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Anästhesie in der Thoraxchirurgie

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Die Anästhesiologie

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Zusammenfassung

Eingriffe im Thorax betreffen direkt zwei Organsysteme, deren Funktionsstörung nur für kurze Zeit problemlos toleriert wird: das respiratorische und kardiale System. Detailliertes Wissen über die Pathophysiologie von Herz und Lunge ist daher neben der Kenntnis der individuellen (Vor)erkrankungen die grundlegende Vorraussetzung für die kompetente anästhesiologische Versorgung des Patienten in der Thoraxchirurgie. Das Atemwegsmanagement ist wegen der meist erforderlichen Einlungenventilation häufig eine Herausforderung, erfordert Planung und große Erfahrung in der Handhabung des anästhesiologischen Handwerkzeugs. Der Anästhesist ist in der Thoraxchirurgie wegen der relativ hohen postoperativen Komplikationsrate besonders gefordert: überlegtes perioperatives Management mit präoperativer Optimierung, adäquater Schmerztherapie und Narkoseführung können die Frequenz von Komplikationen reduzieren.

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Author information

Authors and Affiliations

  1. INCCI, Institut National de Chirurgie Cardiaque, 2a, rue Barblé, 1210, Luxembourg, Luxembourg

    Martin Kleen

  2. Klinikum der Universität München, Klinik für Anästhesiologie, Marchioninistr. 15, 81377, München, Deutschland

    Bernhard Zwißler

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  1. Martin Kleen
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  2. Bernhard Zwißler
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Correspondence to Martin Kleen .

Editor information

Editors and Affiliations

  1. Klinik für Anästhesiologie, Universitätsklinikum Aachen RWTH Aachen, Aachen, Germany

    Rolf Rossaint

  2. Universitätsklinikum Mainz Klinik für Anästhesiologie, Mainz, Germany

    Christian Werner

  3. Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum München Klinikum Großhadern, München, Germany

    Bernhard Zwißler

Section Editor information

  1. Klinikum der Universität München, Klinik für Anästhesiologie, Marchioninistr. 15, 81377, München, Germany

    Bernhard Zwißler

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Kleen, M., Zwißler, B. (2020). Anästhesie in der Thoraxchirurgie. 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_76-2

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  • DOI: https://doi.org/10.1007/978-3-662-45539-5_76-2

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Chapter history

  1. Latest

    Anästhesie in der Thoraxchirurgie
    Published:
    10 March 2020

    DOI: https://doi.org/10.1007/978-3-662-45539-5_76-2

  2. Original

    Anästhesie in der Thoraxchirurgie
    Published:
    28 April 2017

    DOI: https://doi.org/10.1007/978-3-662-45539-5_76-1

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