in Elderly Patients after Noncardiac Surgery in the Intensive Care Unit: A Pilot Randomized Controlled Trial.” Anesthesiology vol. 125,5 (2016): 979-991. doi:10.1097/ALN.0000000000001325

Sedierungsfreie Intensivmedizin:
https://www.abhoeren-podcast.de/podcast/3-visite-sedierungsfreie-intensivmedizin-feat-johannes-kalbhenn/

CRM im OP

• https://ains.umg.eu/studium-lehre/podcast/episode-10-uebergabekultur/
• https://flexikon.doccheck.com/de/Crew_Resource_Management
• https://pubmed.ncbi.nlm.nih.gov/34134934/
• https://pubmed.ncbi.nlm.nih.gov/34852415/

Der Beitrag Podcastfolge 48 – Januar 2023 erschien zuerst auf pin-up-docs - don't panic.