Zusammenfassung
Insbesondere bei älteren und multimorbiden Patienten besteht im Rahmen von gastrointestinalen und renalen Akuterkrankungen gehäuft die Notwendigkeit zu einer intensivmedizinischen Überwachung und Behandlung. Dies gilt in erster Linie für Patienten mit einer manifesten Kreislauf- oder Rhythmusinstabilität, einer akuten Herzinsuffizienz oder schwerwiegenden metabolischen bzw. Elektrolytentgleisungen. Neben einer Sicherstellung der vitalen Funktionen gehört die Überwachung und Steuerung spezifischer Therapieverfahren (z. B. der Nierenersatztherapie) sowie die Früherkennung von Sekundärkomplikationen zu den Aufgaben der Intensivmedizin. Jenseits des Basismonitoring umfassen die verfügbaren Methoden ein breites Spektrum von der Pulsoxymetrie bis zum Pulmonalarterienkatheter, welche abgestuft unter Bewertung des vorliegenden Krankheitsbilds Anwendung finden.
Abstract
Predominantly elderly and multimorbide patients require frequently intensive care observation and treatment due to acute gastrointestinal and renal disease. Manifest circulatory and rhythm instability, acute heart failure and severe metabolic or electrolyte derangements present indications for submission to a critical care unit. Stabilization of vital functions, control of specific therapeutic procedures (e. g. renal replacement therapy), and early recognition of secondary complications belong to the tasks of intensive care. Beyond a baseline monitoring available procedures comprises a broad spectrum from pulseoxymetrie to pulmonary artery catheter monitoring depending of the need of the individual patient.
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Pethig, K., Figulla, H.R. Kardiopulmonales Monitoring bei gastroenterologischen und renalen Notfällen. Internist 46, 310–314 (2005). https://doi.org/10.1007/s00108-005-1358-0
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DOI: https://doi.org/10.1007/s00108-005-1358-0
Schlüsselwörter
- Kardiopulmonales Monitoring
- Gastroenterologische Notfälle
- Nierenversagen
- Echokardiographie
- Pulmonaliskatheter