Skip to main content

Hämodynamisches Monitoring, kardiologische Diagnostik, Herzrhythmusstörungen und Herzkreislauftherapie

  • Chapter
  • 1442 Accesses

Auszug

Das Monitoring der Herzkreislauffunktion ist essenzieller Bestandteil der Diagnostik und Therapie kritisch kranker Patienten. Die Verfahren des erweiterten hämodynamischen Monitorings ermöglichen neben der kontinuierlichen invasiven Blutdruckmessung und der Erfassung des zentralen Venendrucks (ZVD), der Pulsoxymetrie und dem EKG die Erfassung der Herzkreislauffunktion des kritisch kranken Patienten. Die Zielsetzung des hämodynamischen Monitorings umfasst zum einen die kontinuierliche Überwachung der globalen Hämodynamik, um frühzeitig relevante Störungen zu erkennen, zum anderen ermöglicht es die Ursachen für eine hämodynamische Instabilität differenzialdiagnostisch zu identifizieren, um eine zielgerichtete Therapie einleiten zu können.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   99.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Adams HP Jr, Adams RJ, Brott T et al. Guidelines for the early management of patients with acute ischemic stroke. A statement from the Stroke Council of the American Stroke Association. Stroke 2003; 34: 1056–1083

    Article  PubMed  Google Scholar 

  2. American Association of Neurological Surgeons. Guidelines for Management of Acute Cervical Spinal Injuries. Neurosurgery 2002; 50(3) Suppl.: 58–62

    Google Scholar 

  3. Ball PA. Critical Care of Spinal Cord Injury. Spine 2001; 26(24 Suppl.): 27–30

    Article  Google Scholar 

  4. Bath PMW. How to manage blood pressure in acute stroke. Journal of Hypertension 2005; 23: 1135–1136

    Article  PubMed  CAS  Google Scholar 

  5. Berlit P, Diehl RR. Autonome Funktionsstörungen bei akuten zerebrovaskulären Erkrankungen. Intensivmed 2001; 38: 111–117

    Article  Google Scholar 

  6. Daniel WG, Erbel R, Kasper W et al. Safety of transesophageal echocardiography. A multicenter survey of 10,419 examinations. Circulation 1991; 83: 817–821

    PubMed  CAS  Google Scholar 

  7. Dueck MH, Klimek M, Appenrodt S et al. Trends but Not Individual Values of Central Venous Oxygen Saturation Agree with Mixed Venous Oxygen Saturation during varying hemodynamic Conditions. Anesthesiology 2005; 103: 249–257

    Article  PubMed  Google Scholar 

  8. European Stroke Initiative (EUSI) Recommendations for Stroke Management — Update 2003. Cerebrovasc Dis 2003; 16: 311–337

    Google Scholar 

  9. Gauss A, Anhäupl T, Schütz W. Grundsätze der Katecholamintherapie Teil 2: Leitfaden der klinischen Anwendung. Anästhesiol Intensivmed Notfallmed Schmerzther 2000; 35: 131–136

    Article  PubMed  CAS  Google Scholar 

  10. Kellum JA, J MD. Use of dopamine in acute renal failure: a meta-analysis. Crit Care Med 2001; 29: 1526–1531

    Article  PubMed  CAS  Google Scholar 

  11. Laupland KB, Bands CJ. Utility of esophageal Doppler as a minimally invasive hemodynamic monitor: a review. Can J Anaesth 2002; 49:393–401

    PubMed  Google Scholar 

  12. Lee VH, Connolly HM, Fulgham JR et al. Tako-tsubo cardiomyopathy in aneurysmal subarachnoid hemorrhage: an underappreciated ventricular dysfunction. J Neurosurg. 2006;105: 264–270

    Article  PubMed  Google Scholar 

  13. Michard F, Teboul JL. Predicting fluid responsiveness in ICU patients: a critical analysis of the evidence. Chest 2002; 121: 2000–2008

    Article  PubMed  Google Scholar 

  14. Moriaki I, Junji N, Tetsuya H et al. Serial changes of the electrocardiogram during the progression of subarchnoidal hemorrhage. Circulation 2005; 112: 331–332

    Article  Google Scholar 

  15. Mueller HS, Chatterjee K, Davis KB et al. ACC expert consensus document. Present use of bedside right heart catheterization in patients with cardiac disease. American College of Cardiology. J Am Coll Cardiol 1998; 32: 840–864

    Article  PubMed  CAS  Google Scholar 

  16. Myburgh J.A. Respiratory and cardiovascular support in severe closed head injury. In: Head Injury — Pathology and Treatment of Severe Closed Head Injuries. (Reilly P.L. ed). London: Chapman and Hall. 1997: 333–361

    Google Scholar 

  17. Nieminen MS, Bohm M, Cowie MR et al. Executive summary of the guidelines on the diagnosis and treatment of acute heart failure: the Task Force on Acute Heart Failure of the European Society of Cardiology. Eur Heart J 2005; 26: 384–416

    Article  PubMed  Google Scholar 

  18. Peters J. Invasive Messung und Interpretation arterieller, venöser und pulmonalvaskulärer Drücke. In: List WF, Metzler H, Pasch T (Hrsg) Monitoring in Anästhesie und Intensivmedizin. Springer, Berlin, 1998: 202–245

    Google Scholar 

  19. Raabe A, Beck J, Berkefeld J et al. Empfehlungen zum Management der aneurysmatischen Subarachnoidalblutung. Zentralbl Neuochir 2005; 66: 79–91

    Article  CAS  Google Scholar 

  20. Ract C, Vigué B. Comparison of the cerebral effects of dopamine and norepinephrine in severely head injured patients. Intensive Care Med 2001; 27: 101–106

    Article  PubMed  CAS  Google Scholar 

  21. Reinhart K, Kuhn HJ, Hartog C et al. Continuous central venous and pulmonary artery oxygen saturation monitoring in the critically ill Intensive Care Med 2004; 30: 1572–1578

    Google Scholar 

  22. Ringleb PA, Bertram M. Keller E, Hacke W. Hypertension in patients with cerebrovascular accident. To treat or not to treat? Nephrol Dial Transplant. 1998;13: 2179–2181

    Article  PubMed  CAS  Google Scholar 

  23. Scheer B, Perel A, Pfeiffer UJ. Clinical review: complications and risk factors of peripheral arterial catheters used for haemodynamic monitoring in anaesthesia and intensive care medicine. Crit Care 2002; 6: 199–204

    Article  PubMed  Google Scholar 

  24. Schütz W, Anhäupl T, Gauss A. Grundsätze der Katecholamintherapie Teil 1: Charakterisierung der therapeutisch bedeutsamen Sympathomimetika. Anästhesiol Intensivmed Notfallmed Schmerzther 2000; 35: 67–81

    Article  PubMed  Google Scholar 

  25. Seward JB, Khandheria BK, Oh JK, Freeman WK, Tajik AJ. Critical appraisal of transesophageal echocardiography: limitations, pitfalls, and complications. J Am Soc Echocardiogr 1992; 5: 288–305

    PubMed  CAS  Google Scholar 

  26. Shah MR, Hasselblad V, Stevenson LW et al. Impact of the pulmonary artery catheter in critically ill patients: meta-analysis of randomized clinical trials. Jama 2005; 294: 1664–1670

    Article  PubMed  CAS  Google Scholar 

  27. Steiner LA, Johnsten AJ, Czosnyka M et al. Direct comparison of cerebrovascular effects of norepinephrine and dopamine in head-injured patients. Crit Care Med 2004; 32: 1049–1054

    Article  PubMed  Google Scholar 

  28. Stevenson JG. Incidence of complications in pediatric transesophageal echocardiography: experience in 1650 cases. J Am Soc Echocardiogr 1999; 12: 527–532

    Article  PubMed  CAS  Google Scholar 

  29. Schwarz S, Schwab S, Keller E et al. Neurogene Störungen der Herz-und Lungenfunktion bei akuten zerebralen Läsionen. Der Nervenarzt 1997; 68: 956–962

    Article  PubMed  CAS  Google Scholar 

  30. Trappe H-J. Bedrohliche Rhythmusstörungen des Intensiv-und Notfallpatienten. Intensivmed 2001; 38: 287–298

    Article  Google Scholar 

  31. Treggiari MM, Walder B, Suter PM et al. Systematic review of the prevention of delayed ischemic neorological deficits with hypertension, hypervolemia, and hemodilution therapy following subarachnoid hemorrhage. J Neurosurg 2003; 98: 978–984

    Article  PubMed  Google Scholar 

  32. Yumoto M, Katsuya H. Transesophageal echocardiography for cardiac surgery in children. J Cardiothorac Vasc Anesth 2002; 16: 587–591

    Article  PubMed  Google Scholar 

  33. Zink W, Graf BM. Der Pulmonalarterienkatheter. Anaesthesist 2001; 50: 623–642

    Article  PubMed  CAS  Google Scholar 

  34. Leitlinie des European Resuscitation Council (ERC) http://www.erc.edu/new/

    Google Scholar 

  35. Leitlinie Schweres Schädelhirntrauma der Deutschen Gesellschaft für Neurologie http://www.dgn.org/128.0.html

    Google Scholar 

  36. Leitlinie Subarachnoidalblutung der Deutschen Gesellschaft für Neurologie http://www.dgn.org/119.0.html

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer Medizin Verlag Heidelberg

About this chapter

Cite this chapter

Carl, M., Kerner, T., Spies, C. (2008). Hämodynamisches Monitoring, kardiologische Diagnostik, Herzrhythmusstörungen und Herzkreislauftherapie. In: Schwab, S., Schellinger, P., Werner, C., Unterberg, A., Hacke, W. (eds) NeuroIntensiv. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68317-9_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-68317-9_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-23051-9

  • Online ISBN: 978-3-540-68317-9

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics