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Präventionsmöglichkeiten aus Sicht des Anästhesisten

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Komplikationsmanagement in der Chirurgie

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Zusammenfassung

Im Laufe der letzten 170 Jahre entwickelte sich die Anästhesiologie von einem bloßen Gewährleisten intraoperativer Schmerzfreiheit zu einem perioperativen Managementprozess, dessen Aufgaben weit über die Anästhesie – im eigentlichen Wortsinn – hinausgeht. Neben einer präoperativen Evaluation möglicher patientenbezogener und prozeduraler Risiken und einer akribischen Planung der Vorgehensweise zur Reduktion des individuellen Patientenrisikos gehört eine ständige Überwachung der Vitalfunktionen des Patienten und Aufrechterhaltung der Homöostase ebenso zu den Kernaufgaben des Anästhesisten wie die Gewährleistung der prä-, intra- und postoperativen Schmerzfreiheit.

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Literatur

  • Agborsangaya CB, Lau D, Lahtinen M, Cooke T, Johnson JA (2012) Multimorbidity prevalence and patterns across socioeconomic determinants: a cross-sectional survey. BMC public health 12:201

    Article  PubMed Central  PubMed  Google Scholar 

  • Apfel CC, Laara E, Koivuranta M, Greim CA, Roewer N (1999) A simplified risk score for predicting postoperative nausea and vomiting: conclusions from cross-validations between two centers. Anesthesiology 91(3):693–700

    Article  CAS  PubMed  Google Scholar 

  • Arozullah AM, Conde MV, Lawrence VA (2003aa) Preoperative evaluation for postoperative pulmonary complications. The Medical clinics of North America 87(1):153–173

    Article  PubMed  Google Scholar 

  • Arozullah AM, Henderson WG, Khuri SF, Daley J (2003bb) Postoperative mortality and pulmonary complication rankings: how well do they correlate at the hospital level? Medical care 41(8):979–991

    Article  PubMed  Google Scholar 

  • Bainbridge D, Martin J, Arango M, Cheng D (2012) Evidence-based Peri-operative Clinical Outcomes Research G. Perioperative and anaesthetic-related mortality in developed and developing countries: a systematic review and meta-analysis. Lancet 380(9847):1075–1081

    Article  PubMed  Google Scholar 

  • Bohmer AB, Defosse J, Geldner G, Mertens E, Zwissler B, Wappler F (2014) [Preoperative risk evaluation of adult patients prior to elective non-cardiac surgery : Follow-up survey of the recommendations published in 2010]. Der Anaesthesist 63(3):198–208

    Article  CAS  PubMed  Google Scholar 

  • Canet J, Gallart L, Gomar C, Paluzie G, Valles J, Castillo J et al (2010) Prediction of postoperative pulmonary complications in a population-based surgical cohort. Anesthesiology 113(6):1338–1350

    Article  PubMed  Google Scholar 

  • Cassidy MR, Rosenkranz P, McCabe K, Rosen JE, McAneny D (2013) I COUGH: reducing postoperative pulmonary complications with a multidisciplinary patient care program. JAMA surgery 148(8):740–745

    Article  PubMed  Google Scholar 

  • Cove ME, Pinsky MR (2012) Perioperative hemodynamic monitoring. Best practice & research Clinical anaesthesiology 26(4):453–462

    Article  Google Scholar 

  • Deutsche Gesellschaft für Anästhesiologie und I, Deutsche Gesellschaft für Innere M, Deutsche Gesellschaft für C (2010) [Preoperative evaluation of adult patients prior to elective, non-cardiac surgery: joint recommendations of German Society of Anesthesiology and Intensive Care Medicine, German Society of Surgery and German Society of Internal Medicine]. Der Anästhesist. 59(11):1041-50

    Google Scholar 

  • Dimova V, Lautenbacher S (2010) Chronic postoperative pain. Epidemiology and psychological risk factors. Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie AINS 45(7–8):488–493 (quiz 94)

    PubMed  Google Scholar 

  • Duncan AI, Koch CG, Xu M, Manlapaz M, Batdorf B, Pitas G et al (2007) Recent metformin ingestion does not increase in-hospital morbidity or mortality after cardiac surgery. Anesthesia and analgesia 104(1):42–50

    Article  CAS  PubMed  Google Scholar 

  • Eichhorn JH (2013) Review article: practical current issues in perioperative patient safety. Canadian journal of anaesthesia = Journal canadien d’anesthesie 60(2):111–118

    Article  PubMed  Google Scholar 

  • Engelhard K (2013) Anaesthetic techniques to prevent perioperative stroke. Current opinion in anaesthesiology 26(3):368–374

    Article  CAS  PubMed  Google Scholar 

  • Engelhard K, Werner C (2005) Postoperative cognitive dysfunction. Der Anaesthesist 54(6):588–594

    Article  CAS  PubMed  Google Scholar 

  • Flin R, Patey R, Glavin R, Maran N (2010) Anaesthetists’ non-technical skills. British journal of anaesthesia 105(1):38–44

    Article  CAS  PubMed  Google Scholar 

  • Futier E, Constantin JM, Paugam-Burtz C, Pascal J, Eurin M, Neuschwander A et al (2013) A trial of intraoperative low-tidal-volume ventilation in abdominal surgery. The New England journal of medicine 369(5):428–447

    Article  CAS  PubMed  Google Scholar 

  • Ghaferi AA, Birkmeyer JD, Dimick JB (2009) Variation in hospital mortality associated with inpatient surgery. The New England journal of medicine 361(14):1368–1375

    Article  CAS  PubMed  Google Scholar 

  • Griffiths R, Beech F, Brown A, Dhesi J, Foo I, Goodall J et al (2014) Peri-operative care of the elderly 2014: Association of Anaesthetists of Great Britain and Ireland. Anaesthesia 69(Suppl 1):81–98

    PubMed  Google Scholar 

  • Grosse-Sundrup M, Henneman JP, Sandberg WS, Bateman BT, Uribe JV, Nguyen NT et al (2012) Intermediate acting non-depolarizing neuromuscular blocking agents and risk of postoperative respiratory complications: prospective propensity score matched cohort study. Bmj 345:e6329

    Article  PubMed Central  PubMed  Google Scholar 

  • Hamilton MA, Cecconi M, Rhodes A (2011) A systematic review and meta-analysis on the use of preemptive hemodynamic intervention to improve postoperative outcomes in moderate and high-risk surgical patients. Anesthesia and analgesia 112(6):1392–1402

    Article  PubMed  Google Scholar 

  • Hinrichs-Rocker A, Schulz K, Jarvinen I, Lefering R, Simanski C, Neugebauer EA (2009) Psychosocial predictors and correlates for chronic post-surgical pain (CPSP) – a systematic review. European journal of pain 13(7):719–730

    Article  PubMed  Google Scholar 

  • Imberger G, McIlroy D, Pace NL, Wetterslev J, Brok J, Moller AM (2010) Positive end-expiratory pressure (PEEP) during anaesthesia for the prevention of mortality and postoperative pulmonary complications. The Cochrane database of systematic reviews 9:CD007922

    PubMed  Google Scholar 

  • Koivuranta M, Laara E, Snare L, Alahuhta S (1997) A survey of postoperative nausea and vomiting. Anaesthesia 52(5):443–449

    Article  CAS  PubMed  Google Scholar 

  • Makhabah DN, Martino F, Ambrosino N (2013) Peri-operative physiotherapy. Multidisciplinary respiratory medicine 8(1):4

    Article  PubMed Central  PubMed  Google Scholar 

  • Mashour GA, Shanks AM, Kheterpal S (2011) Perioperative stroke and associated mortality after noncardiac, nonneurologic surgery. Anesthesiology 114(6):1289–1296

    Article  PubMed  Google Scholar 

  • McDowell DS, McComb SA (2014) Safety checklist briefings: a systematic review of the literature. AORN journal 99(1):125–137 (e13)

    Article  PubMed  Google Scholar 

  • Naik VN, Brien SE (2013) Review article: simulation: a means to address and improve patient safety. Canadian journal of anaesthesia = Journal canadien d’anesthesie 60(2):192–200

    Article  PubMed  Google Scholar 

  • Popping DM, Elia N, Van Aken HK, Marret E, Schug SA, Kranke P et al (2014) Impact of Epidural Analgesia on Mortality and Morbidity After Surgery: Systematic Review and Meta-analysis of Randomized Controlled Trials. Annals of surgery 259(6):1056–1067

    Article  PubMed  Google Scholar 

  • Qaseem A, Snow V, Fitterman N, Hornbake ER, Lawrence VA, Smetana GW et al (2006) Risk assessment for and strategies to reduce perioperative pulmonary complications for patients undergoing noncardiothoracic surgery: a guideline from the American College of Physicians. Annals of internal medicine 144(8):575–580

    Article  PubMed  Google Scholar 

  • Ramachandran SK, Nafiu OO, Ghaferi A, Tremper KK, Shanks A, Kheterpal S (2011) Independent predictors and outcomes of unanticipated early postoperative tracheal intubation after nonemergent, noncardiac surgery. Anesthesiology 115(1):44–53

    Article  PubMed  Google Scholar 

  • Reade MC, Finfer S (2014) Sedation and delirium in the intensive care unit. The New England journal of medicine 370(5):444–454

    Article  CAS  PubMed  Google Scholar 

  • Rhodes A, Cecconi M, Hamilton M, Poloniecki J, Woods J, Boyd O et al (2010) Goal-directed therapy in high-risk surgical patients: a 15-year follow-up study. Intensive care medicine 36(8):1327–1133

    Article  PubMed  Google Scholar 

  • Rodgers A, Walker N, Schug S, McKee A, Kehlet H, van Zundert A et al (2000) Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials. Bmj 321(7275):1493

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Rundshagen I (2014) Postoperative cognitive dysfunction. Deutsches Ärzteblatt international 111(8):119–125

    PubMed Central  PubMed  Google Scholar 

  • Rusch D, Eberhart LH, Wallenborn J, Kranke P (2010) Nausea and vomiting after surgery under general anesthesia: an evidence-based review concerning risk assessment, prevention, and treatment. Deutsches Ärzteblatt international 107(42):733–741

    PubMed Central  PubMed  Google Scholar 

  • Sabate S, Mazo V, Canet J (2014) Predicting postoperative pulmonary complications: implications for outcomes and costs. Current opinion in anaesthesiology 27(2):201–209

    Article  PubMed  Google Scholar 

  • Schlaghecke R, Kornely E, Santen RT, Ridderskamp P (1992) The effect of long-term glucocorticoid therapy on pituitary-adrenal responses to exogenous corticotropin-releasing hormone. The New England journal of medicine 326(4):226–230

    Article  CAS  PubMed  Google Scholar 

  • Schulz CM, Endsley MR, Kochs EF, Gelb AW, Wagner KJ (2013) Situation awareness in anesthesia: concept and research. Anesthesiology 118(3):729–742

    Article  PubMed  Google Scholar 

  • Schumann R (2013) Pulmonary physiology of the morbidly obese and the effects of anesthesia. International anesthesiology clinics 51(3):41–51

    Article  PubMed  Google Scholar 

  • Severgnini P, Selmo G, Lanza C, Chiesa A, Frigerio A, Bacuzzi A et al (2013) Protective mechanical ventilation during general anesthesia for open abdominal surgery improves postoperative pulmonary function. Anesthesiology 118(6):1307–1321

    Article  CAS  PubMed  Google Scholar 

  • Sittl R, Irnich D, Lang PM (2013) Update on preemptive analgesia: options and limits of preoperative pain therapy. Der Anästhesist 62(10):789–796

    Article  CAS  Google Scholar 

  • Smetana GW (2006) Preoperative pulmonary evaluation: identifying and reducing risks for pulmonary complications. Cleveland Clinic journal of medicine 73(Suppl 1:):36–41

    Article  Google Scholar 

  • Smetana GW, Lawrence VA, Cornell JE (2006) American College of P. Preoperative pulmonary risk stratification for noncardiothoracic surgery: systematic review for the American College of Physicians. Annals of internal medicine 144(8):581–595

    Article  PubMed  Google Scholar 

  • Van Aken H, Thomson D, Smith G, Zorab J (1998) 150 years of anaesthesia--a long way to perioperative medicine: the modern role of the anaesthesiologist. European journal of anaesthesiology 15(5):520–523

    Article  PubMed  Google Scholar 

  • Weiser TG, Berry WR (2013) Review article: perioperative checklist methodologies. Canadian journal of anaesthesia = Journal canadien d’anesthesie 60(2):136–142

    Article  PubMed  Google Scholar 

  • Weiser TG, Haynes AB, Dziekan G, Berry WR, Lipsitz SR, Gawande AA et al (2010) Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. Annals of surgery 251(5):976–980

    Article  PubMed  Google Scholar 

  • Wittkowski U, Spies C, Sander M, Erb J, Feldheiser A, von Heymann C (2009) [Haemodynamic monitoring in the perioperative phase. Available systems, practical application and clinical data]. Der Anaesthesist 58(8):764–778 (80–86)

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Klinik für Anästhesiologie, Klinikum der Universität München, Campus Innenstadt, Nußbaumstraße 20, 80336, München, Deutschland

    Thomas Marx Dr. med. & Ludwig Ney Dr. med.

Authors
  1. Thomas Marx Dr. med.
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  2. Ludwig Ney Dr. med.
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Correspondence to Thomas Marx Dr. med. .

Editor information

Editors and Affiliations

  1. Chirurgische Klinik und Poliklinik, Klinikum Großhadern der Universität München, München, Bayern, Germany

    Markus Rentsch

  2. Chirurgische Klinik und Poliklinik, Klinikum Großhadern der Universität München, München, Bayern, Germany

    Andrej Khandoga

  3. Chirurgische Klinik und Poliklinik, Klinikum Großhadern der Universität München, München, Bayern, Germany

    Martin Angele

  4. Chirurgische Klinik und Poliklinik, Klinikum Großhadern der Universität München, München, Germany

    Jens Werner

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Marx, T., Ney, L. (2015). Präventionsmöglichkeiten aus Sicht des Anästhesisten. In: Rentsch, M., Khandoga, A., Angele, M., Werner, J. (eds) Komplikationsmanagement in der Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43475-8_6

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  • DOI: https://doi.org/10.1007/978-3-662-43475-8_6

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  • Publisher Name: Springer, Berlin, Heidelberg

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  • Online ISBN: 978-3-662-43475-8

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