Themen der Anasthesiologie - fur die Fort- und Weiterbildung

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Das vorliegende Werk bietet aktuelles Fachwissen rund um die Anasthesiologie in hoher Qualitat und auf hohem Niveau - verfasst und begutachtet von Experten - zu den Themen:

Obstruktive Schlafapnoe im Kindesalter - Anasthesiologische Aspekte

Anasthesie bei geriatrischen Patienten - Teil 1: Alter, Organfunktion und typische Erkrankungen

Kardiogener Schock

Anasthesie bei geriatrischen Patienten - Teil 2: Anasthetika, Patientenalter und Anasthesiefuhrung

Tumorschmerz in der Palliativmedizin

Ernahrung in der Intensivmedizin - Teil 1

Stresslasionen im oberen Gastrointestinaltrakt

Anasthesie bei endourologischen und roboterassistierten Eingriffen

Wenn das Ruhemembranpotenzial aus der Ruhe kommt - Akute Hyperkaliamie in der perioperativen Phase

Vermeidung katheterassoziierter Infektionen

Praktische Diagnostik des Saure-Base-Haushalts - Teil 1: Differenzierung von respiratorischen und metabolischen Storungen

Praktische Diagnostik des Saure-Base-Haushalts - Teil 2: Differenzierung von metabolischen Storungen

Infektionspravention durch das Anasthesieteam

Postpunktioneller Kopfschmerz

Ernahrung in der Intensivmedizin - Teil 2: spezielle Ernahrungsprobleme

Narkose zur Elektrokrampftherapie

Anasthesiologische Besonderheiten der Trisomie 21 (Down-Syndrom)

Inhalative Anasthetika

Die Inhalte entsprechen den CME-Beitragen aus der Fachzeitschrift

Der Anaesthesist von Heft 1/2012 - Heft 06/2013 und orientieren sich an der Weiterbildungsordnung Facharzt fur Anasthesiologie ."

Besides its core competencies in excellent patient care, the university hospital in Dresden, Germany focuses on team and quality management. In our understanding, team management is one key success factor for hospitals in the future. Excellent nationally and internationally recognised projects and practice proven concepts will be presented by specialists in their fields. After discussing the strategic background and advantages of team oriented management from the hospital CEOs viewpoint, possibilities of aligning individual employee performance with strategic goals under the peculiarities of university hospitals are presented. The concept of shared mental models is then closely discussed on the background of cutting edge results in this field in a guest article by Piet van den Bossche (Dept. of Educational development and Educational Research, Maastricht University, The Netherlands). Fitting just into the latter empirical background, team concepts in Helicopter Emergency Medical Services are described, which rely on shared mental models of all team members. To achieve good Crew Resource Management the Dresden Six Step Approach of CRM improves team performance by introducing psychological know how into simulator based teaching, focusing on shared mental models and team effectiveness. The next chain link of patient safety is risk management representing a vital part of quality management in high risk medical organisations. In this regard, the design and implementation of a local Critical Incident Reporting System (CIRS) in Dresden is illustrated. Consequently the results of our CIRS are openly discussed as well as the changes in daily practice derived from its reports. The next step on the way to business excellence is the utilisation of closed quality management circuits, referring to the classical Deming cycle (plan- do- check- act). In this regard, we describe the results of the first Six Sigma team optimisation project in a German hospital in collaboration with the Chair of Market oriented Corporate Management and Marketing of the University of Dresden. Responsibility for society is further taken by setting up a quality certified trans-regional stroke management network. Using virtual patient gateways under the leadership of the UHD quality in patient care evolves from the local level of one hospital to the entire eastern Saxon region. Most fascinating and challenging, however, is the psychology and team management of large teams and resources under time pressure exemplified in mass casualty incidents and natural disasters directly affecting a level 3 trauma centre as illustrated in the both final chapters. This book is aimed at managers and team leaders, practitioners, and team members in diverse organisations as well as management consultants. This diverse target group illustrates the basic approach of team management. Only the strategy oriented inter-professional co-operation of management and staff within shared mental models across the organisation enables sustained success of all contributors by increasing patient safety and satisfaction.

During the past decades, intensive collaborative research in the fields of chronic and acute inflammatory disorders has resulted in a better understanding of the pathophysiology and diagnosis of these diseases. Modern therapeutic approaches remain unsatisfactory and shock, sepsis and multiple organ failure (MOF) are still a great challenge in intensive care medicine. Furthermore, treatment of inflammatory diseases like rheumatoid arthritis, ulcerative colitis or psoriasis represents an unresolved problem as well. Many factors contribute to the complex course of inflammatory reactions. Microbiological, immunological and toxic agents are able to initiate the inflammatory response by activating a variety of humoural and cellular mediators. In the early phase of inflammation interleukins and lipid-mediators are excessively released and play a crucial role in the pathogenesis of organ dysfunction. Cellular lipid membranes represent a dynamic high turnover barrier system, which separate the intracellular from the extracellular space and easily adapt to respective demands. In addition to this barrier function membrane lipids (arachidonic acid) can be oxygenized to biologically active lipid mediators (eicosanoids). These function as "local mediators" which can quickly reach considerable concentrations and, due to their short half life, act in intercellular microenvironments.Two omega-3 polyunsaturated fatty acids (omega-3 FA) eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) are mainly found in maritime sources, as opposed to omega-6 polyunsaturated fatty acids found in terrestrial sources (the typical western diet). Contemporary nutritional habits, emphasising industrially produced vegetable oils and animal fats, have disturbed this balance, resulting in a proportional decrease of omega-3 FA. This book presents an update of the pathophysiological impact of lipid mediators in inflammatory disorders and summarises the recent development of therapeutic approaches.