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Risikominimierung bei arteriellen und venösen Zugängen

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Konzepte zur Sicherheit in der Anästhesie

Part of the book series: Klinische Anästhesiologie und Intensivtherapie ((KAI,volume 38))

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Zusammenfassung

Intravasale Katheter sind aus dem perioperativen Bereich und der Intensivmedizin nicht mehr wegzudenken. Trotz der großen Zahl der gelegten Katheter sind die Komplikationsraten gering. Dennoch sind alle Gefäßzugänge, ob periphervenös, zentralvenös oder arteriell, mit einer Reihe gemeinsamer Risiken behaftet. Es sind dies:

  1. 1.

    Gefahren, die vom Material, der Verarbeitung sowie der Ausführung des Katheters ausgehen (z. B. Kunststoff, Oberfläche, Durchmesser, Konnektionen),

  2. 2.

    Komplikationen, die durch die Verletzung anatomischer Strukturen beim Legen entstehen (z. B. Hämatome, Nervenläsionen, Gefäßwandperforationen) und

  3. 3.

    Komplikationen, die während der Liegezeit des Katheters, gegebenenfalls durch fehlerhafte Manipulationen, auftreten können (z. B. Thromben, Infektionen, Dislokationen, Luft- und Katheterembolien).

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Authors
  1. G. G. Braun
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  2. H. Grimm
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Editors and Affiliations

  1. Institut für Anaesthesiologie, Universität Erlangen-Nürnberg, Maximiliansplatz 1, D-8520, Erlangen, Deutschland

    E. Rügheimer

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Braun, G.G., Grimm, H. (1990). Risikominimierung bei arteriellen und venösen Zugängen. In: Rügheimer, E. (eds) Konzepte zur Sicherheit in der Anästhesie. Klinische Anästhesiologie und Intensivtherapie, vol 38. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75592-7_5

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  • DOI: https://doi.org/10.1007/978-3-642-75592-7_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-52415-1

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