[Documentation and therapeutic standards in anesthesia and intensive care medicine--means for quality assurance and cost control].

Abstract:

:Patient data management in anaesthesia and intensive care should include besides medical data of individual patients economically important parameters, e.g. working time or cost of material. Integration of this data management system in the hospital information network enables case-oriented analyses for costs in relation to outcome. Standards of therapy including cost-benefit estimates may be an approach to improve the quality of care and to control the cost of medical care, in particular in the setting of teaching hospitals, avoiding erratic and costly orders by staff in training.

journal_name

Zentralbl Chir

authors

Bach A,Martin E

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

521-8

issue

7

eissn

0044-409X

issn

1438-9592

journal_volume

121

pub_type

杂志文章,评审
  • [Nonpalpable carcinoma of the breast - diagnosed by vacuum core breast biopsy and surgical management].

    abstract::The wire-localized extirpation is the "gold standard" for the examination of nonpalpable lesions suspicious of malignancy. Less invasive techniques were introduced in the last years, offering also a high diagnostic reliability, e. g. stereotactic core needle biopsy, the "advanced breast biopsy" and the vacuum core bio...

    journal_title:Zentralblatt fur Chirurgie

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    doi:10.1055/s-2001-18259

    authors: Leinung S,Keitel R,Würl P,Udelnow A,Schneider JP,Schulz T,Horn LC,Schönfelder M

    更新日期:2001-10-01 00:00:00

  • [New Applications and Indications for Contrast-Enhanced Sonography in Endovascular Aortic Repair].

    abstract::After edovascular repair of infrarenal aortic aneurysms (EVAR) endoleaks may occur necessitating further therapy. Therefore a reliable method for follow-up imaging after EVAR for detection and control of endoleaks is of high importance. Contrast-enhanced sonography (CEUS) does not require the application of nephrotoxi...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0035-1546147

    authors: Zimmermann H,Reiser M,Meimarakis G,Paprottka P,Clevert DA

    更新日期:2015-10-01 00:00:00

  • Phylloides tumours of the breast. A clinicopathologic study of 19 cases.

    abstract::During a period of 29 years (1960-1989), 19 patients with benign (15 cases) or malignant (4 cases) phylloides tumours were seen at the Surgical Clinic of Fundeni Hospital. Fourteen patients were followed up for a period of 2 to 21 years (mean 9.3 years). Two patients with benign tumours developed malignant recurrences...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Popescu I,Serbănescu M,Ivăşchescu C

    更新日期:1991-01-01 00:00:00

  • [Surgical therapy of chronic arterial obstructions of the lower extremities in elderly patients].

    abstract::The aim of this study was to determine whether arterial reconstructions in old age carry an acceptable risk and are reasonable as far as long term results are concerned. The operative mortality was 3,4% for reconstructions distal to the inguinal ligament and 20.5% for reconstructions in the aorto-iliac region. Limb am...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Stosiek C,Gall FP,Husfeldt KJ,Franke F,Schmidt J

    更新日期:1980-01-01 00:00:00

  • [Biomechanical heart and cardiovascular support].

    abstract::A surgical association between skeletal muscle and heart muscle dates back to experiments at the beginning of this century. Initially, the use of skeletal muscles aimed at plastic reconstructions of myocardial defects and enhancement of myocardial blood flow. The application of the contractile force of the skeletal mu...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Lange R,Hagl S

    更新日期:1996-01-01 00:00:00

  • [Hemostasis in the liver, lungs, and spleen using an infra-red contact coagulator].

    abstract::Experiments in rats and dogs showed that bleeding of parenchymal organs can be stopped quickly and reliable by using a recently developed infrared contact coagulator (ICC). Haemostasis of liver parenchyma was established in a shorter time than by usual diathermo-coagulation. Due to this reduced time of coagulation sma...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Welter H,Seifert J,Nath G,Kreitmair A,Eberhardt H,Gokel JM

    更新日期:1980-01-01 00:00:00

  • [Early and late results following implantation of an aortic bifurcation prosthesis].

    abstract::Aorto-iliacal or aortofemoral bifurcation grafts were implanted to 351 patients for stenotic or occlusive diseases of pelvic and femoral arteries, between 1974 and 1986. The average age of patients was 62.7 years, and perioperative lethality amounted to 7.4 per cent. The average age of patients who died was 68.2 years...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Braun L

    更新日期:1988-01-01 00:00:00

  • [Fractures of the distal end of the humerus in children (author's transl)].

    abstract::This study reports on follow-up controls of 53 children with fractures of the humerus near the elbow-joint. 31 children had supracondylar fractures, 11 condylar fractures and 11 other lesions of the lateral epicondylus. The examination was carried out with special attention to functional aspects. A new own method for ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Festge OA,Tischer W,Schwock G,Christiansen C,Estel S

    更新日期:1980-01-01 00:00:00

  • [Cryosurgery in carcinomas of the rectum and anus (author's transl)].

    abstract::3 years of clinical experience in cryosurgical treatment of carcinomas of the rectum and anus and of malignant polypi is reported. Nearly all patients were in so a poor condition not to underwent conventional operations. In these cases cryosurgery offers an alternative to the usual local procedure of tumour resection....

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Knoch HG,Köbernick H

    更新日期:1978-01-01 00:00:00

  • [Pathogenesis of cancer of the operated stomach].

    abstract::Carcinoma in the postsurgical stomach has to be considered as a prognostically hopeless late complication in the wake of reflux-causing stomach operations. Morphological, autoradiographic, microbiological, and biochemical investigations of animal models and analyses of 19,595 postmortem records have supported the view...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Dittrich S,Fleischer GM

    更新日期:1988-01-01 00:00:00

  • [Arterial vascular injuries in hip prosthesis implantation].

    abstract::Implantation of total endoprosthesis (TEP) is an established method for the operative therapy of acute and chronic hip dysfunction. Beside septic complications iatrogenic injuries of the vascular system regularly occur. Immediate and adequate therapy is necessary in order to prevent loss of an extremity or even patien...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Krenzien J,Gussmann A

    更新日期:1998-01-01 00:00:00

  • [Protocol for lymph node dissection in stomach carcinoma. Possibility for quality assurance].

    abstract::Since 1984 we have been using the opportunity to registrate the dissected lymph nodes at different locations of the lymph nodes and the carcinoma in case of D-2 dissection by means of a lymph node dissection protocol. The total rate of lymph nodes by the several patients is an indirect sign for the quality of the lymp...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Schramm H,Volkert S,Stroh C,Schmid M

    更新日期:2000-01-01 00:00:00

  • [Use of the dynamic condylar screw in fractures of the coxal end of the femur--are there advantages in gerontologic traumatology?].

    abstract::Till now instable fractures of the upper end of the femur were treated by using the 95 degrees fixed angle blade in gerontotraumatology, too. As an alternative treatment within 16 month we used the dynamic condylar screw (DCS) in 87 cases of patients elder than 65 years. The results were compared to 81 patients, who h...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Bäumer F,Jurowich B,Taruttis H

    更新日期:1992-01-01 00:00:00

  • [Local treatment of thermal injuries in children. Results of a multicenter study].

    abstract::The study described in this paper helped to establish the present position in locally delimited treatment of children for thermic injuries. 25 hospitals or other medical institutions were involved in the inquiry programme, including 16 departments of paediatric surgery and nine departments of general surgery. Studies ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Reuter G,Laskus S

    更新日期:1986-01-01 00:00:00

  • [Ethics of delivering the message of impending death].

    abstract::Two questions are discussed: 1. our relation to death. Contrary to the saying "shadows of the death" and to it's modern concealment this contribution states: death gives light: it enables to be conscious of one's self and to bow to the inevitable, it shows the valuables of earthly and mortal beings, and even allows us...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Splett J

    更新日期:1999-01-01 00:00:00

  • [Morphologic principles of callus distraction].

    abstract::There are various ways and means of performing the callus distraction procedures used more and more frequently in the clinic today. The interplay of numerous factors affects the macroscopical and microscopical morphological appearance and thus the quality of the bone regenerate. The radiological appearance during and ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Wiedemann M

    更新日期:1994-01-01 00:00:00

  • [Seat-belt and chance fractures of the thoracolumbar spine].

    abstract:INTRODUCTION:The authors have attempted to elucidate the differences between Chance, seat-belt, and flexion distraction fractures. Chance and seat-belt fractures have more common features, while flexion distraction fractures differ, in particular, due to the mechanism of injury. A difficult diagnosis is sometimes a com...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098712

    authors: Matejka J,Zeman J,Belatka J,Nepras P,Houcek P,Linhart M

    更新日期:2010-04-01 00:00:00

  • [Foot salvage in diabetic gangrene].

    abstract:UNLABELLED:In 35 patients with diabetic gangrene, amputation above the ankle (n = 18) or below the ankle (n = 17) was planned by nonspecialised general surgical departments or practicing surgeons. Prior to the operation, these patients presented to a specialised diabetic foot clinic; their clinical courses were analyse...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Jung V

    更新日期:1996-01-01 00:00:00

  • [Postoperative peritonitis].

    abstract::About 50% of relaparotomies in the early postoperative period are caused by peritonitis, the lethality ranges from 32 to 88% (average 56%). The most frequent reasons for the development of peritonitis following abdominal surgery are presented as well as the possible way to early diagnosis of this complication. In view...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Lüdtke-Handjery A

    更新日期:1983-01-01 00:00:00

  • [Postoperative coma caused by liver failure].

    abstract::Reported are 135 cases of hepatectomy. Eight patients died, including seven who died of coma due to liver failure. Preoperative misjudgement of the functional reserve of the liver is, admittedly, an unsolved problem. A two-session approach, following chemotherapeutic tumour reduction, might be an alternative, when it ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Kremer B,Henne-Bruns D

    更新日期:1986-01-01 00:00:00

  • [Kidney transplantation in Germany - 2002].

    abstract::In Germany the number of kidney transplantations has increased rather slowly during recent years. While living donations increased, the number of postmortal donations decreased during the same time. In order to lower the number of patients on the waiting lists in Germany, the rate of postmortal or living donations as ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2003-44335

    authors: Lutz J,Stangl M,Heemann U

    更新日期:2003-10-01 00:00:00

  • [Borderline questions in sustaining life-prolonging life. Moral theological viewpoint].

    abstract::The subject-matter of the main topic of this contribution focuses on the question concerning the criteria for the renunciation of therapy or for the decision to desist from treatment. The normative basis is the recognition of the principle that no one can be medically treated against his or her expressed will. Age in ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2001-18250

    authors: Schuster J

    更新日期:2001-09-01 00:00:00

  • [Therapy of deep leg vein thrombosis. When is surgical therapy indicated?].

    abstract::In spite of quite a few clinical trials the benefit of venous thrombectomy is seen controversially. The primary objectives of treating venous thrombosis are survival rate, prevention of pulmonary embolism and of postthrombotic syndrome. We report our experience with 47 patients who underwent venous thrombectomy. The m...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Ockert D,Schellong S,Bergert H,Scholz A,Zimmermann T,Nagel M,Saeger HD

    更新日期:1999-01-01 00:00:00

  • [Liver biopsy in cholecystectomy? A study on the need for liver biopsy in cholecystectomy based on the morphologic findings in both organs].

    abstract::On the basis of 341 liver biopsies routinely taken during cholecystectomies using Menghini's technique the pathological changes of the liver in comparison to the degree of cholecystitis were studied. Because of the frequency of morphological changes detected in the liver tissue, the low risk of the procedure and the p...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Quednow C,Theuring F

    更新日期:1982-01-01 00:00:00

  • [Parenteral or enteral hyperalimentation in the treatment of enterocutaneous fistulas?].

    abstract::Occurrence of postoperative wound dehiscence with fistulae in stomach and small intestine is considered to be a severe surgical complication. The question has been raised, if the problem should be therapeutically tackled by means of surgery or medication in the context of intensive care. Retrospective and prospective ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Wolf G,Steindorfer P,Pierer G

    更新日期:1988-01-01 00:00:00

  • [Changes in microcirculation of various layers and regions of the stomach wall following selective proximal vagotomy. Animal experiments using radioactive-labeled plastic particles].

    abstract::Changes of the blood flow in the different layers and regions were determined with radioactively labelled microspheres after proximal vagotomy. Under normal conditions and vagal stimulation a significant reduction of the flow in corpus and antrum up to 74% can be observed at least over the time of 3 weeks. This decrea...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Lenz J,Seifert J,Brendel W,Holle F

    更新日期:1983-01-01 00:00:00

  • [The effect of arthroscopic joint debridement in advanced arthrosis of the knee joint].

    abstract::A retrospective study was performed examining 84 patients who had undergone arthroscopic debridement for high-grade osteoarthritis of the knee joint. After an average follow-up period of 52 (35-72) months only 14 (16.7%) patients indicated an improvement of the preoperative situation. 36 (42.8%) patients had severe jo...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Krüger T,Wohlrab D,Reichel H,Hein W

    更新日期:2000-01-01 00:00:00

  • [Cell culture model for hepatocyte culture in bioreactors for metabolic utilization in hybrid liver support system].

    abstract::Hybrid systems with hepatocyte cultures in bioreactors are in development for therapeutical liver assistance. Here, a culture model with a special bioreactor construction was developed: Capillary membrane systems create a three dimensional artificial framework for hepatocyte adhesion, aggregation and reorganization of...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Gerlach J,Encke J,Müller C,Neuhaus P

    更新日期:1994-01-01 00:00:00

  • [Explorative laparotomy and splenectomy for staging Hodgkin's disease in children (author's transl)].

    abstract::We recommend explorative laparotomy with splenectomy in the field of Hodgkin's lymphoma even in childhood. Operation is an early therapeutic and diagnostic method enabling further treatment to be made in relation to the stages of the disease. A chance of better survival seems to exist in children with Hodgkin's diseas...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Blau HJ

    更新日期:1977-01-01 00:00:00

  • [Diagnostic and therapeutic procedures in actinomycosis of the liver--a case report].

    abstract::Actinomycosis is a rare disease. Clinical symptoms and diagnostic imaging results need to be differentiated from those of malignancies and abscesses. We report the case of a 51-year-old woman who presented with nocturnal sweating, weight loss, fever, and abdominal pains. Ultrasound and MRI showed a mass in the liver t...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2008-1076875

    authors: Braun KP,Gastinger I,May M,Kaufmann O,Ernst H

    更新日期:2009-04-01 00:00:00