Zusammenfassung
Erkrankungen der Atmungsorgane gehören zu den wichtigsten Determinanten der perioperativen Morbidität und Letalität. Ernste respiratorische Komplikationen treten vor allem in der postoperativen Phase auf. Große Bedeutung für das Minimieren des pulmonalen Risikos kommt der perioperativen Evaluation der Lungenfunktion zu, die ein frühzeitiges Erkennen patienten- sowie operationsassoziierter Risikofaktoren ermöglicht. Insbesondere die intraoperative Beurteilung respiratorischer Parameter hat als kostengünstiges und effektives Verfahren in den letzten Jahren an Bedeutung gewonnen. Der folgende Artikel stellt Möglichkeiten und Grenzen des perioperativen Monitorings der Lungenfunktion dar. Besondere Schwerpunkte liegen neben der präoperativen Evaluation der Lungenfunktion insbesondere in der intraoperativen Interpretation respiratorischer Druck-, Fluss- und Volumendarstellungen.
Abstract
Respiratory diseases contribute significantly to perioperative morbidity and mortality. Severe pulmonary complications usually emerge postoperatively. To minimise pulmonary risk, the perioperative evaluation of lung function is of major significance, allowing the identification of patient and surgery-related risk factors. In particular, the significance of the intraoperative assessment of lung function has gained in importance over the last few years. The following article describes the possibilities and frontiers of the perioperative assessment of lung function, and focuses especially on the significance of preoperative pulmonary function tests and the intraoperative interpretation of respiratory pressure, flow, and volume loops.
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Berger, M.M., Gust, R. Perioperative Evaluation der Lungenfunktion. Anaesthesist 54, 273–288 (2005). https://doi.org/10.1007/s00101-005-0820-7
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DOI: https://doi.org/10.1007/s00101-005-0820-7