Indikation und Steuerung der Volumentherapie: Das Wichtigste zuerst
Standard
Indikation und Steuerung der Volumentherapie: Das Wichtigste zuerst. / Janssens, U; Kluge, S.
in: MED KLIN-INTENSIVMED, Jahrgang 110, Nr. 2, 01.04.2015, S. 110-7.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Indikation und Steuerung der Volumentherapie: Das Wichtigste zuerst
AU - Janssens, U
AU - Kluge, S
PY - 2015/4/1
Y1 - 2015/4/1
N2 - BACKGROUND: Fluid therapy is a core concept in the management of perioperative and critically ill patients for maintenance of intravascular volume and organ perfusion. The clinical determination of the intravascular volume can be extremely difficult. Indication and control for intravascular volume therapy are among the most difficult aspects of intensive care.MATERIALS AND METHODS: A literature review was performed.RESULTS: The goal of cardiovascular therapy is to enhance adequate blood flow and oxygen delivery to the tissues to meet the varying metabolic demands of the tissues without inducing untoward cardiorespiratory complications. A careful history and clinical examination are indispensable and allow evaluation of tissue and organ perfusion. Laboratory examinations, bedside ultrasonography as well as invasive hemodynamic monitoring complete the assessment and allow guidance of fluid therapy.CONCLUSIONS: Case history, clinical examinations, bedside ultrasonography, and invasive hemodynamic monitoring complete the assessment and allow clinicians to assess volume responsiveness.
AB - BACKGROUND: Fluid therapy is a core concept in the management of perioperative and critically ill patients for maintenance of intravascular volume and organ perfusion. The clinical determination of the intravascular volume can be extremely difficult. Indication and control for intravascular volume therapy are among the most difficult aspects of intensive care.MATERIALS AND METHODS: A literature review was performed.RESULTS: The goal of cardiovascular therapy is to enhance adequate blood flow and oxygen delivery to the tissues to meet the varying metabolic demands of the tissues without inducing untoward cardiorespiratory complications. A careful history and clinical examination are indispensable and allow evaluation of tissue and organ perfusion. Laboratory examinations, bedside ultrasonography as well as invasive hemodynamic monitoring complete the assessment and allow guidance of fluid therapy.CONCLUSIONS: Case history, clinical examinations, bedside ultrasonography, and invasive hemodynamic monitoring complete the assessment and allow clinicians to assess volume responsiveness.
U2 - 10.1007/s00063-015-0001-7
DO - 10.1007/s00063-015-0001-7
M3 - SCORING: Zeitschriftenaufsatz
C2 - 25809308
VL - 110
SP - 110
EP - 117
JO - MED KLIN-INTENSIVMED
JF - MED KLIN-INTENSIVMED
SN - 2193-6218
IS - 2
ER -