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Erschienen in: Die Radiologie 7/2019

07.05.2019 | Apoplex | Leitthema

„Time is brain“

Zeitmanagement in der akuten Schlaganfallversorgung

verfasst von: Prof. Dr. S. Behnke

Erschienen in: Die Radiologie | Ausgabe 7/2019

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Zusammenfassung

Hintergrund

Beim akuten Schlaganfall stehen mit der Thrombolyse durch rt-PA und der interventionellen Thrombektomie evidenzbasierte kausal orientierte Therapien zur Verfügung. Der klinische Benefit für den Patienten ist jedoch sehr zeitabhängig.

Methoden

Es wird eine Übersicht über kritische Zeitintervalle beim akuten Schlaganfallmanagement gegeben und Möglichkeiten zur Beeinflussung werden dargestellt.

Ergebnisse

Sowohl prähospitale als auch innerhospitale Zeitabschnitte lassen sich verkürzen mit daraus resultierendem nachgewiesenem klinischem Benefit. Die Maßnahmen hierfür sind vielfältig und erfordern klare Verfahrensrichtlinien und konstantes Training.

Schlussfolgerung

Die Optimierung des Zeitmanagements über die gesamte Akutdiagnostik und -therapie durch das Vermeiden spezifischer Verzögerungen und die Verbesserung uniformer Arbeitsabläufe hat oberste Priorität für Effizienz und Sicherheit der genannten Therapien.
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Metadaten
Titel
„Time is brain“
Zeitmanagement in der akuten Schlaganfallversorgung
verfasst von
Prof. Dr. S. Behnke
Publikationsdatum
07.05.2019
Verlag
Springer Medizin
Schlagwort
Apoplex
Erschienen in
Die Radiologie / Ausgabe 7/2019
Print ISSN: 2731-7048
Elektronische ISSN: 2731-7056
DOI
https://doi.org/10.1007/s00117-019-0537-2

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