Utz Bartels

Utz Bartels
Westküstenklinikum Heide | WKK · Klinik für Anästhesie und operative Intensivmedizin

Dr. med.

About

56
Publications
5,103
Reads
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632
Citations
Citations since 2017
1 Research Item
147 Citations
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2017201820192020202120222023010203040
2017201820192020202120222023010203040
2017201820192020202120222023010203040
Introduction
Delirium Economy of Intensive Care Ethical Aspects in Intensive Care Education of Intensive Care Workers
Additional affiliations
April 2012 - May 2015
HELIOS Klinikum Wuppertal
Position
  • Oberarzt
August 2008 - March 2012
Ulm University
Position
  • Oberarzt

Publications

Publications (56)
Article
Background The implementation of the Critical-Care Pain Observation tool (CPOT) in intensive care units (ICU) has been associated with more frequent pain assessments, a reduced number of complications, and improved administration of analgesics and sedatives. So far no German translation exists. Translating this tool into foreign languages requires...
Article
Das postoperative Delir stellt ein weitverbreitetes Problem in der perioperativen Versorgung kardiochirurgischer Patienten dar. Aktuellen Publikationen folgend, erleiden über 50 % der Patienten ein postoperatives Delir nach herzchirurgischen Eingriffen. Trotz jahrelanger Forschungen sind weder der Pathomechanismus noch effektive Therapieansätze zur...
Article
Full-text available
Background To determine the international recommendations and current practices for the treatment and prevention of palliative emergencies. The primary goal of the study was to gather information from experts on their nationally practised concepts. Methods One hundred and fifty self-report surveys were distributed by email to selected leading expe...
Article
Zunehmend wird der Rettungsdienst in die Betreuung adipöser Patienten eingebunden. Ausgehend von einem Einsatzbeispiel werden verschiedene Problemfelder in der Versorgung beleuchtet und eine Diskussion der Thematik auch in den Organisationsstrukturen angeregt. Abstract Prehospital emergency teams are increasingly becoming involved in the care of...
Article
Background: Is the sole purpose of the structured quality reports the scientific comparison of organizational units, or is it increasingly acquiring the role of an instrument for publicly marketing the quality of one's own institution? If so, how can this marketing tool be exploited by anaesthesiologists? Method: The quality reports for anaesthesio...
Article
Palliative medical emergencies and end-of-life decisions resulting from the exacerbation of cancer account for approximately 3% of all out-of-hospital emergency applications in Germany. Therefore, prehospital emergency physicians (EP) may be confronted with advance directives and ethical and end-of-life decisions. The purpose of the study was to id...
Article
Care aspects of outpatient palliative-care teams involve the medical, psychological, and spiritual needs of patients and their caregivers. The objective of our study was to examine the post-mortal bereavement of family caregivers. The investigation was based on interviews with 50 family caregivers of 50 palliative-care patients assessed by a pallia...
Article
Background In the medical literature the Lazarus phenomenon is defined as the spontaneous return of circulation (SROC) after cessation of cardio-pulmonary resuscitation. Based on published literature recommendations concerning the treatment of patients after cessation of resuscitation and reasons for the Lazarus phenomenon are discussed. Methods A...
Article
Background Throughout the world there are so-called cardiac arrest teams (CAT) for in-hospital emergency care. In addition medical emergency teams (MET) are integrated for the prevention of in-hospital emergency situations. The present investigation investigated the structure of emergency care in Dutch hospitals. Methods The investigation was perfo...
Article
In the medical literature the Lazarus phenomenon is defined as the spontaneous return of circulation (SROC) after cessation of cardio-pulmonary resuscitation. Based on published literature recommendations concerning the treatment of patients after cessation of resuscitation and reasons for the Lazarus phenomenon are discussed. A literature search i...
Article
Full-text available
Today, prehospital emergency medical teams (EMTs) are confronted with emergent situations of cardiac arrest in palliative care patients. However, little is known about the out-of-hospital approach in this situation and the long-term survival rate of this specific patient type. The aim of the present investigation was to provide information about th...
Article
Palliative medicine has progressed during recent years to an independent medical faculty within the German health system. Despite this development palliative care systems for out-of-hospital and in-hospital palliative care are still insufficient in Germany so that the development of necessary resources must be considered as not yet completed. To su...
Article
Full-text available
The number of palliative care patients who live at home and have non-curable life-threatening diseases is increasing. This is largely a result of modern palliative care techniques (e.g. specialised out-of-hospital palliative medical care services), changes in healthcare policy and the availability of home care services. Accordingly, pre-hospital em...
Article
Die Palliativmedizin hat sich in den letzten Jahren als selbstständige medizinische Disziplin im deutschen Gesundheitswesen etabliert. Trotzdem gibt es immer noch eine Unterversorgung an palliativmedizinischen stationären und speziell ambulanten Einrichtungen, sodass in Deutschland der Aufbau entsprechender Ressourcen als noch nicht abgeschlossen b...
Article
Palliative care medical emergencies as a consequence of advanced cancer account for approximately 3% of all prehospital emergency cases. Therefore, prehospital emergency physicians (EP) are confronted with 'end of life decisions'. No educational content exists concerning palliative medicine in emergency medicine curricula. Over the course of 6 mont...
Article
Palliative home care gains in importance in Germany. In addition to administering pain and symptom control for patients a "Palliative Care Team" (PCT) tries to address the patients' psychosocial and spiritual needs. Retrospective analysis of caregiving relatives' expectations of the support by a PCT. Most relatives expected a sufficient pain therap...
Article
Prehospital emergency physicians (EP) are often confronted with the acute care of palliative care patients. Dyspnoea is a frequent acute symptom and its causes often differ from the generally known emergency medical causes. Till now, there have been no relevant concepts for emergency care of palliative care patients for their specific symptoms. Ove...
Article
In 2005, the European Resuscitation Council and the American Heart Association published new guidelines for Advanced Life Support. One of the points was to reduce the time without chest compressions in the first phase of cardiac arrest. We evaluated in a manikin model whether using the single-use laryngeal tube with suction option (LTS-D) instead o...
Article
Palliativpatienten verbringen zunehmend die letzte Phase ihrer Erkrankung im häuslichen Umfeld. Dadurch sind vermehrt Angehörige und Pflegedienste mit der primären Betreuung dieser Patienten auch in Notfallsituationen konfrontiert. Diesen sind sie allerdings nicht immer gewachsen. Aus diesem Grund nimmt die Anzahl der Rettungsdiensteinsätze zu (akt...
Article
Actually more and more cancer patients will be treated at home especially at the final stage of their disease. Therefore relatives and nursing set-vices will be confronted with acute emergency situations of these patients. The handling of those acute situations may be out of the relatives' depth. For that reason the prehospital emergency system wil...
Article
Background: In recent years outpatient palliative care, even for patients in an advanced state of their disease, has gained importance. Therefore, also paramedics are more often confronted with palliative emergencies, advance directives, and ethical end-of-life issues. Presently in emergency medicine there is undoubtedly a lack of education on pal...
Article
Background Prehospital emergency teams will be confronted with the specific needs of resuscitation in palliative patients in whom a return of spontaneous circulation (ROSC) could be found significantly less frequently than in other emergency situations. The present investigation aims to show medical and judicial problems related to cardiopulmonary...
Article
Prehospital emergency teams will be confronted with the specific needs of resuscitation in palliative patients in whom a return of spontaneous circulation (ROSC) could be found significantly less frequently than in other emergency situations. The present investigation aims to show medical and judicial problems related to cardiopulmonary resuscitati...
Article
The care of patients with cancer disease in the final stage amounts to 2.5% of all emergency-medical applications. This corresponded to the number of pediatric emergency cases. For this every emergency physician can be involved in the care of those patients. Emergency physicians may allow adapted treatment in the will or supposed will of the patien...
Article
Full-text available
Lung ventilation through a thin transtracheal cannula may be attempted in patients with laryngeal stenosis or "cannot intubate, cannot ventilate" situations. It may be impossible to achieve sufficient ventilation if the lungs are spontaneously emptying only through the thin transtracheal cannula, which imposes high resistance to airflow, resulting...
Article
Currently more and more patients with cancer will be treated at home, especially at the final stage of their disease. Relatives and nursing services will therefore be confronted with acute emergency situations concerning these patients. The handling of these acute situations may be beyond the relatives' coping capacity. For that reason the pre-hosp...
Article
Full-text available
In 2005 the European Resuscitation Council (ERC) published the new guidelines for Advanced Life Support (ALS). One of the aims was to reduce the no flow time (NFT), without chest compression in the first period of cardiac arrest. Furthermore the guidelines recommend that endotracheal intubation should only be carried out by personnel experienced in...
Article
A paediatric emergency case with a rescue helicopter, which was reported as unexpected cardiac arrest of a 4-year-old child will be described. Based on this case, the symptoms and therapy of meningococcal sepsis and Waterhouse-Friderichsen-Syndrome under emergency conditions will be discussed as well as aspects of post-exposure prophylaxis.
Article
Full-text available
In 1999, the laryngeal tube (VBM Medizintechnik, Sulz, Germany) was introduced as a new supraglottic airway. It was designed to allow either spontaneous breathing or controlled ventilation during anaesthesia; additionally it may serve as an alternative to endotracheal intubation, or bag-mask ventilation during resuscitation. Several variations of t...
Article
In 2005 the European Resuscitation Council published new guidelines for advanced life support. One of the issues was to reduce the "no flow time", which is defined as the time without chest compression in the first period of cardiac arrest. In a manikin study, we evaluated whether using the laryngeal tube instead of endotracheal intubation for airw...
Article
During the stay in hospital intrahospital transports (IHT) of critically ill patients are often necessary for optimal patient care. The transport of intensive care patients within the hospital may be associated with many potential complications and risks. It is therefore necessary to minimize risk factors before the onset of transport. Intensive Ca...
Article
In recent years outpatient palliative care, even for patients in an advanced state of their disease, has gained importance. Therefore, also paramedics are more often confronted with palliative emergencies, advance directives, and ethical end-of-life issues. Presently in emergency medicine there is undoubtedly a lack of education on palliative medic...
Article
Die Versorgung von Patienten mit Tumorerkrankungen im finalen Krankheitsstadium beträgt 2,5 % aller notärztlichen Einsätze und entspricht damit der Häufigkeit pädiatrischer Notfalleinsätze. Jeder Notarzt kann daher an der Betreuung von Palliativpatienten im fortgeschrittenen Krankheitsstadium beteiligt sein. Die Versorgung dieser Patienten und dere...
Article
Full-text available
Es wird über einen pädiatrischen Notarzteinsatz des Rettungshubschraubers mit der Einsatzmeldung ,,Kreislaufstillstand unklarer Genese bei einem 4-jährigen Kind“ berichtet. Anhand dieses Einsatzes bei Meningokokkensepsis mit dem Verdacht auf ein Waterhouse-Friderichsen-Syndrom werden Symptome und Therapie der Meningokokkensepsis und des Waterhouse-...
Article
Full-text available
Abstract Background In 1999, the laryngeal tube (VBM Medizintechnik, Sulz, Germany) was introduced as a new supraglottic airway. It was designed to allow either spontaneous breathing or controlled ventilation during anaesthesia; additionally it may serve as an alternative to endotracheal intubation, or bag-mask ventilation during resuscitation. S...
Article
A case is presented of spontaneous return of circulation after cardiac arrest in a patient with a pacemaker without intraoperative resuscitation. In the literature this kind of situation is called the Lazarus phenomenon. Cardiac arrest of the patient occurred during surgery and because of the poor prognosis no cardiopulmonary resuscitation was init...
Article
In der vorgestellten Kasuistik wird das Auftreten einer spontanen Kreislaufstabilisierung nach vorherigem Kreislaufstillstand ohne durchgeführte Reanimationsmaßnahmen bei einem Patienten mit Herzschrittmacher vorgestellt. In der Literatur wird diese Situation bei primär durchgeführter, aber erfolgloser Reanimation als „Lazarus-Phänomen“ bezeichnet....
Article
Treatment of patients suffering from decompensated chronic pulmonary disease (COPD) not responding to pharmacological therapy is still a major challenge in intensive care medicine. Administration of volatile anaesthetics may be a therapy of last resort in these cases. We report on a 65-year-old woman suffering from exacerbated COPD, who could not b...
Article
Einleitung Die Verbesserung der palliativmedizinischen Versorgung in Deutschland wird in den letzten Jahren zunehmend von der Öffentlichkeit und der Politik gefordert. Durch entsprechende Hilfsangebote besteht für Patienten zunehmend die Möglichkeit, in der letzten Phase des Lebens zu Hause zu verbleiben. Allerdings sind betreuende Angehörige in me...
Article
Demands for improvement of palliative care have increased in Germany in the last years. Suitable models of care have been established that enable patients to stay at home in the last days of their life. Nevertheless, relatives can be challenged by acute exacerbations of symptoms and call the emergency, initiating a sequence of emergency actions. In...
Article
Hintergrund: In einer außerklinischen Notfallsituation ist die Laienhilfe grundlegend für eine suffiziente Rettungskette. So gehören die Basismaßnahmen der kardiopulmonalen Reanimation (Basic Life Support, BLS) durch Laien unabdingbar zu einer effektiven Notfallversorgung. In Bezug auf den Lernerfolg durch einen Kurs „Lebensrettende Sofortmaßnahmen...
Article
Presently and even more in the near future more cancer patients will be treated at home especially in the final stage of their disease. For this reason the prehospital emergency system will be confronted with the specific needs of these patients. Palliative care is not part of the German model of post-graduate training regulations for emergency med...
Article
Jeder Notarzt kann an der Betreuung von Patienten mit Tumorerkrankungen im finalen Krankheitsstadium beteiligt sein. Es können sich in der Therapie rechtliche Unsicherheiten ergeben. Der Notarzt sollte sich den juristischen Besonderheiten (z.B. Patientenverfügung) bewusst sein und diese bei seinem Handeln berücksichtigen. Wir analysierten retrospek...
Article
Die Behandlung von Patienten mit einer dekompensierten chronisch obstruktiven Lungenerkrankung (,,chronic obstructive pulmonary disease“, COPD), die auf bronchodilatatorische Pharmakotherapie nicht mehr anspricht, ist eine Herausforderung an die Intensivmedizin. Eine Anwendung von Inhalationsanästhetika kann in diesen Fällen manchmal die noch einzi...
Article
Die Laienhilfe hat einen entscheidenden Stellenwert in der Versorgung von Notfallpatienten. Sie bildet das vermeintlich schwächste Glied der Rettungskette und definiert mithin deren Gesamtstärke. Durch ihre Verbesserung kann es zu einer entscheidenden Verkürzung des therapiefreien Intervalls kommen.Wir untersuchten Teilnehmer eines standardisiert d...
Article
We report about an emergency case of a female patient with terminal carcinoma of the ovary. On the basis of this case it becomes evident that palliative care questions are also important in emergency medicine. In this situation cooperation of the medical disciplines involved appears urgently necessary. This may allow the possibility for terminally...
Article
Berichtet wird ber die notrztliche Versorgung einer Patientin mit einem multipel metastasierten Ovarialkarzinom im finalen Krankheitsstadium. Anhand dieses Einsatzes soll verdeutlicht werden, dass palliativmedizinische Fragestellungen auch in der Notfallmedizin relevant sind. Eine strukturierte Kooperation der in dieser Situation involvierten mediz...
Article
Kindernotfälle gehören zu den seltenen Einsatzindikationen für den deutschen Rettungsdienst. Nur 5 % des Einsatzaufkommens betreffen Kinder im Alter unter 15 Jahren. Aus diesem Grund fühlen sich viele Rettungsdienstmitarbeiter bei der Versorgung von Kindernotfällen unsicher. Von vielen Seiten werden vermehrt Fortbildungsveranstaltungen zur Notfallv...

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