5 research outputs found
Primary headaches in young stroke patients
Die vorliegende Querschnittsanalyse an deutschsprachigen Patienten im Alter von 18-55 Jahren mit erstmaligem zerebrovaskulärem Ereignis untersucht den Zusammenhang zwischen Kopfschmerzen, insbesondere Migräne, und juvenilem Schlaganfall. Die Kopfschmerzprävalenz insgesamt als auch die Prävalenz der Migräne, insbesondere jedoch der Migräne mit Aura, sind in der jungen Stichprobe gegenüber der Gesamtpopulation signifikant erhöht. Dabei kann ein deutlicher Alters- und Geschlechtseffekt nachgewiesen werden mit besonderem Risiko für junge Frauen < 45 Jahren
Higher subjective burden in psychiatric compared to somatic healthcare workers in Germany during the first wave of COVID-19 pandemic
Subjective burden and perspectives of German healthcare workers during the COVID-19 pandemic
Sedation, sleep-promotion, and non-verbal and verbal communication techniques in critically ill intubated or tracheostomized patients
The aim of this survey was to describe, on a patient basis, the current practice of sedation, pharmacologic and non-pharmacologic measures to promote sleep and facilitation of communication in critically ill patients oro-tracheally intubated or tracheostomized.
Cross-sectional online-survey evaluating sedation, sleep management and communication in oro-tracheally intubated (IP) or tracheostomized (TP) patients in intensive care units on a single point.
Eighty-one intensive care units including 447 patients (IP:  = 320, TP:  = 127) participated. A score of  -2 on the Richmond Agitation Sedation Scale (RASS) was prevalent in 58.2% (IP 70.7% vs. TP 26.8%). RASS -1/0 was present in 32.2% (IP 25.9% vs. TP 55.1%) of subjects. Propofol and alpha-2-agonist were the predominant sedatives used while benzodiazepines were applied in only 12.1% of patients. For sleep management, ear plugs and sleeping masks were rarely used (< 7%). In half of the participating intensive care units a technique for phonation was used in the tracheostomized patients.
The overall rate of moderate and deep sedation appears high, particularly in oro-tracheally intubated patients. There is no uniform sleep management and ear plugs and sleeping masks are only rarely applied. The application of phonation techniques in tracheostomized patients during assisted breathing is low. More efforts should be directed towards improved guideline implementation. The enhancement of sleep promotion and communication techniques in non-verbal critically ill patients may be a focus of future guideline development