51
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Hetzel M, Philipp A, Bartscher E, Muradov A, Veitshans S, Willems P. Patient reported outcomes PROs als Kriterium für die Methodenbewertung. Pneumologie 2013. [DOI: 10.1055/s-0033-1334728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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52
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Hetzel M, Merk T, Tretter J. Die Umsetzung der Innovationsklausel für Neue Untersuchungs- und Behandlungsmethoden (NUB) - Ein Erfahrungsbericht. Pneumologie 2013. [DOI: 10.1055/s-0033-1334727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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53
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Hetzel M, Merk T, Muradov A, Veitshans S, Philipp A, Bartscher E, Willems P. Erfahrungen mit der neuen Kryosondeneinheit ErbeCryo2. Pneumologie 2013. [DOI: 10.1055/s-0033-1334580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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54
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Deslee G, Kessler R, Blaas S, Gesierich W, Herth FJ, Hetzel J, Hetzel M, Pfeifer M, Stanzel F, Witt C, Slebos DJ, Marquette CH. Étude européenne de faisabilité de la réduction volumique par spirales endobronchiques dans l’emphysème sévère. Résultats préliminaires à 6 et 12 mois. Rev Mal Respir 2013. [DOI: 10.1016/j.rmr.2012.10.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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55
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Rupp A, Vidal L, Blank J, Hetzel M. Einstellungen und Wissen von Ärzten zum Rauchen und zur Tabakentwöhnung. Pneumologie 2012. [DOI: 10.1055/s-0032-1302894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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56
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Hetzel M, Prettner R, Willems P, Philipp A, Veitshans S, Muradov A, Bartscher E, Berweiler I, Merk T. Bronchiales Hamartom als Ursache einer postobstruktiven Pneumonie und Atelektase der linken Lunge – Ein Fallbericht. Pneumologie 2012. [DOI: 10.1055/s-0032-1302659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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57
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Merk T, Adzemovic D, Akinli A, Hein R, Hetzel M. Pulmonale Infiltrate und tracheobronchialer Schleimhautbefall durch ein Hodgkin-Lymphom. Pneumologie 2012. [DOI: 10.1055/s-0032-1302770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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58
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Gompelmann D, Herth FJF, Eberhardt R, Klooster K, Hetzel M, Stanzel F, Deslee G, Witt C, Gesierich W, Kessler R, Pfeifer M, Blaas S, Hetzel J, Marquette CH, Slebos DJ. Endoskopische Lungenvolumenreduktion durch Coilimplantation bei Patienten mit schwerem heterogenem Lungenemphysem. Pneumologie 2012. [DOI: 10.1055/s-0032-1302654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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59
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Hetzel M, Merk T, Philipp A, Willems P, Veitshans S, Muradov A, Bartscher E, Prettner R. Blutungskomplikationen nach transbronchialer Kryosondenbiopsie. Pneumologie 2012. [DOI: 10.1055/s-0032-1302809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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60
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Prettner R, Merk T, Hein R, Regnath T, Hetzel M. EBUS gesteuerte Feinnadelaspiration bei V.a. Lymphknotentuberkulose – Ein Fallbericht. Pneumologie 2012. [DOI: 10.1055/s-0032-1302669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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61
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Hetzel M, Prettner R, Willems P, Philipp A, Muradov A, Veitshans S, Bartscher E, Merk T. Patientenzufriedenheit nach LVRC-Behandlung von Patienten mit schwerem Lungenemphysem. Pneumologie 2012. [DOI: 10.1055/s-0032-1302650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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62
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Hetzel M, Merk T, Veitshans S, Willems P, Philipp A, Muradov A, Bartscher E, Prettner R. Stellenwert der transbronchialen Kryosondenbiopsie bei der Diagnostik von interstitiellen Lungenerkrankungen. Pneumologie 2012. [DOI: 10.1055/s-0032-1302707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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63
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Hautmann H, Eberhardt R, Heine R, Herth F, Hetzel J, Hetzel M, Reichle G, Schmidt B, Stanzel F, Wagner M. [Recommendations for sedation during flexible bronchoscopy]. Pneumologie 2011; 65:647-52. [PMID: 22083288 DOI: 10.1055/s-0031-1291395] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Abstract
Flexible bronchoscopy is a standard examination today and is conducted not only in nearly every hospital but also in privately owned practices. The vast majority of patients want sedation for this examination. Such a procedure is nearly always necessary in complex and interventional procedures, irrespective of the patient's wish. The recommendation at hand to use sedation measures for flexible bronchoscopy is based on the results of numerous clinical studies and also takes account of individual experiences in this area. The structural and procedural requirements and the requirements for staff training are defined and should describe the minimum standard when it comes to conducting a bronchoscopy under sedation. Furthermore the drugs recommended for sedation are discussed and their methods of application shown. Finally the recommendations also include suggestions for patient clarification, monitoring and discharge. They should provide the examiner with concrete operating options and therefore above all increase patient safety.
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Rupp A, Blank J, Blattner S, Adzemovic E, Hetzel M. [Implementing in-patient smoking cessation interventions. Basic characteristics of smoking patients in a lung health department]. Pneumologie 2011; 66:14-9. [PMID: 22076781 DOI: 10.1055/s-0031-1291403] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Abstract
BACKGROUND Hospitals have a unique key role in promoting smoking cessation. However, cessation interventions are uncommon in clinical routine despite their proven effectiveness. For planning a tailored intervention for hospitalised patients we examined the characteristics of smokers in our department for lung diseases. METHODS AND PATIENTS From July to September 2009 we evaluated the smoking status of all admitted patients. The smoking status was validated by measuring the CO-Hb. Smokers admitted for the first time on one of our regular wards received a comprehensive questionnaire. Patients with a duration of stay of 2 days or less and patients with substantial cognitive or linguistic limitations were excluded. Clinical data was collected from the participating smokers. RESULTS 25% of all admitted patients were smokers. The participation rate was almost 90% of the eligible smokers. Our questionnaire was very well accepted und provided multitude helpful information for a following cessation counselling. Up to 3 or 4 smokers per day should be anticipated for a cessation intervention at an 80-bed-hospital. At least one counselling contact could be enabled. Although 75% of participants had experienced at least one unsuccessful quit attempt, only a minority used any support or help for cessation so far. CONCLUSIONS Specific questionnaires to evaluate the smoking history of patients in hospitals are very suitable and facilitate a subsequent bedside-counseling. To come up with their key role in promoting smoking cessation more hospitals as yet should implement cessation interventions.
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Hetzel J, Eberhardt R, Herth FJF, Petermann C, Reichle G, Freitag L, Dobbertin I, Franke KJ, Stanzel F, Beyer T, Möller P, Fritz P, Ott G, Schnabel PA, Kastendieck H, Lang W, Morresi-Hauf AT, Szyrach MN, Muche R, Shah PL, Babiak A, Hetzel M. Cryobiopsy increases the diagnostic yield of endobronchial biopsy: a multicentre trial. Eur Respir J 2011; 39:685-90. [PMID: 21852332 DOI: 10.1183/09031936.00033011] [Citation(s) in RCA: 161] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Forceps, brushes or needles are currently the standard tools used during flexible bronchoscopy when diagnosing endobronchial malignancies. The new biopsy technique of cryobiopsy appears to provide better diagnostic samples. The aim of this study was to evaluate cryobiopsy over conventional endobronchial sampling. A total of 600 patients in eight centres with suspected endobronchial tumours were included in a prospective, randomised, single-blinded multicentre study. Patients were randomised to either sampling using forceps or the cryoprobe. After obtaining biopsy samples, a blinded histological evaluation was performed. According to the definitive clinical diagnosis, the diagnostic yield for malignancy was evaluated by a Chi-squared test. A total of 593 patients were randomised, of whom 563 had a final diagnosis of cancer. 281 patients were randomised to receive endobronchial biopsies using forceps and 282 had biopsies performed using a flexible cryoprobe. A definitive diagnosis was achieved in 85.1% of patients randomised to conventional forceps biopsy and 95.0% of patients who underwent cryobiopsy (p<0.001). Importantly, there was no difference in the incidence of significant bleeding. Endobronchial cryobiopsy is a safe technique with superior diagnostic yield in comparison with conventional forceps biopsy.
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Wagner M, Herth F, Stanzel F, Hautmann H, Eberhardt R, Becker H, Hetzel J, Hetzel M, Gesierich W, Ficker J. Empfehlungen zu Trainingskursen in der Bronchoskopie. Pneumologie 2011; 65:219-22. [DOI: 10.1055/s-0030-1256244] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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67
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Jürgen H, Eberhardt R, Herth FJF, Petermann C, Reichle G, Freitag L, Dobbertin I, Franke KJ, Stanzel F, Beyer T, Möller P, Fritz P, Ott G, Schnabel P, Kastendieck H, Lang W, Morresi-Hauf A, Szyrach M, Muche R, Babiak A, Hetzel M. Einfluss der Bronchoskopietechnik auf die Sensitivität von Zangenbiopsie und Kryobiopsie bei endobronchialem Tumorverdacht. Pneumologie 2011. [DOI: 10.1055/s-0031-1272001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Veitshans S, Merk T, Ritzerfeld K, Akinli A, Single C, Konnerth A, Hetzel M. Lungenrundherde mit zentraler Nekrose als Luesmanifestation. Pneumologie 2011. [DOI: 10.1055/s-0031-1272157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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69
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Hetzel M, Merk T, Prettner R, Philipp A, Willems P. Hypoventilation und arterielle Hypotonie bei Bronchoskopien unter tiefer Sedierung mit Propofol. Pneumologie 2011. [DOI: 10.1055/s-0031-1272302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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70
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Merk T, Prettner R, Bartscher E, Nguyen T, Blattner S, Hetzel M. Die CT-gesteuerte transbronchiale Kryosondenbiopsie zur Abklärung pulmonaler Herdbefunde. Pneumologie 2011. [DOI: 10.1055/s-0031-1272311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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71
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Akinli A, Merk T, Prettner R, Willems P, Philipp A, Hetzel M. Multiple Milzherde und mediastinale Lymphome als Tuberkulosemanifestation. Pneumologie 2011. [DOI: 10.1055/s-0031-1272196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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72
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Rupp A, Blattner S, Adzemovic E, Blank J, Hetzel M. Charakteristika der Raucher an pneumologischen Kliniken. Pneumologie 2011. [DOI: 10.1055/s-0031-1272281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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73
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Merk T, Prettner R, Kühner R, Muradov A, Ritzerfeld K, Hetzel M. CT-gesteuerte Punktion kleiner peripherer Lungenrundherde von unter 20mm Durchmesser. Pneumologie 2011. [DOI: 10.1055/s-0031-1272175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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74
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Lodes S, Rupp A, Hetzel M, Zahnert T, Neudert M. Stellenwert der Tabakentwöhnung in Baden-Württemberg und Sachsen in der Pneumologie und der HNO-Heilkunde. Pneumologie 2011. [DOI: 10.1055/s-0031-1272284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Rupp A, Adzemovic E, Blattner S, Blank J, Hetzel M. Stationäre Raucherberatung - mehr als nur Türöffner zur Tabakentwöhnung. Pneumologie 2011. [DOI: 10.1055/s-0031-1272280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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