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Hämodynamisches Monitoring in der Intensiv- und Notfallmedizin

Integration klinischer und sonographischer Befunde

Hemodynamic monitoring in intensive care and emergency medicine

Integration of clinical signs and ultrasound findings

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Zusammenfassung

Ein hämodynamisches Monitoring gehört zum Standard in der Intensiv- und Notfallmedizin bei Patienten im Schock. Sowohl die klinische Untersuchung wie auch nichtinvasive Verfahren können hierzu genutzt werden. Insbesondere bei der Volumentherapie und dem kardiogenen Schock ist eine bettseitige Ultraschalluntersuchung bereits in den Leitlinien implementiert. Zur Differenzierung der Ursache und zur Steuerung der Therapie ist ein Monitoring unerlässlich. Die vorliegende Übersichtsarbeit zeigt die Möglichkeiten der Integration von klinischen und sonographischen Untersuchungstechniken auf und vergleicht diese mit invasiven Monitoringverfahren.

Abstract

Hemodynamic monitoring is required in critically ill patients presenting with circulatory shock. Besides the clinical evaluation, noninvasive technologies can be used. Guidelines on volume resuscitation and cardiogenic shock already recommend bedside ultrasound as a diagnostic tool. To differentiate the cause of circulatory shock and monitor the effects of therapies, hemodynamic monitoring is necessary. This review discusses possibilities of the different invasive and noninvasive monitoring tools with a focus on the integration of clinical and sonographic parameters.

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Authors and Affiliations

  1. Klinik für Innere Medizin IV, Universitätsklinikum Jena, Klinikum der Friedrich-Schiller-Universität, Jena, Deutschland

    D. Hempel

  2. Klinik III für Innere Medizin, Herzzentrum, Universität zu Köln, Kerpener Str. 62, 50937, Köln, Deutschland

    R. Pfister &  G. Michels

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  1. D. Hempel
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Correspondence to G. Michels.

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Interessenkonflikt

D. Hempel, R. Pfister und G. Michels geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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L. Engelmann, Leipzig

U. Janssens, Eschweiler

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Hempel, D., Pfister, R. & Michels, G. Hämodynamisches Monitoring in der Intensiv- und Notfallmedizin. Med Klin Intensivmed Notfmed 111, 596–604 (2016). https://doi.org/10.1007/s00063-016-0172-x

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  • DOI: https://doi.org/10.1007/s00063-016-0172-x

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