Nichtinvasives erweitertes hämodynamisches Monitoring

All the concepts described require an interdisciplinary approach in collaboration between operative physicians and physicians working in non-surgical disciplines like internal medicine, cardiology, and clinical pharmacology. The perioperative continuation of a pre-existing therapy with beta-blockers and other potentially cardioprotective agents like α(2)-agonists and statines is recommended. In the management of patients presenting for major surgery stratification of the perioperative risk is essential which considers both, invasiveness of the surgical procedure and conditions of the patient. Otherwise, side-effects might outweigh benefits of a potentially effective therapy as recently shown for the perioperative administration of beta-blockers that should be restricted to high-risk patients.

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Minimizing cardiac risk in perioperative practice – interdisciplinary pharmacological approaches

Böck

Wiedermann

Motsch

et al. 2011

Wien Klin Wochenschr

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Perioperative Risikoreduktion – eine interdisziplinäre Herausforderung

Böck

Wiedermann²

2008

Wien Med Wochenschr

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Physicians involved in perioperative care have to face new challenges because of the continuing aging of the population and medical progress, which facilitates even more invasive surgery. The risk of surgical procedures is elevated in patients with cardiac co-morbidity necessitating an optimization of both clinical condition and preoperative therapy of these patients. Innovative therapeutic concepts like fast-track surgery, new approaches in coronary revascularisation, and new strategies of anticoagulation require an interdisciplinary treatment of these patients and a strict collaboration of surgeons and anaesthesiologists with the colleagues from other nonsurgical disciplines like internal medicine and cardiology. Physicians should start beforehand the interdisciplinary preparation of surgical patients as out-patients and should continue this approach during the stay in hospital. In this review, we describe the major perioperative cardiac, pulmonary and vascular risks for physicians involved in the treatment of surgical patients.

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Nichtinvasives erweitertes hämodynamisches Monitoring

Abstract: The incidence of hemodynamic instability was significantly reduced during major abdominal surgery when anesthesiologists were aware of the measurement results of extended hemodynamic monitoring.

Cited by 2 publications

References 27 publications

Minimizing cardiac risk in perioperative practice – interdisciplinary pharmacological approaches

Minimizing cardiac risk in perioperative practice – interdisciplinary pharmacological approaches

Perioperative Risikoreduktion – eine interdisziplinäre Herausforderung

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