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Anästhesie in der pädiatrischen Kardiologie

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Weiterbildung für Anästhesisten 2002

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Zusammenfassung

Kinder mit angeborenen Herzfehlern stellen ein anspruchsvolles Patientengut dar. Die kardiale Pathomorphologie ist häufig mit weiteren Fehlbildungen assoziiert, die auch atemwegsrelevant sein können. Im folgenden Beitrag werden die Pathophysiologie der wichtigsten Herzfehler sowie Ablauf und spezifische Risiken interventioneller Verfahren dargestellt. Die differenzierte Beatmungs- und Pharmakotherapie des pulmonalvaskulären Widerstands, die Therapie von lebensbedrohlichen Arrhythmien und die kardiopulmonale Reanimation von Säuglingen und Kleinkindern müssen vom betreuenden Anästhesisten beherrscht werden. Bei der Auswahl des Anästhesieverfahrens bietet die Allgemeinanästhesie Vorteile gegenüber der Sedierung bzw. Analgosedierung. Verlässliche Immobilisierung, ein gesicherter Atemweg und gute Steuerbarkeit sind wichtige Vorzüge.

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Author information

Authors and Affiliations

  1. Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Kiel, Deutschland

    Dr. Berthold Bein, P. H. Tonner, A. Paris, M. Steinfath, P. Dütschke & J. Scholz

  2. Klinik für Kinderkardiologie und Biomedizinische Technik, Universitätsklinikum Kiel, Deutschland

    R. Grabitz & H.-H. Kramer

  3. Klinik für Anästhesie, Intensivmedizin und Schmerztherapie, St. Bernward Krankenhaus, Hildesheim, Deutschland

    G. von Knobelsdorff

  4. Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Kiel, Schwanenweg 21, 24105, Kiel, Deutschland

    Dr. Berthold Bein

Authors
  1. Dr. Berthold Bein
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  2. P. H. Tonner
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  3. A. Paris
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  4. M. Steinfath
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  5. R. Grabitz
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  6. G. von Knobelsdorff
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  7. P. Dütschke
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  8. H.-H. Kramer
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  9. J. Scholz
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Editor information

Editors and Affiliations

  1. Klinik für Anästhesiologie, Universität Heidelberg, Im Neuenheimer Feld 110, D-69120, Heidelberg, Deutschland

    Hubert J. Bardenheuer

  2. Klinik für Anästhesiologie und operative Intensivmedizin Zentralklinikum, Stenglinstraße 2, D-86156, Augsburg, Deutschland

    Helmuth Forst

  3. Klinik für Anästhesiologie, Medizinische Einrichtungen der RWTH Aachen, Pauwelsstraße 30, D-52074, Aachen, Deutschland

    Rolf Rossaint

  4. Service d’Anesthésiologie Centre Hospitalier, Universitaire Vaudois - CHUV, Rue du Bugnon 46, CH-1011, Lausanne, Schweiz

    Donat R. Spahn

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Bein, B. et al. (2003). Anästhesie in der pädiatrischen Kardiologie. In: Bardenheuer, H.J., Forst, H., Rossaint, R., Spahn, D.R. (eds) Weiterbildung für Anästhesisten 2002. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-10888-8_7

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  • DOI: https://doi.org/10.1007/978-3-662-10888-8_7

  • Publisher Name: Springer, Berlin, Heidelberg

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  • Online ISBN: 978-3-662-10888-8

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