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Erschienen in: Notfall +  Rettungsmedizin 4/2012

01.05.2012 | CME Zertifizierte Fortbildung

Echokardiographie in der Notaufnahme

Erkennen des kardialen Low-Output-Versagens

verfasst von: Dr. J. Schmidt, A. Maier, M. Christ

Erschienen in: Notfall + Rettungsmedizin | Ausgabe 4/2012

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Zusammenfassung

Patienten, die sich in der Notaufnahme mit hämodynamischer Instabilität bzw. einem manifesten Schock präsentieren, stellen differenzialdiagnostisch eine große Herausforderung für den Notfallmediziner dar. Eine rasche Diagnosestellung mit Erkennen der zugrunde liegenden Pathologie, z. B. einem kardialen Low-Output-Versagen, ist für die Therapie und das Überleben des kritisch kranken Patienten entscheidend. Hierbei ist die Echokardiographie am Patientenbett als bildgebendes Verfahren unerlässlich. Nicht eine ausführliche kardiologische, sondern eine schnelle, fokussierte und die wesentliche Pathologie erfassende echokardiographische Untersuchung sollte in der Erstversorgung einer Notaufnahme gewährleistet sein. Eine primäre echokardiographische Unterscheidung in „erhaltene“ vs. „nichterhaltene“ linksventrikuläre Ejektionsfraktion mit anschließend strukturiertem Erfassen bzw. Ausschließen wichtiger Differenzialdiagnosen ist diagnostisch zielführend.
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Metadaten
Titel
Echokardiographie in der Notaufnahme
Erkennen des kardialen Low-Output-Versagens
verfasst von
Dr. J. Schmidt
A. Maier
M. Christ
Publikationsdatum
01.05.2012
Verlag
Springer-Verlag
Erschienen in
Notfall + Rettungsmedizin / Ausgabe 4/2012
Print ISSN: 1434-6222
Elektronische ISSN: 1436-0578
DOI
https://doi.org/10.1007/s10049-012-1606-5

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