Markus Bleckwenn

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What makes a general anesthetic a general anesthetic? We shall review first what general anesthesia is all about and which drugs are being used as anesthetics. There is neither a unique definition of general anesthesia nor any consensus on how to measure it. Diverse drugs and combinations of drugs generate general anesthetic states of sometimes very(More)
General anaesthesia has become so safe since its introduction just over 150 years ago that the risk associated with it has become almost immeasurably small: less than one death solely attributable to anaesthesia occurs per 200 000 procedures. This progress has been achieved in the absence of generally accepted hypotheses for the mechanisms of general(More)
BACKGROUND Late-life depression is frequently accompanied by cognitive impairments. OBJECTIVE Whether these impairments indicate a prodromal state of dementia, or are a symptomatic expression of depression per se is not well-studied. METHODS In a cohort of very old initially non-demented primary care patients (n = 2,709, mean age = 81.1 y), cognitive(More)
BACKGROUND The incidence of initial prescriptions of opioids for chronic non-cancer pain rose by 37% in Germany from 2000 to 2010. Prescribing practice does not always conform with the recommendations of current guidelines. In the USA, 8-12% of patients with chronic non-cancer pain are opioid-dependent. METHODS This review is based on publications(More)
Aim of the study Due to demographic changes, home visits to nursing care facilities are increasing. Urgent home visits represent a challenge for general practitioners. There are no recommendations for the implementation of urgent home visits. Therefore, in this study, we investigated how GP practices deal with urgent home visits and what improvements can be(More)
Objective: We investigated whether patients who belong to the high risk group to develop type-2 diabetes can be identified by medical assistants (MFA) in the everyday routine of the general practice by means of a few characteristics. The effectiveness of a diabetes-risk screening could be improved by a selective approach to patients who are at risk. Method:(More)
Background Advance directives (AD) are an important tool for documentation of patients' wishes and are therefore recommended to the elderly as well as patients with chronic diseases. However, there is no standardized procedure in Germany and no guideline for counseling patients who wish to write an AD with or without health care proxy. The aim of this study(More)
BACKGROUND General practitioners (GPs) play an important role in end-of-life care due to their proximity to the patient's dwelling-place and their contact to relatives and other care providers. METHODS In order to get a better understanding of the role which the GP sees him- or herself as playing in end-of-life care and which care their dying patients(More)