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01.10.2010 | Allgemeinanästhesie

Präoperative Evaluation und Risikoeinschätzung in der Thoraxchirurgie

verfasst von: Dr. H. Mutlak, S. Czerner, H. Winter, B. Zwissler, P. Lackermeier

Erschienen in: Die Anaesthesiologie | Ausgabe 10/2010

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Zusammenfassung

Die präoperative Einschätzung der Lungenfunktion von Patienten vor lungenresezierenden Verfahren stellt eine interdisziplinäre Herausforderung dar. Trotz medizinischer Fortschritte in den Fachgebieten der Anästhesie, Intensivmedizin und Chirurgie liegt die Letalitätsrate von Patienten nach Pneumonektomie weiterhin bei 5–9%. Zur präoperativen Identifikation von Patienten mit einem erhöhten perioperativen Morbiditäts- und Letalitätsrisiko wurden Stufenschemata der präoperativen Evaluation der Lungenfunktion entwickelt, deren Basis die Spirometrie und die Messung der Diffusionskapazität darstellt. Bei Funktionseinschränkung folgen Messungen zur Einschätzung der postoperativen Lungenfunktion sowie die Bestimmung der maximalen Sauerstoffaufnahme zur präoperativen Risikostratifikation. Im Folgenden werden die Untersuchungsmethoden zur Erfassung von Lungenfunktionsparametern und Parametern des pulmonalen Gasaustausches beschrieben und deren Wertigkeit unter Berücksichtigung aktueller Leitlinien diskutiert.

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Titel: Präoperative Evaluation und Risikoeinschätzung in der Thoraxchirurgie
verfasst von: Dr. H. Mutlak
S. Czerner
H. Winter
B. Zwissler
P. Lackermeier
Publikationsdatum: 01.10.2010
Verlag: Springer-Verlag
Erschienen in: Die Anaesthesiologie / Ausgabe 10/2010
Print ISSN: 2731-6858
Elektronische ISSN: 2731-6866
DOI: https://doi.org/10.1007/s00101-010-1765-z

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