Zielgerichtetes hämodynamisches Monitoring im OP: Wozu und womit?

Ulf Lorenzen; Matthias Grünewald

doi:10.1055/a-1472-4285

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

Anästhesiol Intensivmed Notfallmed Schmerzther 2022; 57(04): 246-262
DOI: 10.1055/a-1472-4285

CME-Fortbildung

Topthema

Zielgerichtetes hämodynamisches Monitoring im OP: Wozu und womit?

Targeted hemodynamic monitoring in the operating theatre: what for and by what means?

Ulf Lorenzen

¹Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel

,

Matthias Grünewald

› Author Affiliations

Abstract

Das zielgerichtete hämodynamische Monitoring und die Balance zwischen adäquater Flüssigkeits- und Volumentherapie und der Applikation vasoaktiver bzw. inotroper Medikamente sind die Grundelemente der modernen perioperativen Therapie [1] [2] [3]. Der Artikel soll einen Überblick zum derzeitigen Vorgehen und einen Ausblick auf die Zukunft des hämodynamischen Monitorings geben. Die aktuellen Möglichkeiten werden an einem Fallbeispiel diskutiert.

Abstract

Goal directed hemodynamic monitoring and the balance in goal directed therapy between adequate fluid/volume therapy and the application of vasoactive or inotropic drugs are the basic elements of modern perioperative therapy.

Surgical procedures should be accompanied by as few side effects and complications as possible. Nevertheless, the number of postoperative complications remains surprisingly high, despite of the modern surgical procedures. Anticipation of potential complications in the perioperative period and their rapid treatment build a core competence of anesthesiological action. Thus, it is clear that anesthesia plays a central role in this balancing act.

This article aims to provide an overview of the application of the currently available perioperative goal directed hemodynamic monitoring. The current possibilities are discussed by using a case example and an outlook on the future of hemodynamic monitoring is given.

Schlüsselwörter

hämodynamisches Monitoring - nicht-invasive Monitoringverfahren - minimalinvasive Monitoringverfahren - perioperatives Monitoring

Keywords

haemodynamic monitoring - non-invasive monitoring - minimally invasive monitoring - perioperative monitoring

Full Text

References

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