10 results match your criteria: "Study Institute Westfalen-Lippe[Affiliation]"
Prehospital anesthesia in postcardiac arrest patients: a multicenter retrospective cohort study.
Eur J Med Res
May 2024
Department of Anesthesiology, Operative Intensive Care Medicine, Emergency Medicine and Pain Therapy, Bielefeld Municipal Hospital, Medical School OWL, Bielefeld University, Campus Klinikum Bielefeld, Teutoburger Straße 50, 33604, Bielefeld, Germany.
Background: Currently, the data regarding the impact of prehospital postcardiac arrest anesthesia on target hemodynamic and ventilatory parameters of early postresuscitation care and recommendations on its implementation are rare. The present study examines the incidence and impact of prehospital postcardiac arrest anesthesia on hemodynamic and ventilatory target parameters of postresuscitation care.
Methods: In this multicentre observational study between 2019 and 2021 unconscious adult patients after out-of-hospital-cardiac arrest with the presence of a return-of-spontaneous circulation until hospital admission were included.
A comparison of Simplified Acute Physiology Score II and Sepsis-related Organ Failure Assessment Score for prediction of mortality after Intensive Care Unit cardiac arrest.
Minerva Anestesiol
May 2024
Department of Anesthesiology, Intensive Care, Emergency Medicine, Transfusion Medicine, and Pain Therapy, Protestant Hospital of the Bethel Foundation, University Hospital OWL, University of Bielefeld, Bielefeld, Germany.
Article Synopsis
- - This study evaluates how well the SOFA and SAPS-II scores predict mortality following cardiac arrests in ICU patients, analyzing data from a German university hospital's ICU over three years.
- - Findings show that while 29.8% of patients died during the ICU cardiac arrest, neither SOFA nor SAPS-II effectively predicted immediate mortality in these instances (P>0.05).
- - However, SAPS-II was better at predicting hospital and one-year mortality, suggesting a cutoff value of 43.5 for hospital mortality with good specificity and sensitivity, and 40.5 for one-year mortality, indicating its potential usefulness in clinical settings.
Effects of COVID-19 on a mature citizen first responder system in the German district of Gütersloh: an observational study.
Minerva Anestesiol
April 2024
Institute for Anesthesiology, Intensive Care- and Emergency Medicine, MKK-Hospital Luebbecke, Luebbecke, Germany.
Background: The aim of this study was to examine the impact of COVID-19 on the response rate of community-first-responders (CFR) and other out-of-hospital-cardiac-arrest (OHCA) outcomes using the smartphone-first-responder-system (SFRS) "Mobile Retter."
Methods: All adult non-traumatic OHCA in the district of Gütersloh between 01.01.
Midazolam for Post-Arrest Sedation in Pre-Hospital Emergency Care—a Multicenter Propensity Score Analysis.
Dtsch Arztebl Int
April 2024
University Department of Anesthesiology, Intensive Care Medicine and Emergency Medicine, Johannes Wesling Klinikum Minden, Ruhr-University Bochum, Minden, Germany; Medical School OWL, Bielefeld University, Bielefeld, Germany; Department of Medical and Emergency Services, Study Institute Westfalen-Lippe, Bielefeld, Germany; Emergency Department, University Hospital of Düsseldorf, Düsseldorf, Germany; Medical Director of Rescue Service, Osnabrück District, Germany; Department of Anesthesiology and Operative Intensive Care Medicine, Hochschule Osnabrück - University of Applied Sciences, Osnabrück, Germany; Rescue Service Lippe District, Germany; Biostatistics and Medical Biometry, Medical School OWL, Bielefeld University, Bielefeld, Germany; Rescue Service, Integrated Regional Control Center Dresden, Dresden, Germany; Rescue Service, Gütersloh District, Germany; Skillslab, Medical School OWL, Bielefeld University, Bielefeld, Germany; University Department of Anesthesiology, Intensive Care Medicine, Emergency Medicine, Transfusion Medicine, and Pain Therapy, Evangelisches Klinikum Bethel, University Hospital OWL, Bielefeld University, Bielefeld, Germany; Department of Anesthesiology, Operative Intensive Care Medicine, Emergency Medicine and Pain Therapy, Municipal Hospital of Bielefeld, Bielefeld, Germany; Institute of Anesthesiology and Pain Therapy, Heart and Diabetes Center NRW, University Hospital of the Ruhr-University Bochum, Bad Oeynhausen, Germany.
Article Synopsis
- An investigation was conducted to assess the impact of midazolam used for post-arrest sedation on achieving essential post-resuscitation care targets and the risk of hemodynamic complications in patients who experienced out-of-hospital cardiac arrest (OHCA).
- The study reviewed emergency rescue missions from 2019-2021 and found that among patients with return of spontaneous circulation (ROSC), those receiving midazolam were more likely to meet recommended targets for blood pressure, oxygen levels, and carbon dioxide levels compared to those who did not receive sedation.
- The results suggest that using midazolam during the pre-hospital phase improves the chances of meeting critical oxygenation and ventilation goals in post-arrest patients, indicating its potential benefit in
Effectiveness and safety of prehospital analgesia including nalbuphine and paracetamol by paramedics: an observational study.
Minerva Anestesiol
December 2023
Department of Anesthesiology, Intensive Care Medicine and Emergency Medicine, Johannes Wesling Klinikum Minden, Ruhr University Bochum, Minden, Germany -
Background: The aim of this study was to examine the effectiveness and safety of prehospital analgesia with nalbuphine and/or paracetamol by paramedics.
Methods: In this retrospective trial, following the implementation of a standard-operating-procedure for pain requiring treatment as defined as a score ≥4 on the 0-10 Numeric Rating Scale for pain, all emergency operations in the district of Gütersloh between January 1, 2020, and June 30, 2022, with analgesic administration by paramedics in patients ≥18 years were included in the study. Analgesic agents employed by the paramedics included nalbuphine and/or paracetamol, butylscopolamine for abdominal colic, and esketamine in case of failure of the other analgesics.
Efficacy of in-bed chest compressions depending on provider position during in-hospital cardiac arrest: a controlled manikin study.
Minerva Anestesiol
November 2023
Department of Medical and Emergency Services, Study Institute Westfalen-Lippe, Bielefeld, Germany.
Article Synopsis
- In-hospital cardiac arrest scenarios were studied to assess the quality of chest compressions in different provider positions while resuscitating patients in hospital beds.
- The research found that chest compressions performed from a of kneeling beside or astride the patient were more effective than standing, but less so than traditional floor-based compressions.
- Kneeling positions yielded better compression quality and were subjectively rated as less fatiguing, suggesting they are preferable for emergency responders during in-bed resuscitation efforts.
Impact of COVID-19-adapted guidelines using different airway management strategies on resuscitation quality in out-of-hospital-cardiac-arrest - a randomised manikin study.
BMC Emerg Med
May 2023
Department of Medical and Emergency Services, Study Institute Westfalen-Lippe, Remterweg 44, D-33617, Bielefeld, Germany.
Background: Although airway management for paramedics has moved away from endotracheal intubation towards extraglottic airway devices in recent years, in the context of COVID-19, endotracheal intubation has seen a revival. Endotracheal intubation has been recommended again under the assumption that it provides better protection against aerosol liberation and infection risk for care providers than extraglottic airway devices accepting an increase in no-flow time and possibly worsen patient outcomes.
Methods: In this manikin study paramedics performed advanced cardiac life support with non-shockable (Non-VF) and shockable rhythms (VF) in four settings: ERC guidelines 2021 (control), COVID-19-guidelines using videolaryngoscopic intubation (COVID-19-intubation), laryngeal mask (COVID-19-Laryngeal-Mask) or a modified laryngeal mask modified with a shower cap (COVID-19-showercap) to reduce aerosol liberation simulated by a fog machine.
State of implementation of the Corona-Virus-Disease-2019 resuscitation guidelines : An online-based survey one year after publication in Germany.
Anaesthesiologie
June 2023
Department of Anaesthesiology, Intensive Care Medicine, Emergency Medicine, Transfusion Medicine and Pain Therapy; Protestant Hospital of the Bethel Foundation; University Hospital OWL, University of Bielefeld, Burgsteig 13, Bielefeld, Germany.
Background: The present study evaluated the implementation of the European Resuscitation Council Corona-Virus-Disease 2019 (COVID-19) resuscitation guidelines in Germany 1 year after publication.
Aim Of The Work: To evaluate the practical implementation of the COVID-19 resuscitation guidelines in Germany one year after their publication.
Material And Methods: In an online survey between April and May 2021 participants were asked about awareness of COVID-19 resuscitation guidelines, corresponding training, the resuscitation algorithm used and COVID-19 infections of emergency medicine personnel associated with COVID-19 resuscitation.
Indications and measures of medical emergency teams: a retrospective evaluation of in-hospital emergency operations of the German Resuscitation Register.
Minerva Anestesiol
February 2023
Department of Anesthesiology and Intensive Care Medicine, Institute for Emergency Medicine, University Hospital Schleswig-Holstein, Kiel, Germany.
Background: The present study examines characteristics and interventions of medical emergency teams (MET) in in-hospital emergency care.
Methods: Analysis of all in-hospital emergencies in patients ≥18 years at 62 hospitals with established MET from the database of the German Resuscitation Registry between 2014-2019. The evaluation covered indications for activation using the ABCDE-scheme, time intervals of arrival and patient care as well as the performed invasive/medical interventions.
Impact of COVID-19-adapted guidelines on resuscitation quality in out-of-hospital-cardiac-arrest: a manikin study.
Minerva Anestesiol
December 2021
Department of Anesthesiology, Intensive Care, Emergency Medicine, Transfusion Medicine, and Pain Therapy, Protestant Hospital of the Bethel Foundation, University Hospital of Bielefeld, Bielefeld, Germany.
Background: The aim of this study is to evaluate the effects of European Resuscitation Council (ERC) COVID-19-guidelines on resuscitation quality emphasizing advanced airway management in out-of-hospital-cardiac-arrest.
Methods: In a manikin study paramedics and emergency physicians performed advanced cardiac life support in three settings: ERC guidelines 2015 (control), COVID-19-guidelines as suggested with minimum staff (COVID-19-minimal-personnel); COVID-19-guidelines with paramedics and an emergency physician (COVID-19-advanced-airway-manager). Main outcome measures were no-flow-time, quality metrics as defined by ERC and time intervals to first chest compression, oxygen supply, intubation and first rhythm analysis.