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Die Anaesthesiologie
Erschienen in: Der Anaesthesist 4/2006

01.04.2006 | Leitthema

Perioperatives Flüssigkeitsmanagement

Eine Analyse der aktuellen Studienlage

verfasst von: Dr. Y. A. Zausig, M. A. Weigand, B. M. Graf

Erschienen in: Die Anaesthesiologie | Ausgabe 4/2006

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Zusammenfassung

Das optimale perioperative Flüssigkeitsmanagement wird kontrovers diskutiert. Neben der häufig vorkommenden perioperativen Hypovolämie trägt auch die Hypervolämie entscheidend zur perioperativen Morbidität und Letalität bei, besonders im Hinblick auf verschiedene Krankheitsbilder, präexistente kardiale und pulmonale Funktionseinschränkungen und den operativen Eingriff an sich. Die Konzepte der prä, intra- und postoperativen Flüssigkeitsgabe sind weder ausreichend validiert, noch genügend in ein perioperatives Konzept integriert. Derzeit gelten moderate Flüssigkeitsgaben zur Verbesserung des prä- und postoperativen Wohlbefindens bei klein- bis mittelgroßen chirurgischen Eingriffen als gesichert. Hochrisikopatienten profitieren durch eine zeitgerechte und/oder zielgerichtete Flüssigkeitsgabe unter erweitertem Monitoring. Dem postoperativen Flüssigkeitsmanagement wurde bis dato nicht genügend Aufmerksamkeit geschenkt, aber es scheint durch die Konzepte der „Fast-track-Chirurgie“ neue Anregungen zu bekommen.
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Metadaten
Titel
Perioperatives Flüssigkeitsmanagement
Eine Analyse der aktuellen Studienlage
verfasst von
Dr. Y. A. Zausig
M. A. Weigand
B. M. Graf
Publikationsdatum
01.04.2006
Verlag
Springer-Verlag
Erschienen in
Die Anaesthesiologie / Ausgabe 4/2006
Print ISSN: 2731-6858
Elektronische ISSN: 2731-6866
DOI
https://doi.org/10.1007/s00101-006-0988-5

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Der Anaesthesist 4/2006 Zur Ausgabe

Trends und Medizinökonomie

Prozessmanagement bei axillären Plexusblockaden

Medizinrecht

Qualitätssicherung bei Transfusionen und Hämotherapie nach den aktuellen Richtlinien der Bundesärztekammer

Klinische Pharmakologie

Argatroban

Originalien

Keine synergistische Wirkung der Kombination von ∆9-Tetrahydrocannabinol und Piritramid bei postoperativen Schmerzen

Kasuistiken

Letaler Verlauf nach Osteosynthese bei einem 18-Jährigen

Fehler und Gefahren

Erblindung nach nichtophthalmologischen Eingriffen

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Akuter Schwindel: Wann lohnt sich eine MRT?

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Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

25.04.2024 Allergien und Intoleranzreaktionen Nachrichten

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Hinter dieser Appendizitis steckte ein Erreger

23.04.2024 Appendizitis Nachrichten

Schmerzen im Unterbauch, aber sonst nicht viel, was auf eine Appendizitis hindeutete: Ein junger Mann hatte Glück, dass trotzdem eine Laparoskopie mit Appendektomie durchgeführt und der Wurmfortsatz histologisch untersucht wurde.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

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