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Die Anaesthesiologie
Erschienen in: Die Anaesthesiologie 2/2008

01.02.2008 | Leitthema

Anästhesie zur Karotischirurgie

Gibt es einen Goldstandard?

verfasst von: Dr. T. Rössel, R.J. Litz, A.R. Heller, T. Koch

Erschienen in: Die Anaesthesiologie | Ausgabe 2/2008

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Zusammenfassung

Die Thrombendarteriektomie (TEA) der A. carotis ist trotz neuer Optionen die Therapie der Wahl in der kurativen Behandlung symptomatischer Karotisstenosen. Da die Patienten während der TEA v. a. durch zerebrale und auch myokardiale Ischämien gefährdet sind, muss das perioperative anästhesiologische Management vorrangig auf die Überwachung und die Sicherstellung der suffizienten Sauerstoffversorgung von Myokard und Gehirn abzielen. Seit Jahren wird kontrovers diskutiert, ob Allgemeinanästhesie- oder Regionalanästhesieverfahren das postoperative Ergebnis verbessern können. Die derzeit vorliegenden wenigen kontrollierten randomisierten Untersuchungen zeigen hinsichtlich harter Outcomeparameter keine signifikanten Vorteile eines der beiden Verfahren. Für die Wahl der Regionalanästhesie kann aufgrund des Evidenzlevels 1−–2+ allenfalls eine Grad-C-Empfehlung gegeben werden. Die vorliegende Arbeit gibt eine Übersicht über Besonderheiten und Zielsetzungen des anästhesiologischen Managements in der Karotischirurgie.
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Metadaten
Titel
Anästhesie zur Karotischirurgie
Gibt es einen Goldstandard?
verfasst von
Dr. T. Rössel
R.J. Litz
A.R. Heller
T. Koch
Publikationsdatum
01.02.2008
Verlag
Springer-Verlag
Erschienen in
Die Anaesthesiologie / Ausgabe 2/2008
Print ISSN: 2731-6858
Elektronische ISSN: 2731-6866
DOI
https://doi.org/10.1007/s00101-008-1312-3

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