Die intensivmedizinische Versorgung herzchirurgischer Patienten

TY - JOUR

T1 - Die intensivmedizinische Versorgung herzchirurgischer Patienten

T2 - Hämodynamisches Monitoring und Herz-Kreislauf-Therapie S3-Leitlinie der Deutschen Gesellschaft für Thorax-, Herz- und Gefässchirurgie (DGTHG) und der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin (DGAI)

AU - Carl, M

AU - Alms, A

AU - Braun, J

AU - Dongas, A

AU - Erb, J

AU - Goetz, A

AU - Göpfert, M

AU - Gogarten, W

AU - Grosse, J

AU - Heller, A

AU - Heringlake, M

AU - Kastrup, M

AU - Kröner, A

AU - Loer, S

AU - Marggraf, G

AU - Markewitz, A

AU - Reuter, M

AU - Schmitt, D V

AU - Schirmer, U

AU - Wiesenack, C

AU - Zwissler, B

AU - Spies, C

AU - German Society for Thoracic and Cardiovascular Surgery

PY - 2007/3/1

Y1 - 2007/3/1

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 and the German Society for Anaesthesiology and Intensive Care Medicine 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 available monitoring methods and their risks as well as the differentiated therapy of volume-replacement, positive inotropic support and vasoactive drugs, the therapy with vasodilators, inodilators and calcium-sensitizers and the use of intra-aortic balloon pumps. The guideline has been developed according to 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 and the German Society for Anaesthesiology and Intensive Care Medicine 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 available monitoring methods and their risks as well as the differentiated therapy of volume-replacement, positive inotropic support and vasoactive drugs, the therapy with vasodilators, inodilators and calcium-sensitizers and the use of intra-aortic balloon pumps. The guideline has been developed according to 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 - Anesthesiology

KW - Cardiac Surgical Procedures

KW - Cardiovascular Diseases

KW - Germany

KW - Humans

KW - Intensive Care

KW - Monitoring, Intraoperative

KW - Monitoring, Physiologic

KW - Vascular Surgical Procedures

U2 - 10.1055/s-2007-964939

DO - 10.1055/s-2007-964939

M3 - SCORING: Zeitschriftenaufsatz

C2 - 17377871

VL - 55

SP - 130

EP - 148

JO - THORAC CARDIOV SURG

JF - THORAC CARDIOV SURG

SN - 0171-6425

IS - 2

ER -