Notfallüberwachung beim kardiogenen Schock während Intra- und Interhospitaltransport

Abstract

The transport of critically ill patients confers an increased risk for the occurrence of complications. Therefore the exspected benefits have to be higher than the exspected rates of complications. In particular, patients in cardiogenic shock due to myocardial infarction have a very high mortality rate, so the transport should be pursued with the aim of early revascularization to reduce mortality. This can be performed intrahospitally to the cathlab or interhospitally to the next reachable hospital with catheterization opportunities. Therefore in addition to the ECG the monitoring of the patients has to be done using invasive pressure monitoring und pulse oximetry. Extracorporal assist systems are posing particular challenges, since these systems could lead to major complications caused by larger cannulas. However, these systems do not require a more extensive monitoring but above all more personal effort. Hemodynamic monitoring systems do not provide any advantages and are not necessary during the transport. Careful monitoring should lead to a minimal complication rate inside the hospital and a low complication rate for transports between hospitals.

• Literatur

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