ArticleDer Anaesthesist2019
[Preclinical emergency anesthesia : A current state analysis from 2015-2017].
Article in Der Anaesthesist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
5 citing papers in PubMed.
- [Treatment of severely injured patients by emergency physicians from different medical specialties : A retrospective multicenter investigation of data from the ADAC Air Recue Service and the German TraumaRegister DGU®].Unfallchirurgie (Heidelberg, Germany) · 2022Article
- Machine learning for the prediction of preclinical airway management in injured patients: a registry-based trial.Clinical and experimental emergency medicine · 2022Article
- Article
- Increased First Pass Success with C-MAC Videolaryngoscopy in Prehospital Endotracheal Intubation-A Randomized Controlled Trial.Journal of clinical medicine · 2020Article
- [Airway management in preclinical emergency anesthesia with respect to specialty and education].Der Anaesthesist · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectiveDue to multiple factors the performance of preclinical emergency anesthesia is fraught with risks even for experienced emergency physicians. In order to support emergency physicians in monitoring and management of anesthesia, the German practice management guidelines for preclinical emergency anesthesia in adults were published in 2015; however, current data on adherence to the guidelines are not available. MATERIAL AND
methodsIn a retrospective register analysis of preclinical anesthesia from 2015-2017 in Baden-Württemberg, the recorded anesthetic agents, monitoring, airway management and medical disciplines of emergency physicians were analyzed. The anesthetic agents utilized were compared to the emergency scenarios in the guidelines (e.g. cardiac patients, patients with acute respiratory insufficiency or acute neurological disorder and trauma patients).
resultsMidazolam and propofol were predominantly used in the 12,605 cases of preclinical emergency anesthesia evaluated. The adherence to the guidelines was 35% for cardiac patients, 51% for patients with acute respiratory insufficiency or 52% for acute neurological disorders and 79% for trauma patients. Securing the airway was carried out in 88.5 % with endotracheal intubation (capnography 79%). Discipline-related differences occurred in airway management for the devices used, capnography, muscle relaxation and the frequency of the subjectively difficult airway. A higher adherence for trauma patients and patients with acute neurological disorders was found for emergency physicians who were anesthesiologists compared to non-anesthesiologists.
conclusionThe study of the current state of preclinical emergency anesthesia in Germany showed a deficient implementation of the pharmacological recommendations for action except for trauma patients. Reasons for divergence could arise due to different availability of rescue equipment, training concepts or discipline of emergency physicians. Suitable education and training could improve the quality of prehospital anesthesia in Germany.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.