Zusammenfassung
Lungenerkrankungen wie COPD oder Asthma sind bedeutende Risikofaktoren perioperativer
pulmonaler Komplikationen. Die Optimierung dieser Erkrankungen ist deshalb wichtiger
Bestandteil des präoperativen Managements. Das Wissen um die Pathophysiologie und
medikamentöse Therapie ist dabei essenziell.
Abstract
Preoperative identification of patients with an increased risk for perioperative pulmonary
complications is crucial for the anesthesiological management. These complications
were underestimated in the past, but are associated with an increased morbidity and
mortality when occuring. Patients with preexisting pulmonary diseases are at increased
risk for perioperative pulmonary complications. In the recent past more emphasis was
placed on preoperative optimization of the underlying pulmonary diseases like COPD
or Asthma bronchiale. The knowledge of pathophysiology and pharmacological treatment
options in this special subset of patients is essential. It has been shown that preventive
programs in the preoperative setting were able to reduce pulmonary complications.
Schlüsselwörter
COPD - Asthma bronchiale - präoperative Evaluation - Anästhesie
Key words
COPD - Asthma bronchiale - preoperative evaluation - Anaesthesia
