Robert Wunderlich

Department of Anesthesiology and Intensive Care Medicine

University Clinic Tübingen

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Publications

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COVID-19 / Coronavirus Outbreak: Protecting The Airway - Endotracheal Intubation

JoVE 6430

In pandemic times, medical staff is becoming a key resource in fighting the infection. To achieve the best medical care, relevant techniques and procedures have to be taught to medical staff to reduce the risk of infection. COVID patients often need mechanical ventilation due to progredient respiratory insufficiency, so an endotracheal intubation becomes a critical procedure in managing these patients. This procedure has an increased risk of infection due to aerosol formation and working with an unsecured airway. Patient safety should not be neglected, and complications like hypoxaemia and aspiration should be avoided. At the same time, personal protection from infection is of utmost importance becuase human resources in a pandemic crisis must be preserved. This video shows the procedure of endotracheal intubation while taking personal infection protection into account. 

 Coronavirus / COVID-19 Procedures

COVID-19 / Coronavirus Outbreak: How To Perform A Bronchoscopy

JoVE 6431

In pandemic times, medical staff is becoming a key resource in fighting the infection. To achieve the best medical care, relevant techniques and procedures have to be taught to medical staff while reducing the risk of infection. COVID patients often suffer from respiratory insufficiency and increased intrapulmonal secretion. A bronchoscopy is one of the standard procedures for resolving respiratory tract obstruction in intensive care medicine. On the downside, this procedure has a high potential for producing aerosol formations due to disconnections of the ventilator tubes, which creates an increased risk of infection to the medical staff. The indications for a bronchoscopy should be limited to the absolute minimum. This video gives a guidance for reducing personal infection risk without neglecting patient safety when performing a bronchoscopy. 

 Coronavirus / COVID-19 Procedures

COVID-19 / Coronavirus Outbreak: How To Establish A Central Venous Access By Placing A Central Venous Catheter

JoVE 6432

In pandemic times, medical staff is becoming a key resource in fighting the infection. To achieve the best medical care, relevant techniques and procedures have to be taught to medical staff while reducing the risk of infection. Intensive care medical treatment can necessitate central venous catheters due to different indications like vasopressor therapy or treatment of the patient with vein irrigating substances. This video shows the placement of central venous catheters for intensive care patients. 

 Coronavirus / COVID-19 Procedures

COVID-19 / Coronavirus Outbreak: Hemodynamic monitoring with PiCCO artery

JoVE 6433

During pandemics, medical staff become a key resource in treating and managing patients with these infectious diseases. To achieve the best medical care, relevant techniques and procedures must be taught to medical staff which minimize the risk of work-related transmission of infection. When carrying out hemodynamic monitoring in cardiovascularly unstable patients, it is possible to utilize a Pulse Contour Cardiac Output (PiCCO) catheter. This system utilizes a thermodilution method to analyze a patient’s cardiovascular status. This video highlights the placement and setup of a PiCCO catheter and system, including both the practical component and analysis of the thermodilution method, whilst taking into account important personal protection measures.

 Coronavirus / COVID-19 Procedures

COVID-19 / Coronavirus Outbreak: How to take blood cultures

JoVE 6434

In pandemic times, medical staff is becoming a key resource in fighting the infection. To achieve the best medical care, relevant techniques and procedures have to be taught to medical staff while reducing the risk of infection. Blood cultures play a key role in an effective anti-infective therapy regime. As COVID-19 patients develop bacterial superinfections in the damaged pulmonary tissue, using the correct technique to obtain blood culture samples and following anti-infective therapy are important. This video shows the required materials and correct way to obtain blood cultures. 

 Coronavirus / COVID-19 Procedures

COVID-19 / Coronavirus Outbreak: How to perform complete prone positioning in COVID-Patients

JoVE 6435

In pandemic times, medical staff is becoming a key resource in fighting the infection. To achieve the best medical care, relevant techniques and procedures have to be taught to medical staff while reducing the risk of infection. COVID-19 patients often develop an acute respiratory distress syndrome with respiratory failure. Prone positioning is established as a core component of management in COVID-19 patients, to enable ventilation of a greater lung area and thereby improve gas exchange. This video shows the prone positioning of a COVID-19 patient while taking personal infection protection into account.

 Coronavirus / COVID-19 Procedures

COVID-19 / Coronavirus Outbreak: Donning Personal Protective Equipment Before Entering A Patient Room

JoVE 6428

In pandemic times, medical staff is becoming a key resource in fighting the infection. To achieve the best medical care, relevant techniques and procedures have to be taught to medical staff to reduce the risk of infection. In this video the donning of personal protective gear prior to treating COVID-19 patients is shown. A technique to reuse protective facemasks in shortage of supplies is also discussed. 

 Coronavirus / COVID-19 Procedures

COVID-19 / Coronavirus Outbreak: Doffing Personal Protective Equipment When Exiting A Patient Room

JoVE 6429

In pandemic times, medical staff is becoming a key resource in fighting the infection. To achieve the best medical care, relevant techniques and procedures have to be taught to medical staff to reduce the risk of infection. Doffing the contaminated personal protective gear after treating COVID-19 patients has a high risk of forming infective aerosols which could lead to an infection of the medical staff. In this video, the manner of doffing of personal protective gear to minimize the risk of self infection is shown.

 Coronavirus / COVID-19 Procedures