[Shortage of physicians in anaesthesiology and intensive care medicine - Causes, consequences and solutions].

74% of all hospitals had vacant positions in 2011, also departments of anaesthesiology and intensive care medicine. More than 50% of these departments work with locums. There are couple of reasons for the shortage of physicians.

[Training for real: simulation, team-training and communication to improve trauma management].

The focus on the role of non-technical skills such as communication, dynamic decision making, situational awareness and teamwork in emergency medicine has gained importance over the past few years. Especially during time-critical and complex treatment of severely injured patients in a multidisciplinary and interprofessional trauma-team these factors play an important role for patient-safety and process optimization and are a key factor influencing the perceived quality of a given scenario by the team members. Thus, apart from medical expertise and technical excellence of single actors within a trauma team, non-technical skills need to be incorporated in trainings for trauma management.

[Regional anesthesia as a useful alternative to general anesthesia? Overview of the current data].

Neuromuscular disorders are rare and often not very well diagnosed diseases. They can be separated in prejunctional, junctional or postjunctional diseases. General anesthesia is connected with a higher risk, therefore regional anesthesia could often be regarded with favour and could be a safe alternative.

[Paediatric anaesthesia for neurosurgical procedures].

Paediatric neurosurgical procedures request special considerations for the anaesthetic management. Due to patients age and diagnostic findings certain therapeutic procedures are performed under anaesthetic care. Main reasons for craniotomy are hydrocephalus, intracranial tumors and craniofacial synostosis.