Russo, Sebastian Giuseppe

[["dc.bibliographiccitation.firstpage","53"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Der Anaesthesist"],["dc.bibliographiccitation.lastpage","62"],["dc.bibliographiccitation.volume","56"],["dc.contributor.author","Timmermann, Arnd"],["dc.contributor.author","Eich, Christoph B."],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.contributor.author","Barwing, Juergen"],["dc.contributor.author","Hirn, Attila"],["dc.contributor.author","Rode, H."],["dc.contributor.author","Heuer, J. F."],["dc.contributor.author","Heise, Daniel"],["dc.contributor.author","Nickel, E."],["dc.contributor.author","Klockgether-Radke, Adelbert"],["dc.contributor.author","Graf, Bernhard Martin"],["dc.date.accessioned","2018-11-07T11:05:52Z"],["dc.date.available","2018-11-07T11:05:52Z"],["dc.date.issued","2007"],["dc.description.abstract","Since 1st October 2003 the new German \"Approbationsordnung fur Arzte\" (Medical Licensing Regulations) requires an increasing amount of small group teaching sessions and encourages a multidisciplinary and more practical approach to the related topics. In 2004 the German Society of Anaesthesiology and Intensive Care Medicine has provided almost all anaesthesia faculties of German Universities with equipment for full-scale simulation. This article describes methods for a simulation-based medical education training programm. Basic requirements for a successful training programm using full scale simulators are the provision of an adequate logistical and material infrastructure, teacher attendance of train-the-trainer courses, implementation in the medical curriculum and an instructor-student ratio of 1:3, equivalent to that for bedside teaching. If these requirements were fulfilled, medical students scored the simulation scenarios \"induction of anaesthesia\", \"acute pulmonary embolism\", \"acute management of a multiple trauma patient\" and \"postoperative hypotension\" as 1.5, 1.6, 1.5 and 1.5, respectively, on a scale of 1-6. These scores were better than those given for other segments of the curriculum."],["dc.identifier.doi","10.1007/s00101-006-1107-3"],["dc.identifier.isi","000243767000007"],["dc.identifier.pmid","17077933"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/52169"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0003-2417"],["dc.title","Teaching and simulation. Methods, demands, evaluation and visions"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["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"]]

[["dc.bibliographiccitation.firstpage","1371"],["dc.bibliographiccitation.issue","12"],["dc.bibliographiccitation.journal","Resuscitation"],["dc.bibliographiccitation.lastpage","1377"],["dc.bibliographiccitation.volume","80"],["dc.contributor.author","Eich, Christoph B."],["dc.contributor.author","Roessler, Markus"],["dc.contributor.author","Nemeth, Marcus"],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.contributor.author","Heuer, J. F."],["dc.contributor.author","Timmermann, Arnd"],["dc.date.accessioned","2018-11-07T11:21:46Z"],["dc.date.available","2018-11-07T11:21:46Z"],["dc.date.issued","2009"],["dc.description.abstract","Aim: To collect data regarding prehospital paediatric tracheal intubation by emergency physicians skilled in advanced airway management. Methods: A prospective 8-year observational study of a single emergency physician-staffed emergency medical service. Self-reporting by emergency physicians of all children aged 0-14 years who had prehospital tracheal intubation and were attended by either anaesthesia-trained emergency physicians (group 1) or by a mixture of anaesthesia and non-anaesthesia-trained emergency physicians (group 2). Results: Eighty-two out of 2040 children (4.0%) had prehospital tracheal intubation (58 in group 1). The most common diagnoses were trauma (50%; in school children, 73.0%), convulsions (13.4%) and SIDS (12.2%: in infants, 58.8%). The overall tracheal intubation success rate was 57 out of 58 attempts (98.3%). Compared to older children, infants had a higher number of Cormack-Lehane scores of 3 or 4, \"difficult to intubate\" status (both 3 Out of 13; 23.1%) and a lower first attempt Success Fate for tracheal intubation (p = 0.04). Among all 82 children 71 (86.6%) survived to hospital admission and 63 (76.8%) to discharge. Of the 63 survivors, 54 (85.7%) demonstrated a favourable OF Unchanged neurological outcome (PCPC 1-3). The survival and neurological outcomes of infants were inferior compared to older children (p < 0.001). On average an emergency physician performed one prehospital tracheal intubation in 3 years in a child and one in 13 years in an infant. Conclusions: Anaesthesia-trained emergency physicians working in our system report high success rates for prehospital tracheal intubation in children. Survival and neurological Outcomes were considerably better than reported in previous Studies. (C) 2009 Elsevier Ireland Ltd. All rights reserved."],["dc.identifier.doi","10.1016/j.resuscitation.2009.09.004"],["dc.identifier.isi","000273575400010"],["dc.identifier.pmid","19804939"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/55856"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Elsevier Ireland Ltd"],["dc.relation.issn","0300-9572"],["dc.title","Characteristics and outcome of prehospital paediatric tracheal intubation attended by anaesthesia-trained emergency physicians"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","876"],["dc.bibliographiccitation.issue","9"],["dc.bibliographiccitation.journal","Der Anaesthesist"],["dc.bibliographiccitation.lastpage","883"],["dc.bibliographiccitation.volume","58"],["dc.contributor.author","Eich, Christoph B."],["dc.contributor.author","Roessler, M."],["dc.contributor.author","Timmermann, Arnd"],["dc.contributor.author","Heuer, J. F."],["dc.contributor.author","Gentkow, Uta"],["dc.contributor.author","Albrecht, B."],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.date.accessioned","2018-11-07T11:24:30Z"],["dc.date.available","2018-11-07T11:24:30Z"],["dc.date.issued","2009"],["dc.description.abstract","Out-of-hospital (OOH) pediatric emergencies have a relatively low prevalence. In Germany the vast majority of cases are attended by non-specialized emergency physicians (EPs) for whom these are not routine procedures. This may lead to insecurity and fear. However, it is unknown how EPs perceive and assess pediatric emergencies and how they could be better prepared for them. All active EPs (n=50) of the Department of Anaesthesiology, Emergency and Intensive Care Medicine at the University Medical Centre of Gottingen were presented with a structured questionnaire in order to evaluate their perception and assessment of OOH pediatric emergencies. The 43 participating EPs made highly detailed statements on the expected characteristics of OOH pediatric emergencies. Their confidence level grew with the children's age (p < 0.03) and with their own experience (p < 0.01). The EPs felt particular deficits in the fields of cardiopulmonary resuscitation (n=18) and trauma management (n=8). The preferred educational strategies included simulator-based training (n=24) as well as more exposure to pediatric intensive care and pediatric anesthesia (n=12). Despite their own limited experience EPs can realistically assess the incidence and severity of pediatric emergencies. They felt the greatest deficits were in the care of infrequent but life-threatening emergencies. Three educational groups can be differentiated: knowledge and skills to be gained with children in hospital, clinical experience from adult care also applicable in children and rare diagnoses and interventions to be trained with manikins or simulators."],["dc.identifier.doi","10.1007/s00101-009-1603-3"],["dc.identifier.isi","000270439100003"],["dc.identifier.pmid","19693447"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/56420"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0003-2417"],["dc.title","Out-of-hospital pediatric emergencies. Perception and assessment by emergency physicians"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","582"],["dc.bibliographiccitation.issue","6"],["dc.bibliographiccitation.journal","Der Anaesthesist"],["dc.bibliographiccitation.lastpage","587"],["dc.bibliographiccitation.volume","54"],["dc.contributor.author","Timmermann, Arnd"],["dc.contributor.author","Eich, Christoph B."],["dc.contributor.author","Nickel, E."],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.contributor.author","Barwing, Juergen"],["dc.contributor.author","Heuer, J. F."],["dc.contributor.author","Braun, Ulrich"],["dc.date.accessioned","2018-11-07T10:11:27Z"],["dc.date.available","2018-11-07T10:11:27Z"],["dc.date.issued","2005"],["dc.description.abstract","Despite the development of new devices and strategies to manage and secure the difficult airway, morbidity and mortality in anaesthesia due to airway problems such as difficult intubation or unrecognised failed intubation remain high. The problem seems to lie in the transfer of skills and strategies to daily clinical practice. Common methods for airway management training include theoretical instructions and hands-on sessions with manikins, animal models and cadavers. Simulation provides the opportunity to train skills and resolve specific situations embedded in a realistic scenario, facilitate the transfer of cognitive, psychomotor and affective abilities into daily clinical practice and help to improve behaviour in critical situations. This article outlines new training concepts in airway management with the help of simulation and simulators. We describe technical prerequisites and provide information on the implementation of difficult airway scenarios."],["dc.identifier.doi","10.1007/s00101-005-0842-1"],["dc.identifier.isi","000230521700007"],["dc.identifier.pmid","15812620"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/40046"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0003-2417"],["dc.title","Simulation and airway management"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","1124"],["dc.bibliographiccitation.issue","11"],["dc.bibliographiccitation.journal","Anaesthesia"],["dc.bibliographiccitation.lastpage","1131"],["dc.bibliographiccitation.volume","68"],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.contributor.author","Bollinger, M."],["dc.contributor.author","Strack, M."],["dc.contributor.author","Crozier, Thomas A."],["dc.contributor.author","Bauer, M."],["dc.contributor.author","Heuer, J. F."],["dc.date.accessioned","2018-11-07T09:17:52Z"],["dc.date.available","2018-11-07T09:17:52Z"],["dc.date.issued","2013"],["dc.description.abstract","During emergency care, the ability to ventilate the patient's lungs is a crucial skill. Supraglottic airway devices have an established role in emergency care, and manikin trials have shown that placement is easy even for inexperienced users. However, there is current discussion as to what extent these results can be transferred to patients. We studied the transfer of skills learnt on a manikin to the clinical situation in novice medical students during their anaesthesia rotation. They were required to ventilate the lungs of a manikin using a facemask and then position a supraglottic airway device (LMA-Supreme) and ventilate the lungs. This process was then repeated on anaesthetised patients, with standard ventilator settings to assess adequacy of ventilation. Sixty-three students participated in the manikin study. The success rate for ventilating the lungs was 100% for both devices, but the mean (SD) time to achieve successful ventilation was 27.8 (24.4)s with the facemask compared with 38.6 (22.0)s with the LMA-Supreme (p=0.008). Fifty-one of the students progressed to the second part of the study. In anaesthetised patients, the success rate for ventilating the lungs was lower for the facemask, 27/41 (66%) compared with the LMA-Supreme 37/41 (90%, p=0.006). For 26 students who succeeded with both devices, the tidal volume was lower using the facemask, 431 (192)ml compared with the LMA-Supreme 751 (221)ml (p=0.001), but the time to successful ventilation did not differ, 60.0 (26.2)s vs 57.3 (26.6)s (p=0.71). We conclude that the results obtained in manikin studies cannot be transferred directly to the clinical situation and that guidelines should take this into account. Based on our findings, a supraglottic airway device may be preferable to a facemask as the first choice for inexperienced emergency caregivers."],["dc.identifier.doi","10.1111/anae.12367"],["dc.identifier.isi","000328225100007"],["dc.identifier.pmid","23952766"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/28276"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Wiley-blackwell"],["dc.relation.issn","1365-2044"],["dc.relation.issn","0003-2409"],["dc.title","Transfer of airway skills from manikin training to patient: success of ventilation with facemask or LMA-Supreme (TM) by medical students"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","970"],["dc.bibliographiccitation.issue","10"],["dc.bibliographiccitation.journal","Der Anaesthesist"],["dc.bibliographiccitation.lastpage","975"],["dc.bibliographiccitation.volume","57"],["dc.contributor.author","Timmermann, Arnd"],["dc.contributor.author","Cremer, Stefan"],["dc.contributor.author","Heuer, J. F."],["dc.contributor.author","Braun, Ulrich"],["dc.contributor.author","Graf, Bernhard Martin"],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.date.accessioned","2018-11-07T11:10:12Z"],["dc.date.available","2018-11-07T11:10:12Z"],["dc.date.issued","2008"],["dc.description.abstract","Background. The Laryngeal Mask Airway Supreme (LMA-S) is a new disposable airway device that combines features of the LMA ProSeal (TM) (PLMA, gastric access) and LMA Fastrach (TM) (curved shaft to ease insertion) and has been available since April 2007. Methods. In a prospective study, 10 final year medical students or first year anesthesia residents, all with limited experience in LMA anesthesia, were requested to manage the airway of anesthetized female patients with the LMA-S size 4, who seemed normal on routine airway examination. Data collection included the success rates and duration for insertion, oropharyngeal leak pressures (OLP), fiber optic position and airway morbidity. Results. A total of 30 patients were enrolled in the study. Insertion of the LMA-S was possible in 27 (90%) patients at the first attempt and in 3 (10%) at the second attempt. Ventilation was established in 18.3 s (range 10-30 s, standard deviation +/- 4.2 s). Insertion of a gastric tube was possible in all patients at the first attempt. Mean OLP at the level of 60 cmH(2)O cuff pressure was 29.1 cmH(2)O (range 21-35 cmH(2)O, standard deviation +/- 4.8 cmH(2)O). Laryngeal fit evaluated by fiber optic control was rated as optimal in all patients both immediately after insertion of the LMA-S and after end of surgery. Three patients (10%) complained of mild sore throat. No patient reported dysphagia or dysphonia. Conclusion. Insertion of the LMA-S was successful and possible in all patients in <= 30 s with an optimal laryngeal fit, high OLPs and low airway morbidity. The LMA-S seems to be a device suitable for use in routine anesthesia and which can be safely used by medical personnel with limited clinical experience."],["dc.identifier.doi","10.1007/s00101-008-1425-8"],["dc.identifier.isi","000260261900003"],["dc.identifier.pmid","18712321"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/53169"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0003-2417"],["dc.title","Laryngeal mask LMA Supreme (TM). Application by medical personnel inexperienced in airway management"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","330"],["dc.bibliographiccitation.journal","Journal of Clinical Anesthesia"],["dc.bibliographiccitation.lastpage","336"],["dc.bibliographiccitation.volume","33"],["dc.contributor.author","Heuer, J. F."],["dc.contributor.author","Heitmann, Soeren"],["dc.contributor.author","Crozier, Thomas A."],["dc.contributor.author","Bleckmann, Annalen"],["dc.contributor.author","Quintel, Michael"],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.date.accessioned","2018-11-07T10:09:53Z"],["dc.date.available","2018-11-07T10:09:53Z"],["dc.date.issued","2016"],["dc.description.abstract","Design: Prospective, randomized, clinical trial. Setting: University hospital operation room. Patients: 104 patients scheduled for elective dental or maxillofacial surgery were randomized to two groups: GlideScope (R) classic (GSc) and GlideScope (R) direct (GSd). Interventions: We compared the video laryngoscopes GSc and GSd with each other and with direct laryngoscopy (DL) for nasotracheal intubation with regard to visualization of the glottis, intubation success rate, and required time for and ease of intubation. The aim of the study was to determine whether the use of the video monitor alone reduced the difficulty of nasotracheal intubation, and also to investigate whether the GSc, with its blade designed for difficult airways, had an additional advantage over the video-assisted Macintosh blade (GSd). In both groups the investigators first performed laryngoscopy using the GSd blade, first with the monitor concealed and then with it visible. In the GSd group the tube was then inserted into the trachea with the video monitor screen visible. In the GSc group, the GSd blade was exchanged for the GSc blade, which was then used when inserting the tube with the screen visible. Results: The success rates and the times required for the video-assisted nasotracheal intubation did not differ significantly between the groups. A better view was obtained more often in the GSc group. In both groups there was a significant difference between direct laryngoscopy and the video-assisted intubation technique. Overall, using the video monitor improved the C-L scores by one grade in 52% and by two grades in 11% of the patients. Conclusions: Video laryngoscopes increase the ease of nasotracheal intubation. The GSc blade might provide a better view of the laryngeal structures in case of a difficult airway than the GSd blade. Video laryngoscopy per se gives a better view of the glottis than direct laryngoscopy. (C) 2016 Elsevier Inc. All rights reserved."],["dc.identifier.doi","10.1016/j.jclinane.2016.04.022"],["dc.identifier.isi","000382421800065"],["dc.identifier.pmid","27555188"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/39739"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Elsevier Science Inc"],["dc.relation.issn","1873-4529"],["dc.relation.issn","0952-8180"],["dc.title","A comparison between the GlideScope (R) classic and GlideScope (R) direct video laryngoscopes and direct laryngoscopy for nasotracheal intubation"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","634"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","Resuscitation"],["dc.bibliographiccitation.lastpage","635"],["dc.bibliographiccitation.volume","81"],["dc.contributor.author","Eich, Christoph B."],["dc.contributor.author","Roessler, Markus"],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.contributor.author","Heuer, J. F."],["dc.contributor.author","Timmermann, Arnd"],["dc.contributor.author","Nemeth, Marcus"],["dc.date.accessioned","2018-11-07T08:43:52Z"],["dc.date.available","2018-11-07T08:43:52Z"],["dc.date.issued","2010"],["dc.identifier.doi","10.1016/j.resuscitation.2010.01.016"],["dc.identifier.isi","000278282600032"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/20073"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Elsevier Ireland Ltd"],["dc.relation.issn","0300-9572"],["dc.title","Reply to Letter: Paediatric tracheal prehospital intubation-What makes different our practice across the Ocean?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.subtype","letter_note"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","120"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Anaesthesia and Intensive Care"],["dc.bibliographiccitation.lastpage","127"],["dc.bibliographiccitation.volume","40"],["dc.contributor.author","Heuer, J. F."],["dc.contributor.author","Crozier, T. A."],["dc.contributor.author","Barwing, J."],["dc.contributor.author","Russo, S. G."],["dc.contributor.author","Bleckmann, E."],["dc.contributor.author","Quintel, M."],["dc.contributor.author","MÖRer, O."],["dc.date.accessioned","2021-06-01T10:47:53Z"],["dc.date.available","2021-06-01T10:47:53Z"],["dc.date.issued","2012"],["dc.description.abstract","Difficulties in endotracheal intubation increase morbidity and mortality in intensive care patients. We studied the problem in surgical intensive care patients with the aim of risk reduction. Patients intubated in the intensive care unit were evaluated. The intubations were performed or supervised by anaesthetists following the algorithm valid at the time of the study. Fifty percent of the 198 intubations were performed by specialist anaesthetists, 41.5% by anaesthesia trainees and 8.5% by surgical trainees. The initial attempt was by direct laryngoscopy (n=173), flexible fibrescope (n=8) or blind nasal technique (n=17). When direct laryngoscopy failed (n=7), intubation was accomplished with an intubating laryngeal mask airway (n=5), Frova stylet (n=1) or fibrescope (n=1). Thirty percent were rated as easy, 47% as moderately easy and 23% as difficult. Difficult intubations were associated with a higher incidence of anatomic anomalies, difficult bag-mask ventilation and severe oxygen desaturation. Every intubation in the ICU setting should be considered potentially difficult. The existing algorithm should be modified to incorporate the American Society of Anesthesiologists difficult airway algorithm adapted to the needs of the intensive care unit. A training program for alternative methods of airway management for difficult intubations should be established."],["dc.identifier.doi","10.1177/0310057X1204000113"],["dc.identifier.isi","000300029900014"],["dc.identifier.pmid","22313071"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/85756"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-425"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Australian Soc Anaesthetists"],["dc.relation.eissn","1448-0271"],["dc.relation.issn","0310-057X"],["dc.title","Incidence of Difficult Intubation in Intensive Care Patients: Analysis of Contributing Factors"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]