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Der kardiopulmonale Bypass

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Monitoring in Anästhesie und Intensivmedizin

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Zusammenfassung

Mit Beginn des kardiopulmonalen Bypasses (CPB) werden die Pumpfunktion des Herzens und die Ventilations-/Oxygenierungsfunktion der Lungen vollständig oder partiell von der Herz-Lungen-Maschine (HLM) übernommen. Damit wird auch die Verantwortung für die korrekte Steuerung und Kontrolle in hohem Maße dem Kardiotechniker übertragen. Für den Anästhesisten erlischt zu diesem Zeitpunkt keineswegs seine Verpflichtung, wichtige Organ-und Systemfunktionen weiter zu überwachen. Vielmehr wird diese Phase von der integrativen Interaktion zwischen dem Kardiotechniker, Operateur und Anästhesisten geprägt, wobei dem Anästhesisten sehr oft die Aufgabe zufällt, die einzelnen Organfunktionen abzuchecken, den Gesamtüberblick zu wahren, koordinativ zu wirken und den reibungslosen Übergang von Bypass-beginn und Bypassende zu steuern.

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Authors
  1. H. Metzler
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Editors and Affiliations

  1. Universitätsklinik für Anästhesiologie und Intensivmedizin, Auenbruggerplatz 29, A-8036, Graz, Österreich

    Werner F. List  & Helfried Metzler  & 

  2. Institut für Anästhesiologie, Universitätsspital Zürich, Rämistraße 100, CH-8091, Zürich, Schweiz

    Thomas Pasch

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© 1998 Springer-Verlag Berlin Heidelberg

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Metzler, H. (1998). Der kardiopulmonale Bypass. In: List, W.F., Metzler, H., Pasch, T. (eds) Monitoring in Anästhesie und Intensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-12541-0_27

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  • DOI: https://doi.org/10.1007/978-3-662-12541-0_27

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  • Print ISBN: 978-3-662-12542-7

  • Online ISBN: 978-3-662-12541-0

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