OP-Management up2date, Table of Contents OP-Management up2date 2022; 02(01): 37-50DOI: 10.1055/a-1678-1619 OP-Planung und Prozessmanagement Perioperatives Management: vom OP auf die Intensivstation Sonja Iken 1 Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum Frankfurt, Frankfurt am Main, Deutschland › Author Affiliations Recommend Article Abstract Buy Article All articles of this category Jährlich unterziehen sich weltweit über 300 Mio. Patienten einem chirurgischen Eingriff und ihr postoperativer Weg ist oft nicht klar vorgegeben. „Braucht mein Patient postoperativ ein Intensivbett?“ ist eine Frage, die sich die behandelnden Ärzte täglich stellen und die hier diskutiert wird – ebenso wie die Anforderungen an den Intrahospitaltransport auf die Intensivstation sowie die strukturierte Patientenübergabe nach dem SBAR-Konzept. Full Text References Literatur 1 Pearse RM, Moreno RP, Pelosi P. et al. Mortality after surgery in Europe: a 7 day cohort study. Lancet 2012; 380: 1059-1065 2 Pearse RM, Harrison DA, James P. et al. Identification and characterisation of the high-risk surgical population in the United Kingdom. Crit Care 2006; 10: R81 3 Johnston MJ, Arora S, King D. et al. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Surgery 2015; 157: 752-763 4 Ferraris VA, Bolanos M, Martin JT. et al. Identification of patients with postoperative complications who are at risk for failure to rescue. JAMA Surg 2014; 149: 1103-1108 5 Ahmad T, Bouwman RA, Grigoras I. et al. Use of failure-to-rescue to identify international variation in postoperative care in low-, middle- and high-income countries: a 7-day cohort study of elective surgery. Br J Anaesth 2017; 119: 258-266 6 Ghaferi AA, Birkmeyer JD, Dimick JB. et al. Variation in hospital mortality associated with inpatient surgery. N Engl J Med 2009; 361: 1368-1375 7 Gillies MA, Harrison EM, Pearse RM. et al. Intensive care utilization and outcomes after high-risk surgery in Scotland: a population-based cohort study. Br J Anaesth 2017; 118: 123-131 8 Kristensen SD, Knuuti J, Saraste A. et al. 2014 ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management: The Joint Task Force on non-cardiac surgery: cardiovascular assessment and management of the European Society of Cardiology (ESC) and the European Society of Anaesthesiology (ESA). Eur J Anaesthesiol 2014; 31: 517-573 9 Lee TH, Marcantonio ER, Mangione CM. et al. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation 1999; 100: 1043-1049 10 Gupta PK, Gupta H, Sundaram A. et al. Development and validation of a risk calculator for prediction of cardiac risk after surgery. Circulation 2011; 124: 381-387 11 Eichelmann A, Said M, Lindner K. et al. Impact of preoperative risk factors on outcome after gastrectomy. World J Surg Oncol 2020; 18: 17-27 12 DGAIDGCH und DGIM. Präoperative Evaluation erwachsener Patienten vor elektiven, nicht herz-thoraxchirurgischen Eingriffen. Gemeinsame Empfehlung der DGAI, DGCH und DGIM. Anästh Intensivmed 2017; 58: 349-364 13 House LM, Marolen KN, St Jacques PJ. et al. Surgical Apgar score is associated with myocardial injury after noncardiac surgery. J Clin Anesth 2016; 34: 395-402 14 Warren J, Fromm RE jr., Orr RA. et al. Guidelines for the interand intrahospital transport of critically ill patients. Crit Care Med 2004; 32: 256-262 15 Smith I, Fleming S, Cernaianu A. Mishaps during transport from the intensive care unit. Crit Care Med 1990; 18: 278-281 16 Deutsche Interdisziplinäre Vereinigung für Intensiv- und Notfallmedizin. Empfehlung der DIVI zum innerklinischen Transport kritisch kranker, erwachsener Patienten. 2004 http://www.divi.de/empfehlungen/publikationen/intensivtransport/empfehlung-zum-innerklinischen-transport 17 Oczenski W. Atmen – Atemhilfen. 9. Aufl. Stuttgart: Thieme; 2012 18 Wiese C, Bartels U, Fraatz W. et al. Intrahospital transports of critically ill patients: A special challenge of hospital care. Anästh Intensivmed 2008; 49: 125-133 19 Saager L, Hesler BD, You J. et al. Intraoperative transitions of anesthesia care and postoperative adverse outcomes. Anesthesiology 2014; 121: 695-706 20 Terekhov MA, Ehrenfeld J, Dutton RP. et al. Intraoperative care transitions are not associated with postoperative adverse outcomes. Anesthesiology 2016; 125: 690-699 21 Jones PM, Cherry RA, Allen BN eta al. Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. JAMA 2018; 319: 143-153 22 van Rensen EL, Groen ES, Numan SC. et al. Multitasking during patient handover in the recovery room. Anesth Analg 2012; 115: 1183-1187 23 von Dossow V, Zwißler B. DGAI-Empfehlung: Strukturierte Patientenübergabe in der perioperativen Phase – Das SBAR-Konzept. Anästh Intensivmed 2016; 57: 88-90 24 Starmer AJ, Spector ND, Srivastava R. et al. Changes in medical errors after implementation of a handoff program. N Engl J Med 2014; 371: 1803-1812 25 World Health Organization. Communication during patient hand-overs. Patient Safety Solutions 2007. Accessed January 02, 2021 at: http://www.who.int/patientsafety/solutions/patientsafety/PS-Solution3.pdf?ua=1