In Deutschland wird die palliativmedizinische Versorgung weiter ausgebaut. Zur Evaluation dieser Angebote ist die Perspektive von Betroffenen unverzichtbar. Die Studie widmet sich dem fachlichen und ethischen Konzept von Palliativstationen und analysiert deren Bewertung aus Patientensicht. Patienten wurden zu ihren Erwartungen und Erfahrungen befragt und die Antworten mittels qualitativer Inhaltsanalyse ausgewertet. Das Konzept der Palliativstation wird groesstenteils positiv bewertet. Behandlungsziel ist in der Regel die Entlassung nach Hause, wofur eine gute Symptomkontrolle Voraussetzung ist. Ebenso waren den Patienten die persoenliche Betreuung durch AErzte und Pflegekrafte, die psychologische und seelsorgerliche Begleitung sowie spezifische Therapieangebote wichtig.

Sterbehilfe ist ein Thema, das nicht nur national kontrovers diskutiert, sondern stets im Vergleich zu den Erfahrungen von anderen Landern gesehen wird. Die Arbeit systematisiert die verschiedenen Begriffe zur Sterbehilfe in zehn europaischen Landern, vergleicht sowohl die Rechtsprechung und die Gesetze zu Suizid, Beihilfe zum Suizid und Sterbehilfe als auch die jeweiligen standesethischen Vorschriften. Entscheidungen am Lebensende sind jedoch auch in einen historischen, religioesen und philosophischen Hintergrund eingebettet. Fallbeispiele aus dem klinischen Alltag mit den Moeglichkeiten und Grenzen von Technik vervollstandigen das Bild.

This book provides foundational knowledge of intraoperative monitoring (IOM) and is written for the range of clinicians who monitor the function of the nervous system during surgery, from new technologists to neurophysiologists and neurosurgeons. Early chapters describe the building blocks of IOM in accessible terms and are followed by practical chapters on monitoring and mapping that show basic and clinical science in action . Anesthesiologists and trainees with an interest in diagnosing and managing pain will appreciate the inclusion of chapters on the electrophysiological assessment of spinal cord pathology and on the treatment of pain.

"Principles of Neurophysiological Assessment, Mapping, and Monitoring" is designed for use as a text in academic courses or in corporate training programs. It also provides a concise refresher for experienced clinicians and for physicians, neurophysiologists, and technologists preparing for board exams.

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When less is more and time is short, practitioners may turn to this manual for the anaesthetist. The "Westmead Pocket Anaesthetic Manual" is a compact data-book intended to provide the anaesthetist with essential detailed information relevant to the practice of anaesthesia and the management of many types of clinical problems, emergencies and complications. This Australian pocket-sized publication is designed to be carried at all times and can be referred to if the anaesthetist requires clarification of appropriate management for the presenting clinical problem. Emphasis has been placed on making this manual highly practical and quickly accessible. Information is listed alphabetically for rapid reference, obviating the need for a list of contents, chapters and index. This manual may also be useful for exam preparation, providing a concise summary of essential information.

Multiple-choice questions (MCQs) are used by many examination boards as a way of testing a broad spectrum of knowledge in an easily administered and unbiased way. They form a critical part of both the Primary and Final FRCA (Fellowship of the Royal College of Anaesthetists) examinations. This book builds on GMM's established reputation in publishing for postgraduate anaesthetic exams and particularly for the MCQ component of the exams (e.g. the QBase book and CD-ROM series and accompanying textbooks). Six 90-question examinations, and a 30-question sample examination are presented, offering 570 individual questions with detailed model answers and making this book a comprehensive self-learning tool, especially when used in conjun ction with other key texts such as Fundamentals of Anaesthesia.

Brain edema is found in a wide variety of clinical disorders including stroke, intracerebral haemorrhage, subarachnoid haemorrhage, head injury, brain tumors and hydrocephalus. This volume brings together clinical and basic scientists from all over the world. Their expertise in the understanding of brain edema and shifts in brain water compartments has led to a further significant step in our understanding of those diseases characterized by brain edema. This book has also drawn on the expertise of the International Advisory Board of the Brain Edema Society, who have carefully summarized each section, thus providing an easy-to-read summary of the latest advances in each subject. The book is therefore much more than a collection of papers: it represents a critical appraisal and puts each paper into modern scientific context. The greatest advances have come from the rapid development of modern imaging techniques, especially with magnetic resonance imaging (MRI). Imaging can now produce "water maps" and "metabolic profiles" that bring brain metabolism and water content right into every clinic with access to MRI. This book provides the background knowledge to understand these pathophysiological changes.

The third triennial congress of the International Society for Diseases of the Esophagus (lSDE) was held in Munich in September 1986 under the presidency of J. Rudiger Siewert. The very well organized and epoch-making meeting was part of the International Esophageal Week and was held in conjunction with the International Conference of Esophageal Diseases, the European Study Group of Diseases of the Esophagus (GEEMO), and International Organization for Statistical Studies of Esophageal Diseases (OESO). I am very pleased that it has been possible to publish the proceedings of the congress so rapidly. The problems associated with diseases of the esophagus are multifaceted, varying considerably according to locality; their study thus neces sitates a large international forum, which is one of the founding aims of the ISDE. We hope that this volume, by virtue of the in-depth and up-dated reports it contains, can playa role in advancing the work being done in this field. Finally I should like to express my heartfelt appreciation to Professor Siewert and Dr. Holscher for their contribution toward the success of the congress. Kiyoshi Inokuchi, M.D., F.A.C.S. President of the ISDE Preface The scientific knowledge about esophageal diseases and their treatment has rapidly developed and increased within the last 10 years. The present book reproduces for 1987 the topical state of the art about pathology, pathophysiology, diagnostic, and therapy of benign and malignant diseases of the esophagus.

This text is designed for those who would become consultants in pediatric anesthesia. It is a self-assessment programmed text for residents, fellows, and clinicians in the field of pediatric anesthesiology. Its case-based approach encourages readers to collaborate with colleagues, improve their oral presentation skills, and prepare for challenging OR situations by explaining various anesthesia care plans and why various data are required before or during the care of the pediatric patient.

This work provides a one-of- a-kind volume that includes all aspects of heart transplantation from its historic beginning to its current day standards which now make the procedure a long-term treatment option for heart failure patients. The subjects covered include technical aspects of the procurement and implant procedures, as well as the medical nuances of pre-operative preparation and post-transplant immunosuppression management; the current day multi-disciplinary make up of the transplant team along with information on the keys to building and running a successful transplant program; regulatory standards and listing policies and the impact of the growing mechanical circulatory support technologies on the transplant field; and emerging technologies and future possibilities. All chapters are written by experts in the field and include the most up-to-date peer reviewed studies and clinical guidelines. This book gives an ever-changing reference that will become the text of choice for those beginning or continuing their transplant careers.

La mesure iterative de la mortalite, prise en tant qu indicateur majeur de securite, a montre une reduction par dix du taux de deces en vingt ans. L ouvrage decrit les actions mises en uvre pour obtenir de tels resultats, en insistant sur les aspects reglementaires et technologiques puis aborde les moyens destines a poursuivre cette amelioration, en faisant la part entre ce qui revient aux acteurs directs de la discipline, a la technologie et aux liens entre les principaux acteurs autour du patient opere, en particulier le chirurgien. L ouvrage identifiera aussi les obstacles et les incertitudes lies au choix proposes."

The second edition of this immensely popular reference appears at a critical time for the discipline of anesthesiology. With the extensive scientific, technological, and administrative changes in the specialty, new terminology has been borrowed from other fields or simply created to meet new demands. This is a reliable, up-to-date and comprehensive glossary geared to help readers understand the ongoing changes in the field. It presents a systematic and practical approach to terminology that will establish a common semantic foundation for state-of-the-art, current and newly-developing concepts. The glossary offers these special features: - alphabetically arranged entries, - concise definitions of more than 2,500 anesthesiology-related terms, - cross-referencing for quick and easy access to related information, - extensive illustrations (distinctive photographs as well as line drawings) and - clear tables and charts.