Zusammenfassung
Das Monitoring der Herz-Kreislauf-Funktion ist essenzieller Bestandteil der Diagnostik und Therapie kritisch kranker Patienten. Die Verfahren des erweiterten hämodynamischen Monitorings ermöglichen neben der kontinuierlichen invasiven Blutdruckmessung und der Erfassung des zentralen Venendrucks (ZVD), der Pulsoxymetrie und dem EKG die Erfassung der Herz-Kreislauf-Funktion des kritisch kranken Patienten. Die Zielsetzung des hämodynamischen Monitorings umfasst zum einen die kontinuierliche Überwachung der globalen Hämodynamik, um frühzeitig relevante Störungen zu erkennen, zum anderen ermöglicht es die Ursachen für eine hämodynamische Instabilität differenzialdiagnostisch zu identifizieren, um eine zielgerichtete Therapie einleiten zu können.
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Literatur
Verwendete Literatur
Ameloot K, Van De Vijver K, Van Regenmortel N et al (2014) Validation study of Nexfin(R) continuous non-invasive blood pressure monitoring in critically ill adult patients. Minerva Anestesiologica (2014, Epub ahead of print)
Ball PA (2001) Critical Care of Spinal Cord Injury. Spine 26(24 Suppl):27–30
Bath PMW (2005) How to manage blood pressure in acute stroke. J Hypertension 23:1135–1136
Benjamin E et al (1998) Goal-directed transesophageal echocardiography performed by intensivists to assess left ventricular function: comparison with pulmonary artery catheterization. J Cardiothorac Vasc Anesth 12:10–15
Berlit P, Diehl RR (2001) Autonome Funktionsstörungen bei akuten zerebro-vaskulären Erkrankungen. Intensivmed 38:111–117
Berti S, Palmieri C, Ravani M et al (1996) Acute enoximone effect on systemic and renal hemodynamics in patients with heart failure. Cardiovasc Drugs Ther 10:81–87
Charron C, Vignon P, Prat G et al (2013) Number of supervised studies required to reach competence in advanced critical care transesophageal echocardiography. Intensive Care Med 39:1019–1024. doi:10.1007/s00134-013-2838-7
Cheitlin MD, Armstrong WF, Aurigemma GP et al (2003) ACC/AHA/ASE 2003 Guideline Update for the Clinical Application of Echocardiography: summary article. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASE Committee to Update the 1997 Guidelines for the Clinical Application of Echocardiography. J Am Soc Echocardiogr 16:1091–1110
Daniel WG, Erbel R, Kasper W et al (1991) Safety of transesophageal echocardiography. A multicenter survey of 10,419 examinations. Circulation 83:817–821
Diedler J, Sykora M, Jüttler E et al (2009) Intensive care management of acute stroke: general management. Int J Stroke 4:365–78
Dorhout Mees SM, Rinkel GJ, Feigin VL et al (2007) Calcium antagonists for aneurysmal subarachnoid haemorrhage. Cochrane Database Syst Rev 2007:CD000277
Dueck MH, Klimek M, Appenrodt S et al (2005) Trends but Not Individual Values of Central Venous Oxygen Saturation Agree with Mixed Venous Oxygen Saturation during varying hemodynamic Conditions. Anesthesiology 103:249–257
Ekelund A, Reinstrup P, Ryding E et al (2002) Effects of iso- and hypervolemic hemodilution on regional cerebral blood flow and oxygen delivery for patients with vasospasm after aneurysmal subarachnoid hemorrhage. Acta Neurochir (Wien) 144:703–712 (discussion 712–713)
Flachskampf FA, Badano L, Daniel WG et al (2010) Recommendations for transoesophageal echocardiography: update 2010. Eur J Echocardiogr 11:557–576
Gauss A, Anhäupl T, Schütz W (2000) Grundsätze der Katecholamintherapie Teil 2: Leitfaden der klinischen Anwendung. Anästhesiol Intensivmed Notfallmed Schmerzther 35:131–136
Jensen MB, Sloth E, Larsen KM, Schmidt MB (2004) Transthoracic echocardiography for cardiopulmonary monitoring in intensive care. Eur J Anaesthesiol 21:700–707
Kellum JA (2001) Use of dopamine in acute renal failure: a meta-analysis. Crit Care Med 29:1526–1531
Landoni G, Rodseth RN, Santini F et al (2012) Randomized evidence for reduction of perioperative mortality. J Cardiothorac Vasc Anesth 26:764–772
Laupland KB, Bands CJ (2002) Utility of esophageal Doppler as a minimally invasive hemodynamic monitor: a review. Can J Anaesth 49:393–401
Lee VH, Connolly HM, Fulgham JR et al (2006) Tako-tsubo cardiomyopathy in aneurysmal subarachnoid hemorrhage: an underappreciated ventricular dysfunction. J Neurosurg 105:264–270
Lennon MJ, Gibbs NM, Weightman WM et al (2005) Transesophageal echocardiography-related gastrointestinal complications in cardiac surgical patients. J Cardiothorac Vasc Anesth 19:141–145
Manecke GR Jr, Auger WR (2007) Cardiac output determination from the arterial pressure wave: clinical testing of a novel algorithm that does not require calibration. J Cardiothorac Vasc Anesth 21:3–7
Merkel MJ, Brambrink AM (2008) Ischämische Komplikationen in der Neurochirurgie. Einsatz von Kalziumantagonisten. Anästhesist 57:794–802
Michard F, Teboul JL (2002) Predicting fluid responsiveness in ICU patients: a critical analysis of the evidence. Chest 121:2000–2008
Moriaki I, Junji N, Tetsuya H et al (2005) Serial changes of the electrocardiogram during the progression of subarchnoidal hemorrhage. Circulation 112:331–332
Mueller HS, Chatterjee K, Davis KB et al (1998) ACC expert consensus document. Present use of bedside right heart catheterization in patients with cardiac disease. American College of Cardiology. J Am Coll Cardiol 32:840–864
Muzevich KM, Voils SA (2009) Role of vasopressor administration in patients with acute neurologic injury. Neurocrit Care 11:112–119
Myburgh JA (1997) Respiratory and cardiovascular support in severe closed head injury. In: Reilly PL (Hrsg) Head Injury – Pathology and Treatment of Severe Closed Head Injuries. Chapman and Hall, London, S 333–361
Naval NS, Stevens RD, Mirski MA et al (2006) Controversies in the management of aneurysmal subarachnoid hemorrhage. Crit Care Med 34:511–524
Naidech AM, Jovanovic B, Wartenberg KE et al (2007) Higher hemoglobin is associated with improved outcome after subarachnoid hemorrhage. Crit Care Med 35:2383–2389
Penáz J (1992) Criteria for set point estimation in the volume clamp method of blood pressure measurement. Physiol Res 41:5–10
Peters J (1998) Invasive Messung und Interpretation arterieller, venöser und pulmonalvaskulärer Drücke. In: List WF, Metzler H, Pasch T (Hrsg) Monitoring in Anästhesie und Intensivmedizin. Springer, Berlin, S 202–245
Piercy M, McNicol L, Dinh DT et al (2009) Major complications related to the use of transesophageal echocardiography in cardiac surgery. J Cardiothorac Vasc Anesth 23:62–65
Raabe A, Beck J, Berkefeld J et al (2005) Empfehlungen zum Management der aneurysmatischen Subarachnoidalblutung. Zentralbl Neuochir 66:79–91
Raabe A, Beck J, Keller M et al (2005) Relative importance of hypertension compared with hypervolemia for increasing cerebral oxygenation in patients with cerebral vasospasm after subarachnoid hemorrhage. J Neurosurg 103:974–981
Ract C, Vigué B (2001) Comparison of the cerebral effects of dopamine and norepinephrine in severely head injured patients. Intensive Care Med 27:101–106
Reinhart K, Kuhn HJ, Hartog C et al (2004) Continuous central venous and pulmonary artery oxygen saturation monitoring in the critically ill. Intensive Care Med 30:1572–1578
Ringleb PA, Bertram M, Keller E, Hacke W (1998) Hypertension in patients with cerebrovascular accident. To treat or not to treat? Nephrol Dial Transplant 13:2179–2181
Scheer B, Perel A, Pfeiffer UJ (2002) Clinical review: complications and risk factors of peripheral arterial catheters used for haemodynamic monitoring in anaesthesia and intensive care medicine. Crit Care 6:199–204
Schütz W, Anhäupl T, Gauss A (2000) Grundsätze der Katecholamintherapie Teil 1: Charakterisierung der therapeutisch bedeutsamen Sympathomimetika. Anästhesiol Intensivmed Notfallmed Schmerzther 35:67–81
Schwarz S, Schwab S, Keller E et al (1997) Neurogene Störungen der Herz- und Lungenfunktion bei akuten zerebralen Läsionen. Der Nervenarzt 68:956–962
Shah MR, Hasselblad V, Stevenson LW et al (2005) Impact of the pulmonary artery catheter in critically ill patients: meta-analysis of randomized clinical trials. JAMA 294:1664–1670
Seule MA, Stienen MN, Cadosch D et al (2010) Aneurysmatische Subarachnoidalblutung – Diagnostik und Therapie zerebraler und systemischer Komplikationen. Anästhesiol Intensivmed Notfallmed Schmerzther 45:8–16
Steiner LA, Johnsten AJ, Czosnyka M et al (2004) Direct comparison of cerebrovascular effects of norepinephrine and dopamine in head-injured patients. Crit Care Med 32:1049–1054
Stevenson JG (1999) Incidence of complications in pediatric transesophageal echocardiography: experience in 1650 cases. J Am Soc Echocardiogr 12:527–532
The ProCESS Investigators (2014) A Randomized Trial of Protocol-Based Care for Early Septic Shock. N Engl J Med (Mar 18) (Epub ahead of print)
Trappe H-J (2001) Bedrohliche Rhythmusstörungen des Intensiv- und Notfallpatienten. Intensivmed 38:287–298
Treggiari MM, Deem S (2009) Which H is the most important in triple-H therapy for cerebral vasospasm? Curr Opin Crit Care 15:83–86
Treggiari MM, Walder B, Suter PM et al (2003) Systematic review of the prevention of delayed ischemic neorological deficits with hypertension, hypervolemia, and hemodilution therapy following subarachnoid hemorrhage. J Neurosurg 98:978–984
Vieillard-Baron A, Slama M, Mayo P et al (2013) Intensive Care Med 39:629–635. doi:10.1007/s00134-012-2797-4
Vincent J-L, Rhodes A, Perel A et al (2011) Clinical review: Update on hemodynamic monitoring – a consensus of 16. Critical Care 15:229
Yumoto M, Katsuya H (2002) Transesophageal echocardiography for cardiac surgery in children. J Cardiothorac Vasc Anesth 16:587–591
Zechner PM, Seibel A, Aichinger G, Steigerwald M, Dorr K, Scheiermann P, Schellhaas S, Cuca C, Breitkreutz R, Arbeitsgruppe des Moduls 5 in Anästhesie Fokussierte Sonographie der DGAI (2012) Lung ultrasound in acute and critical care medicine. Anaesthesist 61():608–617. doi:10.1007/s00101-012-2046-9
Zink W, Graf BM (2001) Der Pulmonalarterienkatheter. Anaesthesist 50:623–642
Leitlinien
ACCF/AHA Task Force on Practice Guidelines (2010) Practice guidelines for perioperative transesophageal echocardiography. An updated report by the American Society of Anesthesiologists and the Society of Cardiovascular Anesthesiologists Task Force on Transesophageal Echocardiography. Anesthesiology 112:1084–1096
Adams HP Jr, Adams RJ, Brott T et al (2003) Guidelines for the early management of patients with acute ischemic stroke. A statement from the Stroke Council of the American Stroke Association. Stroke 34:1056–1083
American Association of Neurological Surgeons (2002) Guidelines for Management of Acute Cervical Spinal Injuries. Neurosurgery 50(Suppl):58–62
DGN (2008) Leitlinie der Deutschen Gesellschaft für Neurologie. Aneurysmale Subarachnoidalblutung. www.dgn.org/images/stories/dgn/leitlinien/LL2008/ll08kap_028.pdf
DGN (2008) Leitlinie der Deutschen Gesellschaft für Neurologie. www.dgn.org/images/stories/dgn/leitlinien/LL2008/ll08kap_075.pdf
DGN, DSG (2008) Leitlinie der Deutschen Gesellschaft für Neurologie (DGN) und der Deutschen Schlaganfallgesellschaft (DSG) in der Deutschen Gesellschaft für Neurologie. Akuttherapie des ischämischen Schlaganfalls. www.dgn.org/images/stories/dgn/leitlinien/LL2008/ll08kap_023.pdf
ERC (2010) Leitlinie des European Resuscitation Council (ERC). www.cprguidelines.eu/2010/
Dickstein K, Cohen-Solal A, Filippatos G, McMurray JJ, Ponikowski P, Poole-Wilson PA, Strömberg A, van Veldhuisen DJ, Atar D, Hoes AW, Keren A, Mebazaa A, Nieminen M, Priori SG, Swedberg K, ESC Committee for Practice Guidelines (CPG) (2008) ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the diagnosis and treatment of acute and chronic heart failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM). Eur J Heart Fail 10:933–989
European Resuscitation Council, Deakin CD, Nolan JP, Soar J, Sunde K, Koster RW, Smith GB, Perkins GD (2010) European Resuscitation Council Guidelines for Resuscitation 2010 Section 4. Adult advanced life support. Resuscitation 81:1305–1352. doi:10.1016/j.resuscitation.2010.08.017
European Stroke Organisation (ESO) Executive Committee; ESO Writing Committee (2008) Guidelines for management of ischemic stroke and transient ischemic attack 2008. Cerebrovasc Dis 25:457–507
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Treskatsch, S., Carl, M., Spies, C. (2015). Kardiovaskuläres Management. In: Schwab, S., Schellinger, P., Werner, C., Unterberg, A., Hacke, W. (eds) NeuroIntensiv. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46500-4_8
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