Leitlinien in der Praxis: der herzchirurgische Patient in der intensivmedizinischen Versorgung

Zusammenfassung

Die S3-Leitlinie zur intensivmedizinischen Versorgung herzchirurgischer Patienten – Hämodynamisches Monitoring und Herz-Kreislauf [1] vereint aktuelles Wissen zu Empfehlungen für das hämodynamische Monitoring und die differenzierte Kreislauftherapie bei herzchirurgischen Intensivpatienten. Zudem werden anzustrebende Zielparameter der Kreislauftherapie, Behandlungsstrategien bei Links- und Rechtsherzinsuffizienz sowie klare Handlungsempfehlungen nach diversen Eingriffen in diesem Patientenkollektiv aufgezeigt.

Abstract

The current S3-Guideline for intensive care therapy in patients after cardiac surgery provides a wealth of information and recommendations ranging from monitoring to treatment options for various perioperative clinical situations. This article focuses on the most relevant information applicable to every-day critical care practice, covering important aspects of general and advanced monitoring, goal directed hemodynamic therapy and treatment principles for perioperative left and right heart failure.

Schlüsselwörter

hämodynamisches Monitoring - postoperative Überwachung - Intensivmedizin - Leitlinie - Herzchirurgie

Key words

hemodynamic monitoring - postoperative monitoring - intensive care medicine - guideline - cardiac surgery

• Literatur

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