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Einsatzmöglichkeiten der transösophagealen Echokardiographie in der perioperativen Überwachung

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Weiterbildung für Anästhesisten 2000

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Zusammenfassung

Die kontinuierliche Überwachung des Herzens und der zentralen, herznahen Gefäße mittels transösophagealer Echokardiographie (TEE) ist ein etabliertes Verfahren der erweiterten perioperativen Überwachung des kardialen Risikopatienten [7,14,18]. Die TEE eröglicht intraoperativ ein kontinuierliches Monitoring der Ventrikelfunktion, eine hochsensitive Überwachung des Patienten auf Myokardischämien und eine optimierte Beurteilung der links- und rechtsventrikulären Vorlast (Füllungszustand, Volämie). Sowohl intra-als auch postoperativ ist die TEE ein wertvolles Hilfsmittel in der Differentialdiagnostik des hämodynamisch instabilen Patienten [4,22]. Die TEE ist ein semiinvasives, in Notsituationen rasch einsetzbares Verfahren. Die TEE liefert Informationen (anatomische Information, Information über Blutflüsse), die mit keinem alternativen Überwachungsverfahren zu erhalten sind. Untersuchungen haben gezeigt, dass die TEE im Operationssaal oder auf der Intensivstation bei 30–50% der Patienten neue, die Therapie wesentlich beeinflussende diagnostische Informationen liefert [4,11,18]. Im Folgenden sollen die Grundlagen der TEE und die wichtigsten Einsatzmöglichkeiten für den Anästhesisten vorgestellt werden.

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Authors and Affiliations

  1. Klinik für Anästhesie und Allgemeine Intensivtherapie, Leopold Franzens Universität Innsbruck, Anichsstrasse 35, A-6020, Innsbruck, Austria

    J. Margreiter, C. Hörmann & Dr. Peter Mair

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  1. J. Margreiter
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  2. C. Hörmann
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  3. Dr. Peter Mair
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Editor information

Editors and Affiliations

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

    Hubert J. Bardenheuer

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

    Helmuth Forst

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

    Rolf Rossaint

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

    Donat R. Spahn

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© 2001 Springer-Verlag Berlin Heidelberg

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Margreiter, J., Hörmann, C., Mair, P. (2001). Einsatzmöglichkeiten der transösophagealen Echokardiographie in der perioperativen Überwachung. In: Bardenheuer, H.J., Forst, H., Rossaint, R., Spahn, D.R. (eds) Weiterbildung für Anästhesisten 2000. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56596-0_3

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  • DOI: https://doi.org/10.1007/978-3-642-56596-0_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-41277-9

  • Online ISBN: 978-3-642-56596-0

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