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Häufige perioperative kardiovaskuläre und respiratorische Komplikationen

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Die Anästhesiologie

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Zusammenfassung

Kardiovaskuläre und respiratorische Komplikationen sind häufige Ursache perioperativer Todesfälle. Die Inzidenz wird mit 1–7 % für respiratorische und 2–20 % für kardiovaskuläre Komplikationen angegeben. Die wichtigsten perioperativen Komplikationen werden in diesem Kapitel erörtert.

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Literatur

  1. Fleisher LA, Fleischmann KE et al (2014) 2014 ACC/AHA Guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation 01.08.2014, S 1–53 (published online)

    Google Scholar 

  2. Wijeysundera D, Duncan D et al (2014) Perioperative beta blockade in noncardiac surgery: a systematic review for the 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation pii: CIR.0000000000000104 [Epub vor druck]

    Google Scholar 

  3. Kristensen SD, Knuuti J et al (2014) 2014 Guidelines on non-cardiac surgery: cardiovascular assessment and management. The Joint Task Force on non-cardiac surgery: cardiovascular assessment and management of the European Society of Cardilogy (ESC) and the European Society of Anaesthesiology (ESA). Eur Heart J 35:2383–2431

    Article  PubMed  Google Scholar 

  4. Lee TH, Marcantonio ER et al (1999) Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation 100:1043–1049

    Article  CAS  PubMed  Google Scholar 

  5. Biccard BM (2005) Relationship between the inability to climb two flights of stairs and outcome after major non-cardiac surgery: implications for the preoperative assessment of functional capacity. Anaesthesia 60:588–593

    Article  CAS  PubMed  Google Scholar 

  6. Priebe H, European Society of Cardiology (2010) Perioperative cardiac care for non-cardiac surgery: 2009 Guidelines of the European Society of Cardiology. Anaesthesist 59:443–452

    Article  PubMed  Google Scholar 

  7. Gupta PK, Gupta H et al (2011) Development and validation of a risk calculator for prediction of cardiac risk after surgery. Circulation 124:381–387

    Article  PubMed  Google Scholar 

  8. Sicari R, Nihoyannopoulos P et al (2009) Stress echocardiography expert consensus statement: executive summary: European Association of Echocardiography (EAE). Eur Heart J 30:278–289

    Article  PubMed  Google Scholar 

  9. Rodseth R, Biccard M et al (2014) The prognostic value of pre-operative and post-operative B-type natriuretic peptides in patients undergoing non cardiac surgery: B-type natriuretic peptide and N-terminal fragment of pro-B-type natriuretic peptide: a systematic review and individual patient data meta-analysis. J Am Coll Cardiol 63:170–180

    Article  CAS  PubMed  Google Scholar 

  10. Poise Study Group (2008) Efffects of extenden-release metoprolol succinate in patients undergoing non cardiac-surgery (POISE trial): a randomised controlled trial. Lancet 371:1839–1847

    Article  Google Scholar 

  11. Devereaux P, Sessler D et al (2014) Clonidine in patients undergoing noncardiac surgery. N Eng J Med 370:1504–1513

    Article  CAS  Google Scholar 

  12. Auerbach A, Goldman L (2006) Assessing and reducing the cardiac risk of noncardiac surgery. Circulation 113:1361–1376

    Article  PubMed  Google Scholar 

  13. Chopra V, Wesorick D et al (2012) Effect of perioperative statins on death, myocardial infarction, atrial fibrillation and length of stay: a systematic review and meta-analysis. Arch Surg 147:181–189

    Article  CAS  PubMed  Google Scholar 

  14. Sanders R, Nicholson A et al (2013) Perioperative statin therapy for improving outcomes during and after noncardiac vascular surgery. Cochrane Database Syst Rev (7):CD009971

    Google Scholar 

  15. Guay J, Choi P et al (2014) Neuraxial bockade for the prevention of postoperative mortality and major morbidity: an overview of Cochrane systematic reviews. Cochrane Database Syst Rev (1):CD010108

    Google Scholar 

  16. Cheney FW, Posner KL, Lee LA et al (2006) Trends in anesthesia-related death and brain damage: a closed claims analysis. Anesthesiology 105:1081–1086

    Article  PubMed  Google Scholar 

  17. Memtsoudis S, Sun X et al (2013) Perioperative comparative effectiveness of anesthetic technique in orthopedic patients. Anesthesiology 118:1046–1058

    Article  PubMed  PubMed Central  Google Scholar 

  18. Cecconi M, Corredor C et al (2013) Clinical review: goal-directes-therapy-what ist he evidence in surgical patients? The effects on different risk groups. Crit Care 17:209

    Article  PubMed  PubMed Central  Google Scholar 

  19. Arulkumaran N, Corredor C et al (2014) Cardiac complications associated with goal-directed therapy in high-risk surgical patients: a meta-analysis. Br J Anaesth 112:648–659

    Article  CAS  PubMed  Google Scholar 

  20. Walsh M, Devereaux P (2013) Relationship between intraoperative mean arterial pressure and clinical outcomes after noncardiac surgery: toward an empirical definition of hypotension. Anesthesiology 119:507–515

    Article  PubMed  Google Scholar 

  21. Forbes S, Eskicioglu C et al (2009) Evidence-based guidelines for prevention of perioperative hypothermia. J Am Coll Surg 209(4):492–503

    Article  PubMed  Google Scholar 

  22. Torossian A, Bein B et al (2014) Interdisziplinäre Leitlinie der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin, der Deutschen Gesellschaft für Chirurgie, der Deutschen Gesellschaft für Kinderchirurgie, der Österreichischen Gesellschaft für Anästhesie, Reanimation und Intensivmedizin und der Deutschen Gesellschaft für Fachkrankenpflege und Funktionsdienste: S3 Leitlinie Vermeidung von perioperativer Hypothermie. AWMF-Register Nr. 001/018

    Google Scholar 

  23. Beattiea W, Wijeysunderab D (2013) Perioperative cardiac biomarkers: the utility and timing. Curr Opin Crit Care 19:334–341

    Google Scholar 

  24. Thys D, Brooker R et al (2010) Practice guidelines for perioperative transesophageal echocardiography. An updated report by the American Society of Anesthesiologists and the Society of Cardiovascular Anesthesiologists Task Force on Transesophageal Echocardiography. Anesthesiology 112:1084–1096

    Google Scholar 

  25. Marx G (2014) Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin (federführend): S3-Leitlinie Intravasale Volumentherapie beim Erwachsenen. AWMF-Register-Nr. 001/020

    Google Scholar 

  26. Chappell D, Jacob M et al (2008) A rational approach to perioperative fluid management. Anesthesiology 109(4):723–740

    Article  PubMed  Google Scholar 

  27. van Diepen S, Bakal J et al (2011) Mortality and readmission of patients with heart failure, atrial fibrillation, or coronary artery disease undergoing noncardiac surgery, an analysis of 38,047 patients. Circulation 124:289–296

    Article  PubMed  Google Scholar 

  28. Strom C, Kilger E (2001) Perioperative antiarrhythmische Therapie. Anästhesiol Intensivmed Schmerzther 36:454–464

    Article  CAS  Google Scholar 

  29. Rozner M (2007) The patient with a cardiac pacemaker or implanted defibrillator and management during anaesthesia. Curr Opin Anaesthesiol 20:261–268

    Article  PubMed  Google Scholar 

  30. Johnson RG, Am A, Neumayer L et al (2007) Multivariable predictors of postoperative respiratory failure after general and vascular surgery: results from the patient safety in surgery study. J Am Coll Surg 204:1188–1198

    Article  PubMed  Google Scholar 

  31. Smetana G, Pfeifer K et al (2014) Risk factors for postoperative pulmonary complications. Hosp Pract 42(5):126–131

    Article  Google Scholar 

  32. Smetana GW, Lawrence VA, Cornell JE (2006) Preoperative pulmonary risk stratification for noncardiothoracic surgery: systematic review for the American College of Physicians. Ann Intern Med 144:581–595

    Article  PubMed  Google Scholar 

  33. Canet J, Gallart L (2014) Postoperative respiratory failure: pathogenesis, prediction and prevention. Curr Opin Crit Care 20:56–62

    Article  PubMed  Google Scholar 

  34. Metzner J et al (2011) Closed claim analysis. Best Pract Res Clin Anaesthesiol 25:2263–2276

    Article  Google Scholar 

  35. Tait AR, Malviya S et al (2001) Risk factors for perioperative adverse respiratory events in children with upper respiratory tract infections. Anesthesiology 95:299–306

    Article  CAS  PubMed  Google Scholar 

  36. Al-Alami A, Zestos M et al (2009) Pediatric laryngospasm: prevention and treatment. Curr Opin Anaesthesiol 22:388–395

    Article  PubMed  Google Scholar 

  37. Luce V (2014) Supraglottic airway devices vs tracheal intubation in children: a quantitative meta-analysis of respiratory complications. Pediatr Anesth 24:1088–1098

    Article  Google Scholar 

  38. Woods B, Sladen R (2009) Perioperative considerations for the patient with asthma and bronchospasm. Br J Anaesth 103(Suppl 1):i57–i65

    Article  PubMed  Google Scholar 

  39. Hedenstierna G, Edmark L (2010) Mechanisms of atelectasis in the perioperative period. Best Pract Res Clin Anaesthesiol 24:157–169

    Article  PubMed  Google Scholar 

  40. Ireland C, Chapman T et al (2014) Continuous positive airway pressure (CPAP) during the postoperative period for prevention of postoperative morbidity and mortality following major abdominal surgery. Cochrane Database Syst Rev (8):CD008930

    Google Scholar 

  41. Koegelenberg CFN (2012) Transthoracic ultrasonography for the respiratory physician. Respiration 84:337–350

    Article  PubMed  Google Scholar 

  42. Bajwa S, Kulshrestha A (2012) Diagnosis, prevention and management of postoperative pulmonary edema. Ann Med Health Sci Res 2(2):180–185. https://doi.org/10.4103/2141-9248.105668

    Article  PubMed  PubMed Central  Google Scholar 

  43. Konstantinides SV, Torbicki A, Agnelli G et al (2014) 2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J 35:3033–3080

    Google Scholar 

  44. Zarbock A, Mueller E et al (2009) Prophylactic nasal continuous positive airway pressure following cardiac surgery protects from postoperative pulmonary complications: a prospective, randomized, controlled trial in 500 patients. Chest 135:1252–1259

    Article  PubMed  Google Scholar 

  45. Ferreyra GP, Baussano I et al (2008) Continuous positive airway pressure for treatment of respiratory complications after abdominal surgery: a systematic review and meta-analysis. Ann Surg 247:617–626

    Article  PubMed  Google Scholar 

  46. Hovaguimian F, Lysakowski C et al (2013) Effect of intraoperative high inspired oxygen fraction on surgical site infection, postoperative nausea and vomiting, and pulmonary function: systematic review and meta-analysis of randomized controlled trials. Anesthesiology 119(2):303–316

    Article  CAS  PubMed  Google Scholar 

  47. Meyhoff C, Wetterslev J et al (2009) Effect of high perioperative oxygen fraction on surgical site infection and pulmonary complications after abdominal surgery: the PROXI randomized clinical trial. JAMA 302:1543–1550

    Article  CAS  PubMed  Google Scholar 

  48. Habre W, Petak F (2014) Perioperative use of oxygen:variabilities across age. Br J Anaesth 113(S2):ii26–ii36

    Article  PubMed  Google Scholar 

  49. Sola A (2014) Safe oxygen saturation targeting and monitoring in preterm infants: can we avoid hypoxia and hyperoxia? Acta Paediatr 103(10):1009–1018

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Frank Vogel .

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Respiratorische Notfälle (WMV 9273 kb)

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Vogel, F., Mutlak, H., Kilger, E. (2016). Häufige perioperative kardiovaskuläre und respiratorische Komplikationen. In: Rossaint, R., Werner, C., Zwißler, B. (eds) Die Anästhesiologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45539-5_68-1

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  • DOI: https://doi.org/10.1007/978-3-662-45539-5_68-1

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