Hämodynamisches Monitoring – Verbessertes Outcome durch erweitertes perioperatives hämodynamisches Monitoring

Andreas Weyland; Thomas Scheeren

doi:10.1055/s-0032-1304512

AINS - Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie, Table of Contents

Anästhesiol Intensivmed Notfallmed Schmerzther 2012; 47(2): 92-100
DOI: 10.1055/s-0032-1304512

Fachwissen

Anästhesie & Intensivmedizin Topthema: Hämodynamisches Monitoring

Hämodynamisches Monitoring – Verbessertes Outcome durch erweitertes perioperatives hämodynamisches Monitoring

Effects of advanced haemodynamic monitoring on perioperative outcome in high-risk patients

Andreas Weyland

,

Thomas Scheeren

Abstract

Zusammenfassung

Ein erweitertes hämodynamisches Monitoring liefert fluss-, volumen- und stoffwechselbezogene Informationen, die in Verbindung mit hierauf basierenden Therapie-Algorithmen zur perioperativen Optimierung des Volumenstatus und des O₂-Angebots genutzt werden können. Es besteht eine zunehmende Evidenz, dass eine solche zielgerichtete Therapie in definierten Patientengruppen die perioperative Morbidität und Mortalität senken kann. Dieser Beitrag gibt eine kurze Übersicht über die verschiedenen verfügbaren Zielparameter und ihren aktuellen Stellenwert im Kontext einer zielgerichteten hämodynamischen Optimierung von Risikopatienten.

Abstract

Advanced haemodynamic monitoring provides information on blood flow, volume status, and oxygen supply to demand ratio. Together with related therapeutic algorithms these variables can be used to optimize cardiac preload and oxygen delivery in the perioperative period. There is increasing evidence that a goal-directed therapy can improve perioperative outcome. In this review we will briefly describe different target variables and their relevance for the haemodynamic optimization of high-risk surgical patients.

Schlüsselwörter:

erweitertes hämodynamisches Monitoring - zielgerichtete Therapie - Volumenstatus - Sauerstoffangebot - perioperatives Outcome

Keywords:

advanced haemodynamic monitoring - goal-directed therapy - volume status - oxygen delivery - perioperative outcome

Full Text

References

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