Emons, Miriam I.

[["dc.bibliographiccitation.firstpage","493"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","Der Schmerz"],["dc.bibliographiccitation.lastpage","503"],["dc.bibliographiccitation.volume","28"],["dc.contributor.author","Erlenwein, Joachim"],["dc.contributor.author","Emons, Miriam I."],["dc.contributor.author","Hecke, A."],["dc.contributor.author","Nestler, N."],["dc.contributor.author","Przemeck, Michael"],["dc.contributor.author","Bauer, M."],["dc.contributor.author","Meissner, W."],["dc.contributor.author","Petzke, Frank"],["dc.date.accessioned","2018-11-07T09:34:49Z"],["dc.date.available","2018-11-07T09:34:49Z"],["dc.date.issued","2014"],["dc.description.abstract","The aim of this study was to analyze the degree of organization of different standard protocols for acute pain management, as well as the derivation and definition of typical but structurally different models. A total of 85 hospitals provided their written standardized protocols for analysis. Protocols for defined target processes from 76 hospitals and another protocol used by more than one hospital were included into the analysis. The suggested courses of action were theoretically simulated to identify and characterize process types in a multistage evaluation process. The analysis included 148 standards. Four differentiated process types were defined (\"standardized order\", \"analgesic ladder\", \"algorithm\", \"therapy path\"), each with an increasing level of organization. These four types had the following distribution: 27 % (n = 40) \"standardized order\", 47 % (n = 70) \"analgesic ladder\", 22 % (n = 33) \"algorithm\", 4 % (n = 5) \"therapy path\". Models with a higher degree of organization included more control elements, such as action and intervention triggers or safety and supervisory elements, and were also associated with a formally better access to medication. For models with a lower degree of organization, immediate courses of action were more dependent on individual decisions. Although not quantifiable, this was particularly evident when simulating downstream courses of action. Interfaces between areas of hospital activity and a cross-departmental-boundary validity were only considered in a fraction of the protocols. Concepts from clinics with a certificate in (acute) pain management were more strongly process-oriented. For children, there were proportionately more simple concepts with a lower degree of organization and less controlling elements. This is the first analysis of a large sample of standardized protocols for acute pain management focusing on the degree of organization and the possible influence on courses of action. The analysis shows how different the structures and presumably the practical objectives of the various concepts are. The analyzed protocols with a lower degree of organization can manage only the assignment of a particular medication to the corresponding patient group, with a presumably high requirement for considerable implicit knowledge of the responsible employees. Accordingly, a requirement for such protocols should be that they not only describe the preferred standard therapy, but also define the interactions between the staff members involved. It remains questionable whether a protocol with a low level of organization and a comparably high requirement for implicit knowledge and individual action-also from nonmedical personnel-is able to ensure efficient pain therapy, particularly in view changing staff and dynamic responses to changing pain situations."],["dc.identifier.doi","10.1007/s00482-014-1479-2"],["dc.identifier.isi","000342428400005"],["dc.identifier.pmid","25179416"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/32259"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","1432-2129"],["dc.relation.issn","0932-433X"],["dc.title","Process control in acute pain management. An analysis of the degree of organization of applied standard protocols"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","e0186400"],["dc.bibliographiccitation.issue","10"],["dc.bibliographiccitation.journal","PloS one"],["dc.bibliographiccitation.volume","12"],["dc.contributor.author","Gram, Mikkel"],["dc.contributor.author","Erlenwein, Joachim"],["dc.contributor.author","Petzke, Frank"],["dc.contributor.author","Falla, Deborah"],["dc.contributor.author","Przemeck, Michael"],["dc.contributor.author","Emons, Miriam I."],["dc.contributor.author","Reuster, Michael"],["dc.contributor.author","Olesen, Søren S."],["dc.contributor.author","Drewes, Asbjørn M."],["dc.date.accessioned","2019-07-09T11:44:41Z"],["dc.date.available","2019-07-09T11:44:41Z"],["dc.date.issued","2017"],["dc.description.abstract","BACKGROUND: Experimental models have been used extensively to evaluate pain using e.g., visual analogue scales or electroencephalography (EEG). Stimulation using tonic pain has been shown to better mimic the unpleasantness of chronic pain, but has mainly been evoked by non-clinical stimuli. This study aims to, evaluate the EEG during clinical pain in patients scheduled for total hip replacement with control and resting conditions. METHODS: The hip scheduled for replacement was moved by the examiner to evoke pain for 30 seconds while recording EEG. The control condition entailed movement of the opposite hip in a similar fashion and holding it for 30 seconds. In addition, EEG was recorded during the resting condition with open eyes. The relative spectral content was calculated from the EEG as well as functional connectivity using phase-lag index for frequency bands delta (1-4Hz), theta (4-8Hz), alpha (8-12Hz) and beta (12-32Hz). A mixed model was used for statistical comparison between the three recording conditions. RESULTS: Spectral content differed between conditions in all bands. Functional connectivity differed in delta and theta frequency bands. Post-hoc analysis revealed differences between the painful and control condition in delta, theta and beta for spectral content. Pain during the hip rotation was correlated to the theta (r = -0.24 P = 0.03) and beta (r = 0.25 P = 0.02) content in the EEG. CONCLUSION: EEG differences during hip movements in the affected and unaffected hip appeared in the spectral beta and theta content. This was correlated to the reported pain perceived, pointing towards pain specific brain activity related to clinical pain."],["dc.identifier.doi","10.1371/journal.pone.0186400"],["dc.identifier.pmid","29084278"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/14866"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/59066"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation.issn","1932-6203"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.subject.ddc","610"],["dc.subject.mesh","Animals"],["dc.subject.mesh","Cats"],["dc.subject.mesh","Cerebral Cortex"],["dc.subject.mesh","Electroencephalography"],["dc.subject.mesh","Female"],["dc.subject.mesh","Guinea Pigs"],["dc.subject.mesh","Humans"],["dc.subject.mesh","Male"],["dc.subject.mesh","Osteoarthritis, Hip"],["dc.subject.mesh","Pain"],["dc.title","The cortical responses to evoked clinical pain in patients with hip osteoarthritis."],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Der Anaesthesist"],["dc.contributor.author","Erlenwein, J."],["dc.contributor.author","Maring, M."],["dc.contributor.author","Emons, M. I."],["dc.contributor.author","Gerbershagen, H. J."],["dc.contributor.author","Waeschle, R. M."],["dc.contributor.author","Saager, L."],["dc.contributor.author","Petzke, F."],["dc.date.accessioned","2021-12-01T09:23:08Z"],["dc.date.available","2021-12-01T09:23:08Z"],["dc.date.issued","2021"],["dc.description.abstract","Zusammenfassung Hintergrund Tätigkeitsgebiete mit vielen Schnittstellen, wie die Akutschmerztherapie, gelten per se als Bereiche, in denen ein erhöhtes Risiko für Fehler und Zwischenfälle besteht. Ziel der Arbeit Ziele waren die Risikoidentifikation und Graduierung des Risikos von gemeldeten Zwischenfällen im Kontext der Akutschmerztherapie. Material und Methoden Aus 5365 Fällen des bundesweiten Meldesystems CIRSmedical Anästhesiologie wurden 508 Berichte mit dem Selektionskriterium „Schmerz“ identifiziert und 281 Berichte (55 %) analysiert und anhand einer Risikomatrix graduiert. Ergebnisse Diese eingeschlossenen Fälle standen im Kontext parenteraler Analgetikaapplikationen (40 %) und rückenmarknaher (40 %) bzw. peripherer Regionalanästhesieverfahren (23 %) sowie der patientenkontrollierten Analgesie in 13 % der Meldungen (Mehrfachnennung möglich). Die meisten Ereignisse waren anhand der Schilderungen auf fachliche Fehler, Kommunikationsdefizite und ein Abweichen von der Routine zurückzuführen. Sie basierten meist auf Zugangs‑, Dosis- oder Wirkstoffverwechslungen. Etwa ein Drittel der Fehlerquellen war organisatorischer Art. Ein mögliches vitales Risiko war anhand der Berichte in 59 % der Fälle anzunehmen; 16 % der Fälle gingen mit tatsächlichen vitalen Komplikationen einher. Die Risikograduierung ergab zusammengefasst in Risikoklassen in 7 % ein „extrem hohes“, in 62 % ein „hohes“, in 25 % ein „moderates“ und in 6 % ein „niedriges“ Risiko. Diskussion Insgesamt stellte sich ein relevantes Risikopotenzial für die Patienten dar. Gerade Zwischenfälle mit menschlichen Fehlern, Abweichen von der Routine und organisatorischen Aspekten gehen mit hohem Risiko einher."],["dc.description.abstract","Abstract Background Areas of activity with many intersections pose an increased risk for errors and critical incidents. Therefore, procedures for acute pain therapy are potentially associated with an increased risk for adverse patient outcomes. Objective The aim was to identify and grade the risk of critical incidents in the context of acute pain management. Material and methods The register of the nationwide reporting system critical incident reporting system of the Professional Association of German Anesthesiologists, the German Society for Anesthesiology and Intensive Care Medicine and the Medical Center for Quality in Medicine (CIRSmedical Anesthesiology) was screened for incidents concerning pain management. Out of 5365 cases reported nationwide up to 24 March 2020, 508 reports with the selection criterion “pain” could be identified and reviewed and 281 reports (55%) were included in a systematic analysis. Results Of the 281 reports most came from anesthesiology departments (94%; 3% from surgery departments and 3% from other departments). The reported cases occurred most frequently on normal wards but a relevant proportion of the reports concerned intermediate and intensive care units or areas covered by a pain service (PS). Based on the description of the incident in the report, an involvement of the PS could be assumed for 42% of the cases. In terms of time, most of the events could be assigned to normal working hours (90%) and working days (84%; weekends 16%). The analyzed reports related to parenteral administration of analgesics (40%) and central (40%) or peripheral regional anesthesia procedures (23%) and 13% of the reports related to patient-controlled intravenous analgesia (PCIA; multiple answers possible). Most of the events were caused by technical errors, communication deficits and deviations from routine protocols. A relevant number of the cases were based on mix-ups in the administration route, the dosage, or the active agent. About one third of the sources of error were of an organizational nature, 59% of the cases posed a possible vital risk and in 16% of cases patients had vital complications. The risk grading by risk matrix resulted in an extremely high risk in 7%, a high risk in 62%, a moderate risk in 25% and a low risk in 6% of the cases. Comparing risk assessment of events with involvement of different analgesic methods, multiple medication, combination of analgesic methods or involvement of PS showed no significant differences. Likewise, no differences could be identified between the risk assessments of events at different superordinate cause levels. If more than one overriding cause of error had an impact, initially no higher risk profile was found. Conclusion Incidents in the context of acute pain management can pose high risks for patients. Incidents or near-incidents are mostly related to mistakes and lack of skills of the staff, often due to time pressure and workload as well as to inadequate organization."],["dc.description.abstract","Zusammenfassung Hintergrund Tätigkeitsgebiete mit vielen Schnittstellen, wie die Akutschmerztherapie, gelten per se als Bereiche, in denen ein erhöhtes Risiko für Fehler und Zwischenfälle besteht. Ziel der Arbeit Ziele waren die Risikoidentifikation und Graduierung des Risikos von gemeldeten Zwischenfällen im Kontext der Akutschmerztherapie. Material und Methoden Aus 5365 Fällen des bundesweiten Meldesystems CIRSmedical Anästhesiologie wurden 508 Berichte mit dem Selektionskriterium „Schmerz“ identifiziert und 281 Berichte (55 %) analysiert und anhand einer Risikomatrix graduiert. Ergebnisse Diese eingeschlossenen Fälle standen im Kontext parenteraler Analgetikaapplikationen (40 %) und rückenmarknaher (40 %) bzw. peripherer Regionalanästhesieverfahren (23 %) sowie der patientenkontrollierten Analgesie in 13 % der Meldungen (Mehrfachnennung möglich). Die meisten Ereignisse waren anhand der Schilderungen auf fachliche Fehler, Kommunikationsdefizite und ein Abweichen von der Routine zurückzuführen. Sie basierten meist auf Zugangs‑, Dosis- oder Wirkstoffverwechslungen. Etwa ein Drittel der Fehlerquellen war organisatorischer Art. Ein mögliches vitales Risiko war anhand der Berichte in 59 % der Fälle anzunehmen; 16 % der Fälle gingen mit tatsächlichen vitalen Komplikationen einher. Die Risikograduierung ergab zusammengefasst in Risikoklassen in 7 % ein „extrem hohes“, in 62 % ein „hohes“, in 25 % ein „moderates“ und in 6 % ein „niedriges“ Risiko. Diskussion Insgesamt stellte sich ein relevantes Risikopotenzial für die Patienten dar. Gerade Zwischenfälle mit menschlichen Fehlern, Abweichen von der Routine und organisatorischen Aspekten gehen mit hohem Risiko einher."],["dc.description.abstract","Abstract Background Areas of activity with many intersections pose an increased risk for errors and critical incidents. Therefore, procedures for acute pain therapy are potentially associated with an increased risk for adverse patient outcomes. Objective The aim was to identify and grade the risk of critical incidents in the context of acute pain management. Material and methods The register of the nationwide reporting system critical incident reporting system of the Professional Association of German Anesthesiologists, the German Society for Anesthesiology and Intensive Care Medicine and the Medical Center for Quality in Medicine (CIRSmedical Anesthesiology) was screened for incidents concerning pain management. Out of 5365 cases reported nationwide up to 24 March 2020, 508 reports with the selection criterion “pain” could be identified and reviewed and 281 reports (55%) were included in a systematic analysis. Results Of the 281 reports most came from anesthesiology departments (94%; 3% from surgery departments and 3% from other departments). The reported cases occurred most frequently on normal wards but a relevant proportion of the reports concerned intermediate and intensive care units or areas covered by a pain service (PS). Based on the description of the incident in the report, an involvement of the PS could be assumed for 42% of the cases. In terms of time, most of the events could be assigned to normal working hours (90%) and working days (84%; weekends 16%). The analyzed reports related to parenteral administration of analgesics (40%) and central (40%) or peripheral regional anesthesia procedures (23%) and 13% of the reports related to patient-controlled intravenous analgesia (PCIA; multiple answers possible). Most of the events were caused by technical errors, communication deficits and deviations from routine protocols. A relevant number of the cases were based on mix-ups in the administration route, the dosage, or the active agent. About one third of the sources of error were of an organizational nature, 59% of the cases posed a possible vital risk and in 16% of cases patients had vital complications. The risk grading by risk matrix resulted in an extremely high risk in 7%, a high risk in 62%, a moderate risk in 25% and a low risk in 6% of the cases. Comparing risk assessment of events with involvement of different analgesic methods, multiple medication, combination of analgesic methods or involvement of PS showed no significant differences. Likewise, no differences could be identified between the risk assessments of events at different superordinate cause levels. If more than one overriding cause of error had an impact, initially no higher risk profile was found. Conclusion Incidents in the context of acute pain management can pose high risks for patients. Incidents or near-incidents are mostly related to mistakes and lack of skills of the staff, often due to time pressure and workload as well as to inadequate organization."],["dc.identifier.doi","10.1007/s00101-021-01041-3"],["dc.identifier.pii","1041"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/94568"],["dc.language.iso","de"],["dc.notes.intern","DOI-Import GROB-478"],["dc.relation.eissn","1432-055X"],["dc.relation.issn","0003-2417"],["dc.title","Kritische Ereignisse in der Akutschmerztherapie – eine Risikoanalyse von CIRS-Meldungen"],["dc.title.translated","Critical incidents in acute pain management—A risk analysis of CIRS reports"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","264"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","European Journal of Pain"],["dc.bibliographiccitation.lastpage","277"],["dc.bibliographiccitation.volume","21"],["dc.contributor.author","Gram, Mikkel"],["dc.contributor.author","Erlenwein, Joachim"],["dc.contributor.author","Petzke, Frank"],["dc.contributor.author","Falla, Deborah"],["dc.contributor.author","Przemeck, Michael"],["dc.contributor.author","Emons, Miriam I."],["dc.contributor.author","Reuster, M."],["dc.contributor.author","Olesen, S. S."],["dc.contributor.author","Drewes, Asbjorn Mohr"],["dc.date.accessioned","2018-11-07T10:28:05Z"],["dc.date.available","2018-11-07T10:28:05Z"],["dc.date.issued","2017"],["dc.description.abstract","BackgroundOpioids are often used for pain treatment, but the response is often insufficient and dependent on e.g. the pain condition, genetic factors and drug class. Thus, there is an urgent need to identify biomarkers to enable selection of the appropriate drug for the individual patient, a concept known as personalized medicine. Quantitative sensory testing (QST) and clinical parameters can provide some guidance for response, but better and more objective biomarkers are urgently warranted. Electroencephalography (EEG) may be suitable since it assesses the central nervous system where opioids mediate their effects. MethodsClinical parameters, QST and EEG (during rest and tonic pain) was recorded from patients the day prior to total hip replacement surgery. Postoperative pain treatment was performed using oxycodone and piritramide as patient-controlled analgesia. Patients were stratified into responders and non-responders based on pain ratings 24h post-surgery. Parameters were analysed using conventional group-wise statistical methods. Furthermore, EEG was analysed by machine learning to predict individual response. ResultsEighty-one patients were included, of which 51 responded to postoperative opioid treatment (30 non-responders). Conventional statistics showed that more severe pre-existing chronic pain was prevalent among non-responders to opioid treatment (p=0.04). Preoperative EEG analysis was able to predict responders with an accuracy of 65% (p=0.009), but only during tonic pain. ConclusionsChronic pain grade before surgery is associated with the outcome of postoperative pain treatment. Furthermore, EEG shows potential as an objective biomarker and might be used to predict postoperative opioid analgesia. SignificanceThe current clinical study demonstrates the viability of EEG as a biomarker and with results consistent with previous experimental results. The combined method of machine learning and electroencephalography offers promising results for future developments of personalized pain treatment."],["dc.description.sponsorship","Innovation Fund Denmark - Individuals, Disease and Society [10-092786]"],["dc.identifier.doi","10.1002/ejp.921"],["dc.identifier.isi","000393771700006"],["dc.identifier.pmid","27470494"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/43345"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","PUB_WoS_Import"],["dc.publisher","Wiley-blackwell"],["dc.relation.issn","1532-2149"],["dc.relation.issn","1090-3801"],["dc.title","Prediction of postoperative opioid analgesia using clinical-experimental parameters and electroencephalography"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Der Anaesthesist"],["dc.contributor.author","Emons, M. I."],["dc.contributor.author","Maring, M."],["dc.contributor.author","Stamer, U. M."],["dc.contributor.author","Pogatzki-Zahn, E."],["dc.contributor.author","Petzke, F."],["dc.contributor.author","Erlenwein, J."],["dc.date.accessioned","2021-04-14T08:30:52Z"],["dc.date.available","2021-04-14T08:30:52Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.1007/s00101-020-00907-2"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/83398"],["dc.language.iso","de"],["dc.notes.intern","DOI Import GROB-399"],["dc.relation.eissn","1432-055X"],["dc.relation.issn","0003-2417"],["dc.title","Sicherheit und Monitoring der patientenkontrollierten intravenösen Analgesie"],["dc.title.alternative","Anwendungspraxis in deutschen Krankenhäusern"],["dc.title.translated","Safety and monitoring of patient-controlled intravenous analgesia : Clinical practice in German hospitals"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","218"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Der Anaesthesist"],["dc.bibliographiccitation.lastpage","226"],["dc.bibliographiccitation.volume","64"],["dc.contributor.author","Erlenwein, Joachim"],["dc.contributor.author","Emons, M."],["dc.contributor.author","Hecke, A."],["dc.contributor.author","Nestler, N."],["dc.contributor.author","Wirz, Stefan"],["dc.contributor.author","Bauer, M."],["dc.contributor.author","Meissner, W."],["dc.contributor.author","Petzke, Frank"],["dc.date.accessioned","2018-11-07T10:00:04Z"],["dc.date.available","2018-11-07T10:00:04Z"],["dc.date.issued","2015"],["dc.description.abstract","Background. Standardized treatment approaches can improve the quality of the management of acute postoperative pain. Aim. The purpose of this study was to describe the content and structure of currently implemented standards for the management of acute postoperative pain in German hospitals and to better define the concept of a treatment standard for acute pain. Material and methods. Written standardized treatment protocols from 68 hospitals for the management of acute postoperative pain were analyzed. The evaluation was based on the layout of processes, the baseline and rescue or on-demand analgesic medication and safety mechanisms. Results. A treatment standard per hospital separated for adults (68 standards) and children (27 standards) was identified and analyzed. A baseline medication was provided in all standards for adults and in 89% for children. Of the 95 standards 68% routinely combined opioids and non-opioids as a basis (78% for adults and 42% for children). A way to adapt the baseline medication was described more often in standards for adults. Of the standards for adults 91% (85% for children) contained provisions for rescue or on-demand analgesia and half of them (both adults and children) included an immediate-release opioid formulation, which was readily available. For adults the availability was regulated by a predefined process in 29% of the standards (8% for children). In cases of persisting pain, repetition of the rescue medication was generally possible in 63% of adult standards (54% for children) but within 1 h after the first dose in only 43% (30% for children). Intervention limitations for application of the rescue medication (e.g. a defined score on the numeric rating scale) were set in 63% of adult standards (54% for children). A follow-up assessment of the pain intensity after a rescue medication was only required in approximately half of the standards and safety information or mechanisms were only rarely included. Conclusion. Content, structure and type of the evaluated treatment standards showed a considerable heterogeneity with respect to the availability of rescue and baseline medication. Safety aspects were not addressed in many cases. These findings show that despite the requirements of the German guidelines for treatment of perioperative and posttraumatic pain for treatment standards, there are still no practical recommendations with respect to contents and structure of such standards."],["dc.identifier.doi","10.1007/s00101-014-2413-9"],["dc.identifier.isi","000352211300007"],["dc.identifier.pmid","25608500"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/37721"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","1432-055X"],["dc.relation.issn","0003-2417"],["dc.title","Standardized treatment protocols in acute postoperative pain therapy. Analysis of contents of standardized medicinal concepts"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","639"],["dc.bibliographiccitation.issue","9"],["dc.bibliographiccitation.journal","Der Anaesthesist"],["dc.bibliographiccitation.lastpage","648"],["dc.bibliographiccitation.volume","69"],["dc.contributor.author","Erlenwein, J."],["dc.contributor.author","Emons, M. I."],["dc.contributor.author","Petzke, F."],["dc.contributor.author","Quintel, M."],["dc.contributor.author","Staboulidou, I."],["dc.contributor.author","Przemeck, M."],["dc.date.accessioned","2021-04-14T08:24:50Z"],["dc.date.available","2021-04-14T08:24:50Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.1007/s00101-020-00806-6"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/81441"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-399"],["dc.relation.eissn","1432-055X"],["dc.relation.issn","0003-2417"],["dc.title","The effectiveness of an oral opioid rescue medication algorithm for postoperative pain management compared to PCIA"],["dc.title.alternative","A cohort analysis"],["dc.title.translated","Eine Kohortenanalyse"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Der Schmerz"],["dc.contributor.author","Emons, M. I."],["dc.contributor.author","Scheeper-von der Born, T. H."],["dc.contributor.author","Petzke, F."],["dc.contributor.author","Ellenrieder, V."],["dc.contributor.author","Reinhardt, L."],["dc.contributor.author","Meißner, W."],["dc.contributor.author","Erlenwein, J."],["dc.date.accessioned","2021-06-01T09:42:53Z"],["dc.date.available","2021-06-01T09:42:53Z"],["dc.date.issued","2021"],["dc.description.abstract","Hintergrund und Ziel der Arbeit Seit Jahren werden Defizite der Qualität der Schmerztherapie im Krankenhaus beschrieben. Ziel der vorliegenden Untersuchung war es, Strukturen und Prozesse des Schmerzmanagements in internistischen Abteilungen darzustellen. Material und Methoden Die Datenerfassung erfolgte mittels eines standardisierten Telefoninterviews (nichtuniversitäre Abteilungen); bei universitären Abteilungen separat mittels eines Onlinefragebogens (SurveyMonkey®). Ergebnisse Daten von 139 nichtuniversitären Abteilungen (Rücklauf: 21 %) und 33 universitären Abteilungen (davon 21 vollständig beantwortete Fragebögen, Rücklauf 17 % bzw. 11 %) wurden erhoben. 441 von 619 kontaktierten nichtuniversitären Abteilungen lehnten die Teilnahme ausdrücklich ab, am häufigsten mit der Begründung, es bestünde kein Interesse am Thema Schmerzmanagement. In den 172 teilnehmenden Einrichtungen wurde Schmerz als eigenständiger Parameter in 89 % der nichtuniversitären Abteilungen (96 % universitär) regelmäßig während der Visite erfasst; schriftliche Behandlungsstandards zur Schmerztherapie lagen in 57 % der nichtuniversitären Abteilungen vor (54 % universitär). In 76 % der nichtuniversitären Krankenhäuser (100 % universitär) stand auch für die internistischen Patienten ein Akutschmerzdienst zur Mitbehandlung zur Verfügung, schriftliche Vereinbarungen zur Zusammenarbeit lagen bei 35 % vor (18 % universitär). Diskussion Die berichtete Umsetzung des Schmerzmanagements war in den teilnehmenden Abteilungen gut. Gleichwohl sind die Ergebnisse bei niedriger Teilnahme und häufiger Ablehnung mit der Begründung einer fehlenden Relevanz nur eingeschränkt aussagekräftig. Die erfassten Daten reflektieren daher vermutlich eine erhebliche positive Selektion und sind nicht als repräsentativ für das Schmerzmanagement in der inneren Medizin zu werten."],["dc.description.abstract","Background, Objectives Deficits in the quality of pain management in hospitals have been described for years. The aim of this study was to assess structures and processes of pain management in departments for internal medicine in German hospitals. Materials and methods Data were collected using a standardized telephone interview (non-university hospital departments) on a randomized sample of hospitals (circa 1/3 of hospitals); all German departments of university hospitals were invited to participate and questioned separately using an online questionnaire (SurveyMonkey®). Results Data from 139 non-university departments (response rate: 21%) and 33 university hospital departments (only 21 questionnaires were fully answered, response rate 17 and 11%, respectively) were collected. Of 619 non-university hospital departments contacted, 441 explicitly refused to participate in the survey, most often on the grounds that there was no interest in pain management. Pain was regularly recorded as an independent parameter during the medical visit in 89% of the non-university hospital and 96% of the university hospital departments; written standardized treatment protocols for pain therapy were available in 57% of the non-university hospital departments (54% university hospital departments). In 76% of the non-university hospitals departments (100% university hospital departments), an acute pain service was also available for patients of internal medicine departments for co-treatment. Written cooperation agreements were less common (35% non-university hospital departments, 18% university hospital departments). Conclusion The described implementation of pain management was satisfying in the participating departments. However, in consideration of the low participation and high rejection of participation due to explicit disinterest in the topic, the results should be critically assessed and presumably characterized by a significant positive bias."],["dc.identifier.doi","10.1007/s00482-021-00550-9"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/85380"],["dc.language.iso","de"],["dc.notes.intern","DOI-Import GROB-425"],["dc.relation.eissn","1432-2129"],["dc.relation.issn","0932-433X"],["dc.title","Schmerzmanagement in der Inneren Medizin"],["dc.title.alternative","Ergebnisse einer bundesweiten Erhebung zu Struktur- und Prozessdaten"],["dc.title.alternative","Results of a national survey on structures and processes of care"],["dc.title.alternative","Pain management in departments of internal medicine"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","883"],["dc.bibliographiccitation.issue","9"],["dc.bibliographiccitation.journal","Pediatric Anesthesia"],["dc.bibliographiccitation.lastpage","890"],["dc.bibliographiccitation.volume","26"],["dc.contributor.author","Emons, Miriam I."],["dc.contributor.author","Petzke, Frank"],["dc.contributor.author","Stamer, Ulrike M."],["dc.contributor.author","Meissner, Winfried"],["dc.contributor.author","Koschwitz, Regina"],["dc.contributor.author","Erlenwein, Joachim"],["dc.date.accessioned","2018-11-07T10:09:12Z"],["dc.date.available","2018-11-07T10:09:12Z"],["dc.date.issued","2016"],["dc.description.abstract","Objectives: This study aimed to summarize the current standard practices for acute pain management in children in Germany and the implementation of these procedures. The last survey on acute pain management in children was performed in 1999, highlighting the need for an up to date review. Methods: A questionnaire was mailed to German departments of anesthesiology (n = 885), asking for structures and processes of acute pain management in children. Results were compared between hospitals with and without an acute pain service and with and without a pediatric department. Results: Of the 407 responding hospitals (response rate of 46%), 342 treated children younger than 14 years. These were considered for analysis. Of the 342 hospitals, 42% contained either a general pediatric department or a department of pediatric surgery, and the majority of the responding hospitals had an acute pain service (83%). Pain intensities were measured at least once per shift in 40% of the institutions, and at least once or twice a day in 27%. Of the institutions, 31% did not document pain scores regularly, without any difference between hospitals with or without a pediatric department. Standard operating procedures for acute pain management existed in 68% of the hospitals, with large differences in content and length. Opioids were administered to children in 85% of the hospitals. Nonopioid analgesics were the first choice baseline analgesics in most hospitals. Peripheral regional and epidural analgesia were performed in children in 18% and 8% of the hospitals, respectively (21%/ 16% with a paediatric department, 16%/ 1% without; P < 0.001). Conclusion: Current practice of pediatric pain management varied widely and the recommendations of guidelines, like regular pain management, were frequently not met. However, improvements could be observed since 1999, for example, an increase in regular pain measurements (4% vs 67%). Furthermore, pain management in hospitals running a pediatric department had a higher degree of organization, and more sophisticated analgesic techniques."],["dc.identifier.doi","10.1111/pan.12947"],["dc.identifier.isi","000385884700005"],["dc.identifier.pmid","27461766"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/39610"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Wiley-blackwell"],["dc.relation.issn","1460-9592"],["dc.relation.issn","1155-5645"],["dc.title","Current practice of acute pain management in children-a national follow-up survey in Germany"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]