Involvement of an anaesthetic department in terminal therapy

Beck, Dietmar; Kettler, D.

doi:10.1097/00001503-199904000-00020

Cited by 4 publications

(10 citation statements)

References 17 publications

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“…Intensivmedizin (einschließlich zentraler Notaufnahmen) wird national und international seit mehreren Jahren geführt [2,15,17,18,19]. Zusätzlich wird die Palliativmedizin auch in der jüngeren Zeit als weitere Säule anästhesiologischer Kliniken bezeichnet [3,9,11,18]. Allerdings beziehen sich derartige Integrationsempfehlungen jeweils auf die Versorgungsoptimierung von Patienten, die sich per definitionem in einem palliativen Erkrankungsstadium befinden [2,18].…”

Section: Hintergrundunclassified

Palliativmedizinisch orientierte Therapieansätze für alle Patienten

Wiese

Vagts²,

Kampa

et al. 2012

Anaesthesist

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Palliative care treatment is increasingly becoming integrated into medical education and into medical curricula of all disciplines. Palliative ideas and goals are focussed on patients in the so-called palliative stages of disease. Furthermore, palliative medicine is often described as the medicine of dying patients. As a result of this study it seems to make sense to extend palliative care aspects to all patients and to all patient care. The extent to which such opportunities exist and such health care is economically feasible remains to be the subject of further clinical studies.

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Section: Hintergrundunclassified

Palliativmedizinisch orientierte Therapieansätze für alle Patienten

Wiese

Vagts²,

Kampa

et al. 2012

Anaesthesist

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“…pallium: Mantel und "palliare": lindern) stehen muss. Somit versteht sich die Palliativmedizin im Sinne der ursprünglichen lateinischen Bedeutung als ummantelnde und beschützende, ganzheitliche medizinische Behandlung und Pflege [4,15]. 1996 451 30 28 1999 684 20 60 40 2001 927 95 74 2003 1305 109 90 2007 1450 50 151 139 2008 1500 170 193 2002 nach einem möglichst frühzeitigen Beginn der palliativmedizinischen Interventionen unter Einbeziehung und Mitbetreuung der Angehörigen der Patienten [38,39], wodurch die Vielschichtigkeit der palliativmedizinischen Versorgung noch erweitert wird.…”

Section: Definitionunclassified

“…Die Anästhesiologie kann mit ihren einzelnen Subspezialisierungen und weitreichenden Erfahrungen in der Kooperation mit anderen Fachdisziplinen und Professionen für eine solche Therapiekoordination hilfreich sein [4,5,9,11,16,17,18,20,37]. Aufgrund der bereits bestehenden Vielseitigkeit des Faches und der breiten fachlichen Herausforderungen in der täglichen Klinikroutine sollte die Palliativmedizin für Anästhesisten als koordinierende Instanz keine unlösbare Aufgabe darstellen.…”

Section: Bedeutung Einer Anästhesiologischen Abteilung Für Die Palliaunclassified

“…Die Bedingungen für Patienten auf Intensivstationen zu versterben, sind in der heutigen Zeit aufgrund der örtlichen und personellen Situationen oftmals unbefriedigend [4,14]. Kooperationen dieser zwei zu einer Abteilung gehörenden Fachbereiche sind somit im praktischen Beispiel unkompliziert und schnell möglich.…”

Section: Intensivmedizinunclassified

“…Palliativmedizinische Kenntnisse kön-nen also gerade in der Anästhesie bei den zusätzlichen Vorkenntnissen über "critical care medicine" (aller anästhesiolo-gischen Säulen) eine gute Qualifikation für eine ganzheitliche medizinische Therapie beinhalten [4,15,19]. Die Palliativmedizin kann mit ihren therapeutischen und ethischen Ansätzen zu einer qualitativen Verbesserung der intensivmedizinischen Versorgung sterbender Patienten und deren Angehörigen beitragen.…”

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Palliativmedizin

et al. 2009

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Palliative medicine has progressed during recent years to an independent medical faculty within the German health system. Despite this development palliative care systems for out-of-hospital and in-hospital palliative care are still insufficient in Germany so that the development of necessary resources must be considered as not yet completed. To support the further national development palliative medicine can be temporarily or permanently coupled to existing departments, which can be advantageous for all concerned and last but not least be profitable to patients and their relatives. Possibilities for participation of anaesthesiologists in this area of medical care are discussed in the study reported here. Anaesthesiologists have always historically been represented in palliative medical departments, e.g. as pain specialists. In the following investigation the special possibilities of anaesthesia departments for supporting the education and development of in-hospital and out-of hospital palliative medical care departments are reported. Previous experience of co-operation between these two departments is well established. Departments of palliative medicine depend on a well working interdisciplinary co-operation between different medical disciplines (e.g. anaesthesiology, radiotherapy, surgery and oncology) and several medical professions (e.g. physicians, nurses, psychologists). The aim of palliative care therapy is to be responsible for the best possible therapy for cancer patients and to give support to their care-giving relatives. Due to the increasing establishment of palliative care procedures in Germany, departments of anaesthesiology should actively take part in the further development. Part of the responsibility of most anaesthesia departments is to practice pain management and critical care medicine, which are reasons why anaesthesiologists are predestined to be part of the system for palliative care patients and their relatives. Anaesthesia departments can be responsible for the organization of in-hospital and out-of-hospital palliative medicine and palliative care. The integration of anaesthesiological expertise into palliative medicine departments and vice versa can be a great opportunity for both medical departments and therefore represents a worthwhile engagement.

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Anästhesiologie und Palliativmedizin

Wiese

Felber

Lassen

et al. 2011

Schmerz

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Until 2005 many university palliative care activities had their origins in cancer pain services. These were often integrated into anesthesiology departments. Currently, anesthesiology departments work as an integrative part of palliative medicine. However, it appears from the present results that there is a domination of internal medicine (especially hematology and oncology) in palliative activities in German hospitals. This allows the focus of palliative activities to be formed by subjective specialist interests. Such a state seems to be reduced by the integration of anesthesiology departments because of their neutrality with respect to faculty-specific medical interests. Advantages or disadvantages of these circumstances are not considered by the present investigation.

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Involvement of an anaesthetic department in terminal therapy

Cited by 4 publications

References 17 publications

Palliativmedizinisch orientierte Therapieansätze für alle Patienten

Palliativmedizinisch orientierte Therapieansätze für alle Patienten

Palliativmedizin

Anästhesiologie und Palliativmedizin

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