Es ist schon wieder ein Monat vorbei und Euch erwartet wieder ein paar Stunden FOAMed. Wir sprechen in dieser Folge über das ZAS, also das zentrale anticholinerge Syndrom und über Anästhesie in der Neuroradiologie und was es dabei zu beachten gilt! Selbstverständlich gibt es auch wieder einen Journal Club mit spannenden Einblicken in die aktuelle Studienwelt.. Also hört rein und viel Spaß bei unserer April Folge 2024.

Vermischtes:

Ukraine-Hilfe:

https://www.betterplace.org/de/projects/128009-medizinische-hilfe-fuer-die-ukraine/news/308956

„Wenn Forscher zu Fälschern werden“ – Der Anästhesist 2009

Einführung in das Thema: https://link.springer.com/article/10.1007/s00101-009-1647-4

Rittner et al. „Was lernen wir aus dem Fall Scott Reuben?“ https://link.springer.com/article/10.1007/s00101-009-1637-6

Journal Club:

Thorben:

Smida T, Crowe R, Jarvis J, Ratcliff T, Goebel M. Retrospective Comparison of Upper and Lower Extremity Intraosseous Access During Out-of-Hospital Cardiac Arrest Resuscitation. Prehosp Emerg Care. 2024 Mar 26:1-8. doi: 10.1080/10903127.2024.2321285. Epub ahead of print. PMID: 38416867.

Currò JM, Santonocito C, Merola F, Messina S, Sanfilippo M, Brancati S, Drago F, Sanfilippo F. Ciprofol as compared to propofol for sedation and general anesthesia: a systematic review of randomized controlled trials. J Anesth Analg Crit Care. 2024 Apr 8;4(1):24. doi: 10.1186/s44158-024-00159-1. PMID: 38589912; PMCID: PMC11000282.

Dana:

Liu J, Wu W, Peng F, Gong D, Kang Y, Zhang Y, Liu C, Li Y, Zhao G, Qiu F, Zhang W. Size control of ropivacaine nano/micro-particles by soft-coating with peptide nanosheets for long-acting analgesia. Theranostics. 2024 Apr 15;14(6):2637-2655. doi: 10.7150/thno.93322. PMID: 38646642; PMCID: PMC11024846.

Dominic:

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)02502-3/abstract

https://www.aerzteblatt.de/archiv/208451/Studienplanung-und-auswertung-nach-dem-Stepped-Wedge-Design

Paula:

(Zentrales) Anticholinerges Syndrom

Quellen:

Intoxikationen mit trizyklischen Antidepressiva

https://www.notfallguru.de/leitsymptome/kopf-und-neuro/koma

https://www.notfallguru.de/leitsymptome/allgemeines/intoxikation

https://youtu.be/opsa7tTnunY?si=JJW_tzpT_wlJuNIX (Vortrag Zoi Netou)

Anästhesie in der Neuroradiologie:

Quellen:

Thorben:

Klicke, um auf 030-046k_S2e_Akuttherapie-des-ischaemischen-Schlaganfalls_2022-11.pdf zuzugreifen

• Davis MJ, Menon BK, Baghirzada LB, Campos-Herrera CR, Goyal M, Hill MD, Archer DP; Calgary Stroke Program. Anesthetic management and outcome in patients during endovascular therapy for acute stroke. Anesthesiology. 2012 Feb;116(2):396-405. doi: 10.1097/ALN.0b013e318242a5d2. PMID: 22222475.
  Berkhemer OA, van den Berg LA, Fransen PS, Beumer D, Yoo AJ, Lingsma HF, Schonewille WJ, van den Berg R, Wermer MJ, Boiten J, Lycklama À Nijeholt GJ, Nederkoorn PJ, Hollmann MW, van Zwam WH, van der Lugt A, van Oostenbrugge RJ, Majoie CB, Dippel DW, Roos YB; MR CLEAN investigators. The effect of anesthetic management during intra-arterial therapy for acute stroke in MR CLEAN. Neurology. 2016 Aug 16;87(7):656-64. doi: 10.1212/WNL.0000000000002976. Epub 2016 Jul 15. PMID: 27421546.
• Brinjikji W, Murad MH, Rabinstein AA, Cloft HJ, Lanzino G, Kallmes DF. Conscious sedation versus general anesthesia during endovascular acute ischemic stroke treatment: a systematic review and meta-analysis. AJNR Am J Neuroradiol. 2015 Mar;36(3):525-9. doi: 10.3174/ajnr.A4159. Epub 2014 Nov 13. PMID: 25395655; PMCID: PMC8013063.
• Abou-Chebl A, Yeatts SD, Yan B, Cockroft K, Goyal M, Jovin T, Khatri P, Meyers P, Spilker J, Sugg R, Wartenberg KE, Tomsick T, Broderick J, Hill MD. Impact of General Anesthesia on Safety and Outcomes in the Endovascular Arm of Interventional Management of Stroke (IMS) III Trial. Stroke. 2015 Aug;46(8):2142-8. doi: 10.1161/STROKEAHA.115.008761. Epub 2015 Jul 2. PMID: 26138125; PMCID: PMC4519363.
• Brinjikji W, Pasternak J, Murad MH, Cloft HJ, Welch TL, Kallmes DF, Rabinstein AA. Anesthesia-Related Outcomes for Endovascular Stroke Revascularization: A Systematic Review and Meta-Analysis. Stroke. 2017 Oct;48(10):2784-2791. doi: 10.1161/STROKEAHA.117.017786. Epub 2017 Sep 13. PMID: 28904228.
• John N, Mitchell P, Dowling R, Yan B. Is general anaesthesia preferable to conscious sedation in the treatment of acute ischaemic stroke with intra-arterial mechanical thrombectomy? A review of the literature. Neuroradiology. 2013 Jan;55(1):93-100. doi: 10.1007/s00234-012-1084-y. Epub 2012 Aug 26. PMID: 22922866.
• https://www.ahajournals.org/doi/10.1161/STROKEAHA.109.574194
• https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(17)30407-6/abstract
• Schönenberger S, Uhlmann L, Hacke W, Schieber S, Mundiyanapurath S, Purrucker JC, Nagel S, Klose C, Pfaff J, Bendszus M, Ringleb PA, Kieser M, Möhlenbruch MA, Bösel J. Effect of Conscious Sedation vs General Anesthesia on Early Neurological Improvement Among Patients With Ischemic Stroke Undergoing Endovascular Thrombectomy: A Randomized Clinical Trial. JAMA. 2016 Nov 15;316(19):1986-1996. doi: 10.1001/jama.2016.16623. Erratum in: JAMA. 2017 Feb 7;317(5):538. PMID: 27785516.
• https://jamanetwork.com/journals/jamaneurology/fullarticle/2669924
• Löwhagen Hendén P, Rentzos A, Karlsson JE, Rosengren L, Leiram B, Sundeman H, Dunker D, Schnabel K, Wikholm G, Hellström M, Ricksten SE. General Anesthesia Versus Conscious Sedation for Endovascular Treatment of Acute Ischemic Stroke: The AnStroke Trial (Anesthesia During Stroke). Stroke. 2017 Jun;48(6):1601-1607. doi: 10.1161/STROKEAHA.117.016554. PMID: 28522637.
• https://jamanetwork.com/journals/jama/fullarticle/2752061#:~:text=Three%20single%2Dcenter%20randomized%20trials,anesthesia%20compared%20with%20procedural%20sedation.
• https://www.neurology.org/doi/10.1212/WNL.0000000000207066?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed
  https://jamanetwork.com/journals/jamaneurology/article-abstract/2802792
  
• weitere folgen

Dana:

• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8174595
• https://pubmed.ncbi.nlm.nih.gov/23149970/
• DOI: 10.1227/NEU.0b013e31827b9183
• DOI: 10.3174/ajnr.A5753
• DOI: 10.1007/s10143-023-02272-1
• https://doi.org/10.1093/bjaed/mkv032
• Flow Diverter: https://link.springer.com/article/10.1007/s00117-012-2373-5
• Mayfield-Clinic https://mayfieldclinic.com/pe-coiling.htm
• Allgemeine und Spezielle Pharmakologie und Toxikologie – Karow/Lang 29. Auflage 2021, ISBN 9 783982 122311

Der Beitrag Podcastfolge 63 – April 2024 erschien zuerst auf pin-up-docs - don't panic.