Skip to main content
SpringerLink
Log in

Perioperative Infusionstherapie und Ernährung

  • Chapter
  • First Online:
Ernährungsmedizin Pädiatrie

  • 8002 Accesses

Zusammenfassung

Fehler in der perioperativen Infusions- und Volumentherapie führen allein in den USA zu geschätzten 15.000 Todesfällen pro Jahr (Arieff 1998). Ein verbessertes Verständnis pathophysiologischer Grundlagen hat in den vergangenen Jahren dazu geführt, dass die perioperative Infusionstherapie im Kindesalter sich stark gewandelt hat. Die traditionelle Verwendung hypotoner Infusionslösungen in der Kinderanästhesie ist mittlerweile obsolet. Handlungsempfehlungen des wissenschaftlichen Arbeitskreises Kinderanästhesie der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin (DGAI) aus dem Jahr 2010 sowohl die perioperative Nüchternheitsgrenzen als auch die intraoperative Infusionstherapie betreffend sowie mittlerweile kommerziell erhältliche Vollelektrolytlösungen mit 1–2% Glukose werden helfen, die Volumensubstitution im Kindesalter einfacher und sicherer durchzuführen.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 69.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Arieff A, Ayus JC, Fraser CL (1992) Hyponatraemia and death or permanent brain damage in healthy children. BMJ 304: 1218–1222

    Article  PubMed  CAS  Google Scholar 

  • Arieff A (1998) Postoperative hyponatraemic encephalpoathy following elective surgery in children. Paediatr Anaesth 8: 1–4

    Article  PubMed  CAS  Google Scholar 

  • Becke K, Schmidt J (2007) Das aspirationsgefährdete Kind – Rapid Sequence Induction im Kindesalter. Anästhesiol Intensivmed Notfallmed Schmerzther 9: 624–630

    Article  Google Scholar 

  • Berkenstadt H et al. (2001) Stroke volume variation as a predictor of fluid responsivenessin patients undergoing brain surgery. Anesth Analg 92: 984–989

    Article  PubMed  CAS  Google Scholar 

  • Berleur MP, Dahan A, Murat I, Hazebroucq G (2003) Perioperative infusions in paediatric patients: rationale for using Ringer-lactate solution with low dextrose concentration. J Clin Pharm Ther 28: 31–40

    Article  PubMed  CAS  Google Scholar 

  • Brady M, Kinn S, O’Rourke K, Randhawa N, Stuart P (2005) Preoperative Fasting for preventing preoperative complications in children. Cochrane Database Syst Rev:CD005285

    Google Scholar 

  • Burchardi H, Larsen R, Schuster HP, Suter PM (2004) Die Intensivmedizin. 9. Aufl. Springer, Berlin Heidelberg

    Google Scholar 

  • Chong Sung K, Kum Suk P, Mi Ja Y, Kyoung Ok K (2006) Effects ofintravascularvolume therapy using hydroxyethyl starch (130/0,4) on postoperative bleeding and transfusion requirements in children undergoing cardiac surgery: a randomized clinical trial. Acta Anaesthesiol Scand 50: 108–111

    Article  CAS  Google Scholar 

  • Choong K, Kho ME, Menon K, Bohn D (2006) Hypotonic versus isotonic saline in hospitalised children: a systematic review. Arch Dis Child 91: 828–835

    Article  PubMed  CAS  Google Scholar 

  • De Felice C et al. (2002) The pulse oximeter perfusion index as a predictor for high illness severity in neonates. Eur J Pediatr 161: 561–562

    Article  PubMed  Google Scholar 

  • DGAI und BDA (2004) Präoperatives Nüchternheitsgebot bei elektiven Eingriffen. Stellungnahme der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin (DGAI) und des Berufsverbandes Deutscher Anästhesisten (BDA). Anästh Intensivmed 45: 722

    Google Scholar 

  • Dubois MC, Gouyet L, Murat I (2002) Lactated Ringer with 1% Dextrose:an appropriate solution for perioperative fluid therapy in children. Paed Anaesth 12: 99–104

    Google Scholar 

  • Duke T, Molyneux EM (2003) Intravenous fluids for seriously ill children: time to reconsider. Lancet 362: 1320–1323

    Article  PubMed  Google Scholar 

  • Finberg L (2004) Hospital-acquired hyponatremia. Pediatrics 114: 1741

    Article  PubMed  Google Scholar 

  • Frommelt PC (2005) Update on pediatric echocardiography. Curr Opin Pediatr 17: 579–585

    Article  PubMed  Google Scholar 

  • Haas T, Preinreich A, Oswald E et al. (2007) Effects of albumin 5 % and artificial colloids on clot formation in small infants. Anesthesia 62:1000–1007

    Article  CAS  Google Scholar 

  • Hackl JM (1999) Leitfaden der künstlichen Ernährung. 3. Aufl. Zuckschwerdt, München

    Google Scholar 

  • Hagemann H (1999) Natürliche und künstliche Kolloide bei Kindern. Anaesthesiol Intensivmed Notfallmed Schmerzther 34: 781–784

    CAS  Google Scholar 

  • Hatherill M, Waggie Z, Salie S, Argent A (2004) Hospital-acquired hyponatremia is associated with excessive administration of intravenous maintenance fluid. Pediatrics 114: 1368–1369

    Article  PubMed  Google Scholar 

  • Ho AM, Karmakar MK, Contardi LH, Ng SS Hewson JR (2001) Excessive use of normal saline in managing traumatized patients in shock: a preventable contributor to acidosis. J Trauma 51: 173–177

    Article  PubMed  CAS  Google Scholar 

  • Holliday MA, Ray PE, Friedman AL (2007) Fluid therapy for children: facts, fashions and questions. Arch Dis Child 92: 546–550

    Article  PubMed  Google Scholar 

  • Holliday MA, Segar WE, Friedman A, Chesney R, Finberg L (2004) Intravenous fluids forseriously ill children. Lancet 363: 241–242

    Article  PubMed  Google Scholar 

  • Holliday MA, Segar WE, Friedman A (2003) Reducing errors in fluid therapy management. Pediatrics 111: 424–425

    PubMed  Google Scholar 

  • Holliday MA, Segar WE (1957) The maintenance need for water in parenteral fluid therapy. Pediatrics 19: 823–832

    PubMed  CAS  Google Scholar 

  • Hughes DG, Mather SJ, Wolf AR (1996) Handbook of neonatal anaesthesia. Saunders, London

    Google Scholar 

  • Huskisson L (1992) Intravenousvolume replacement: which fluidand Why? ArchDis Child 67: 649–653

    Article  CAS  Google Scholar 

  • Smith I, Kranke P, Murat I et al. (2011) Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology. Eur J Anaesthesiol 28: 556–569

    Article  PubMed  Google Scholar 

  • Lonnqvist PA (2007) Inappropriate perioperative fluid management in children: time for a solution?! Paediatr Anaesth 17: 203–205

    Article  PubMed  Google Scholar 

  • Moritz ML, Ayus JC (2004) Hospital-acquired hyponatremia: why are there still deaths? Pediatrics 113: 1395–1396

    Article  PubMed  Google Scholar 

  • Moritz ML, Ayus JC (2005) Preventing neurological complications from dysnatremias in children. Pediatr Nephrol 20: 1687–1700

    Article  PubMed  Google Scholar 

  • Murat I, Dubois MC (2008) Perioperative fluid therapy in paediatrics. Pediatr Anaesth 18: 363–370

    Article  Google Scholar 

  • Pauli C, Fakler U, Genz T et al. (2002) Cardiac output determination in children: equivalence of the transpulmonary thermodilution method to the direct Fick principle. Intensive Care Med 28: 947–952

    Article  PubMed  CAS  Google Scholar 

  • Paut O, Lacroix F (2006) Recent developments in the perioperative fluid management for the paediatric patient. Curr Opin Anaesthesiol 19: 268–277

    Article  PubMed  Google Scholar 

  • Pierro A, Eaton S (2008) Metabolism and nutrition in the surgical neonate. Semin Pediatr Surg 17: 276–284

    Article  PubMed  Google Scholar 

  • Roberts KB (2004) Hospital-acquired hyponatremia is associated with excessive administration of intravenous maintenance fluid. Pediatrics 114: 1743–1744

    Article  PubMed  Google Scholar 

  • Sander M, Spies CD, Foer A et al. (2007) Agreement ofcentral venous saturation and mixed venous saturation in cardiac surgery patients. Intensive Care Med 33: 1719–1725

    Article  PubMed  Google Scholar 

  • Schmidt J, Strauss JM, Becke K, Giest J, Schmitz B (2007) Handlingsempfehlung zur Rapid-Sequence-Induction im Kindesalter. Anästh Intensivmed 48: S88–93

    Google Scholar 

  • Schreiner MS, Nicolson SC, Martin T, Whitney L (1992) Should children drink before discharge from day surgery? Anesthesiology 76: 528–533

    Article  PubMed  CAS  Google Scholar 

  • Schroth M (2007) Anästhesie und Intensivmedizin bei Kindern. Parenterale Ernährung im Kindesalter. Thieme, Stuttgart

    Google Scholar 

  • Schwarz U (1999). Intraoperative Flüssigkeitstherapie bei Säuglingen und Kleinkindern. Anaesthesist 48: 41–50

    Article  PubMed  CAS  Google Scholar 

  • Simbruner G (2003) The safety of hydroxyethyl starch use in newborns and its short- and long-term benefits in hypovolemic patients. Pediatr Crit Care Med 4: 388

    Article  PubMed  Google Scholar 

  • Snaith R, Peutrell J, Ellis D (2008) An audit of intravenous fluid prescribing and plasma electrolyte monitoring; a comparison with guidelines from the National Patient Safety Agency. Paediatr Anesth 18: 940–946

    Article  Google Scholar 

  • Soderlind M, Salvignol G, Petal I (2001) Use of albumin, blood transfusion and intraoperative glucose by APA and ADARPEF members: a postal survey. Paed Anaesth 11: 685–689

    Article  CAS  Google Scholar 

  • Spahn DR, Schanz U, Pasch T (1998) Perioperative Transfusiosindikationen. Anaesthesist 47: 1011–1020

    Article  PubMed  CAS  Google Scholar 

  • Standl T, Lochbuehler H, Galli C et al. (2008) HES 130/0.4 (Voluven) or human albumin in children younger than 2 yr undergoing non-cardiac surgery. A prospective, randomized, open label, multicenter trial. Eur J Anaesthesiol 25: 437–445

    Article  PubMed  CAS  Google Scholar 

  • Steward PC, McGrath K (2007) Paediatric maintenance fluids. Br J Anaesth 98: 406

    Article  Google Scholar 

  • Strauss JM, Sümpelmann R (2007) Perioperative fluid guideline in preterms, newborns, toddlers and infants. Anaesthesiol Intensivmed Notfallmed Schmerzther 42: 634–641

    Article  Google Scholar 

  • Sümpelmann R, Hollnberger H, Schmidt J, Strauß JM (2006) Empfehlungen zur perioperativen Infusionstherapie bei Neugeborenen, Säuglingen und Kleinkindern. Anästh Intensivmed 47: 616–619

    Google Scholar 

  • Sümpelmann R, Kretz FJ, Gabler R et al. (2008) Hydroxyethyl starch 130/0.42/6.1 für prerioperative plasma volume replacement in children: preliminary results of a European Prospective Multicenter Observational Postauthorization Safety Study (PASS). Paediatr Anaesth 18: 929–933

    Article  PubMed  Google Scholar 

  • Sümpelmann R, Strauss JM, Osthaus A (2010) Perioperative fluid and volume therapy in children. Anästh Intensivmed 51: 274–284

    Google Scholar 

  • Sümpelmann R, Witt L, Brütt M et al. (2010) Changes in acid-base, electrolyte and hemoglobin concentrations during infusion of hydroxyethyl starch 130/0.42/6:1 in normal saline or in balanced electrolyte solution in children. Pediatr Anaesth 20: 100–104

    Article  Google Scholar 

  • Sümpelmann R (2007) Perioperative Flüssigkeitstherapie bei Kindern. DAAF Refresher Course, Band 33. Aktiv Druck, Ebelsbach

    Google Scholar 

  • Thöns M, Sefrin P (2007) Glukosehaltige Infusionen in der Notfallmedizin? Notarzt 23: 7–9

    Article  Google Scholar 

  • Tibby SM et al (2001) Are transoesophageal Doppler parameters a reliable guide to paediatric haemodynamic status and fluid management? Intensive Care Med 27: 201–205

    Article  PubMed  CAS  Google Scholar 

  • Warner MA, Warner ME, Warner DO et al. (1999) Perioperative pulmonary aspiration in infants and children. Anesthesiology 90: 66–71

    Article  PubMed  CAS  Google Scholar 

  • Way C, Dhamrait R, Wade A, Walker I (2006) Perioperative fluid therapy in children: a survey of current prescribing practice. Br J Anaesth 97: 371–379

    Article  PubMed  CAS  Google Scholar 

  • Zander R (2009) Flüssigkeitstherapie. Bibliomed, Melsungen

    Google Scholar 

  • Zander R (2009) Intracranial pressure and hypotonic infusion solutions. Anaesthesist 58: 405–409

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik für Anästhesie und Intensivmedizin, Universitätsklinik Greifswald, Friedrich-Löffler-Straße 23 B, 17487, Greifswald, Deutschland

    Dr. M. Zach

Authors
  1. Dr. M. Zach
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Akademisches Lehrkrankenhaus der, Charit, Kinder- und Jugendmedizin, Ev. Waldkrankenhaus Spandau, Stadtrandstr. 555, Berlin, 13589, Germany

    Frank Jochum

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Zach, M. (2013). Perioperative Infusionstherapie und Ernährung. In: Jochum, F. (eds) Ernährungsmedizin Pädiatrie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29817-2_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-29817-2_19

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-29816-5

  • Online ISBN: 978-3-642-29817-2

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation