Zusammenfassung
Intraabdominelle Eingriffe stellen einen wesentlichen Schwerpunkt sowohl chirurgischer als auch urologischer und gynäkologischer Interventionen dar. Besonderheiten in der anästhesiologischen Versorgung ergeben sich aus einer Vielzahl von perioperativen Komplikationen und Stürungen der Homüostase, die oft weniger von der operativ zu behandelnden Grundkrankheit als vielmehr durch Rückwirkungen auf vitale Organfunktionen bestimmt werden. Darüber hinaus erfordert die Ausweitung der Alterschirurgie und die damit verbundene zunehmende Morbidität der Patienten ein sorgfältig angepaßtes Narkoseverfahren und eine differenzierte Betrachtungsweise im Hinblick auf die Narkoseführung sowie eine entsprechende Erfahrung und Qualifikation des Anästhesiologen.
Weitere Informationen zum Thema dieses Kapitels sind in folgenden Kapiteln zu finden: 1.1, 1.2, 2.2-2.5, 2.8, 3.1, 3.3, 4.10, 5.6, 6.3, 6.4.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
Literatur
Aldrete JA, Goldman E, De Campo T (1981) Anesthetic implications in hepatic transplantation. In: Brown BR (ed) Anesthesia and the patient with liver disease. Davis, Philadelphia, pp 111–122
Altura BM, Altura BT, Carella A (1980) The effect of ketamine on vascular smooth muscle function. Br J Pharmacol 70: 257–267
Altura BT, Altura BM (1975) Barbiturates and aortic and venous smooth-muscle function. Anesthesiology 43: 432–444
Andrews PLR (1986) Vagal afferent innervation of the gastrointestinal tract. In: Cervero F, Morrison JFB (eds) Elsevier Science Publishers, Progress in brain research, vol 67. Amsterdam, pp 65–86
Arndt JO (1986) The low pressure system: the integrated function of veins. Eur J Anaesthesiol 3: 343–370
Atkinson RS, Rushman GB, Lee JA (1986) Synopsis der Anästhesie. Fischer, Stuttgart New York, S 883
Awe WC, Fletcher WS, Jacob SW (1966) The pathophysiology of aspiration pneumonitis. Surgery 60: 232–237
Batchelder BM, Cooperman LH (1975) Effects of anaesthetics on splanchnic circulation and metabolism. Surg Clin North Am 55: 787–794
Bennett A (1975) Pharmacology of colonic muscle. Gut 16: 307–311
Birnbaum D, Ben Menachen J, Schwartz B (1970) The influence of oral diazepam on gastro-intestinal motility. Am J Proctol 21: 263–267
Birnbaum D, Karmeli F, Tefera M (1971) The effect of diazepam on human gastric secretion. Gut 12: 616–618
Bore WE, Sells RA, Jamieson V, Burrows K (1979) Transfusion-induced renal allograft protection. Transplant Proc 11: 148–151
Bradley SE, Ingelfinger FJ, Bradley GP, Curry JJ (1945) The estimation of hepatic blood flow in man. J Clin Invest 24: 890–897
Bradwell AR, Carmalt MHB, Whithehead TP (1974) Explaining the unexpected abnormal results of biochemical profile investigations. Lancet II:1071–1074
Brower PA, Hartwell Harrison J, Landes RR (1977) Renal transplantation: history. Urology 10 [Suppl]:5–10
Brynger H, Frisk B, Sandberg L, Gelin LE (1978) Renal graft rejection and blood transfusion before and during the transplant operation. Scand J Urol Nephrol 12: 271–273
Bunker JP et al. (eds) (1969) The National Halothane Study: A study of the possible association between halothane anesthesia and postoperative hepatic necrosis. US Government Printing Office, Washington/DC
Carmichael FJ, Lindop MJ (1988) Liver transplantation — anaesthesia and perioperative care. In: Farman JV (ed) Transplant surgery, Elsevier Science Publishers, Amsterdam, pp 376–397
Charap MH (1981) The periodic health examination: Genesis of a myth. Ann Intern Med 95: 733–741
Clarke RSJ, Doggart JR, Lavery T (1976) Changes in liver function after different types of surgery. Br J Anaesth 48: 119–128
Colman RW, Rubin RN (1982) Blood coagulation. In: Arias I, Popper H, Schachter D, Schafritz DA (eds) The liver: biology and pathophysiology, chapter 44. Raven Press, New York
Colucci WS, Wright RF, Braunwald E (1986) New inotropic agents in the treatment of congestive heart failure. N Engl J Med 314: 290–299
Cooperman LH, Warden JC, Price HL (1968) Splanchnic circulation during nitrous oxide anesthesia and hypocarbia in normal man. Anesthesiology 29: 254-258-24. Cousins MJ, Greenstein LR, Hitt BA, Mazze RI (1976) Metabolism and renal effects of enflurane in man. Anesthesiology 44:44-53
Covino BG, Scott DB (1988) Epidurale Anästhesie und Analgesic VCH Verlagsgesellschaft, Weinheim, S 28–33
Crile GW, Lower WE (1921) Surgical shock and the shockless operation through anoci-association. Saunders, Philadelphia
Daniels M, Schroeder SA (1977) Variation among physicians in use of laboratory tests. II. Relation to clinical productivity and outcomes of care. Med Care 15: 482–488
Denlinger JK, Nahrwold ML, Gibbs PS, Lecky JH (1976) Hypocalcaemia during rapid blood transfusion in anaesthetized man. Br J Anaesth 48: 995–1000
Déry R (1971) Theoretical and clinical considerations in anaesthesia for secreting carcinoid tumors. Can Anaesth Soc J 18: 245–263
Deutschs, Goldberg M, Stephen GW, Wu WH (1966) Effects of halothane anesthesia on renal function in normal man. Anesthesiology 27: 793–804
Deutsch S, Bastron RD, Pierce EC, Vandam LD (1969) The effects of anaesthesia with thiopentone, nitrous oxide, narcotics and neuromuscular blocking drugs on renal function in normal man. Br J Anaesth 41: 807–815
Dripps RD, Eckenhoff JE, Vandam LD (1977) Introduction to anesthesia: the principles of safe practice, 5th ed. Saunders, Philadelphia
Durbridge TC, Edwards F, Edwards RG, Atkinsom M (1976) Evaluation of benefits of screening tests done immediately on admission to hospital. Clin Chem 22: 968–971
Dykes MHM (1987) Anesthesia for the patient with liver disease. Semin Anesthesia 6: 114–121
Edwards G, Morton JV, Pask EA, Wylic WD (1956) Deaths associated with anaesthesia. Anaesthesia 11: 194–220
Epstein RM, Wheeler HD, Frumin MJ, Habif DV, Papper EM, Bradley SE (1961) The effect of hypercapnia on estimated hepatic blood flow, circulating splanchnic blood volume and hepatic sulfobromophthalein clearance during general anesthesia in man. J Clin Invest 40: 592–599
Epstein RM, Deutsch S, Cooperman LH, Clement AJ, Price HL (1966) Splanchnic circulation during halothane anesthesia and hypercapnia in normal man. Anesthesiology 27: 654–661
Evans C, Evans M, Pollock AV (1974) The incidence and causes of postoperative jaundice. Br J Anaesth 46: 520–525
Farman JV, Lines JG, Williams RS, Evans DB, Samuel JR, Mason SA, Ashby BS, Calne RY (1974) Liver transplantation in man. Anaesthetic and biochemical management. Anaesthesia 29: 17–32
Fastenmeier K, Flachenecker G (1981) Hochfrequenztechnische Aspekte: Wirkungsweisen und Gefahren. In: Mauermayer W (Hrsg) Transurethrale Operationen. Springer, Berlin Heidelberg New York, S 60–62
Fessai JM, Conn HO (1972) An analysis of the causes and prevention of hepatic coma. Gastroenterology 62: 191–194
Fukuda S, Murakawa T, Takeshita H, Toda N (1983) Direct effects of ketamine on isolated canine cerebral and mesenteric arteries. Anesth Analg 62: 553–558
Gelman S, Ernest EA (1977) Role of pH, pCO2 and O2 content of portal blood in hepatic circulatory autoregulation. Am J Physiol 233:E 255
Gelman S, Fowler KC, Smith LR (1984) Regional blood flow during isoflurane and halothane anesthesia. Anesth Analg 63: 557–565
Gelman S, Fowler KC, Smith LR (1984) Liver circulation and function during isoflurane and halothane anesthesia. Anesthesiology 61: 726–730
Ghoneim MM, Pandya H (1975) Plasma protein binding of thiopental in patients with impaired renal or hepatic function. Anesthesiology 42: 545–549
Goldman L, Caldera DL, Nussbaum SR, Orkin LR (1977) Multifactorial index of cardiac risk in noncardiac surgical procedures. N Engl J Med 297: 845–849
Graf K, Strüm G, Wahlin A (1963) Circulatory effects of succinylcholine in man. Acta Anaesthesiol Scand 14 [Suppl]:16–17
Guedel AE (1937) Inhalation anesthesia. Macmillan, New York, pp 21–40
Hall GM (1978) Body temperature and anaesthesia. Br J Anaesth 50: 39–44
Harth O (1985) Nierenfunktion. In: Schmidt RF, Thews G (Hrsg) Physiologie des Menschen. Springer, Berlin Heidelberg New York Tokyo, S 694
Harth O (1985) Wasserhaushalt, Stoff-und Flüssigkeitstransport. In: Schmidt RF, Thews G (Hrsg) Physiologie des Menschen. Springer, Berlin Heidelberg New York Tokyo, S 704
Heino A, Orko R, Rosenberg PH (1986) Anaesthesiological complications in renal transplantation: A retrospec-tive study of 500 transplantations. Acta Anaesthesiol Scand 30: 574–580
Henderson DJ, Middleton RG (1980) Coma from hypo-natriemie following transurethral resection of prostate. Urology 15: 267–271
Hoekstra PT, Kahnoski RJ, McCamish MA, Bergen W, Heederks DR (1983) Transurethral prostatic resection syndrome — a new perspectice: Encephalopathy with associated hyperammonemia. J Urol 130: 704–707
Hopkinson BR, Schenk WG (1968) The electromagnetic measurement of liver blood flow and cardiac output in conscious dogs during feeding and exercice. Surgery 63: 970–974
Hughes RL, Mathie RT, Cambell D (1979) Systemic hypoxia and hyperoxia and liver blood flow in the greyhound. Pflügers Arch 381: 151–157
Hughes RL, Campbell D, Fitch W (1980) Effects of enflurane and halothane on liver blood flow and oxygen consumption in the greyhound. Br J Anaesth 52: 1079–1086
Hunsicker LG, Oei LS, Freeman RS, Thompson JS, Corry RJ (1980) Transfusion and renal allograft survival. Arch Surg 115: 737–741
Hunter JM, Jones RS, Utting JE (1982) Use of the muscle relaxant atracurium in anephric patients: Preliminary communications. J R Soc Med 75: 336–340
Jacobson ED (1977) Control of splanchnic circulation. Yale J Biol Med 50: 301–306
Kang YG, Martin DJ, Marques J, Lewis JH, Bontempo FA, Shaw BW, Starzl TE, Winter PM (1985) Intraoperative changes in blood coagulation and throm-boelastograph monitoring in liver transplantation. Anesth Analg 64: 888–896
Kehlet H (1988) Influence of neural blockade on the response to surgical procedure. In: Cousins MJ, Briden-bough PO (eds) Neural blockade. Lippincott, Philadelphia, pp 163–171
Klatskin G (1960) Symposion on toxic hepatitis. Clinical aspects. Gastroenterology 38: 789–790
Lange H, Stephan H, Kellermann M, Sonntag H, Bir-cher J (1988) Hepatische Elimination von Propofol bei Patienten in der Koronarchirurgie. Anaesthesist 37: 713
Leaman LM, Levenson L, Zelis R, Shiroff R (1978) Effects of morphine on splanchnic blood flow. Br Heart J 40: 569–571
Leonard JV, Clayton BE, Colley JRT (1975) Use of biochemical profile in children’s hospital: results of two controlled trials. Br Med J II: 662–665
Leier CV, Unverferth DV (1983) Dobutamine. Ann Intern Med 99: 490–494
Levine S, Jacoby M, Satriano P (1981) The effects of amrinone on transport and cAMP metabolism in toad urinary bladder. J Pharmacol Exp Ther 216: 220–224
Levy ML, Palazzi HM, Nardi GL, Bunker JP (1961) Hepatic blood flow variations during surgical anesthesia in man measured by radioactive colloid. Surg Gynecol Obstet 112: 289–294
Lewin I, Lerner AG, Green SH (1971) Physical class and physiological status in the prediction of operative mortality in the age sick. Ann Surg 174: 217–221
Lindop MJ, Farman JV, Smith MF (1983) Anaesthesia assesment and intraoperative management. In: Calne RY (ed) Liver transplantation. Grune & Stratton, London
Little Jr. DM, Stephen CR (1954) Modern balanced anesthesia; A concept. Anesthesiology 15: 246–261
Logan DA, Howie HB, Crawford J (1974) Anaesthesia and renal transplantation: an analysis of fifty-six cases. Br J Anaesth 46: 69–72
Lundy JS (1942) Clinical anesthesia. Saunders, Philadelphia
Makela VHM, Kapur PA (1988) New drugs for the treatment of heartfailure: Amrinone and Milrinone. Semin Anesthesia 7: 92–99
Mancini D, Lejemtel T, Sonnenblick E (1985) Intravenous use of amrinone for the treatment of the failing heart. Am J Cardiol 56:8B-15B
Marquez J, Martin D, Virji MA, Kang YG, Warty VS, Shaw B, Sassano JJ, Waterman P, Winter PM, Pinsky MR (1986) Cardiovascular depression secondary to ionic hypocalcemia during hepatic transplantation in humans. Anesthesiology 65: 457–461
Marx GF, Orkin LR (1962) Complications associated with transurethral surgery. Anesthesiology 23: 802–813
Mason RA, Steane PA (1976) Carcinoid syndrome: Its relevance to the anaesthetist. Anaesthesia 31: 228–242
McArdle L, Unni VKN, Black GW (1986) The effects of thrichloroethylene on limb blood flow in man. Br J Anaesth 40: 767–772
McCammon RL, Stoelting RK, Madura JA (1984) Effects of butorphanol, nalbuphine, and fentanyl on intrabiliary tract dynamics. Anesth Analg 63: 139–142
Mendelson CL (1946) The aspiration of stomach contents into the lungs during obstetric anesthesia. Am J Obstet Gynecol 52: 191–205
Millikan WK, Henderson JM, Steward MT et al (1989) Change in hepatic function, hemodynamics, and morphology after liver transplant. Ann Surg 209: 513–525
Mizuyama K, Takeshima R, Yamaguchi H, Tanaka J, Kondo Y, Yamashita M, Naito H (1989) Anesthetic management of combined kidney and pancreas transplantation. Masui 38: 92–97
Modlin IM, Farndorn JR, Sheperd A, Johnston JDA, Kennedy TL, Montgomery DAD, Welbourn RB (1979) Phaeochromocytomas in 72 patients: clinical and diagnostic features, treatment and long term results. Br J Surg 66: 456–465
Morgan M, Lumley J (1975) Anaesthetic considerations in chronic renal failure. Anaesth Intensive Care 3: 218–226
Nose H (1982) Transvascular fluid shift and redistribution of blood in hypothermia. Jpn J Physiol 32: 831–842
Opelz G, Terasaki PI (1978) Improuvment of kidney-graft survival with increased numbers of blood transfusions. N Engl J Med 299: 799–803
Ovassapian A, Joshi CW, Brunner EA (1982) Visual disturbances: An unusual symptom of transurethral prostatic resection reaction. Anesthesiology 57: 332–334
Peiper HJ (1982) Ösophagus. In: Vossschulte K, Kümmerle F, Weller S (Hrsg) Lehrbuch der Chirurgie, 7. Aufl. Thieme, Stuttgart, S 20.174–20.181
Pitney WR (1971) Disseminated intravascular coagulation. Semin Hematol 8: 65–83
Plütz J, Kutz N, Sommerburg C, Braun J (1989) Injektionsgeschwindigkeit von Succinylcholin und neuromuskulärer Wirkungseintritt, Serumkalium-bzw.-myoglo-binkonzentration. Anaesthesist 38: 408–412
Ramsey PG, Rubin RH, Tolkdorf-Rubin NE, Cosimi AB (1980) The recent transplantat patient with fever and pulmonary infiltrates: etiology, clinical manifestations and management. Medicine 59: 206–222
Reis HJ, Hopt UT, Duncker S, Bockhorn H (1987) Pulmonale Komplikationen nach Nierentransplantationen. Intensivbehandlung 12: 147–153
Richardson PDI (1973) Pharmacological responses of the vasculature of the mammalian smal intestine, with particular regard to the responses of the microcirculation. PH D. Thesis, University of London
Richardson PDI, Withrington PG (1977) The role of beta rezeptors in the response of the hepatic arterial bed of the dog to phenylephrine, isoprenaline, noradrenaline and adrenaline. Br J Pharmacol 60: 239–249
Roberts RB, Shirly MA (1974) Reducing the risk of acid aspiration during caesarian section. Anesth Analg 53: 859–863
Roesch RP, Stoelting RK, Lingeman JE, Kahnoski RJ, Backes DJ, Gephardt SA (1989) Ammonia toxicity resulting from glycine absorbtion during a transurethral resection of the prostate. Anesthesiology 58: 577–579
Rupp SM, Severinghaus JW (1986) Hypothermia. In: Miller RD (ed) Anesthesia. Churchill Livingstone, New York Edinburgh London, p 1998
Salem MR, Bennett EJ, Schweiss JF, Baraka A, Dalai FY, Collins VJ (1975) Cardiac arrest related to anesthesia, contributing factors in infants and children. JAMA 233: 238–241
Sauerbruch F (1904) Ueber die physiologischen und physikalischen Grundlagen bei intrathorakalen Eingriffen in meiner pneumatischen Operationskammer. Arch Klin Chirurg 73: 977–987
Schemel WH (1976) Unexpected hepatic dysfunction found by multiple laboratory screening. Anesth Analg 55: 810–812
Schenk HD, Radke J, Drobnik L, Ruppert I, Sonntag H (1980) Synergistische bzw. antagonistische Wirkung zwischen Dopamin und Droperidol (DHB) auf die allgemeine Hämodynamik und die Nierenfunktion. Anaesthesist 29: 280–281
Scholtholt J, Shiraishi T (1970) The reaction of liver and intestinal blood flow to a generalized hypoxia, hypocapnia and hypercapnia in the anesthetized dog. Pflügers Arch 318: 185–201
Schrock TR, Devene CW, Dunphy JE (1973) Factors contributing to colonic anastomosis. Ann Surg 177: 513–518
Schwarts J, Onesti G (1972) The cardiopulmonary manifestations of uremia and renal transplantation. Radiol Clin North Am 10: 569–581
Sealey MM (1988) Anaesthesia for combined pancreatic and renal transplantation and potassium homeostasis. Eur J Anaesthesiol 5: 193–206
Seeling W, Heinrich H, Oettinger W (1986) Das Eventrationssyndrom: Prostacyclinfreisetzung und akuter paO 2-Abfall durch Dünndarmevenetration. Anaesthesist 35: 738–743
Shaw BW, Martin DJ, Marques JM et al. (1984) Venous bypass in clinical liver transplantation. Ann Surg 200: 524–534
Shipley RE, Study RS (1951) Changes in renal blood flow, extraction of inulin, glomerular filtration rate, tissue pressure and urine flow with acute alterations of renal arterial blood pressure. Am J Physiol 167: 676–688
Simon E (1974) Temperature regulation: The spinal cord as asite of extrahypothalamic thermoregulatory functions. Rev Physiol Biochem Pharmacol 71: 1–76
Slawson KB (1972) Anaesthesia for the patient in renal failure. Br J Anaesth 44: 277–282
Smith RH (1966) Pathological physiology for the anesthesiologist. In: American lecture series, Thomas, Springfield/IL, pp 174–176
Spence AA, Moir DD, Finley WEI (1967) Observations on intragastric pressure. Anaesthesia 22: 249–253
Starzl TE, Koep FLJ, Schrüter JPD, Halgrimson CG, Porter KA, Weil L (1979) Liver replacement for pediatric patients. Pediatrics 63 825–829
Strunin L (1978) Preoperative assessment of the patient with liver dysfunction. Br J Anaesth 50: 25–31
Strunin L, Pettingale KW (1988) Nierenerkrankungen. In: Vickers MD (Hrsg) Innere Medizin für Anästhesisten. Thieme, Stuttgart New York, S 138
Taylor G, Larson CP, Restwich R (1976) Unexpected cardiac arrest during anesthesia and surgery, an environmental study. JAMA 236: 2758–2760
Teabeaut JR (1952) Aspiration of gastric contents. An experimental study. Am J Pathol 28: 51–68
Thurau K, Deetjen P, Kramer K (1960) Hämodynamik des Nierenmarks. II Wechselbeziehung zwischen vaskulärem und tubulärem Gegenstromsystem bei arteriellen Drucksteigerungen, Wasserdiurese und osmotischer Diurese. Pflügers Arch 270: 270–285
Tverskoy M, Gelman S, Fowler KC, Bradley EL (1985) Effects of anaesthesia induction drugs on circulation in denervated intestinal loop preparation. Can Anaesth Soc J 32: 516–524
Van Voorst SJ, Peters TG, Williams JW, Vera SR, Britt LG (1985) Auto transfusion in hepatic transplantation. Am Surg 51: 623–626
Vatner SF, Smith TN (1974) Effect of halothane on left ventricular function and distribution of regional blood flow in dogs. Circ Res 34: 155–167
Vertes V, Cangiano JL, Barman LB, Gould A (1969) Hypertension in end-stage renal disease. N Engl J Med 380: 978–981
Waldeck F (1985) Funktion des Magen-Darm-Kanals. In: Schmidt RF, Thews G (Hrsg) Physiologie des Menschen. Springer, Berlin Heidelberg New York, S 654
Whitaker BI, Dixon RD, Greatorex G (1970) Anastomosis failure in relation to blood transfusion and blood loss. Proc R Soc Med 63: 751–755
Wünneberg W, Brück K (1970) Studies on the ascending pathways from the thermosensitve region of the spinal cord. Pflügers Arch 321: 233–241
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1992 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Sonntag, H. (1992). Abdominale, gynäkologische und urologische Chirurgie. In: Doenicke, A., Kettler, D., List, W.F., Tarnow, J., Thomson, D. (eds) Anästhesiologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-97158-7_25
Download citation
DOI: https://doi.org/10.1007/978-3-642-97158-7_25
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-97159-4
Online ISBN: 978-3-642-97158-7
eBook Packages: Springer Book Archive