Global and national confidential inquiry reports show that 60 to 80% of maternal and neonatal morbidity and mortality are due to avoidable errors. This comprehensive and illustrated second edition offers a practical guide to the management of obstetric, medical, surgical, anaesthetic and newborn emergencies in addition to organisational and training issues. The book is divided conveniently into nine sections and updated throughout in line with modern research and practice. Several new chapters cover setting up skills and drills training in maternity services to reduce avoidable harm, managing obstetric emergencies during 'home births' and in low-risk midwifery units, and minimizing maternal and fetal morbidity in failed operative vaginal delivery. Each chapter includes a practical algorithm for quick reference, the scientific basis for proposed actions, a case-based practical exercise and useful learning tools such as 'Key Pearls' and 'Key Pitfalls'. An invaluable resource for obstetricians, neonatologists, midwives, medical students, anesthesiologists and the wider perinatal team.

Each high-quality volume in the esteemed Washington Manual series brings together contributions from faculty and residents at the Washington University School of Medicine in St. Louis. The Washington Manual of Emergency Medicine, the latest addition to the series, focuses on practical content on how physicians actually practice emergency care. Comprehensive and concise, it also acts as a handy quick-reference, delivering need-to-know information at your fingertips, even in point-of-care situations. Features: Goes beyond the scope of a traditional emergency medicine reference to address topics such as interactions, treatments, and patient stabilization. Organized into practice-facing sections focusing on content for emergency medicine professionals. Ideal for students and residents in emergency departments, emergency medicine physicians, and advanced practice nurses and physician assistants. Each chapter follows a templated structure so you can uncover information quickly and apply it to a care situation effectively. Covers issues appropriate for emergency departments: toxicology, end-of-life procedures, psychiatric care, ultrasound, violence in the ER, procedural skills, and more. Your book purchase includes a complimentary download of the enhanced eBook for iOS, Android, PC & Mac. Take advantage of these practical features that will improve your eBook experience: The ability to download the eBook on multiple devices at one time - providing a seamless reading experience online or offline. Powerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource eBooks. Multiple viewing options that enable you to scale images and text to any size without losing page clarity as well as responsive design. The ability to highlight text and add notes with one click.

Based on the highly-regarded Walls Manual of Emergency Airway Management and part of the Manual of Emergency Medicine series envisioned by leading authority in emergency medicine, Dr. Ron M. Walls, Manual of Neurologic Emergencies provides evidence-based, easy-to-read coverage on the diagnosis and management of neurologic emergencies. Through the direction and expertise of editors Drs. Andy S. Jagoda and Christopher A. Lewandowski, this reference is a practical guide to approaching the patient with a neurologic complaint in a systematic way, providing a hands-on framework for clinical decision making and therapeutic interventions. Walks you through all aspects of diagnosis and management, including a rapid diagnosis and directed approach which are especially critical to optimal outcomes. Reviews neuroanatomy, performing a history, selecting appropriate imaging, and structuring/modifying the physical exam for the needs of the individual patient. Provides helpful information such as pathophysiology, differential diagnosis, evidence-based analysis of the literature, best practice recommendations, and treatment algorithms for a wide range of clinical presentations. Covers altered consciousness and behavior, neuromuscular disorders, multiple sclerosis and Parkinson's disease, dizziness and vertigo, head trauma, acute stroke, headache, seizures, central nervous system infections, and more. Facilitates best practices and promotes communication across all specialties, whether in the emergency department, ICU, urgent care setting, pre-hospital environment, or anywhere else neurologic emergencies may occur. Shares the experience as well as extensive knowledge the editors and authors have with neurologic emergencies. , Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech. ,

In her new book, Infection Control Policies for Community Paramedicine & MIH, Katherine West explains how good infection control practices, vaccines and immunizations, cleaning and disinfection of equipment and work restriction guidelines can assist EMS providers and improve patient care. WHAT ARE THE ISSUES? Hospital patients are being discharged without receiving or fully understanding discharge instructions. This omission can lead to readmission of the patient. With the basics in place, departments can move on to expanding services to the community. Departments that are looking to expand services to meet the needs of the elderly, disabled and those living in rural areas where access to healthcare is not easily accessible, will need to refocus and expand infection control practices for the home care environment. Medical facilities are looking to EMS as the possible source for patient infections. Documentation and compliance monitoring will serve as liability reduction and risk management tools. EMS is now under the scope of healthcare associated infections (HAIs). The new term HAI is much broader and applies to more healthcare care delivery services.

Sul campo, i secondi contano. PHTLS: Supporto delle funzioni vitali in pazienti traumatizzati in fase pre-ospedaliera insegna e rafforza i principi della valutazione rapida di un paziente traumatizzato utilizzando un approccio ordinato, trattando immediatamente i problemi potenzialmente letali man mano che vengono identificati e riducendo al minimo i ritardi nel proporre il trasporto verso una destinazione appropriata. Sviluppato dall'Associazione nazionale dei paramedici di primo soccorso (National Association of Emergency Medical Technicians-NAEMT) in collaborazione con l'American College of Surgeons Committee on Trauma (ASC-COT), la nona edizione del PHTLS, riflette le conoscenze e le pratiche attuali basate sulle prove e promuove il pensiero critico come fondamento per fornire assistenza di qualita. La valutazione rapida di un paziente traumatizzato per identificare le cure salvavita e al centro della nona edizione del PHTLS. Ci vogliono 2 minuti o meno per il dissanguamento di un paziente. Nessun altro intervento che i prestatori di cure pre-ospedaliere eseguono e piu importante che arrestare il livello di sanguinamento nei pazienti traumatizzati. Per riflettere questo, nella nona edizione di PHTLS viene utilizzata la tecnica mnemonica XABCDE per la valutazione del paziente per porre l'emorragia dissanguante in prima linea in ogni interazione con il paziente. L'importanza della tecnica XABCDE (dissanguamento da emorragia, vie aeree, respirazione, circolazione, disabilita ed esposizione / ambiente) e rafforzata in ogni capitolo clinico. PHTLS, la nona edizione presenta: informazioni aggiornate sulla reintegrazione dei fluidi e immobilizzazione spinale da ricerche basate sulle prove e fornitori esperti di cure pre-ospedaliere che applicano i principi e le pratiche di PHTLS sul campo Tecniche aggiornate di gestione del paziente, tra cui posizionamento del laccio emostatico, siti di decompressione dell'ago, uso di sostegni pelvici, reintegrazione del liquido pediatrico e gestione delle vie aeree pediatriche Enfasi su infortuni prevenibili, dalla guida distratta alle cadute negli adulti piu anziani, alla violenza nell'ambito delle relazioni intime Focus sulle minacce tattiche ai civili e sugli interventi, da veicoli come armi di distruzione di massa a un nuovo diagramma di flusso metodologico di valutazione a distanza Componenti del programma dinamico Il manuale di riferimento PHTLS, nona edizione e la risorsa per la cura definitiva del paziente traumatizzato, che dettaglia le basi mediche sottostanti ai principi raccomandati e alle pratiche del corso PHTLS. Come passo successivo nell'evoluzione del programma PHTLS, il libro di testo principale sara accompagnato dal nuovo manuale del corso PHTLS, che rafforza e chiarisce i concetti chiave del corso. Presenta un design coinvolgente e interattivo ed e scritto in modo tale che ti senti come se stessi partecipando a una conversazione, invece che all'ascolto di una lezione.

Pierre Pfutsch zeigt, dass mit dem Notfallsanitatergesetz aus dem Jahr 2014 die berufliche Tatigkeit im Rettungsdienst stark aufgewertet wurde. Den Berufsangehoerigen wurde eine dreijahrige Ausbildung, die Moeglichkeit zur akademischen Bildung und sogar die Ausubung bestimmter heilkundlicher Massnahmen zugestanden. Nach Ansicht des Autors wird seitdem die Frage nach Delegation bzw. Substitution arztlicher Leistungen verhandelt. Zu Beginn waren Rettungssanitater zum uberwiegenden Teil ehrenamtliche Mitarbeiter, die kaum mehr als eine Erste-Hilfe-Ausbildung besassen und lediglich fur den Transport zustandig waren. Aufgrund des medizinischen Fortschritts und der steigenden Unfallzahlen im Strassenverkehr setzte Ende der 1960er-Jahre eine Professionalisierung dieses Berufsfeldes ein. Treffen Notfallsanitater vor dem Notarzt am Unfallort ein und mussen bei lebensbedrohlichen Zustanden tatig werden, begeben sie sich in eine juristische Grauzone, die einige Unsicherheiten mit sich bringt. Der Autor: Dr. Pierre Pfutsch ist Historiker und wissenschaftlicher Mitarbeiter am Institut fur Geschichte der Medizin der Robert Bosch Stiftung in Stuttgart und forscht dort zur deutsch-deutschen Zeitgeschichte von Gesundheitsberufen.

Patients in the neurointensive care unit pose many clinical challenges for the attending physician. Even experienced clinicians occasionally arrive at the point where diagnostic, work-up, treatment, or prognostic thinking becomes stymied. In daily practice, neurocritical care pertains to managing deteriorating patients, treatment of complications but also end-of-life care assisting families with difficult decisions. Part of the "What Do I Do Now?" series, Neurocritical Care provides insight into interventions in acute neurologic disorders. Using a case-based approach, this volume emphasizes how to handle comparatively common clinical problems emergently. New to this edition are cases on monitoring and prognostication. All cases have been carefully revised, and new information, references, and practical tables have been added. Neurocritical Care is both an engaging collection of thought-provoking cases and a self-assessment tool that tests the reader's ability to answer the question, "What do I do now?"

This quick reference guide provides residents and physicians with a valuable tool to help diagnose and treat the most common pediatric emergencies. Based on the clinical presentation, this guide offers advice on history taking, physical examinations, diagnostic imaging, treatment options, and differential diagnoses. Topics include general assessment and management, acute presentations, cardiac emergencies, neonatal emergencies, trauma, and more

User-friendly resource presents state-of-the-art management of orthopaedic trauma Orthopaedic trauma spans the full spectrum of injury, from simple fractures to life-threatening accidents with multiple broken bones. As such, these incidents are a common reason patients visit emergency departments and receive treatment from orthopaedic surgeons. Synopsis of Orthopaedic Trauma Management by nationally recognized experts Brian Mullis, Greg Gaski, and esteemed contributors fills a gap in the literature by providing a concise yet comprehensive reference for evaluating these conditions and initiating immediate treatment. The text provides a well-rounded perspective on the surgical and nonsurgical management of trauma in adult and pediatric patients. The opening section lays a solid foundation, with chapters covering physiology, open and closed fracture management, imaging, biomechanics, complications, and other core topics. Subsequent chapters address a full compendium of orthopaedic procedures to treat traumatic conditions of the upper and lower extremities, pelvis, and spine. Key Features Bulleted format provides quick and authoritative navigation of essential information needed for effective treatment A wealth of high-quality illustrations, radiographic images, and tables supplement concise text Uniformly organized chapters include up-to-date, clinically relevant statistics and suggestions for further reading Videos by renowned experts enhance understanding of specific fractures and orthopaedic surgery approaches This is a must-have resource for providers who treat orthopaedic trauma patients, including general and orthopaedic surgeons, residents, ER physicians, nurse practitioners, physician assistants, nurses, medical students, and others on call. It also provides a robust review for orthopaedic residents prepping for the boards. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Advocating a pragmatic and multidisciplinary approach to the management of patients with brain injuries, Traumatic Brain Injury provides a detailed description of care along the whole-patient pathway. Delivering an evidence-based update on the optimal care of both adult and paediatric patients who have sustained injuries ranging from mild to severe, information from on-going multi-centre studies in neurotrauma is included. The basic scientific principles of neuropathology, head injury research and scoring systems are presented before detailed sections on emergency department care, patient transfer, intensive care and longer-term care. Rehabilitation is reviewed in detail with chapters discussing the aims and roles of physiotherapy, occupational therapy and neuropsychology amongst others. Discussing medico-legal issues in detail, the effect of injury on the individual and their family are also examined. Emphasising a holistic approach to caring for patients with brain injuries, this is an essential guide for all involved.

Mice are used as model organisms across a wide range of fields in science today--but it is far from obvious how studying a mouse in a maze can help us understand human problems like alcoholism or anxiety. How do scientists convince funders, fellow scientists, the general public, and even themselves that animal experiments are a good way of producing knowledge about the genetics of human behavior? In Model Behavior, Nicole C. Nelson takes us inside an animal behavior genetics laboratory to examine how scientists create and manage the foundational knowledge of their field. Behavior genetics is a particularly challenging field for making a clear-cut case that mouse experiments work, because researchers believe that both the phenomena they are studying and the animal models they are using are complex. These assumptions of complexity change the nature of what laboratory work produces. Whereas historical and ethnographic studies traditionally portray the laboratory as a place where scientists control, simplify, and stabilize nature in the service of producing durable facts, the laboratory that emerges from Nelson's extensive interviews and fieldwork is a place where stable findings are always just out of reach. The ongoing work of managing precarious experimental systems means that researchers learn as much--if not more--about the impact of the environment on behavior as they do about genetics. Model Behavior offers a compelling portrait of life in a twenty-first-century laboratory, where partial, provisional answers to complex scientific questions are increasingly the norm.

SBAQ's for the FRCEM Primary is a key resource for the new FRCEM Primary examination. Featuring over 450 Single Best Answer Questions (SBAQ's) mapped to the Royal College of Emergency Medicine curriculum, this comprehensive guide ensures high-quality self-assessment. Each chapter focuses on key areas of emergency medicine that candidates will be tested on. All questions are supported by detailed answers and further reading to ensure quick identification of key areas that may need more attention. The last chapter features a mock examination of 100 SBAQ's ensuring the reader has, not only the knowledge to the pass the exam, but can practice the technique and approach required for success in this exam. Edited by an experienced Consultant, SBAQ's for the FRCEM Primary is essential reading for candidates preparing for the FRCEM Primary exam worldwide.

The fields of Global Health and Global Emergency Response have attracted increased interest and study. There has been tremendous growth in the educational opportunities around humanitarian emergencies; however, educational resources have not yet followed the same growth. This book corrects this trend, offering a comprehensive single resource dedicated to health in humanitarian emergencies. Providing an introduction to the public health principles of response to humanitarian emergencies, the text also emphasizes the need to coordinate the public health and emergency clinical response within the architecture of the greater response effort. With contributing authors among some of the world's leading health experts and policy influencers in the field, the content is based on best practices, peer reviewed evidence, and expert consensus. The text acts as a resource for clinical and public health practitioners, graduate-level students, and individuals working in response to humanitarian emergencies for government agencies, international agencies, and NGOs.

Das vorliegende Werk gibt einen aktuellen UEberblick uber die wichtigsten POCT-Analyseverfahren und POCT-Gerate sowie deren klinische Anwendung. Daruber hinaus liefert es Informationen, u.a. zu medizinischer und wirtschaftlicher Bedeutung von POCT, Methodik, Organisation, Qualitatssicherung und den Trends fur die Zukunft. Die 3. Auflage wurde komplett aktualisiert und erweitert und tragt den neuesten Entwicklungen auf dem Gebiet Rechnung. Neue Themen sind u.a. POCT-taugliche molekularbiologische Verfahren und der internationale Vergleich der Qualitatsregeln fur POCT. Das Buch wendet sich an alle, die bereits patientennahe Laboruntersuchungen durchfuhren oder zukunftig einfuhren moechten: AErzte aller Fachbereiche, POCT-Beauftragte, Verantwortungstrager in Kliniken und Krankenhausverwaltungen. Aber auch die Entwicklungsabteilungen von IVD-Unternehmen erhalten wertvolle Informationen uber Entwicklungstendenzen und die neuen Anforderungen der europaischen Gesetzgebung an POCT-Gerate und -Reagenzien.

Dieses Buch richtet sich an alle Fachkrafte, die nach einem Grossschadensfall an Ort und Stelle sind und neben den offensichtlichen ersten Hilfeleistungen, mit Opfern, Zeugen und Angehoerigen konfrontiert werden. Neben den theoretischen Grundlagen der notfallpsychologischen Versorgung, wird detailliert auf Planung und Umsetzung eingegangen. Zahlreiche Fallbeispiele unterstreichen die Praxistauglichkeit fur Angehoerige des Rettungspersonals und hinzugezogene Notfallpsychologen oder Seelsorger.

Le situazioni critiche in medicina d'urgenza e in terapia intensiva rappresentano una tra le sfide piu difficili nella pratica clinica. La natura stessa dell'ambiente di cura, l'incertezza, il rischio elevato, i tempi ristretti e lo stress, rendono queste discipline particolarmente vulnerabili agli errori nella gestione dei pazienti. Nell'ultimo decennio e diventato sempre piu evidente, che la capacita di erogare trattamenti sicuri in queste circostanze dipende da un'approfondita conoscenza dei meccanismi all'origine dell'errore umano. Questo volume, che e la traduzione italiana della seconda edizione di Crisis Management in Acute Care Settings, propone una rassegna originale e completa di tutti i problemi correlati ai fattori umani, rilevanti per la sicurezza dei pazienti durante l'erogazione di trattamenti urgenti. Le energie di medici e psicologi si sono mescolate in un testo facilmente accessibile, che aiutera i medici e altri professionisti della salute a comprendere meglio i principi del comportamento umano e del processo decisionale nelle situazioni critiche, per evitare errori e garantire un trattamento piu sicuro ai loro pazienti.

Rolando Rossi liefert die Kernformationen uber die logistischen und medizinischen Erfordernisse, die Moeglichkeiten und die Grenzen der Repatriierung. Er beantwortet Fragen nach Organisationskonzepten fur boden- und luftgebundene Patiententransporte und schildert den praktischen Ablauf der UEberwachung und Behandlung von der UEbernahme bis zur UEbergabe in der aufnehmenden Einrichtung. Checklisten zur Vorbereitung und Durchfuhrung von Repatriierungen runden die kompakte Einfuhrung ab.

Rechtliche und geschichtliche Grundlagen der Pflege mussen nicht trocken sein - das Handbuch vermittelt den Wissensstoff anschaulich und verstandlich. Neu in der 6. Auflage: - Berucksichtigt das neue Altenpflege- und Krankenpflegegesetz - Berufskunde komplett uberarbeitet und erweitert - Fallbeispiele und Gerichtsurteile - Prufungsfragen nach jedem Kapitel - Anhang mit Literatur, Muster eines Nottestamentes u.v.a. ...Ein empfehlenswertes Fachbuch fur die Ausbildung... (Altenpflege Journal) Das Buch ist zur intensiven Vor- und Nachbereitung des Unterrichts sowie zur Vorbereitung auf das Examen bestens geeignet. Es empfiehlt sich daruber hinaus als Handbuch fur die tagliche Praxis. (Kompass)

From principles of oxygen delivery and patient assessment, through rapid sequence induction of anaesthesia and tracheal intubation, to the difficult and failed emergency airway, this book from an expert team of clinicians guides the reader through every aspect of emergency airway management. Retaining the concise, accessible format of the first edition, it includes a new section on human factors and improving teamwork and performance, an expanded special circumstances section, and a summary of the 4th National Audit Project of the Royal College of Anaesthetists and Difficult Airway Society and its implications for practice. Updated guidelines, new technologies such as videolaryngoscopy, and recent evidence have all been incorporated into the chapter content, ensuring that the book reflects best current practice. This thoroughly updated new edition remains an essential resource for navigating a highly challenging clinical scenario and will be of value to emergency medicine, intensive care, anaesthesia and acute medicine clinicians.

This practical book describes the basic science, clinical presentation and management of the 67 common acute medical presentations stipulated in the Royal College of Physicians syllabus for Core Medical Training and Acute Core Common Stem. * Case scenarios are included for each presentation, and guidance about management is offered in the context of national guidelines and important studies * Experienced clinicians describe their approach to common difficult problems and explain the answers to questions often asked on the ward round by successive generations of trainees * Chapters highlight key decisions that need to be made early, common misunderstandings, and risks * Detailed discussion provides an understanding of the rationale, allowing the reader to apply their knowledge to other situations * Guidance is provided on urgency of referral, safe ambulatory management, and when to seek specialist help. This is an essential resource that provides readers with the knowledge base to practise as a confident medical registrar.

Die Behandlung postoperativer Schmerzen gehoert zu den wichtigsten Aufgaben des Anasthesisten, seiner chirurgisch tatigen Partner und des Pflegepersonals. Obwohl eine Vielzahl von effektiven und sicheren Methoden der postoperativen Schmerztherapie beschrieben worden ist, lasst die Umsetzung in die Routine noch sehr zu wunschen ubrig. Das Ziel dieses Buches in seiner grundlich uberarbeiteten 2. Auflage ist es, das Bewusstsein fur die derzeitigen Mangel zu scharfen und Anregungen fur dringend noetige Verbesserungen zu geben. Theoretische Grundlagen des postoperativen Schmerzes, der systemischen Pharmakotherapie sowie der Lokal- und Regionalanasthesie und alternative Methoden werden beschrieben; ausfuhrliche Reviews der derzeitigen Kenntnisse und praktische Empfehlungen fur die klinische Routine schliessen sich an. Das Buch wird so zu einem wichtigen Nachschlagewerk fur AErzte, Medizinstudenten und Pflegepersonal.

Das Handbuch der gefahrlichen Guter ist ein Standardwerk fur den Transport von Gefahrgutern. Es gibt Informationen zu nationalen und internationalen Transportvorschriften und zu Notfallmassnahmen bei Unfallen sowie Hinweise fur die arztliche Erstbehandlung von Personen. Zusatzlich zu den neu aufgenommenen Gefahrstoffen sind jetzt auch die meisten der bisher noch nicht erfassten Kampfstoffe, die vor allem als Altlasten Bedeutung erlangt haben, im Band 6/2 aufgenommen.

Lebensbedrohliche Situationen im OP und auf der Intensivstation koennen nur bei exakter Diagnostik entsprechend therapiert werden. Eine umfassende apparative UEberwachung hat sich neben der kontinuierlichen klinischen Beurteilung durch die funf Sinne des behandelnden Arztes als unbedingt notwendig erwiesen. Die Ausweitung des Monitorings unter Einschluss elektronischer Messgroessen und intelligenter Verarbeitung macht es moeglich, die Grenzen der operativen und Intensivmedizin zu erweitern. Zweck dieses Buches ist es, UEberwachungsparameter und -techniken aus beiden Bereichen und die Prinzipien, Moeglichkeiten und Grenzen der UEberwachung zu prasentieren.

Musculo-skeletal problems underlie many of the cases seen by doctors working in accident and emergency departments. It is estimated that over 4 million patients per annum will attend an A & E department in England and Wales with such a condition. Although many of these problems may be considered less serious, when compared to others seen in A & E departments, a misdiagnosis could have far reaching and even fatal consequences. It is also the area where statistically A & E doctors are most likely to make an error of diagnosis. Musculo-skeletal problems in emergency medicine provides guidelines on the history taking and examination of patients with musculo-skeletal problems. The book starts by explaining the pathology of musculo-skeletal injuries, describing the wide range of non-traumatic musculo-skeletal problems that present to an A & E department. Each section of the body is then dealt with in detail, with advice given on the management of Uspecific patient presentations. Throughout, emphasis is placed on the diagnosis of traumatic and non-traumatic injuries, and detailed guidance provided on their initial investigation, management, and ongoing referral. This book is intended for

Neurologische, neurovegetative und psychische Veranderungen nach gro- ssen Operationen oder Intensivbehandlungen weisen auf abgelaufene Stoe- rungen cerebraler Funktionen hin. Solche Veranderungen sind bei genauer Analyse keineswegs selten; sie haben ein weites Spektrum der klinischen Manifestation. Wahrend die bestmoegliche Kreislaufuberwachung unter Einbeziehung der fortlaufenden EKG-Registrierung bei Narkosen und In- tensivbehandlungen heute als selbstverstandliche Routine gilt, ist bisher die objektive und laufende Kontrolle cerebraler Funktionszustande unter den verschiedensten Einflussen von Anasthesie, Operation und Intensivmedizin nicht befriedigend geloest. Der klinischen Neurophysiologie gelingt zunehmend - vor allem durch das EEG bei visueller wie auch spektralanalytischer Auswertung - die Dar- stellung funktioneller Veranderungen als AEquivalent bzw. als Ursache klini- scher, neurologischer und psychischer Stoerungen. Von aktueller Bedeutung ist deshalb die Frage, ob anasthesiologische EEG-UEberwachung sowohl vom theoretischen Ansatz her als auch in der praktischen Durchfuhrbarkeit geeignet ist, cerebrale Stoerungen, die durch perioperative Massnahmen aus- geloest werden, fruhzeitig zu erkennen, zu deuten und hierdurch bestmoeglich zu vermeiden oder zu behandeln. Letzlieh steht dahinter die Grundfrage, inwieweit anasthesiologische Massnahmen sich am EEG-Bild orientieren und danach gesteuert werden koennen und ob eine EEG-Analy- se sowohl fur den einzelnen Patienten als auch generell fur die Wertung einer anasthesiologischen Massnahme bedeutsam ist. Diesen Fragen der Relevanz und der Praktikabilitat einer anasthesiolo- gisehen EEG-UEberwachung wird in diesem Buch nachgegangen. Grundla- ge hierfur ist die Analyse von uber 1500 durchgefuhrten EEG-Ableitungen im anasthesiologisch-chirurgischen bzw. -gynakologischen Krankengut.