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DOI: 10.1055/s-2008-1079111
© Georg Thieme Verlag Stuttgart · New York
Perioperatives hämodynamisches Monitoring – ein Überlebensvorteil für anästhesiologisch betreute Patienten?
Hemodynamic monitoring in the perioperative periodPublication History
Publication Date:
08 May 2008 (online)
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Zusammenfassung
Das perioperative hämodynamische Monitoring kann in ein obligates, nicht invasives Basismonitoring und ein erweitertes hämodynamisches Monitoring unterteilt werden. Sowohl patienten–, als auch operationsspezifische Aspekte können die Indikation für eine Erweiterung des hämodynamischen Monitorings darstellen. Nutzen und Qualität der perioperativen Patientenüberwachung hängen ausschließlich von der Kenntnis der Möglichkeiten und Limitationen der eingesetzten Monitoringinstrumente ab.
Abstract
Both, obligatory non–invasive hemodynamic monitoring and adjunctive hemodynamic monitoring need to be considered perioperatively. Patient as well as surgical requirements may contribute to the decision making process. Effectiveness and quality of the perioperative patient monitoring solely depends on the knowledge and awareness of the anesthesist with regard to the potentials and limitations of the applied monitoring.
Schlüsselwörter:
Monitoring; Anästhesie - Herz–Kreislauf–System; Hämodynamik
Key words:
monitoring; anesthesia - cardio–vascular system; hemodynamic
Kernaussagen
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Die häufigsten Ursachen perioperativer Morbidität und Letalität stellen kardiovaskuläre Erkrankungen dar.
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Das Ziel des hämodynamischen Monitorings ist die Sicherstellung einer adäquatenOrganperfusion mit entsprechender Organoxygenierung und –nutrition.
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Das erweiterte hämodynamische Monitoring allein verbessert die Patientenprognose nicht, ist aber mit einer Zunahme von Risiken und Komplikationen assoziiert.
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Möglichkeiten, Grenzen, Risiken und das spezifische Fehlerpotential der eingesetzten Messinstrumente sollten dem Anwender bekannt sein.
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Allein die Kenntnis des Anästhesisten entscheidet, ob ein Überwachungsverfahren nützlich oder schädlich ist.
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Ergänzendes Material
- Supporting Information_Literature
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PD Dr. med. Jürgen Graf
Marc Irqsusi
Prof. Dr. med. Uwe Janssens
Email: jgraf@gmx.de
Email: uwe.janssens@sah-eschweiler.de
- Literaturverzeichnis