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Postoperative Intensivbehandlung einschließlich Beatmung in der Thoraxchirurgie

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Thoraxchirurgie

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Zusammenfassung

Dank minimalinvasiver Chirurgie und moderner Anästhesie- und Analgesie-Verfahren ist bei Patienten nach thoraxchirurgischen Eingriffen die unmittelbare Extubation und die Weiterbehandlung auf IMC-Stationen in vielen Fällen anzustreben. Eine intensivmedizinische Therapie wird dann nötig, wenn es im postoperativen Verlauf zur progredienten respiratorischen Insuffizienz, zu einer hämodynamischen Instabilität oder zu einer Dekompensation der zugrunde liegenden Komorbiditäten kommt. Im Fokus der Behandlung stehen dann die Therapie der Hypoxie, der Schwäche der Atempumpe, der hämodynamischen Instabilität, der Entzündung und der Multiorgandysfunktion. Die Beatmungstherapie, die Analgesie, das Flüssigkeitsmanagement, die Vasopressor- und inotrope Therapie sowie die Infektionskontrolle müssen sorgfältig angepasst werden, um die Rekonvaleszenz zu fördern und weitere Organinsuffizienzen zu vermeiden.

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Authors and Affiliations

  1. Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinik Freiburg, Freiburg, Deutschland

    Johnnes Kalbhenn & Torsten Loop

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  1. Johnnes Kalbhenn
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  2. Torsten Loop
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Correspondence to Torsten Loop .

Editor information

Editors and Affiliations

  1. Sektion Thoraxchirurgie, Klinikum rechts der Isar der Technischen Universität München, München, Deutschland

    Hans Hoffmann

  2. Klinik für Thoraxchirurgie, Florence-Nightingale-Krankenhaus, Düsseldorf, Deutschland

    Corinna Ludwig

  3. Klinik für Thoraxchirurgie Medizinische Fakultät, Universitätsklinikum Freiburg, Freiburg, Deutschland

    Bernward Passlick

Section Editor information

  1. Florence Nightingale Krankenhaus, Düsseldorf, Deutschland

    Corinna Ludwig

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Kalbhenn, J., Loop, T. (2023). Postoperative Intensivbehandlung einschließlich Beatmung in der Thoraxchirurgie. In: Hoffmann, H., Ludwig, C., Passlick, B. (eds) Thoraxchirurgie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-59146-8_19

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  • DOI: https://doi.org/10.1007/978-3-662-59146-8_19

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