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Hämodynamisches Monitoring, kardiologische Diagnostik, Herzrhythmusstörungen und Herz-Kreislauf-Therapie

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NeuroIntensiv

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Zusammenfassung

Das Monitoring der Herz-Kreislauf-Funktion ist essenzieller Bestandteil der Diagnostik und Therapie kritisch kranker Patienten. Die Verfahren des erweiterten hämodynamischen Monitorings ermöglichen neben der kontinuierlichen invasiven Blutdruckmessung und der Erfassung des zentralen Venendrucks (ZVD), der Pulsoxymetrie und dem EKG die Erfassung der Herz- Kreislauf-Funktion des kritisch kranken Patienten. Die Zielsetzung des hämodynamischen Monitorings umfasst zum einen die kontinuierliche Überwachung der globalen Hämodynamik, um frühzeitig relevante Störungen zu erkennen, zum anderen ermöglicht es die Ursachen für eine hämodynamische Instabilität diff erenzialdiagnostisch zu identifi zieren, um eine zielgerichtete Therapie einleiten zu können.

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Literatur

  1. Adams HP Jr, Adams RJ, Brott T, et al. Guidelines for the early management of patients with acute ischemic stroke. A statement from the Stroke Council of the American Stroke Association. Stroke 2003; 34:1056–1083

    Article  PubMed  Google Scholar 

  2. American Association of Neurological Surgeons. Guidelines for Management of Acute Cervical Spinal Injuries. Neurosurgery 2002; 50(3) (Suppl):58–62

    Google Scholar 

  3. Ball PA. Critical Care of Spinal Cord Injury. Spine 2001; 26(24 Suppl):27–30

    Article  Google Scholar 

  4. Bath PMW. How to manage blood pressure in acute stroke. J Hypertension 2005; 23:1135–1136

    Article  CAS  Google Scholar 

  5. Berlit P, Diehl RR. Autonome Funktionsstörungen bei akuten zerebro-vaskulären Erkrankungen. Intensivmed 2001; 38:111–17

    Article  Google Scholar 

  6. Daniel WG, Erbel R, Kasper W, et al. Safety of transesophageal echocardiography. A multicenter survey of 10,419 examinations. Circulation 1991; 83:817–821

    PubMed  CAS  Google Scholar 

  7. Diedler J, Sykora M, Jüttler E, et al. Intensive care management of acute stroke: general management. Int J Stroke. 2009; 4:365–78

    Article  PubMed  CAS  Google Scholar 

  8. Dorhout Mees SM, Rinkel GJ, Feigin VL, et al. Calcium antagonists for aneurysmal subarachnoid haemorrhage. Cochrane Database Syst Rev 2007:CD000277

    Google Scholar 

  9. Dueck MH, Klimek M, Appenrodt S, et al. Trends but Not Individual Values of Central Venous Oxygen Saturation Agree with Mixed Venous Oxygen Saturation during varying hemodynamic Conditions. Anesthesiology 2005; 103:249–257

    Article  PubMed  Google Scholar 

  10. Ekelund A, Reinstrup P, Ryding E, et al. Effects of iso- and hypervolemic hemodilution on regional cerebral blood flow and oxygen delivery for patients with vasospasm after aneurysmal subarachnoid hemorrhage. Acta Neurochir (Wien) 2002; 144:703–712; discussion 712–713

    Article  CAS  Google Scholar 

  11. Gauss A, Anhäupl T, Schütz W. Grundsätze der Katecholamintherapie Teil 2: Leitfaden der klinischen Anwendung. Anästhesiol Intensivmed Notfallmed Schmerzther 2000; 35:131–136

    Article  PubMed  CAS  Google Scholar 

  12. Kellum JA. Use of dopamine in acute renal failure: a metaanalysis. Crit Care Med 2001; 29:1526–1531

    Article  PubMed  CAS  Google Scholar 

  13. Laupland KB, Bands CJ. Utility of esophageal Doppler as a minimally invasive hemodynamic monitor: a review. Can J Anaesth 2002; 49:393–401

    Article  PubMed  Google Scholar 

  14. Lee VH, Connolly HM, Fulgham JR, et al. Tako-tsubo cardiomyopathy in aneurysmal subarachnoid hemorrhage: an underappreciated ventricular dysfunction. J Neurosurg 2006;105:264–270

    Article  PubMed  Google Scholar 

  15. Lennon MJ, Gibbs NM, Weightman WM et al. Transesophageal echocardiography-related gastrointestinal complications in cardiac surgical patients. J Cardiothorac Vasc Anesth. 2005; 19:141–145

    Article  PubMed  Google Scholar 

  16. Manecke GR Jr, Auger WR. Cardiac output determination from the arterial pressure wave: clinical testing of a novel algorithm that does not require calibration. J Cardiothorac Vasc Anesth 2007; 21:3–7

    Article  PubMed  Google Scholar 

  17. Merkel MJ, Brambrink AM. Ischämische Komplikationen in der Neurochirurgie. Einsatz von Kalziumantagonisten. Anästhesist 2008; 57:794–802

    Article  CAS  Google Scholar 

  18. Michard F, Teboul JL. Predicting fluid responsiveness in ICU patients:a critical analysis of the evidence. Chest 2002; 121:2000–2008

    Article  PubMed  Google Scholar 

  19. Moriaki I, Junji N, Tetsuya H, et al. Serial changes of the electrocardiogram during the progression of subarchnoidal hemorrhage. Circulation 2005; 112:331–332

    Article  Google Scholar 

  20. Mueller HS, Chatterjee K, Davis KB, et al. ACC expert consensus document. Present use of bedside right heart catheterization in patients with cardiac disease. American College of Cardiology. J Am Coll Cardiol 1998; 32:840–864

    Article  PubMed  CAS  Google Scholar 

  21. Myburgh J.A. Respiratory and cardiovascular support in severe closed head injury. In: Reilly PL (ed) Head Injury - Pathology and Treatment of Severe Closed Head Injuries. Chapman and Hall, London 1997, 333–361

    Google Scholar 

  22. Muzevich KM, Voils SA. Role of vasopressor administration in patients with acute neurologic injury. Neurocrit Care 2009; 11:112–119

    Article  PubMed  Google Scholar 

  23. Naval NS, Stevens RD, Mirski MA, et al. Controversies in the management of aneurysmal subarachnoid hemorrhage. Crit Care Med 2006; 34:511–524

    Article  PubMed  Google Scholar 

  24. Naidech AM, Jovanovic B, Wartenberg KE et al. Higher hemoglobin is associated with improved outcome after subarachnoid hemorrhage. Crit Care Med 2007; 35:2383–2389

    Article  PubMed  CAS  Google Scholar 

  25. Peters J. Invasive Messung und Interpretation arterieller, venöser und pulmonalvaskulärer Drücke. In: List WF, Metzler H, Pasch T (Hrsg) Monitoring in Anästhesie und Intensivmedizin. Springer, Berlin, 1998, 202–245

    Google Scholar 

  26. Piercy M, McNicol L, Dinh DT, et al. Major complications related to the use of transesophageal echocardiography in cardiac surgery. J Cardiothorac Vasc Anesth 2009; 23:62–65

    Article  PubMed  Google Scholar 

  27. Raabe A, Beck J, Berkefeld J, et al. Empfehlungen zum Management der aneurysmatischen Subarachnoidalblutung. Zentralbl Neuochir 2005; 66:79–91

    Article  CAS  Google Scholar 

  28. Raabe A, Beck J, Keller M, et al. Relative importance of hypertension compared with hypervolemia for increasing cerebral oxygenation in patients with cerebral vasospasm after subarachnoid hemorrhage. J Neurosurg 2005; 103:974–981

    Article  PubMed  Google Scholar 

  29. Ract C, Vigué B. Comparison of the cerebral effects of dopamine and norepinephrine in severely head injured patients. Intensive Care Med 2001; 27:101–106

    Article  PubMed  CAS  Google Scholar 

  30. Reinhart K, Kuhn HJ, Hartog C, et al. Continuous central venous and pulmonary artery oxygen saturation monitoring in the critically ill Intensive Care Med 2004; 30:1572–1578

    Google Scholar 

  31. Ringleb PA, Bertram M. Keller E, Hacke W. Hypertension in patients with cerebrovascular accident. To treat or not to treat? Nephrol Dial Transplant 1998;13:2179–2181

    Article  PubMed  CAS  Google Scholar 

  32. Scheer B, Perel A, Pfeiffer UJ. Clinical review: complications and risk factors of peripheral arterial catheters used for haemodynamic monitoring in anaesthesia and intensive care medicine. Crit Care 2002; 6:199–204

    Article  PubMed  Google Scholar 

  33. Schütz W, Anhäupl T, Gauss A. Grundsätze der Katecholamintherapie Teil 1: Charakterisierung der therapeutisch bedeutsamen Sympathomimetika. Anästhesiol Intensivmed Notfallmed Schmerzther 2000; 35:67–81

    Article  PubMed  Google Scholar 

  34. Shah MR, Hasselblad V, Stevenson LW, et al. Impact of the pulmonary artery catheter in critically ill patients: meta-analysis of randomized clinical trials. Jama 2005; 294:1664–1670

    Article  PubMed  CAS  Google Scholar 

  35. Steiner LA, Johnsten AJ, Czosnyka M, et al. Direct comparison of cerebrovascular effects of norepinephrine and dopamine in head-injured patients. Crit Care Med 2004; 32:1049–1054

    Article  PubMed  Google Scholar 

  36. Stevenson JG. Incidence of complications in pediatric transesophageal echocardiography: experience in 1650 cases. J Am Soc Echocardiogr 1999; 12:527–532

    Article  PubMed  CAS  Google Scholar 

  37. Schwarz S, Schwab S, Keller E, et al. Neurogene Störungen der Herz- und Lungenfunktion bei akuten zerebralen Läsionen. Der Nervenarzt 1997; 68:956–962

    Article  PubMed  CAS  Google Scholar 

  38. Seule MA, Stienen MN Cadosch D, et al. Aneurysmatische Subarachnoidalblutung - Diagnostik und Therapie zerebraler und systemischer Komplikationen. Anästhesiol Intensivmed Notfallmed Schmerzther 2010; 45:8–16

    Article  PubMed  Google Scholar 

  39. Trappe H-J. Bedrohliche Rhythmusstörungen des Intensiv- und Notfallpatienten. Intensivmed 2001; 38:287–298

    Article  Google Scholar 

  40. Treggiari MM, Walder B, Suter PM, et al. Systematic review of the prevention of delayed ischemic neorological deficits with hypertension, hypervolemia, and hemodilution therapy following subarachnoid hemorrhage. J Neurosurg 2003; 98:978–984

    Article  PubMed  Google Scholar 

  41. Treggiari MM, Deem S. Which H is the most important in triple-H therapy for cerebral vasospasm? Current Opinion in Critical Care 2009, 15:83–86

    Article  PubMed  Google Scholar 

  42. Yumoto M, Katsuya H. Transesophageal echocardiography for cardiac surgery in children. J Cardiothorac Vasc Anesth 2002; 16:587–591

    Article  PubMed  Google Scholar 

  43. Zink W, Graf BM. Der Pulmonalarterienkatheter. Anaesthesist 2001; 50:623–642

    Article  PubMed  CAS  Google Scholar 

Leitlinien

  1. Leitlinie der Deutschen Gesellschaft für Neurologie (DGN) und der Deutschen Schlaganfallgesellschaft (DSG) in der Deutschen Gesellschaft für Neurologie (2008) Akuttherapie des ischämischen Schlaganfalls. www.dgn.org/images/stories/dgn/leitlinien/LL2008/ll08kap_023.pdf

  2. Leitlinie der Deutschen Gesellschaft für Neurologie (2008) Aneurysmale Subarachnoidalblutung. www.dgn.org/images/stories/dgn/leitlinien/LL2008/ll08kap_028.pdf

  3. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the diagnosis and treatment of acute and chronic heart failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM). Dickstein K, Cohen-Solal A, Filippatos G, McMurray JJ, Ponikowski P, Poole-Wilson PA, Strömberg A, van Veldhuisen DJ, Atar D, Hoes AW, Keren A, Mebazaa A, Nieminen M, Priori SG, Swedberg K; ESC Committee for Practice Guidelines (CPG). Eur J Heart Fail 2008; 10:933–989

    Google Scholar 

  4. Guidelines for management of ischemic stroke and transient ischemic attack 2008. European Stroke Organisation (ESO) Executive Committee; ESO Writing Committee. Cerebrovasc Dis 2008; 25:457–507

    Google Scholar 

  5. Leitlinie des European Resuscitation Council (ERC) (2010). www.cprguidelines.eu/2010/

  6. Leitlinie der Deutschen Gesellschaft für Neurologie (2008). www.dgn.org/images/stories/dgn/leitlinien/LL2008/ll08kap_075.pdf

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Authors and Affiliations

  1. Klinik für Anästhesiologie m. S. op. Intensivmedizin, Charité - Universitätsmedizin Berlin Campus Charité Mitte, Charitéplatz 1, 10117, Berlin

    Dr. M. Carl & Prof. Dr. C. Spies

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  1. Dr. M. Carl
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  2. Prof. Dr. C. Spies
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Editors and Affiliations

  1. Neurologische Klinik, Friedrich-Alexander-Universität Erlangen-Nürnberg, Schwabachanlage 6, 91054, Erlangen

    Stefan Schwab

  2. Benediktuskrankenhaus, Neurologische Klinik und Geriatrie Johannes Wesling Klinikum Minden, Hans-Nolte-Str. 1, 32429, Minden

    Peter Schellinger

  3. Klinik für Anästhesiologie, Klinikum der Johannes Gutenberg-Universität Mainz, Langenbeckstr. 1, 55131, Mainz

    Christian Werner

  4. Neurochirurgische Klinik, Ruprecht-Karls-Universität Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg

    Andreas Unterberg  & Werner Hacke  & 

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Carl, M., Spies, C. (2012). Hämodynamisches Monitoring, kardiologische Diagnostik, Herzrhythmusstörungen und Herz-Kreislauf-Therapie. In: Schwab, S., Schellinger, P., Werner, C., Unterberg, A., Hacke, W. (eds) NeuroIntensiv. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-16911-3_8

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  • DOI: https://doi.org/10.1007/978-3-642-16911-3_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-16910-6

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