Now showing 1 - 6 of 6
  • 2009Journal Article
    [["dc.bibliographiccitation.firstpage","888"],["dc.bibliographiccitation.issue","8"],["dc.bibliographiccitation.journal","Resuscitation"],["dc.bibliographiccitation.lastpage","892"],["dc.bibliographiccitation.volume","80"],["dc.contributor.author","Eich, Christoph B."],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.contributor.author","Heuer, J. F."],["dc.contributor.author","Timmermann, Arnd"],["dc.contributor.author","Gentkow, Uta"],["dc.contributor.author","Quintel, Michael"],["dc.contributor.author","Roessler, Markus"],["dc.date.accessioned","2018-11-07T08:27:33Z"],["dc.date.available","2018-11-07T08:27:33Z"],["dc.date.issued","2009"],["dc.description.abstract","Background: In Germany, as in many other countries, for the vast majority of cases, critical out-of-hospital (OOH) paediatric emergencies are attended by non-specialised emergency physicians (EPs). As it is assumed that this may lead to deficient service we aimed to gather robust data on the characteristics of OOH paediatric emergencies. Methods: We retrospectively evaluated all OOH paediatric emergencies (0-14years) within a 9-year period and attended by physician-staffed ground- or helicopter-based emergency medical service (EMS or HEMS) teams from our centre. Results: We identified 2271 paediatric emergencies, making up 6.3% of all cases (HEMS 8.5%). NACA scores IV-VII were assigned in 27.3% (HEMS 32.0%). The leading diagnosis groups were age dependent: respiratory disorders (infants 34.5%, toddlers 21.8%, school children 15.0%), convulsions (17.2%, 43.2%, and 16.0%, respectively), and trauma (16.0%, 19.5%, and 44.4%, respectively). Endotracheal intubation was performed in 4.2% (HEMS 7.6%) and intraosseous canulation in 0.7% (HEMS 1.0%) of children. Cardiopulmonary resuscitation (CPR) was commenced in 2.3% (HEMS 3.4%). Thoracocentesis, chest drain insertion and defibrillation were rarities. HEMS physicians attended a particularly high fraction of drowning (80.0%). head injury (73.9%) and SIDS (60.0%) cases, whereas 75.6% of all respiratory emergencies were attended by ground-based EPs. Conclusions: Our data suggest that EPs need to be particularly confident with the care of children suffering respiratory disorders, convulsions, and trauma. The incidence of severe paediatric OOH emergencies requiring advanced interventions is higher in HEMS-attended cases. However, well-developed skills in airway management, CPR, and intraosseous canulation in children are essential for all EPs. (C) 2009 Elsevier Ireland Ltd. All rights reserved."],["dc.identifier.doi","10.1016/j.resuscitation.2009.05.008"],["dc.identifier.isi","000268862100010"],["dc.identifier.pmid","19520484"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/6223"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/16228"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Elsevier Ireland Ltd"],["dc.relation.issn","0300-9572"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Characteristics of out-of-hospital paediatric emergencies attended by ambulance- and helicopter-based emergency physicians"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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  • 2012Journal Article
    [["dc.bibliographiccitation.artnumber","18"],["dc.bibliographiccitation.journal","BMC Anesthesiology"],["dc.bibliographiccitation.volume","12"],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.contributor.author","Cremer, Stephan"],["dc.contributor.author","Galli, Tamara"],["dc.contributor.author","Eich, Christoph B."],["dc.contributor.author","Braeuer, Anselm"],["dc.contributor.author","Crozier, Thomas A."],["dc.contributor.author","Bauer, Martin"],["dc.contributor.author","Strack, Micha"],["dc.date.accessioned","2018-11-07T09:07:16Z"],["dc.date.available","2018-11-07T09:07:16Z"],["dc.date.issued","2012"],["dc.description.abstract","Background: The i-gel (TM), LMA-Supreme (LMA-S) and Laryngeal Tube Suction-D (LTS-D) are single-use supraglottic airway devices with an inbuilt drainage channel. We compared them with regard to their position in situ as well as to clinical performance data during elective surgery. Methods: Prospective, randomized, comparative study of three groups of 40 elective surgical patients each. Speed of insertion and success rates, leak pressures (LP) at different cuff pressures, dynamic airway compliance, and signs of postoperative airway morbidity were recorded. Fibreoptic evaluation was used to determine the devices' position in situ. Results: Leak pressures were similar (i-gel (TM) 25.9, LMA-S 27.1, LTS-D 24.0 cmH(2)O; the latter two at 60 cmH(2)O cuff pressure) as were insertion times (i-gel (TM) 10, LMA-S 11, LTS-D 14 sec). LP of the LMA-S was higher than that of the LTS-D at lower cuff pressures (p < 0.05). Insertion success rates differed significantly: i-gel (TM) 95%, LMA-S 95%, LTS-D 70% (p < 0.05). The fibreoptically assessed position was more frequently suboptimal with the LTS-D but this was not associated with impaired ventilation. Dynamic airway compliance was highest with the i-gel (TM) and lowest with the LTS-D (p < 0.05). Airway morbidity was more pronounced with the LTS-D (p < 0.01). Conclusion: All devices were suitable for ventilating the patients' lungs during elective surgery."],["dc.description.sponsorship","Open-Access-Publikationsfonds 2012"],["dc.identifier.doi","10.1186/1471-2253-12-18"],["dc.identifier.isi","000314842600001"],["dc.identifier.pmid","22871204"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/7856"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/25756"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Biomed Central Ltd"],["dc.relation.issn","1471-2253"],["dc.rights","CC BY 2.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/2.0"],["dc.title","Randomized comparison of the i-gel (TM), the LMA Supreme (TM), and the Laryngeal Tube Suction-D using clinical and fibreoptic assessments in elective patients"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]
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  • 2009Journal Article
    [["dc.bibliographiccitation.firstpage","3"],["dc.bibliographiccitation.issue","13"],["dc.bibliographiccitation.journal","Applied Cardiopulmonary Pathophysiology"],["dc.bibliographiccitation.lastpage","10"],["dc.contributor.author","Eich, Christoph Bernhard"],["dc.contributor.author","Zink, W."],["dc.contributor.author","Schwarz, S. K. W."],["dc.contributor.author","Radke, Oliver"],["dc.contributor.author","Bräuer, A."],["dc.date.accessioned","2019-07-10T08:13:26Z"],["dc.date.available","2019-07-10T08:13:26Z"],["dc.date.issued","2009"],["dc.description.abstract","Background: We conducted an audit to investigate the efficacy of a proposed standard operating procedure (SOP) on convective and conductive perioperative thermal management during paediatric cardiac anaesthesia. Methods: We retrospectively studied 26 consecutive children who underwent cardiac surgery under cardiopulmonary bypass (CPB). We applied a heating mattress and a forced-air blanket during anaesthesia induction, before CPB, during the rewarming period, and after discontinuation of CPB. Core body temperatures were recorded continuously. Results: All children (aged 1 day to 13.5 yr, median 25 months) were divided into three groups: < 5 kg (group I, n = 9), 5–15 kg (II, n = 8), and > 15 kg (III, n = 9). Mean (± SD) core body temperatures were as follows: at the start of surgery 35.8 ± 1.0°C (I), 35.9 ± 0.6°C (II), and 36.3 ± 0.3°C (III); at the start of bypass 35.9 ± 1.1°C (I), 36.4 ± 1.1°C (II), and 36.5 ± 0.7 °C (III). Temperatures after rewarming were 36.4 ± 0.4 °C (I), 36.2 ± 0.4 °C (II), and 36.0 ± 0.4°C (III). After weaning from bypass, core body temperatures were 36.7 ± 0.9°C (I), 37.3 ± 0.7°C (II), and 37.1 ± 0.7°C (III). Normothermia on admission to ICU was maintained in all but three small infants. Conclusions: In children undergoing cardiac surgery, a combination of convective and conductive warming can effectively ensure perioperative normothermia before and after CPB."],["dc.identifier.fs","568809"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/5938"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/61243"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation.issn","0920-5268"],["dc.relation.orgunit","Universitätsmedizin Göttingen"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.subject.ddc","610"],["dc.title","A combination of convective and conductive warming produces pre- and post-bypass normothermia in pediatric cardiac surgery"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]
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  • 2015Journal Article
    [["dc.bibliographiccitation.artnumber","116"],["dc.bibliographiccitation.journal","BMC Medical Education"],["dc.bibliographiccitation.volume","15"],["dc.contributor.author","Fernandez Castelao, Ezequiel"],["dc.contributor.author","Boos, Margarete"],["dc.contributor.author","Ringer, Christiane"],["dc.contributor.author","Eich, Christoph Bernhard"],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.date.accessioned","2018-11-07T09:54:30Z"],["dc.date.available","2018-11-07T09:54:30Z"],["dc.date.issued","2015"],["dc.description.abstract","Background: Effective team leadership in cardiopulmonary resuscitation (CPR) is well recognized as a crucial factor influencing performance. Generally, leadership training focuses on task requirements for leading as well as non-leading team members. We provided crisis resource management (CRM) training only for designated team leaders of advanced life support (ALS) trained teams. This study assessed the impact of the CRM team leader training on CPR performance and team leader verbalization. Methods: Forty-five teams of four members each were randomly assigned to one of two study groups: CRM team leader training (CRM-TL) and additional ALS-training (ALS add-on). After an initial lecture and three ALS skill training tutorials (basic life support, airway management and rhythm recognition/defibrillation) of 90-min each, one member of each team was randomly assigned to act as the team leader in the upcoming CPR simulation. Team leaders of the CRM-TL groups attended a 90-min CRM-TL training. All other participants received an additional 90-min ALS skill training. A simulated CPR scenario was videotaped and analyzed regarding no-flow time (NFT) percentage, adherence to the European Resuscitation Council 2010 ALS algorithm (ADH), and type and rate of team leader verbalizations (TLV). Results: CRM-TL teams showed shorter, albeit statistically insignificant, NFT rates compared to ALS-Add teams (mean difference 1.34 (95 % CI -2.5, 5.2), p = 0.48). ADH scores in the CRM-TL group were significantly higher (difference -6.4 (95 % CI - 10.3, -2.4), p = 0.002). Significantly higher TLV proportions were found for the CRM-TL group: direct orders (difference -1.82 (95 % CI -2.4, -1.2), p < 0.001); undirected orders (difference -1.82 (95 % CI -2.8, -0.9), p < 0.001); planning (difference -0.27 (95 % CI -0.5, -0.05) p = 0.018) and task assignments (difference - 0.09 (95 % CI -0.2, -0.01), p = 0.023). Conclusion: Training only the designated team leaders in CRM improves performance of the entire team, in particular guideline adherence and team leader behavior. Emphasis on training of team leader behavior appears to be beneficial in resuscitation and emergency medical course performance."],["dc.description.sponsorship","Open-Access-Publikationsfonds 2015"],["dc.identifier.doi","10.1186/s12909-015-0389-z"],["dc.identifier.isi","000359184100001"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/13458"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/36547"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","1472-6920"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Effect of CRM team leader training on team performance and leadership behavior in simulated cardiac arrest scenarios: a prospective, randomized, controlled study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]
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  • 2011Journal Article
    [["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Emergency Medicine"],["dc.bibliographiccitation.volume","11"],["dc.contributor.author","Russo, Sebastian G"],["dc.contributor.author","Neumann, Peter"],["dc.contributor.author","Reinhardt, Sylvia"],["dc.contributor.author","Timmermann, Arnd"],["dc.contributor.author","Niklas, André"],["dc.contributor.author","Quintel, Michael"],["dc.contributor.author","Eich, Christoph B"],["dc.date.accessioned","2021-06-01T10:47:59Z"],["dc.date.available","2021-06-01T10:47:59Z"],["dc.date.issued","2011"],["dc.identifier.doi","10.1186/1471-227X-11-20"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/7047"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/85787"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-425"],["dc.notes.intern","Merged from goescholar"],["dc.relation.eissn","1471-227X"],["dc.rights","CC BY 2.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/2.0"],["dc.title","Impact of physical fitness and biometric data on the quality of external chest compression: a randomised, crossover trial"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]
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  • 2011Journal Article Discussion
    [["dc.bibliographiccitation.firstpage","265"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Der Anaesthesist"],["dc.bibliographiccitation.lastpage","266"],["dc.bibliographiccitation.volume","60"],["dc.contributor.author","Eich, Christoph B."],["dc.contributor.author","Klingebiel, Enrico"],["dc.contributor.author","Herrmann, M."],["dc.date.accessioned","2018-11-07T08:58:23Z"],["dc.date.available","2018-11-07T08:58:23Z"],["dc.date.issued","2011"],["dc.identifier.doi","10.1007/s00101-011-1847-6"],["dc.identifier.isi","000289238600011"],["dc.identifier.pmid","21271229"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/23631"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","1432-055X"],["dc.relation.issn","0003-2417"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Well known but often forgotten Effect of a neck roll on the Control systems of the upper respiratory tract in a deeply-sedated Child"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.subtype","letter_note"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]
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