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Stellenwert der Akutdiagnostik mit Computertomographie im Schockraum

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Management des Schwerverletzten

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Zusammenfassung

Die rasche und sichere radiologische Diagnostik stellt einen relevanten Schlüsselbereich in der Versorgung polytraumatisierter Patienten dar. Mittlerweile gibt es zahlreiche Daten zum Nutzen der Ganzkörpercomputertomographie (GKCT) als Standarddiagnostik im Rahmen der Schwerstverletztenversorgung. Zusätzlich konnte durch moderne iterative Protokolle eine Reduktion der Strahlenbelastung der GKCT um 30–80 % realisiert werden. Die Durchführung einer GKCT bei Schwerverletzten während der Schockraumphase zeigt eine hohe Prozessqualität im Sinne eines Zeitvorteils und einer hohen diagnostischen Sicherheit. Ferner zeigt sich ein signifikanter positiver Effekt der GKCT auf das Überleben polytraumatisierter Patienten. Die GKCT ist auch bei hämodynamisch instabilen Patienten sicher anwendbar. Voraussetzung hierfür ist ein hoher Organisationsgrad des Schockraumteams. Das CT sollte im oder nahe am Schockraum lokalisiert sein.

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  1. Klinikum rechts der Isar, Klinik und Poliklinik für Unfallchirurgie, Technische Universität München, Ismaningerstraße 22, 81675, München, Deutschland

    Prof. Dr. med. S. Huber-Wagner

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Correspondence to S. Huber-Wagner .

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  1. Universitätsspital Zürich, Zürich, Switzerland

    Hans-Christoph Pape

  2. Klinik für Unfall- und Wiederherstellung, Universitätsklinikum RWTH Aachen, Aachen, Deutschland

    Frank Hildebrand

  3. Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Marburg, Marburg, Deutschland

    Steffen Ruchholtz

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Huber-Wagner, S. (2018). Stellenwert der Akutdiagnostik mit Computertomographie im Schockraum. In: Pape, HC., Hildebrand, F., Ruchholtz, S. (eds) Management des Schwerverletzten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54980-3_10

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