Jürgen Schüttler Libros

Some important constraints of anesthesia must be taken into consideration when the pharmacological properties of modern anesthetics are discussed. The most imp- tant of these could be that the target effect be achieved preferably within seconds, at most within a few minutes. Similarly, offset of drug action should be achieved within minutes rather hours. The target effects, such as unconsciousness, are pot- tially life-threatening, as are the side effects of modern anesthetics, such as respi- tory and cardiovascular depression. Finally, the patient’s purposeful responses are not available to guide drug dosage, because, either the patient is unconscious, or more problematically, the patient is aware but unable to communicate pain because of neuromuscular blockade. These constraints were already recognised 35 years ago, when in 1972 Volume XXX entitled “Modern Inhalation Anesthetics” appeared in this Handbook Series. The present volume is meant as a follow up and extension of that volume. At the beginning of the 1970’s anesthesia was commonly delivered by inhalation, with only very few exceptions. The clinical understanding of that time considered anesthesia as a unique state achieved by any of the inhalation anesthetics, in- pendent of their specific molecular structure. “The very mechanism of anesthetic action at the biophase” was discussed within the theoretical framework of the “u- tary theory of narcosis”.

This book presents to all those who are interested in the history of Anaesthesiology historical details and information on the development of anaesthesiology in Germany and the remarkable growth of our Society. At the founding session of the German Society of Anaesthesia in Munich on 10 April 1953 42 persons had signed the founding documents. Today about 12,000 anaesthetists are members of the German Society of Anaesthesiology and Intensive Care Medicine, making the DGAI the biggest national society within ESA. Well known are the pioneering contributions of German scientists and surgeons to the development of general, regional and local anaesthesia during the 19 th and the beginning of the 20 th centuries. But less known outside Germany are the reasons for the delayed evolution of anaesthesiology as a specialty of its own in German medicine, far later than in the UK, Scandinavia or the USA. In this book you will find answers to this question and detailed information on the successful evolution of anaesthesiology especially at the Faculties of Medicine at German universities.

Zum 50jährigen Bestehen der DGAI beleuchten renommierte Vertreter und Wegbereiter die Etablierung der Anästhesiologie in Deutschland, die Gründung der wissenschaftlichen Fachgesellschaften und der Fachzeitschriften. Die Geschichte der einzelnen Ordinariate rundet das Werk ab. Einfach eine spannende Lektüre!

Eine Narkose ohne jedes Risiko gibt es nicht. Jeder Anästhesist wird während seiner Laufbahn mit kritischen Situationen konfrontiert und möchte daher auf solche Fälle vorbereitet sein. Der Narkosezwischenfall gibt Anleitungen zum überlegten und zielgerichteten Verhalten in Problemsituationen - bei technischen Schwierigkeiten und Defekten und bei eher seltenen lebensbedrohlichen Zwischenfällen. Souveränes und effektives Krisenmanagement: Sicherheit in Krisensituationen durch Hintergrundwissen zur Entstehung von Problemen, systematische Anleitung zur Vermeidung von Fehlern und Gefahren, Informationen zur Psychologie des Krisen- und Stressmanagements. Das Simulatortraining in Buchform: basierend auf den langjährigen Erfahrungen mit dem Erlanger Anästhesie-Simulator. Medikolegales Krisenmanagement: alle relevanten Informationen für den Krisenfall einschließlich Verhaltensstrategien, Aufklärungsproblematik und Prozessverlauf.