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Postoperative herzchirurgische Intensivmedizin pp 1–101Cite as

Herzchirurgische Intensivmedizin

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Zusammenfassung

Die folgenden Abschnitte geben einen Überblick über die erforderlichen Maßnahmen im Rahmen der postoperativen Intensivmedizin nach herzchirurgischen Eingriffen. Es ist unmöglich, ein so komplexes Thema wie die herzchirurgische Intensivmedizin in einem Kapitel erschöpfend darzustellen. Der Leser sei daher in diesem Zusammenhang zusätzlich auf die weiterführende Literatur verwiesen.

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Literatur

  • Antman EM, Anbe DT, Armstrong PW et al. (2004) ACC/AHA guidelines for the management of patients with ST-elevation myocardial in farction – executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1999 Guidelines for the Management of Patients With Acute Myocardial Infarction). Circulation 110: 588–636

    Article  PubMed  Google Scholar 

  • Baskett RJF, Ghali WA, Maitland A, Hirsch GM (2002) The intraaortic balloon pump in cardiac surgery. Ann Thorac Surg 74: 1276–1287

    Article  PubMed  Google Scholar 

  • Bein T, Philipp A, Zimmermann M, Mueller T, Schmid FX (2007) Extrakorporale Lungenunterstützung. Dtsch med Wochenschr 132: 488–491

    Article  PubMed  CAS  Google Scholar 

  • Bellomo R, Ronco C, Kellum JA, Mehta RL, Palevsky P (2004) Acute renal failure – definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Crit Care 8: R204–R212

    Google Scholar 

  • Bernard GR, Vincent JL, Laterre PF et al. (2001) Efficacy and safety of recombinant human activated protein C for severe sepsis. N Engl J Med 344: 699–709

    Article  PubMed  CAS  Google Scholar 

  • Bundesgeschäftsstelle für Qualitätssicherung (2008) BQS-Leistungsbereiche mit Dokumentationspflicht – Herzchirurgie. www.bqs-outcome.de, letzter Zugriff am 22.08.2008

  • Carl M, Alms A, Braun J et al. (2007) Die intensivmedizinische Versorgung herzchirurgischer Patienten: 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). Thorac Cardiov Surg 55: 130–148 (Langfassung unter www.bdc.de/bdc/dgthg/dgthg.nsf/0/25c0a9f67ed2a8e0c12572740034c673/$FILE/S3LL%20-%20Langfassung%20-.pdf; letzter Zugriff am 22.08.2008)

  • Carrel T, Englberger L, Mohacsi P, Neidhart P, Schmidli J (2000) Low systemic vascular resistance after cardiopulmonary bypass: incidence, etiology, and clinical importance. J Card Surg 15: 347–353

    Article  PubMed  CAS  Google Scholar 

  • Christenson JT, Cohen M, Ferguson JJ et al. (2002) Trends in intraaortic balloon counterpulsation complications and outcomes in cardiac surgery. Ann Thorac Surg 74: 1086–1091

    Article  PubMed  Google Scholar 

  • De Leyn P, Bedert, Delcroix M et al. (2007) Tracheotomy: Clinical review and guidelines. Eur J Cardiothorac Surg 32: 412–421

    Article  PubMed  Google Scholar 

  • Dellinger RP, Carlet JM, Masur H et al.; Surviving Sepsis Campaign Management Guidelines Committee (2004) Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock. Crit Care Med 32: 858–873

    Article  PubMed  Google Scholar 

  • Deutsche Gesellschaft für Ernährungsmedizin (2003) Leitlinien der Deutschen Gesellschaft für Ernährungsmedizin. Enterale Ernährung: Intensivmedizin. Aktuel Ernaehr Med 28: S42–S50

    Google Scholar 

  • Deutsche Gesellschaft für Neurologie (2008) Leitlinie Ischämischer Schlaganfall der Deutschen Gesellschaft für Neurologie. www.uni-duesseldorf.de/AWMF/ll/030-046.htm, letzter Zugriff am 22. 08. 2008

  • Deutsches Netzwerk für Qualitätsentwicklung in der Pflege (2008) (Hrsg.) Expertenstandard Dekubitusprophylaxe in der Pflege. Entwicklung – Konsentierung – Implementierung, 2. Aufl. www.dnqp.de, letzter Zugriff am 22.08.2008

  • DiGiorgi PL, Rao V, Naka Y, Oz MC (2003) Which patient, which pump. J Heart Lung Transpl 22: 221–235

    Article  Google Scholar 

  • Dunning J, Prendergast B (2003) Which patients would benefit from an intra-aortic balloon pump prior to cardiac surgery? Interact CardioVasc Thorac Surg 2: 416–419

    Article  PubMed  Google Scholar 

  • Dunning J, Treasure T, Versteegh M, Nashef SAM on behalf of the EACTS Audit and Guidelines Committee (2006) Guidelines on the prevention and management of de novo atrial fibrillation after cardiac and thoracic surgery. Eur J Cardiothorac Surg 30: 852–872

    Article  PubMed  Google Scholar 

  • Edwards FH, Engelman RM, Houck P, Shahian DM, Bridges CR (2006) The Society of Thoracic Surgeons Practice Guideline Series: Antibiotic prophylaxis in cardiac surgery, Part I: Duration. Ann Thorac Surg 81: 397–404

    Article  PubMed  Google Scholar 

  • Egi M, Bellomo R, Langenberg C et al. (2007) Selecting a vasopressor drug for vasoplegic shock after adult cardiac surgery: A systematic literature review. Ann Thorac Surg 83: 715–723

    Article  PubMed  Google Scholar 

  • Eichacker PQ, Natanson C (2007) Increasing evidence that the risks of rhAPC may outweigh its benefits. Intensive Care Med 33: 396–399

    Article  PubMed  Google Scholar 

  • Ely EW, Shintani A, Truman B et al. (2004) Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA 291: 1753–1762

    Article  PubMed  CAS  Google Scholar 

  • Engoren MC, Habib RH, Zacharias A et al. (2002) Effect of blood trans fusion on long-term survival after cardiac operation. Ann Thorac Surg 74: 1180–1186

    Article  PubMed  Google Scholar 

  • European Resuscitation Council (2005) European Resuscitation Council Guidelines for Resuscitation 2005. Cardiac arrest following cardiac surgery. Resuscitation 67 (Suppl 1): S1–S181

    Article  Google Scholar 

  • Flynn MJ, McComb JM, Darh JH (2005) Temporary left ventricular pacing improves haemodynamic performance in patients requiring epicardial pacing post cardiac surgery. Eur J Cardiothorac Surg 28: 250–253

    Article  PubMed  Google Scholar 

  • Garwood S (2004) Renal insufficiency after cardiac surgery. Semin Cardiothorac Vasc Anesth 8: 227–241

    Article  PubMed  Google Scholar 

  • Hemmila MR, Napolitano LM (2006) Severe respiratory failure: Advanced treatment options. Crit Care Med 34 (Suppl): S278–S290

    PubMed  CAS  Google Scholar 

  • Hill NS, Brennan J, Garpestad E, Nava S (2007) Noninvasive ventilation in acute respiratory failure. Crit Care Med 35: 2402–2407

    Article  PubMed  Google Scholar 

  • Hoste EAJ, Clermont G, Kersten A et al. (2006) RIFLE criteria for acute kidney injury is associated with hospital mortality in critically ill patients: A cohort analysis. Crit Care 10: R73–R82

    Article  PubMed  Google Scholar 

  • Kane SL, Dasta JF (2002) Clinical outcomes of critical illness polyneuropathy. Pharmacotherapy 22: 373–379

    Article  PubMed  Google Scholar 

  • Kerendi F, Thourani VH, Puskas JD et al. (2007) Impact of heparin-induced thrombocytopenia on postoperative outcomes after cardiac surgery. Ann Thorac Surg 84: 1548–1553

    Article  PubMed  Google Scholar 

  • Kommission für Krankenhaushygiene und Infektionsprävention beim Robert Koch Institut (2007) Prävention postoperativer Infektionen im Operationsgebiet. Empfehlungen der Kommission für Krankenhaushygiene und Infektionsprävention beim Robert Koch Institut. Bundesgesundheitsbl – Gesundheitsforsch – Gesundheitsschutz 50: 377–393

    Article  Google Scholar 

  • Kreymann KG, Berger MM, Deutz NEP et al. (2006) ESPEN guidelines on enteral nutrition: Intensive care. Clin Nutr 25: 210–223

    Article  PubMed  CAS  Google Scholar 

  • Kuitunen A, Vento A, Suojaranta-Ylinen R, Pettila V (2006) Acute renal failure after cardiac surgery: evaluation of the RIFLE classification. Ann Thorac Surg 81: 542–546

    Article  PubMed  Google Scholar 

  • Kulier A, Levin J, Moser R et al. (2007) Impact of preoperative anemia on outcome in patients undergoing coronary artery bypass graft surgery. Circulation 116: 471–479

    Article  PubMed  Google Scholar 

  • Lassnigg A, Donner E, Grubhofer G, Presterl E, Druml W, Hiesmayr M (2000) Lack of renoprotective effects of dopamine and furosemide during cardiac surgery. J Am Soc Nephrol 11: 97–104

    PubMed  CAS  Google Scholar 

  • Levin RL, Degrange MA, Bruno GF et al. (2004) Methylene blue reduces mortality and morbidity in vasoplegic patients after cardiac surgery. Ann Thorac Surg 77: 496–499

    Article  PubMed  Google Scholar 

  • Mackay JH, Powell SJ, Osgathorp J, Rozario CJ (2002) Six-year prospective audit of chest reopening after cardiac arrest. Eur J Cardiothorac Surg 22: 421–425

    Article  PubMed  CAS  Google Scholar 

  • Maklebust J (2005) Pressure ulcers: the great insult. Nurs Clin North Am 40: 365–389

    Article  PubMed  Google Scholar 

  • Malhotra A (2007) Low-tidal-volume ventilation in the acute respiratory distress syndrome. N Engl J Med 357: 1113–1120

    Article  PubMed  CAS  Google Scholar 

  • Mangano DT for the Multicenter Study of Perioperative Ischemia Research Group (2002) Aspirin and mortality from coronary bypass surgery. N Engl J Med 347: 1309–1317

    Article  Google Scholar 

  • Mangram AJ, Horan TC, Pearson ML et al. The Hospital Infection Control Practices Advisory Committee (1999) Guideline for prevention of surgical site infection, 1999. Infect Control Hosp Epidemiol 20: 247–278

    Article  Google Scholar 

  • Markewitz A, Lante W (2006) Organversagen in der Herzchirurgischen Intensivmedizin. Dtsch med Wschr 131: 2485–2488

    Article  PubMed  Google Scholar 

  • Markewitz A, Schulte HD, Scheldt HH (1999) Current practice of peri- and postoperative antibiotic therapy in cardiac surgery in Germany. Thorac Cardiovasc Surg 47: 405–410

    Article  PubMed  CAS  Google Scholar 

  • Martin J, Bäsell K, Bürkle H et al. (2005) Sedierende und analgetische Therapie im Rahmen der Intensivmedizin – Kurzfassung. Anästh Intensivmed 46 (Suppl 1): S1–S20 (Langfassung unter www.leitlinien.net, letzter Zugriff am 22.08.2008)

  • McKeown PP, Gutterman D (2005) American College of Chest Physician guidelines for the prevention and management of postoperative atrial fibrillation after cardiac surgery. Chest 128: 1S–5S

    Article  PubMed  Google Scholar 

  • Mehta RH, Grab JD, O’Brien SM et al. for the Society of Thoracic Surgeons National Cardiac Surgery Database Investigators (2006) Bedside tool for predicting the risk of postoperative dialysis in patients undergoing cardiac surgery. Circulation 114: 2208–2216

    Article  PubMed  Google Scholar 

  • Mehta RL, Kellum JA, Shah SV et al. on behalf of the participants (2007) Acute Kidney Injury Network (AKIN): report of an initiative to improve outcomes in acute kidney injury. Critical Care 11: R31

    Google Scholar 

  • Mehta RL, Pascual MT, Soroko S, Chertow GM (2002) Diuretics, mortality, and nonrecovery of renal function in acute renal failure. JAMA 288: 2547–2553

    Article  PubMed  CAS  Google Scholar 

  • Murthy SC, Arroliga AC, Walts PA et al. (2007) Ventilatory dependency after cardiovascular surgery. J Thorac Cardiovasc Surg 134: 484–490

    Article  PubMed  Google Scholar 

  • Napolitano LM, Warketin TE, AlMahameed A, Nasraway SA (2006) Heparin-induced thrombocytopenia in the critical care setting: Diagnosis and management. Crit Care Med 34: 2898–2911

    Article  PubMed  CAS  Google Scholar 

  • Polonen P, Ruokonen E, Hippelainen M, Poyhonen M, Takala J (2000) A prospective, randomized study of goal-oriented hemodynamic therapy in cardiac surgical patients. Anesth Analg 90: 1052–1059

    Article  PubMed  CAS  Google Scholar 

  • Rady MY, Johnson DJ, Patel B, Larson J, Helmers R (2006) Corticosteroids influence the mortality and morbidity of acute critical illness. Critical Care 10: R101

    Article  PubMed  Google Scholar 

  • Ramnarine IR, Grayson AD, Dihmis WC, Mediratta NK, Fabri BM, Chalmers JAC (2005) Timing of intra-aortic balloon pump support and 1-year survival. Eur J Cardiothorac Surg 27: 887–892

    Article  PubMed  Google Scholar 

  • Rivers E, Nguyen B, Havstad S et al. (2001) Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 345: 1368–1377

    Article  PubMed  CAS  Google Scholar 

  • Robicsek F, Hollemann JH, Roush TS, Skipper ER, Robicsek SA, Lyons M (2003) Perioperative intraaortic balloon assist, decreasing complications to the minimum. Thorac Cardiov Surg 51: 115–125

    Article  CAS  Google Scholar 

  • Ronald A, Dunning J (2006) Does perioperative thyroxine have a role during adult cardiac surgery? Interactive Cardiovasc Thorac Surg 5: 166–178

    Article  Google Scholar 

  • Salazar JD, Wityk RJ, Grega MA et al. (2001) Stroke after cardiac surgery: Short- and longterm out-comes. Ann Thorac Surg 72: 1195–1202

    Article  PubMed  CAS  Google Scholar 

  • Sealy AJE, Christou NV (2000) Multiple organ dysfunction syndrome: Exploring the paradigm of complex nonlinear systems. Crit Care Med 28: 2193–2200

    Article  Google Scholar 

  • Selim M (2007) Perioperative stroke. N Engl J Med 356: 706–713

    Article  PubMed  CAS  Google Scholar 

  • Selleng K, Warketin TE, Greinacher A (2007) Heparin-induced thrombocytopenia in intensive care patients. Crit Care Med 35: 1165–1176

    Article  PubMed  CAS  Google Scholar 

  • Société Française d’Anesthésie et de Réanimation (2008) Scoring systems for ICU and surgical patients. http://sfar.org/t/spip.php?article60, letzter Zugriff am 22.08.2008

  • Spotnitz HM (2005) Optimizing temporary perioperative cardiac pacing. J Thorac Cardiovasc Surg 129: 5–8

    Article  PubMed  Google Scholar 

  • St. André AC, DelRossi A (2005) Hemodynamic management of patients in the first 24 hours after cardiac surgery. Crit Care Med 33: 2082–2093

    Article  PubMed  Google Scholar 

  • Surviving Sepsis Campaign (2008) Homepage der Surviving Sepsis Campaign. www.survivingsepsis.org, letzter Zugriff am 22. 08. 2008

  • The Acute Respiratory Distress Syndrome Network (2000) Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 342: 1301–1308

    Article  Google Scholar 

  • The Society of Thoracic Surgeons Blood Conservation Guideline Task Force, Ferraris VA, Ferraris SP et al. (2007) Perioperative blood transfusion and blood conservation in cardiac surgery: The Society of Thoracic Surgeons and The Society of Cardiovascular Anesthesiologists Clinical Practice Guideline. Ann Thorac Surg 83: 27–86

    Article  Google Scholar 

  • Thijs LG (1997) Continuous quality improvement in the ICU: General guidelines. Intensive Care Med 23: 125–127

    Article  PubMed  CAS  Google Scholar 

  • Thompson D (2005) A critical review of the literature on pressure ulcer aetiology. J Wound Care 14: 87–90

    PubMed  CAS  Google Scholar 

  • van den Berghe G, Wouters, Weekers F et al. (2001) Intensive insulin therapy in critically ill patients. N Engl J Med 345: 1359–1367

    Article  PubMed  Google Scholar 

  • Vargas-Hein O, Birnbaum J, Wernecke K, England M, Konertz W, Spies C (2006) Prolonged intensive care unit stay in cardiac surgery: risk factors and long-term-survival. Ann Thorac Surg 81: 880–885

    Article  Google Scholar 

  • Vorstand und Wissenschaftlicher Beirat der Bundesärztekammer (2003) Leitlinien zur Therapie mit Blutkomponenten und Plasmaderivaten, 3. Aufl. Deutscher Ärzte-Verlag, Köln

    Google Scholar 

  • Warren O, Mandal K, Hadjianastassiou V et al. (2007) Recombinant activated factor VII in cardiac surgery: A systematic review. Ann Thorac Surg 83: 707–714

    Article  PubMed  Google Scholar 

  • Waydhas C (2008) Qualitätssicherung und Qualitätsmanagement in der Intensivmedizin. www.divi-org.de/IAG-Qualitaetssicherung.57.0.html, letzter Zugriff am 22.08.2008

  • Welsby IJ, Bennett-Guerrero E, Atwell D et al. (2002) The association of complication type with mortality and prolonged stay after cardiac surgery with cardiopulmonary bypass. Anesth Analg 94: 1072–1078

    Article  PubMed  Google Scholar 

  • Wheeler AP, Bernard GB (2007) Acute lung injury and the acute respiratory distress syndrome: A clinical review. Lancet 369: 1553–1564

    Article  PubMed  Google Scholar 

  • Whitson BA, Huddleston SJ, Savik K, Shumway SJ (2007) Bloodless cardiac surgery is associated with decreased morbidity and mortality. J Card Surg 22: 373–378

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Klinik für Herz- und Gefäßchirurgie, Bundeswehrzentralkrankenhaus, Rübenacher Str. 170, 56072, Koblenz

    Prof. Dr. med. A. Markewitz

  2. Klinik für Orthopädie und Unfallchirurgie, Bundeswehrzentralkrankenhaus, Rübenacher Str. 170, 56072, Koblenz

    Priv. Doz. Dr. med. A. Franke

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  1. Prof. Dr. med. A. Markewitz
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  2. Priv. Doz. Dr. med. A. Franke
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Markewitz, A., Franke, A. (2014). Herzchirurgische Intensivmedizin. In: Postoperative herzchirurgische Intensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40442-9_1

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  • DOI: https://doi.org/10.1007/978-3-642-40442-9_1

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-40441-2

  • Online ISBN: 978-3-642-40442-9

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