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Die präoperative Optimierung des Patienten: Sinnvolles und Sinnloses

  • H. Gerlach
Part of the Intensivmedizinisches Seminar book series (INTENSIVM.SEM., volume 8)

Zusammenfassung

In den meisten Fällen wird bei den Patienten zur evaluativen Lebertransplantation eine ausführliche Diagnostik der Vitalfunktionen durchgeführt. Hierbei sollen Nebenbefunde und besondere medizinische Probleme der Patienten erfaßt und vorbehandelt werden, um Risiken während und nach der Operation zu minimieren. Hierzu findet üblicherweise eine gemeinsame Diskussion mit den konsiliarisch beteiligten Fächern statt. Unabhängig vom Alter weisen die pathophysiologischen Veränderungen der Patienten mit Lebererkrankungen im Endstadium komplexe Interaktionen auf; die präoperative Optimierung der Patienten zur Lebertransplantation konzentrieren sich jedoch fast immer auf den funktionellen Status von Atmung, Herz-Kreislauf, Nieren, Gerinnung und Stoffwechsel.

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Copyright information

© Springer-Verlag/Wien 1995

Authors and Affiliations

  • H. Gerlach
    • 1
  1. 1.Klinik für Anaesthesiologie und operative Intensivmedizin, Universitätsklinikum Rudolf VirchowFreie Universität BerlinBerlinBundesrepublik Deutschland

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