S3 guidelines for intensive care in cardiac surgery patients: hemodynamic monitoring and cardiocirculary system.
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S3 guidelines for intensive care in cardiac surgery patients: hemodynamic monitoring and cardiocirculary system. / Carl, M; Alms, A; Braun, J; Dongas, A; Erb, J; Goetz, Alwin E.; Göpfert, Matthias; Gogarten, W; Grosse, J; Heller, A R; Heringlake, M; Kastrup, M; Kroener, A; Loer, S A; Marggraf, G; Markewitz, A; Reuter, Daniel; Schmitt, D V; Schirmer, U; Wiesenack, C; Zwissler, B; Spies, C.
in: Ger Med Sci, Jahrgang 8, 01.01.2010, S. 12.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - S3 guidelines for intensive care in cardiac surgery patients: hemodynamic monitoring and cardiocirculary system.
AU - Carl, M
AU - Alms, A
AU - Braun, J
AU - Dongas, A
AU - Erb, J
AU - Goetz, Alwin E.
AU - Göpfert, Matthias
AU - Gogarten, W
AU - Grosse, J
AU - Heller, A R
AU - Heringlake, M
AU - Kastrup, M
AU - Kroener, A
AU - Loer, S A
AU - Marggraf, G
AU - Markewitz, A
AU - Reuter, Daniel
AU - Schmitt, D V
AU - Schirmer, U
AU - Wiesenack, C
AU - Zwissler, B
AU - Spies, C
PY - 2010/1/1
Y1 - 2010/1/1
N2 - Hemodynamic monitoring and adequate volume-therapy, as well as the treatment with positive inotropic drugs and vasopressors are the basic principles of the postoperative intensive care treatment of patient after cardiothoracic surgery. The goal of these S3 guidelines is to evaluate the recommendations in regard to evidence based medicine and to define therapy goals for monitoring and therapy. In context with the clinical situation the evaluation of the different hemodynamic parameters allows the development of a therapeutic concept and the definition of goal criteria to evaluate the effect of treatment. Up to now there are only guidelines for subareas of postoperative treatment of cardiothoracic surgical patients, like the use of a pulmonary artery catheter or the transesophageal echocardiography. The German Society for Thoracic and Cardiovascular Surgery (Deutsche Gesellschaft für Thorax-, Herz- und Gefässchirurgie, DGTHG) and the German Society for Anaesthesiology and Intensive Care Medicine (Deutsche Gesellschaft für Anästhesiologie und lntensivmedizin, DGAI) made an approach to ensure and improve the quality of the postoperative intensive care medicine after cardiothoracic surgery by the development of S3 consensus-based treatment guidelines. Goal of this guideline is to assess the available monitoring methods with regard to indication, procedures, predication, limits, contraindications and risks for use. The differentiated therapy of volume-replacement, positive inotropic support and vasoactive drugs, the therapy with vasodilatators, inodilatators and calcium sensitizers and the use of intra-aortic balloon pumps will also be addressed. The guideline has been developed following the recommendations for the development of guidelines by the Association of the Scientific Medical Societies in Germany (AWMF). The presented key messages of the guidelines were approved after two consensus meetings under the moderation of the Association of the Scientific Medical Societies in Germany (AWMF).
AB - Hemodynamic monitoring and adequate volume-therapy, as well as the treatment with positive inotropic drugs and vasopressors are the basic principles of the postoperative intensive care treatment of patient after cardiothoracic surgery. The goal of these S3 guidelines is to evaluate the recommendations in regard to evidence based medicine and to define therapy goals for monitoring and therapy. In context with the clinical situation the evaluation of the different hemodynamic parameters allows the development of a therapeutic concept and the definition of goal criteria to evaluate the effect of treatment. Up to now there are only guidelines for subareas of postoperative treatment of cardiothoracic surgical patients, like the use of a pulmonary artery catheter or the transesophageal echocardiography. The German Society for Thoracic and Cardiovascular Surgery (Deutsche Gesellschaft für Thorax-, Herz- und Gefässchirurgie, DGTHG) and the German Society for Anaesthesiology and Intensive Care Medicine (Deutsche Gesellschaft für Anästhesiologie und lntensivmedizin, DGAI) made an approach to ensure and improve the quality of the postoperative intensive care medicine after cardiothoracic surgery by the development of S3 consensus-based treatment guidelines. Goal of this guideline is to assess the available monitoring methods with regard to indication, procedures, predication, limits, contraindications and risks for use. The differentiated therapy of volume-replacement, positive inotropic support and vasoactive drugs, the therapy with vasodilatators, inodilatators and calcium sensitizers and the use of intra-aortic balloon pumps will also be addressed. The guideline has been developed following the recommendations for the development of guidelines by the Association of the Scientific Medical Societies in Germany (AWMF). The presented key messages of the guidelines were approved after two consensus meetings under the moderation of the Association of the Scientific Medical Societies in Germany (AWMF).
KW - Germany
KW - Humans
KW - Practice Guidelines as Topic
KW - Hemodynamics
KW - Monitoring, Physiologic methods
KW - Blood Volume
KW - Cardiac Surgical Procedures
KW - Intensive Care methods
KW - Postoperative Care methods
KW - Vasoconstrictor Agents therapeutic use
KW - Germany
KW - Humans
KW - Practice Guidelines as Topic
KW - Hemodynamics
KW - Monitoring, Physiologic methods
KW - Blood Volume
KW - Cardiac Surgical Procedures
KW - Intensive Care methods
KW - Postoperative Care methods
KW - Vasoconstrictor Agents therapeutic use
U2 - 10.3205/000101
DO - 10.3205/000101
M3 - SCORING: Journal article
C2 - 20577643
VL - 8
SP - 12
JO - Ger Med Sci
JF - Ger Med Sci
SN - 1612-3174
ER -
