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Dtsch Med Wochenschr 2015; 140(03): 177-180
DOI: 10.1055/s-0041-100255
DOI: 10.1055/s-0041-100255
Klinischer Fortschritt
Intensivmedizin
Volumenersatztherapie – ist weniger mehr?
Fluid resuscitation – less is more?Further Information
Publication History
Publication Date:
06 February 2015 (online)
![](https://www.thieme-connect.de/media/dmw/201503/lookinside/thumbnails/10.1055-s-0041-100255-1.jpg)
Was ist neu?
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Kristalloide oder kolloide Lösung? HAES-Produkte sollte bei der Behandlung von Patienten im akuten septischen und traumatischen Shock vermieden werden.
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GOAL-directed-fluid-Therapie: Das Prinzip der zielgerichteten Volumentherapie („Goal-directed fluid therapy“) ist grundsätzlich richtig und hat sich bewährt. Eine „Über-Infusion“ mit Hypervolämie steigert jedoch die Mortalität und ist zu vermeiden. Parameter, die die Dynamik der Kreislaufreaktion erfassen, sind zur Steuerung des Volumenmanagement statischen Messwerten überlegen.
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