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Anästhesiekonzepte in der Gefäßchirurgie

Stellenwert von Regionalanästhesieverfahren

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Book cover Weiterbildung für Anästhesisten 2003

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Zusammenfassung

Die perioperative Versorgung von Patienten in der Gefäßchirurgie stellt eine besondere Herausforderung dar. Meist handelt es sich um ältere Patienten mit einer generalisierten Arteriosklerose und zahlreichen Begleiterkrankungen. Hierzu addieren sich erhebliche operationsabhängige Kreislaufbelastungen und Volumenverschiebungen. Trotz Fortschritten in der modernen Anästhesie liegt die perioperative Letalität gefäßchirurgischer Patienten noch zwischen 1–4%. Wesentliche Strategien zur Senkung der perioperativen Morbidität und Letalität gefäßchirurgischer Risikopatienten bestehen in der sorgfältigen präoperativen Risikoeinschätzung und engmaschigen perioperativen Überwachung. Inwieweit sich durch den Einsatz von Regionalanästhesieverfahren eine Reduktion der Morbidität und Letalität gefäßchirurgischer Patienten erzielen lässt, wird aktuell kontrovers diskutiert. Zahlreiche Untersuchungen weisen auf positive perioperative Effekte insbesondere rückenmarknaher Regionalanästhesieverfahren hin.

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Authors and Affiliations

  1. Klinik für Anaesthesiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 120, 69120, Heidelberg

    J. Motsch & Dr. U. Haas

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  1. J. Motsch
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  2. Dr. U. Haas
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Editors and Affiliations

  1. Klinik für Anästhesiologie, Universität Heidelberg, Im Neuenheimer Feld 110, D-69120, Heidelberg

    Hubert J. Bardenheuer

  2. Klinik für Anästhesiologie und operative Intensivmedizin Zentralklinikum, Stenglinstraße 2, D-86156, Augsburg

    Helmuth Forst

  3. Klinik für Anästhesiologie Medizinische Einrichtungen der RWTH Aachen, Pauwelsstraße 30, D-52074, Aachen

    Rolf Rossaint

  4. Service d’Anesthésiologie Centre Hospitalier, Universitaire Vaudois - CHUV, Rue du Bugnon 46, CH-1011, Lausanne

    Donat R. Spahn

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Motsch, J., Haas, U. (2003). Anästhesiekonzepte in der Gefäßchirurgie. In: Bardenheuer, H.J., Forst, H., Rossaint, R., Spahn, D.R. (eds) Weiterbildung für Anästhesisten 2003. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18958-6_2

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  • DOI: https://doi.org/10.1007/978-3-642-18958-6_2

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