Thomas Möllhoff

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There are no consensus guidelines for the management of postoperative nausea and vomiting (PONV) in German speaking countries. This meeting was intended to develop such guidelines on which individual health care facilities can derive their specific standard operating procedures (SOPs). Anesthesiologists reviewed published literature on key topics which were(More)
Objective: We investigated whether the administration of enoximone during and after cardiopulmonary bypass (CPB) improves splanchnic oxygen utilization and thereby gut mucosal integrity in humans by its vasodilating and inotropic properties. Setting: Surgical intensive care unit (ICU) in a university hospital. Design/patients: 21 patients (ASA III(More)
Introduction: The oculocardiac reflex causes severe bradycardic arrhythmias and is a frequent complication during surgical manipulation at the medial rectus muscle. The purpose of this study was to evaluate the influence of lidocaine administered topically on the muscle on the incidence of the oculocardiac reflex. Patients and methods: After obtaining(More)
Fast-track rehabilitation refers to an interdisciplinary multimodal procedure to improve and accelerate recovery and avoid perioperative complications. The concept aims at reducing morbidity and discharging patients faster. It includes preoperative patient information, atraumatic surgical technique, stress reduction, pain therapy mostly via regional(More)
To the Editor:—We read with great interest the letter from Woehlck et al. and the accompanying response from Arrow Inc., (Reading, PA) concerning problems with removing the Arrow FlexTip epidural catheter. We wish to underline the importance of this topic with our own experience. In a woman (65 yr, American Society of Anesthesiologists physical status III,(More)
In 1953 wurde erstmals der kardiopulmonale Bypass klinisch eingesetzt, und damit wurden Operationen am offenen Herzen möglich. Die Anwendung dieser Systeme beim kardiogenen Schock brachte allerdings nicht die erwarteten Erfolge, so daß bis heute als universell einsetzbares Unterstützungssystem zur Anhebung des diastolischen Perfusionsdrucks (damit(More)
Bislang existieren für den deutschen Sprachraum keine expertenbasierten Handlungsempfehlungen zur Vermeidung oder Therapie von „postoperative nausea and vomiting“ (postoperative Übelkeit und Erbrechen, PONV). Ziel war daher die Entwicklung von Empfehlungen, aus denen im klinikspezifischen Kontext „standard operating procedures“ (SOPs) abgeleitet werden(More)
Sudden cardiac arrest is a major contributor to avoidable deaths in Europe. Immediate start of basic life support (BLS) by laypersons is among the most successful strategies in the treatment of cardiac arrest patients. Despite the fact that more than half of all cardiac arrests in Germany are witnessed by a bystander, only in one fifth of all arrests(More)
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