160,658 research outputs found
Decision of the G-BA for the mandatory Introduction and Implementation of Acute Pain Management Concepts - Significance and Perspectives of the Anesthesiology Field
No full textDecision of the G-BA for the mandatory Introduction and Implementation of Acute Pain Management Concepts - Significance and Perspectives of the Anesthesiology Field
No full textInpatient acute pain management in German hospitals: results from the national survey "Akutschmerzzensus 2012"
No full textIn 2007, the German national guidelines on "Treatment of acute perioperative and post-traumatic pain" were published. The aim of this study was to describe current structure and process data for acute pain management in German hospitals and to compare how the guidelines and other initiatives such as benchmarking or certification changed the healthcare landscape in the last decade. All directors of German departments of anesthesiology according to the DGAI ("Deutschen Gesellschaft fur Anasthesiologie und Intensivmedizin", German Society for Anesthesiology and Intensive Care) were mailed a standardized questionnaire on structures and processes of acute pain management in their hospitals. A total of 403 completed questionnaires (46 %) could be evaluated. Of hospitals, 81 % had an acute pain service (ASD), whereby only 45 % met defined quality criteria. Written standards for acute pain management were available in 97 % of the hospitals on surgical wards and 51 % on nonsurgical wards. In 96 %, perioperative pain was regularly recorded (generally pain at rest and/or movement, pain-related functional impairment in 16 % only). Beside these routine measurements, only 38 % of hospitals monitored pain for effectiveness after acute medications. Often interdisciplinary working groups and/or pain managers are established for hospital-wide control. As specific therapy, the patient-controlled analgesia and epidural analgesia are largely prevalent (> 90 % of all hospitals). In the last decade, intravenous and oral opioid administration of opioids (including slow release preparations) has become established in acute pain management. The survey was representative by evaluating 20 % of all German hospitals. The organizational requirements for appropriate pain management recommended by the German guidelines for acute pain recommended have been established in the hospital sector in recent years. However, the organizational enforcement for acute pain management in nonsurgical areas is not adequate yet, compared to the perioperative care. In all hospitals modern medication and invasive techniques are widely available
[Role of anesthesiology in pain medicine and palliative care treatment in German hospitals : Survey of department heads of anesthesiology on treatment structures].
No full textBACKGROUND
The aim of this analysis was to describe the role of anesthesiology departments in pain medicine and palliative care services in German hospitals.
METHOD
In the year 2012, all heads of departments of anesthesiology registered with the German Society of Anesthesiology and Intensive Care Medicine were surveyed about structures of pain medicine and palliative care services in their hospitals using a standardized postal questionnaire.
RESULTS
Out of 408 returned questionnaires (response rate 47%) 403 could be evaluated. Of the hospitals 58% had a designated pain medicine service, in 36 (9%) of the hospitals this was organized as an independent department and in 195 (57%) as part of another department, mostly the department of anesthesiology. The "pain clinic" as an outpatient service was the most common form of structure for pain medicine services (41%). Inpatient pain medicine units were available in 77 (19%) of the hospitals and a partial inpatient unit in the form of a day hospital in 26 (7%) of the hospitals. For the care of inpatients from other departments, there was an intrahospital pain consultation service in 166 of the hospitals, which was the only structure for pain medicine in 32 of the 231 hospitals that reported having a designated pain medicine service. In 160 pain medicine services anesthesiologists were the only medical practitioners and in a further 18 both anesthesiologists and other specialists were available (orthopedist/orthopedic surgeons n = 6, internal medicine n = 4, psychiatrist n = 2, general practitioner = 1 and neurologist n = 1). Only two hospitals had no anesthesiologist in the pain medicine team and for the remaining 51 hospitals no information was provided. In 189 of the 231 hospitals with pain medicine services, there was at least 1 physician with special qualifications in pain management. In 97 (44%) of the hospitals psychologists were part of the team with 53 having at least 1 psychologist with a special qualification in chronic pain management. Of the hospitals, 16% had a specialized department for palliative care, in 32% a specialized palliative care service was part of another department, which was the department of anesthesiology in 30%. Of the hospitals 56% had a palliative care consultation service, 41% had a specialized inpatient palliative care unit, 6% an outpatient clinic, 4% a day hospital and in 16% a specialized outpatient palliative care (SOPC) serving the community was incorporated. Inpatient consultation services and the SOPC were more common when the department of anesthesiology was involved in the palliative care services.
CONCLUSION
In German hospitals, the departments of anesthesiology make a significant contribution to the provision of both pain medicine and palliative care services. Nevertheless, the respective structures of care are often incomplete or even lacking. There were shortcomings in terms of organization and qualification of the team in pain medicine services (e.g. no doctor with special qualifications in pain management or no psychologist). Palliative care services are more often organized as independent departments than as pain medicine services. Engagement of the anesthesiology department in palliative care is linked to a broader scope of the services provided, which might reflect the capacity of many anesthesiologists to work in an interdisciplinary manner and across interfaces
Agreement of the Professional Association of German Anesthesiologists and the Professional Association of German Surgeons for the Organization of Postoperative Pain Therapy for Surgical Patients (revised version 2019)
No full textAgreement of the Professional Association of German Anesthesiologists and the Professional Association of German Surgeons for the Organization of Postoperative Pain Therapy for Surgical Patients (revised version 2019)
No full textAgreement of the Professional Association of German Anesthesiologists and the Professional Association of German Surgeons for the Organization of Postoperative Pain Therapy for Surgical Patients (revised version 2019)
No full textAgreement of the Professional Association of German Anesthesiologists and the Professional Association of German Surgeons for the Organization of Postoperative Pain Therapy for Surgical Patients (revised version 2019)
No full textEfektywność zapylania trzmiela ziemnego (Bombus terrestris) w uprawie ogórka polowego (Cucumis sativus L.)
No full textThe cucumber crop size depends not only on the cultivar and agrotechnical conditions but also on proper pollination of flowers. The aim of the work was the investigation of the efficiency of bumblebees used in the cultivation of cucumber on the yield, physical parameters and chemical traits of fruits. The investigations were performed on two cucumber cultivars Pavlina F₁ and Natasia F₁ obtained from Seminis company. It was established as a three factor experiment in four replications. The bumblebees from the Koppert company was introduced to the cucumber cultivation two times. Marketable yield, the numbers of flowers and fruits as well as physical and chemical traits were investigated. Marketable yield of fruits from the treatment with bumblebees was at the similar level with marketable yield from the control treatment with significantly higher number of fruits in the bumblebees treatment. The yield of fruits of the first class was at the similar level in both treatments with significantly higher number of fruits in the control treatment. A higher firmness and better quality were characteristic for fruits in the treatments with bumblebees than from the control treatment. A higher nitrate content was characteristic for fruits from the control treatment and fruits from the second and third term of planting. A higher phosphorus content was noted in fruits from the treatment with bumblebees in the first and third term of cultivation and in fruits of the Pavlina F₁ cultivar.Wielkość plonu ogórka zależy nie tylko od odmiany i warunków agrotechnicznych, ale także od odpowiedniego zapylenia kwiatów. Celem pracy było zbadanie efektywności trzmieli w uprawie ogórka polowego na plonowanie, parametry fizyczne i skład chemiczny owoców. Do badań wzięto dwie odmiany ogórka polowego Pavlina F₁ i Natasia F₁ firmy Seminis. Doświadczenie założono jako trzyczynnikowe (1 – kombinacja, 2 – termin sadzenia, 3 – odmiana) w czterech powtórzeniach. Do uprawy ogórka wprowadzono dwukrotnie trzmiele z firmy Koppert. Dokonano oceny plonu handlowego, określono liczbę kwiatów i owoców oraz cechy fizyczne i chemiczne owoców. Plon handlowy owoców z kombinacji z trzmielami był na zbliżonym poziomie z plonem handlowym owoców z kombinacji kontrolnej przy istotnie większej liczbie owoców w tej kombinacji. Plon owoców pierwszego wyboru był na porównywalnym poziomie w obu kombinacjach przy istotnie większej liczbie owoców w kombinacji kontrolnej. Wyższą jędrnością i lepszą jakością charakteryzowały się owoce z kombinacji z trzmielami niż owoce z kombinacji kontrolnej. Wyższą zawartość azotanów wykazano w owocach pochodzących z kombinacji kontrolnej oraz w owocach z drugiego i trzeciego terminu uprawy. Większą zawartość fosforu stwierdzono w owocach z kombinacji z trzmielami, w pierwszym i trzecim terminie uprawy i w owocach odmiany Pavlina F₁
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