Universität zu Köln

Hossfeld, Bjoern, Bein, Bertold, Boettiger, Bernd W., Bohn, Andreas, Fischer, Matthias, Graesner, Jan-Thorsten, Hinkelbein, Jochen, Kill, Clemens, Lott, Carsten, Popp, Erik, Roessler, Markus, Schaumberg, Alin, Wenzel, Volker and Bernhard, Michael (2016). Recommended practice for out-of-hospital emergency anaesthesia in adults: Statement from the Out-of-Hospital Emergency Anaesthesia Working Group of the Emergency Medicine Research Group of the German Society of Anaesthesiology and Intensive Care. Eur. J. Anaesth., 33 (12). S. 881 - 898. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1365-2346

Full text not available from this repository.

Abstract

Emergency anaesthesia is an important therapeutic measure in out-of-hospital emergency medicine. The associated risks are considerably higher than those of in-hospital anaesthesia. The primary objectives of emergency anaesthesia are hypnosis, analgesia, oxygenation and ventilation through airway management. The secondary objectives of emergency anaesthesia are amnesia, anxiolysis, the reduction of oxygen consumption and respiratory work, the protection of vital organs and the avoidance of secondary myocardial and cerebral damage. A critical evaluation of the indications for outof- hospital emergency anaesthesia must take into consideration patient, case and provider-related factors. Rapid sequence induction of emergency anaesthesia includes standard monitoring, preoxygenation, standardised preparation of emergency anaesthesia, drug administration, manual in-line stabilisation during intubation (if necessary), airway management and checking of correct tube placement. Spontaneously breathing casualties should receive preoxygenation for at least 3 to 4 min with a tight-fitting facemask with reservoir using 12 to 15 l min_1 of oxygen or with a demand valve providing 100% oxygen. As an alternative, preoxygenation may be performed as noninvasive ventilation with 100% oxygen. Standardised anaesthesia preparation comprises filling drugs into syringes and labelling them, checking ventilation equipment, preparing endotracheal tube and syringe for inflating the cuff and the introducer, stethoscope and fixation material, preparing alternative instruments for airway management as well as checking suction, ventilation and standard monitoring devices, including capnography. Standard monitoring for out-of-hospital emergency anaesthesia comprises ECG, blood pressure measurement and pulse oximetry. Continuous capnography is always and exclusively performed to check the placement of airway devices, as well as to indirectly monitor haemodynamics.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hossfeld, Bjoern UNSPECIFIED UNSPECIFIED UNSPECIFIED Bein, Bertold UNSPECIFIED UNSPECIFIED UNSPECIFIED Boettiger, Bernd W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bohn, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Fischer, Matthias UNSPECIFIED UNSPECIFIED UNSPECIFIED Graesner, Jan-Thorsten UNSPECIFIED UNSPECIFIED UNSPECIFIED Hinkelbein, Jochen UNSPECIFIED UNSPECIFIED UNSPECIFIED Kill, Clemens UNSPECIFIED UNSPECIFIED UNSPECIFIED Lott, Carsten UNSPECIFIED UNSPECIFIED UNSPECIFIED Popp, Erik UNSPECIFIED UNSPECIFIED UNSPECIFIED Roessler, Markus UNSPECIFIED UNSPECIFIED UNSPECIFIED Schaumberg, Alin UNSPECIFIED UNSPECIFIED UNSPECIFIED Wenzel, Volker UNSPECIFIED UNSPECIFIED UNSPECIFIED Bernhard, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-255161
DOI:	10.1097/EJA.0000000000000533
Journal or Publication Title:	Eur. J. Anaesth.
Volume:	33
Number:	12
Page Range:	S. 881 - 898
Date:	2016
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1365-2346
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language RAPID-SEQUENCE INTUBATION; PREHOSPITAL AIRWAY-MANAGEMENT; TRAUMATIC BRAIN-INJURY; ENDOTRACHEAL INTUBATION; VIDEO LARYNGOSCOPES; TRACHEAL INTUBATION; SUCCESS RATES; ETOMIDATE; INDUCTION; MULTICENTER Multiple languages Anesthesiology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/25516