Skip to main content
SpringerLink
Log in

Hämodynamisches und respiratorisches Monitoring, intravasale Katheter

  • Chapter
Die Intensivmedizin

Zusammenfassung

Die Überwachung umfasst die Beobachtung, Messung und Registrierung veränderlicher Funktionen des Intensivpatienten. Ihr wesentliches Ziel ist die frühzeitige Erkennung von Störungen des physiologischen Gleichgewichts und die Erfolgskontrolle therapeutischer Maßnahmen. Die Überwachung muss zielgerichtet und systematisch erfolgen, nicht zufällig oder willkürlich, weil die Überwachungsgeräte zur Verfügung stehen. Die erhobenen Befunde und Messdaten müssen zuverlässig sein, da sie häufig die Grundlage für therapeutische Entscheidungen darstellen.

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

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
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

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

Literatur zu 7 Abschn. 15.3 und 7 Abschn. 15.4

  1. Allen EV (1929) Thromboangiitis obliterans: Method of diagnosis of chronic occlusive arterial lesions to the wrist with illustrative case. Am J Med Sci 178: 237

    Article  Google Scholar 

  2. Bach A, Borneff M (1996) Infektionen durch intravasale Katheter. Anästhesist 45: 1111–1126

    Article  CAS  Google Scholar 

  3. Blitt CD, Carlson GL, Wright WA et al. (1982) J-wire vs. straight wire for central venous system cannulation via the external jugular vein. Anesth Analg 61: 536–537

    Article  PubMed  CAS  Google Scholar 

  4. Bregenzer T, Conen D, Sakmann P et al. (1998) Is routine replacement of peripheral intravenous catheters necessary? Arch Intern Med 158: 151–156

    Article  PubMed  CAS  Google Scholar 

  5. Connors AF Jr (1997) Right heart catheterization: is it effective? New Horiz 5: 195–200

    PubMed  Google Scholar 

  6. Connors AF Jr, Speroff T, Dawson NV et al. (1996) The effectiveness of right heart catheterization in the initial care of critically ill patients. SUPPORT Investigators. JAMA 276: 889–897

    Article  PubMed  Google Scholar 

  7. Della Rocca G, Costa MG, Pompei L, Coccia C, Pietropaoli P (2002) Continuous and intermittent cardiac output measurements: pulmonary artery catheter versus aortic transpulmonary technique. Br J Anaesth 88: 350–356

    Article  Google Scholar 

  8. Durbec O, Albanese J, Rouzaud M et al. (1991) Thrombotic risk of indwelling venous catheters in femoral position. Anesthesiology 75: A267

    Article  Google Scholar 

  9. Eerola R, Kaukinen L, Kaukinen S (1985) Analysis of 13'800 subclavian catheterizations. Acta Anaesthesiol Scand 29: 293

    Article  Google Scholar 

  10. Eggimann P, Pittet D (2002) Overview of catheter-related infections with spezial emphasis on prevention based on educational programs. Clin Microbiol Infect 8: 295–309

    Article  PubMed  CAS  Google Scholar 

  11. Fleisher AG, Tyers GF, Manning GT et al. (1989) Management of massive hemoptysis secondary to catheter-induced perforation of the pulmonary artery during cardiopulmonary bypass. Chest 95: 1340–1341

    Article  PubMed  CAS  Google Scholar 

  12. Ganz W, Swan HJC (1972) Measurement of blood flow by thermodilution. Am J Cardiol 29: 241

    Article  PubMed  CAS  Google Scholar 

  13. Gardner RM (1981) Direct blood pressure measurement-dynamic response requirements. Anesthesiology 54: 227–236

    Article  PubMed  CAS  Google Scholar 

  14. Gnaegi A, Feihl F, Perret C (1997) Intensive care physicians' insufficient knowledge of right-heart catheterization at the bedside: time to act? Crit Care Med 25: 213–220

    Article  PubMed  CAS  Google Scholar 

  15. Lee RB, Buckner M, Sharp KW (1988) Do multi-lumen catheters increase central venous catheter sepsis compared to single-lumen catheters? J Trauma 28: 1472–1475

    Article  PubMed  CAS  Google Scholar 

  16. Mihm FG, Gettinger A, Hanson CW, 3rd et al. (1998) A multicenter evaluation of a new continuous cardiac output pulmonary artery catheter system. Crit Care Med 26: 1346–1350

    Article  PubMed  CAS  Google Scholar 

  17. 17. Orebaugh SL (1992) Venous air embolism: clinical and experimental considerations. Crit Care Med 20: 1169–1177

    Article  PubMed  CAS  Google Scholar 

  18. Pittet D, Hulliger S, Auckenthaler R (1995) Intravascular device-related infections in critically ill patients. J Chemother 3: 55–66

    Google Scholar 

  19. Raad II, Bodey GP (1992) Infectious complications of indwelling vascular catheters. Clin Infect Dis 15: 197–208

    Article  PubMed  CAS  Google Scholar 

  20. Reinhart K, Radermacher P, Sprung CL et al. (1997) Pa catheterization– quo vadis? Do we have to change the current practice with this monitoring device? [editorial]. Intensive Care Med 23: 605–609

    Article  PubMed  CAS  Google Scholar 

  21. Seldinger SI (1953) Catheter replacement of the needle in percutaneous arteriography: A new technique. Acta Radiol 39: 368

    Article  PubMed  CAS  Google Scholar 

  22. Shah KB, Rao TL, Laughlin S et al. (1984) A review of pulmonary artery catheterization in 6,245 patients. Anesthesiology 61: 271–275

    Article  PubMed  CAS  Google Scholar 

  23. Soifer NE, Borzak S, Edlin BR et al. (1998) Prevention of peripheral venous catheter complications with an intravenous therapy team: a randomized controlled trial. Arch Intern Med 158: 473–477

    Article  PubMed  CAS  Google Scholar 

  24. Sprung CL, Marcial EH, Garcia AA et al. (1983) Prophylactic use of lidocaine to prevent advanced ventricular arrhythmias during pulmonary artery catheterization. Prospective double-blind study. Am J Med 75: 906–910

    Article  PubMed  CAS  Google Scholar 

  25. Swan HJC, Ganz W, Forrester J et al. (1970) Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter. N Engl J Med 283: 447–451

    Article  PubMed  CAS  Google Scholar 

  26. Tyden H (1982) Cannulation of the internal jugular vein: 500 cases. Acta Anaesthesiol Scand 26: 485

    Article  PubMed  CAS  Google Scholar 

  27. Vincent JL, Bihari DJ, Suter PM et al. (1995) The prevalence of nosocomial infection in intensive care units in Europe. Results of the European Prevalence of Infection in Intensive Care (EPIC) Study. EPIC International Advisory Committee. JAMA 274: 639–644

    Article  PubMed  CAS  Google Scholar 

  28. Wiedermann HP, Matthay MA, Matthay RA (1984) Cardiovascular-pulmonary monitoring in the intensive care unit. Chest 85: 537

    Article  Google Scholar 

  29. Williams G, Grounds M, Rhodes A (2002) Pulmonary artery catheter. Curr Opin Crit Care 8: 195–198

    Article  Google Scholar 

  30. Williams JF, Seneff MG, Friedman BC et al. (1991) Use of femoral venous catheters in critically ill adults: prospective study. Crit Care Med 19: 550–553

    Article  PubMed  CAS  Google Scholar 

  31. Wojciechowski J, Curelaru I, Gustavsson B et al. (1985) »Half-way« venous catheters. III. Tip displacements with movements of the upper extremity. Acta Anaesthesiol Scand Suppl 81: 36–39

    Google Scholar 

  32. Harvey S, Young D, Brampton W, Cooper AB et al. (2007) Pulmonary artery catheters for adult patients in intensive care (review). Cochrane Database of Systematic Reviews 2006, Issue 3

    Google Scholar 

  33. Micharrd F, Descorps-Declère A (2007) The times are a-changig´: Should we bery the yellow catheter (editorial) Crit Care Med 35 (5): 1427–1428

    Article  Google Scholar 

Literatur zu 7 Abschn. 15.5

  1. Combes A, Bernaeau JB, Luyt CE, Troullet JL (2004) Estimation of left ventricular systolic function by single transpulmonary thermodilution. Intensive Care Med 30: 1377–1383

    PubMed  Google Scholar 

  2. Compton FC, Hoffmann C, Ziek W et al. (2007) Volumetric hemodynamic parameters to guide fluid removal in hemodialysis in the intensive care unit. Hemodialysis Int 11: 231–237

    Article  Google Scholar 

  3. De Wilde RBP, Breukers RBGE, van den Berg PCM, Jansen JRC (2006) Monitoring cardiac output using the femoral and radial arterial pressure waverform. Anaesthesia 61: 743–746

    Article  PubMed  Google Scholar 

  4. Felbinger W, Goepfert MS, Goresch T et al. (2005) Arterielle Pulskonturanalyse zur Messung des Herzindex unter Veränderungen der Vorlast und der aortalen Impedanz. Anaesthesist 54: 755–762

    Article  PubMed  CAS  Google Scholar 

  5. Fernandez-Mondejar E, Castano-Perez J, GarcoaDelgado M et al. (2005). Small increases in extravascular lung watr are accurately detected by transpulmonary thermodilution. J Trauma 59: 1420–1424

    Article  PubMed  Google Scholar 

  6. Groeneveld ABJ, Polderman KH (2005) Acute lung injury, overhydration or both. Crit Care 9: 136–137

    Article  PubMed  Google Scholar 

  7. Isakow W, Schuster P (2006) Extravascular lung water measurements and hemodynamic monitoring in the critically ill: bedside alternatives to the pulmonary artery catheter. Am J Physiol Lung Cell Mol Physiol 291: L1118–L1131

    Article  PubMed  CAS  Google Scholar 

  8. Katzenelson R, Perel A, Berkenstadt H et al. (2004) Accuracy of transpulmonary thermodilution versus gravimetric measurement of extravascular lung water. Crit Care Med 32: 1550–1554

    Article  PubMed  Google Scholar 

  9. Malbrain MLNG, de Poterrer TJR, Deeren D. Cost-effectiveness of minimally invasive hemodynamic monitoring. In: Vincent JL (ed) Yearbook of intensive care and emergency medicine. Springer, Berlin Heidelberg New York, pp 603–631

    Google Scholar 

  10. Martin G, Eaton S, Mealer M et al.(2007) Extravacular lung water in patients with severe sepsis: A prospective cohort study. Crit Care 9: R74–R82

    Article  Google Scholar 

  11. Michard F, Zarka V, Alaya S (2004) Better characterization of acute lung injury/ARDS using lung water. Chest 125: 1166

    Article  PubMed  Google Scholar 

  12. Michard F, Schachtrupp A, Toens C (2005). Factors influencing the estimation of extravascular lung water by transpulmonary thermodilution in critically ill patients. Crit Care Med 33(6)1243–1247

    Article  PubMed  Google Scholar 

  13. Michard F (2007) Bedside assessment of extravascular lung water by dilution methods: temptations and pitfalls. Crit Care Med 35(4): 1–7

    Article  Google Scholar 

  14. Monnet X, Anguel N, Osman D, Hamzaoui O, Richard C, Teboul JL. Assessing pulmonary permeability by transpulmonary thermodilution allows differentiation of hydrostatic pulmonary edema for ALI/ARDS. Int Care Med 33 (3): 448–453

    Google Scholar 

  15. Pinsky MR, Payen D (eds) (2005) Functional hemodynamic monitoring. Update in intensive care and emergency medicine, vol. 42. Springer, Berlin Heidelberg New York

    Google Scholar 

  16. Sakka SG, Ruhl CC, Pfeiffer UJ et al. (2000) Assessment of cardiac preload and extravascular lung water by single transpulmonary thermodilution technique. Intensive Care Med 26(2): 180–187

    Article  PubMed  CAS  Google Scholar 

  17. Sakka SG, Klein M, Reinhart K, Meier-Hellmann A (2002). Prognostic value of extravascular lung water in critically ill patients. Chest 122 (6): 1376–1378

    Article  Google Scholar 

  18. 18. Sato Y, Motoyama S, Maruyama K, Okuyama, M, Hayashi K, Nakae H, Tajimi K, Ogawa J (2007) Extravascular lung water measured using single transpulmonary thermodilution reflexts perioperative edema induced by esophagectomy. Eur Surg Res 39: 7–13

    Article  PubMed  CAS  Google Scholar 

  19. Shoemaker WC, Wo CCJ, CHien LC, Lu K et al. (2006) . Evaluation of invasive and non-invasive hemodynamic monitoring in trauma patient. J Trauma 61: 844–854

    Article  PubMed  Google Scholar 

  20. SuttnerS, Schöllhorn T, Boldt J et al. (2006) Noninvasive assessment of cardiac output using thoracic electrical bioimpedance in hemodynamically stable and unstable patietns after cardiac surgery: a comparison with pumonary artery thermodilution. Intensive Care Med 32: 2053–2058

    Article  PubMed  Google Scholar 

  21. The National Heart, Lung, and Blood Institue Acute Respiratory Distress Syndrome (ARDS) Clinical Trials Network (2006) N Engl J Med 354 (24): 2564–2575

    Google Scholar 

  22. Toth I, Leiner T, Mikor A, Szakmany T, Bogar L, Molnar Z (2007) Hemodynamic and respiratory changes during lung recruitment and descending optimal positive end-expiratory pressure titration in patients with acute respiratory distress syndrome. Crit Care Med 35(3) 787–793

    Article  PubMed  Google Scholar 

  23. Reuter DA, Goetz AE (2005) Messung des Herzzeitvolumens. Anästhesist 54: 1146

    Article  Google Scholar 

  24. Bundgaard-Nielsen M, Holte K, Secher NH, Kehlet H (2007). Monitoring of peroperative fluid administration by individualized goal-directed therapy. Acta Anaesthesiol Scand 51: 331–340

    Article  PubMed  CAS  Google Scholar 

  25. Shah MR, Hasselblad V, Stevenson LW, Binanay C, O´Connor CM, Sopko G, Califf RM (2005). Impact of the pulmonary artery catheter in critically ill patients: a meta-analysis of randomized clinical trials. JAM 294 (13): 1664–1670

    Article  CAS  Google Scholar 

  26. Wheeler AP, Bernard GR; Thompson BT; Schoenfeld D; Wiedemann HP; deBoisblanc B; Connors AF Jr; Hite RD; Harabin AL (2006). Pulmonaryartery versus central venous catheter to guide treatment of acute lung injury. N Engl J Med. 25; 354 (21): 2213–2224

    Google Scholar 

Literatur zu 7 Abschn. 15.7

  1. Bentt LR, Santora TA, Leverle BJ (1990). Accuracy and utility of pulse oximetry in the surgical intensive care unit. Curr Surg 47: 267–268

    PubMed  CAS  Google Scholar 

  2. Biedler A, Wilhelm W, Mertzlufft F (1999) Transportable Kapnographen im Rettungsdienst: Ein Gerätevergleich. Anaesthesiol Reanimat 24: 71–8

    CAS  Google Scholar 

  3. Boemke W, Krebs MO, Rossaint R (1996) Blutgasanalyse. Anästhesist 45: 289–310

    CAS  Google Scholar 

  4. ECRl (1989) Pulse oximeters. Health Devices 18: 185–230

    Google Scholar 

  5. 5. Hopf HB, Tarnow J (1992) Perioperative Diagnostik akuter Myokardischämien. Anästhesist 41: 509–519

    CAS  Google Scholar 

  6. Jenkins LC (1984) The anaesthetic monitors. Can Anaesth Soc J 31: 294–297

    Article  Google Scholar 

  7. Larsen R (1991) Mini-Symposium: Intraoperative Überwachung der Atemfunktion. Anästhesiol Intensivmed Notfallmed Schmerzther 26: 481–491

    Article  PubMed  CAS  Google Scholar 

  8. Levine RL, Fromm RE (1995) Critical care monitoring: From pre-hospital to the ICU. Mosby, St. Louis Baltimore Berlin

    Google Scholar 

  9. List WF, Metzler H, Pasch T (1999) Monitoring in Anästhesie und Intensivmedizin, 2. Aufl. Springer, Berlin Heidelberg New York Tokio

    Google Scholar 

  10. Mertzlufft F, Zander R (1991) Non-invasive continuous measurement of arterial partial O2 saturation: Pulse Oxymetry. In: Zander R, Mertzlufft F (eds) The oxygen status of arterial blood. Karger, Basel, pp 106–123

    Google Scholar 

  11. Mertzlufft F, Zander R (1993) Perioperative respiratory monitoring of oxygen transport. Infusionsther Transfusionsmed 20: 180–184

    PubMed  CAS  Google Scholar 

  12. Risch A, Biedler A, Mertzlufft F (2000) Auswirkung präanalytischer Fehler bei der Bestimmung des arteriellen O2-Partialdrucks auf Größe und Aussagekraft der AaDO2. Anästhesist 49: 29–33

    Article  CAS  Google Scholar 

  13. Zander R (1998) Pulsoxymeter. QualiTest 3: 1–8

    Google Scholar 

  14. Zander R, Mertzlufft F (1992) Überprüfung der Präzision von Kapnometern. Anästhesiol Intensivmed Notfallmed Schmerzther 27: 42–50

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik für Anästhesiologie u. operative Intensivmedizin, Klinikum Lünen RTH Christoph 8 St.-Marien-Hospital, Altstadtstraße 23, 44534, Lünen

    Prof. Dr. Wolfram Wilhelm DEAA

  2. Fasanenweg 26, 66424, Homburg

    Prof. Dr. Reinhard Larsen

  3. Departement Anästhesie, Kantonsspital Basel, Spitalstrasse 21, 4031, Basel

    Dr. Hans Pargger

  4. Klinik für Anästhesie – Operative Intensivmedizin – Schmerztherapie – Notfallmedizin, Klinikum Ibbenbüren GmbH, Mathias Stiftung, Große Straße 41, 49477, Ibbenbüren

    Dr. Stephan Ziegeler

  5. Klinik für Anästhesiologie u. operative Intensivmedizin, Gilead I, Burgsteig 13, 33617, Bielefeld

    Prof. Dr. Fritz Mertzlufft

Authors
  1. Prof. Dr. Wolfram Wilhelm DEAA
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Prof. Dr. Reinhard Larsen
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Dr. Hans Pargger
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Dr. Stephan Ziegeler
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Prof. Dr. Fritz Mertzlufft
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Kiefernweg 2, 37120, Bovenden

    Hilmar Burchardi

  2. Fasanenweg 26, 66424, Homburg

    Reinhard Larsen

  3. Operative Intensivmedizin für Erwachsene, Universitätsklinikum Aachen, Pauwelsstraße 30, 52074, Aachen

    Gernot Marx

  4. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck

    Elke Muhl

  5. Klinikum der Johann Wolfgang Goethe-Universität Frankfurt am Main, Theodor-Stern-Kai 7, 60590, Frankfurt am Main

    Jürgen Schölmerich (Ärztlicher Direktor und Vorstandsvorsitzender) (Ärztlicher Direktor und Vorstandsvorsitzender)

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Medizin Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Wilhelm, W., Larsen, R., Pargger, H., Ziegeler, S., Mertzlufft, F. (2011). Hämodynamisches und respiratorisches Monitoring, intravasale Katheter. In: Burchardi, H., Larsen, R., Marx, G., Muhl, E., Schölmerich, J. (eds) Die Intensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-16929-8_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-16929-8_15

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-16928-1

  • Online ISBN: 978-3-642-16929-8

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation