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Thromboembolieprophylaxe

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NeuroIntensiv

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Zusammenfassung

Neurochirurgische Patienten tragen ein hohes Risiko für tiefe Beinvenenthrombosen (TBVT) und Lungenembolien (LE): Die Inzidenz klinisch manifester TBVT ohne medikamentöse Prophylaxe beträgt 4,3 %, die subklinischer TBVT 19−50 %. Lungenembolien treten bei 1,5–5 % mit einer Mortalität von 9−50 % auf. Das höchste Risiko mit einer Inzidenz von bis zu 50 % besteht bei Patienten mit hirneigenen Tumoren und nach ischämischem Schlaganfall. Dieser hohen Inzidenz von thromboembolischen Ereignissen bei Neurointensivpatienten stehen die fatalen Konsequenzen einer intrakraniellen oder intraspinalen Blutungskomplikation gegenüber. Die wissenschaftliche Evidenz reicht in der Frage der Thromboembolieprophylaxe von neurochirurgischen Patienten nicht aus, um individuell zu einer Entscheidung zu gelangen. Hier sind dann oft Fingerspitzengefühl und Erfahrung gefragt. Dieses Buchkapitel stellt konkrete und praktikable Empfehlungen für den Klinikalltag vor. Sie sollten als diskutable Vorschläge betrachtet werden und beruhen nicht nur auf wissenschaftlichen Daten, sondern auch auf persönlicher Erfahrung.

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Author information

Authors and Affiliations

  1. Neurologische Klinik, Kantonsspital Schaffhausen, Geissbergstrasse 81, 8200, Schaffhausen, Schweiz

    H. J. Hungerbühler Dr.

  2. Klinik für Neurochirurgie, Universitätsspital Zürich, Rämistrasse 100, 8091, Zürich, Schweiz

    Emanuela Keller Prof. Dr.

Authors
  1. Emanuela Keller Prof. Dr.
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  2. H. J. Hungerbühler Dr.
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Corresponding author

Correspondence to Emanuela Keller Prof. Dr. .

Editor information

Editors and Affiliations

  1. Neurologische Klinik, Universitätklinikum Erlangen, Erlangen, Germany

    Stefan Schwab

  2. Neurologische Klinik und Geriatrie, Johannes Wesling Klinikum Minden, Minden, Germany

    Peter Schellinger

  3. Klinik für Anästhesiologie, Klinikum der Johannes-Gutenberg-Universität Mainz, Mainz, Germany

    Christian Werner

  4. Neurochirurgische Klinik, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany

    Andreas Unterberg

  5. Neurologische Klinik, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany

    Werner Hacke

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Keller, E., Hungerbühler, H.J. (2015). Thromboembolieprophylaxe. In: Schwab, S., Schellinger, P., Werner, C., Unterberg, A., Hacke, W. (eds) NeuroIntensiv. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46500-4_18

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  • DOI: https://doi.org/10.1007/978-3-662-46500-4_18

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-46499-1

  • Online ISBN: 978-3-662-46500-4

  • eBook Packages: Medicine (German Language)

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