The Benefit of Benzodiazepine Reduction: Improving Sedation in Surgical Intensive Care.

Aims: Sedation, as it is often required in critical care, is associated with immobilization, prolonged ventilation, and increased morbidity. Most sedation protocols are based on benzodiazepines. The presented study analyzes the benefit of benzodiazepine-free sedation.

TraumaNetzwerk DGU(®): optimizing patient flow and management.

Purpose: Caring for severely injured trauma patients is challenging for all medical professionals involved both in the preclinical and in the clinical course of treatment. While the overall quality of care in Germany is high there still are significant regional differences remaining. Reasons are geographical and infrastructural differences as well as variations in personnel and equipment of the hospitals.

Implementation of a nationwide trauma network for the care of severely injured patients.

Background: Regional differences in the care of severely injured patients remain problematic in industrial countries.

Methods: In 2006, the German Society for Trauma Surgery initiated the foundation of regional networks between trauma centers in a TraumaNetwork (TNW). The TNW consisted of five major elements as follows: (a) a whitebook on the treatment of severely injured patients; (b) evidence-based guidelines (S3); (c) local audits; (d) contracts of interhospital cooperation among all participating hospitals; and (e) TraumaRegister documentation.

Less invasive polyaxial locking plate fixation in periprosthetic and peri-implant fractures of the femur--a prospective study of 41 patients.

Background: A great variety of methods for the stabilisation of periprosthetic fractures around total hip (THA) or total knee arthroplasty (TKA) have been described. We present the data of our experience in combining a polyaxial, anatomical locking plate with a standardised less invasive technique in the treatment of periprosthetic and peri-implant (femoral nail) femur fractures in this prospective study.

Patients And Methods: A consecutive series of 41 patients (33 women; age 79.

The two-incision, minimally invasive approach in the treatment of acetabular fractures.

Objectives: To present a novel two-incision minimally invasive (TIMI) method for the treatment of anterior acetabular fractures.

Design: Prospective consecutive case series.

Setting: Level I University Trauma Centre.