Herzkatheteruntersuchungen aus anästhesiologischer Sicht

  • M. N. Schreiber
Conference paper
Part of the Kinderanästhesie book series (KINDERANAESTHES)

Zusammenfassung

Etwa 0,8 % aller lebendgeborenen Kinder werden mit einem kongenitalen Vitium cordis geboren. Die Bandbreite der angeborenen Herzfehler umfaßt dabei morphologisch und pathophysiologisch einfach zu beschreibende Vitien, wie den persistierenden Ductus arteriosus Botalli und die Aortenkoarktation, aber auch komplexere Vitien wie die Fallot-Tetralogie oder beispielsweise das hypoplastische Linksherz. Für viele dieser Kinder verbessern sich heute Prognose und Lebensqualität dank der leistungsfähigeren Diagnostik, optimierter operativer Technik sowie der verbesserten postoperativen Intensivtherapie. Für die Diagnostik kongenitaler Vitien hat die Herzkatheteruntersuchung trotz verbesserter nichtinvasiver bildgebender Verfahren ihren festen Stellenwert behalten und gewinnt durch interventionelle Techniken neue Bedeutung (Rashkind-Manöver, Duktusverschluß, Klappensprengung, ASD-VSD-Verschluß, Duktusstent, Katheterabiationen etc.). Die Herzkatheteruntersuchung sowie die dafür notwendige Analgesie und Sedierung wird in den meisten Kliniken von Kinderkardiologen durchgeführt. Immer kleinere und krankere Patienten sowie der steigende Anteil interventioneller Herzkatheteruntersuchungen mit ihrem höheren Aufwand veranlassen einen größer werdenden Teil der Kinderkardiologen, die Analgesie, Sedierung bzw. Anästhesie in die Hände ihrer anästhesiologischen Kollegen zu legen.

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© Springer-Verlag Berlin Heidelberg 1996

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  • M. N. Schreiber

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