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Kardiozirkulatorisches und respiratorisches Monitoring

  • Ludwig Ney
  • Daniel A. Reuter
Living reference work entry
Part of the Springer Reference Medizin book series (SRM)

Zusammenfassung

Monitoring bedeutet die Überwachung von Körperfunktionen des Patienten sowie der Auswirkungen ärztlicher Interventionen und Therapien. Monitoring umfasst die unmittelbare Patientenbeobachtung mit elementaren ärztlichen Techniken wie Inspektion, Palpation und Auskultation und das für die Anästhesie typische Monitoring der kardiozirkulatorischen und respiratorischen Funktionen, das durchweg durch mechanische und/oder elektrische Hilfsmittel ermöglicht wird.

Supplementary material

Video 1

Die arterielle Blutdruckmessung (WMV 8358 kb)

Literatur

  1. 1.
    Aboukhalil A, Nielsen L, Saeed M, Mark RG et al (2008) Reducing false alarm rates for critical arrhythmias using the arterial blood pressure waveform. J Biomed Inform 41:442–451CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Almog Y, Novack V, Megralishvili R, Kobal S et al (2006) Plasma level of n terminal pro-brain natriuretic peptide as a prognostic marker in critically ill patients. Anesth Analg 102:1809–1815CrossRefPubMedGoogle Scholar
  3. 3.
    Americain_Society_of_Anesthesiologists and Society_of_Cardiovascular_Anesthesiologists (2010) Practice guidelines for perioperative transesophageal echocardiography. An updated report by the american society of anesthesiologists and the society of cardiovascular anesthesiologists task force on transesophageal echocardiography. Anesthesiology 112:1084–1096Google Scholar
  4. 4.
    American_Society_of_Anesthesiologists (2011) Standards for basic anesthestic monitoring. http://www.asahq.org/~/media/sites/asahq/files/public/resources/standards-guidelines/standards-for-basic-anesthetic-monitoring.pdf. Zugegriffen am 17.07.2018
  5. 5.
  6. 6.
    Barash PG, Nardi D, Hammond G, Walker-Smith G et al (1981) Catheter-induced pulmonary artery perforation. Mechanisms, management, and modifications. J Thorac Cardiovasc Surg 82:5–12PubMedGoogle Scholar
  7. 7.
    Barker SJ, Tremper KK, Hyatt J (1989) Effects of methemoglobinemia on pulse oximetry and mixed venous oximetry. Anesthesiology 70:112–117CrossRefPubMedGoogle Scholar
  8. 8.
    Barnes RW, Foster EJ, Janssen GA, Boutros AR (1976) Safety of brachial arterial catheters as monitors in intensive-care unit – prospective evaluation with doppler ultrasonic velocity detector. Anesthesiology 44:260–264CrossRefPubMedGoogle Scholar
  9. 9.
    Belda FJ, Aguilar G, Teboul JL, Pestana D et al (2011) Complications related to less-invasive haemodynamic monitoring. Br J Anaesth 106:482–486CrossRefPubMedGoogle Scholar
  10. 10.
    Bendjelid K, Romand JA (2003) Fluid responsiveness in mechanically ventilated patients: A review of indices used in intensive care. Intensive Care Med 29:352–360CrossRefPubMedGoogle Scholar
  11. 11.
    Bernard GR, Sopko G, Cerra F, Demling R et al (2000) Pulmonary artery catheterization and clinical outcomes – national heart, lung, and blood institute and food and drug administration workshop report. JAMA 283:2568–2572CrossRefPubMedGoogle Scholar
  12. 12.
    Bernstein DP (1986) A new stroke volume equation for thoracic electrical bioimpedance – theory and rationale. Crit Care Med 14:904–909CrossRefPubMedGoogle Scholar
  13. 13.
    Binder JC, Parkin WG (2001) Non-invasive cardiac output determination: comparison of a new partial-rebreathing technique with thermodilution. Anaesth Intensive Care 29:19–23PubMedGoogle Scholar
  14. 14.
    Bloos F, Reinhart K (2005) Venous oximetry. Intensive Care Med 31:911–913CrossRefPubMedGoogle Scholar
  15. 15.
    Brzezinski M, Luisetti T, London MJ (2009) Radial artery cannulation: a comprehensive review of recent anatomic and physiologic investigations. Anesth Analg 109:1763–1781CrossRefPubMedGoogle Scholar
  16. 16.
    Carl MA, Braun J, Dongas A, Erb J, Gaoetz A, Goepfert M, Gogarten W, Grosse J, Heller AR, Heringlake M, Kastrup M, Kroener A, Loer SA, Marggraf G, Markewitz A, Reuter D, Schmitt DV, Schirmer U, Wiesenack C, Zwißler B, Spies C (2010) Intensivmedizinische versorgung herzchirurgischer patienten – hämodynamisches monitoring und herz-kreislauf-therapie. S3-Leitlinie der DGAI und der DGTHGGoogle Scholar
  17. 17.
    Chaitman BR, Waters DD, Theroux P, Hanson JS (1981) S-t segment elevation and coronary spasm in response to exercise. Am J Cardiol 47:1350–1358CrossRefPubMedGoogle Scholar
  18. 18.
    Collinson PO (2009) Natriuretic peptide determinations in critical care medicine: part of routine clinical practice or research test only? Crit Care 13:105CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Compton FD, Zukunft B, Hoffmann C, Zidek W et al (2008) Performance of a minimally invasive uncalibrated cardiac output monitoring system (flotrac/vigileo) in haemodynamically unstable patients. Br J Anaesth 100:451–456CrossRefPubMedGoogle Scholar
  20. 20.
    Connors AF, Speroff T, Dawson NV, Thomas C et al (1996) The effectiveness of right heart catheterization in the initial care of critically ill patients. JAMA 276:889–897CrossRefPubMedGoogle Scholar
  21. 21.
    Coquet I, Darmon M, Doise JM, Degres M et al (2008) Performance of n-terminal-pro-b-type natriuretic peptide in critically ill patients: a prospective observational cohort study. Crit Care 12:R137CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Cote CJ, Goldstein EA, Fuchsman WH, Hoaglin DC (1988) The effect of nail polish on pulse oximetry. Anesth Analg 67:683–686PubMedGoogle Scholar
  23. 23.
    Cuthbertson BH, Amiri AR, Croal BL, Rajagopalan S et al (2007) Utility of b-type natriuretic peptide in predicting perioperative cardiac events in patients undergoing major non-cardiac surgery. Br J Anaesth 99:170–176CrossRefPubMedGoogle Scholar
  24. 24.
    Darmon PL, Hillel Z, Mogtader A, Mindich B et al (1994) Cardiac-output by transesophageal echocardiography using continuous-wave doppler across the aortic-valve. Anesthesiology 80:796–805CrossRefPubMedGoogle Scholar
  25. 25.
    Della Rocca G, Costa MG, Pietropaoli P (2007) How to measure and interpret volumetric measures of preload. Curr Opin Crit Care 13:297–302CrossRefPubMedGoogle Scholar
  26. 26.
    Dellinger RP, Levy MM, Rhodes A, Annane D et al (2013) Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock, 2012. Intensive Care Med 39:165–228CrossRefPubMedGoogle Scholar
  27. 27.
    Deutsche_Gesellschaft_für_Anästhesiologie_und_Intensivmedizin_(DGAI) (2008) Tee-zertifizierung nach den richtlinien der dgai: Aktueller stand und zukünftige regelung. http://www.dgai.de/docman-publikationen/57-tee-zertifizierung-nach-den-richtlinien-der-dgai-pdf. Zugegriffen am 17.07.2018
  28. 28.
    Deutsche_Gesellschaft_für_Anästhesiologie_und_Intensivmedizin_(DGAI) and Berufsverband_Deutscher_Anästhesisten_(BDA) (2013) Mindestanforderungen an den anästhesiologischen arbeitsplatz: Empfehlungen der deutschen gesellschaft für anästhesiologie und intensivmedizin e.V. Und des berufsverbandes deutscher anästhesisten e.V. Anästhesiologie und Intensivmedizin 54:39–42Google Scholar
  29. 29.
    Drop LJ, Toal KW, Geffin GA, Okeefe DD et al (1989) Pulmonary vascular-responses to hypercalcemia and hypocalcemia in the dog. Anesthesiology 70:825–836CrossRefPubMedGoogle Scholar
  30. 30.
    Fleisher LA (2000) Real-time intraoperative monitoring of myocardial ischemia in noncardiac surgery. Anesthesiology 92:1183–1188CrossRefPubMedGoogle Scholar
  31. 31.
    Gidwani UK, Mohanty B, Chatterjee K (2013) The pulmonary artery catheter: a critical reappraisal. Cardiol Clin 31(8): 545–565Google Scholar
  32. 32.
    Hipkins SF, Rutten AJ, Runciman WB (1989) Experimental analysis of catheter-manometer systems in vitro and in vivo. Anesthesiology 71:893–906CrossRefPubMedGoogle Scholar
  33. 33.
    Hofer CK, Furrer L, Matter-Ensner S, Maloigne M et al (2005) Volumetric preload measurement by thermodilution: a comparison with transoesophageal echocardiography. Br J Anaesth 94:748–755CrossRefPubMedGoogle Scholar
  34. 34.
    Iyriboz Y, Hearon CM, Edwards K (1994) Agreement between large and small cuffs in sphygmomanometry: a quantitative assessment. J Clin Monit 10:127–133CrossRefPubMedGoogle Scholar
  35. 35.
    Jardin F, Vieillard-Baron A (2007) Is there a safe plateau pressure in ards? The right heart only knows. Intensive Care Med 33:444–447CrossRefPubMedGoogle Scholar
  36. 36.
    Jones AE, Shapiro NI, Trzeciak S, Arnold RC et al (2010) Lactate clearance vs central venous oxygen saturation as goals of early sepsis therapy: a randomized clinical trial. JAMA 303:739–746CrossRefPubMedPubMedCentralGoogle Scholar
  37. 37.
    Kamath SA, Drazner MH, Tasissa G, Rogers JG et al (2009) Correlation of impedance cardiography with invasive hemodynamic measurements in patients with advanced heart failure: the bioimpedance cardiography (big) substudy of the evaluation study of congestive heart failure and pulmonary artery catheterization effectiveness (escape) trial. Am Heart J 158:217–223CrossRefPubMedPubMedCentralGoogle Scholar
  38. 38.
    Kemp M, Donovan J, Higham H, Hooper J (2004) Biochemical markers of myocardial injury. Br J Anaesth 93:63–73CrossRefPubMedGoogle Scholar
  39. 39.
    Khan S, Trof RJ, Groeneveld AB (2007) Transpulmonary dilution-derived extravascular lung water as a measure of lung edema. Curr Opin Crit Care 13:303–307CrossRefPubMedGoogle Scholar
  40. 40.
    King D, Morton R, Bevan C (2014) How to use capillary refill time. Arch Dis Child Educ Pract Ed 99:111–116CrossRefPubMedGoogle Scholar
  41. 41.
    Levy M, Heels-Ansdell D, Hiralal R, Bhandari M et al (2011) Prognostic value of troponin and creatine kinase muscle and brain isoenzyme measurement after noncardiac surgery: a systematic review and meta-analysis. Anesthesiology 114(4):796–806Google Scholar
  42. 42.
    Lewis RJ (2010) Disassembling goal-directed therapy for sepsis: a first step. JAMA 303:777–779CrossRefPubMedGoogle Scholar
  43. 43.
    London MJ, Hollenberg M, Wong MG, Levenson L et al (1988) Intraoperative myocardial ischemia: localization by continuous 12-lead electrocardiography. Anesthesiology 69:232–241CrossRefPubMedGoogle Scholar
  44. 44.
    Macnaughton PD (2006) New ventilators for the icu – usefulness of lung performance reporting. Br J Anaesth 97:57–63CrossRefPubMedGoogle Scholar
  45. 45.
    Maillet JM, Le Besnerais P, Cantoni M, Nataf P et al (2003) Frequency, risk factors, and outcome of hyperlactatemia after cardiac surgery. Chest 123:1361–1366CrossRefPubMedGoogle Scholar
  46. 46.
    Marx G, Albers J, Bauer M, Eikermann M et al (2014) Intravasale volumentherapie beim erwachsenen. S3-Leitlinie der DGAIGoogle Scholar
  47. 47.
    Moon SW, Lee SW, Choi SH, Hong YS et al (2007) Arterial minus end-tidal co2 as a prognostic factor of hospital survival in patients resuscitated from cardiac arrest. Resuscitation 72:219–225CrossRefPubMedGoogle Scholar
  48. 48.
    Moran KT, Halpin DP, Zide RS, Oberfield RA et al (1988) Long-term brachial artery catheterization: Ischemic complications. J Vasc Surg 8:76–78CrossRefPubMedGoogle Scholar
  49. 49.
    Neuhauser C, Muller M, Brau M, Scholz S et al (2002) partial co(2) rebreathing technique versus thermodilution: Measurement of cardiac output before and after operations with extracorporeal circulation. Anaesthesist 51:625–633CrossRefPubMedGoogle Scholar
  50. 50.
    Osterlund B, Gedeon A, Krill P, Johansson G et al (1995) A new method of using gas exchange measurements for the noninvasive determination of cardiac output: clinical experiences in adults following cardiac surgery. Acta Anaesthesiol Scand 39:727–732CrossRefPubMedGoogle Scholar
  51. 51.
    Patel SI, Souter MJ (2008) Equipment-related electrocardiographic artifacts: causes, characteristics, consequences, and correction. Anesthesiology 108:138–148CrossRefPubMedGoogle Scholar
  52. 52.
    Pauca AL, Hudspeth AS, Wallenhaupt SL, Tucker WY et al (1989) Radial artery-to-aorta pressure difference after discontinuation of cardiopulmonary bypass. Anesthesiology 70:935–941CrossRefPubMedGoogle Scholar
  53. 53.
    Pizov R, Segal E, Kaplan L, Floman Y et al (1990) The use of systolic pressure variation in hemodynamic monitoring during deliberate hypotension in spine surgery. J Clin Anesth 2:96–100CrossRefPubMedGoogle Scholar
  54. 54.
    Poeze M, Ramsay G, Greve JW, Singer M (1999) Prediction of postoperative cardiac surgical morbidity and organ failure within 4 hours of intensive care unit admission using esophageal doppler ultrasonography. Crit Care Med 27:1288–1294CrossRefPubMedGoogle Scholar
  55. 55.
    Prielipp RC, Kelly JS, Roy RC (1995) Use of esophageal or precordial stethoscopes by anesthesia providers: are we listening to our patients? J Clin Anesth 7:367–372CrossRefPubMedGoogle Scholar
  56. 56.
    Pu M, Griffin BP, Vandervoort PM, Leung DY et al (1995) Intraoperative validation of mitral inflow determination by transesophageal echocardiography: comparison of single-plane, biplane and thermodilution techniques. J Am Coll Cardiol 26:1047–1053CrossRefPubMedGoogle Scholar
  57. 57.
    Reinhart K, Kuhn HJ, Hartog C, Bredle DL (2004) Continuous central venous and pulmonary artery oxygen saturation monitoring in the critically ill. Intensive Care Med 30:1572–1578CrossRefPubMedGoogle Scholar
  58. 58.
    Reuter DA, Felbinger TW, Schmidt C, Kilger E et al (2002) Stroke volume variations for assessment of cardiac responsiveness to volume loading in mechanically ventilated patients after cardiac surgery. Intensive Care Med 28:392–398CrossRefPubMedGoogle Scholar
  59. 59.
    Rivers E, Nguyen B, Havstad S, Ressler J et al (2001) Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 345:1368–1377CrossRefPubMedGoogle Scholar
  60. 60.
    Rivers EP, McCord J, Otero R, Jacobsen G et al (2007) Clinical utility of b-type natriuretic peptide in early severe sepsis and septic shock. J Intensive Care Med 22:363–373CrossRefPubMedGoogle Scholar
  61. 61.
    Saugel B, Cecconi M, Wagner JY, Reuter DA (2015) Noninvasive continuous cardiac output monitoring in perioperative and intensive care medicine. Br J Anaesth 114(4):562–575Google Scholar
  62. 62.
    Saugel B, Dueck R, Wagner JY (2014) Measurement of blood pressure. Best Pract Res Clin Anaesthesiol 28:309–322CrossRefPubMedGoogle Scholar
  63. 63.
    Severinghaus JW, Koh SO (1990) Effect of anemia on pulse oximeter accuracy at low saturation. J Clin Monit 6:85–88CrossRefPubMedGoogle Scholar
  64. 64.
    Shanewise JS, Cheung AT, Aronson S, Stewart WJ et al (1999) Ase/sca guidelines for performing a comprehensive intraoperative multiplane transesophageal echocardiography examination: Recommendations of the american society of echocardiography council for intraoperative echocardiography and the society of cardiovascular anesthesiologists task force for certification in perioperative transesophageal echocardiography. Anesth Analg 89:870–884CrossRefPubMedGoogle Scholar
  65. 65.
    Sharkey SW (1987) Beyond the wedge: clinical physiology and the swan-ganz catheter. Am J Med 83:111–122CrossRefPubMedGoogle Scholar
  66. 66.
    Sheak KR, Wiebe DJ, Leary M, Babaeizadeh S et al (2015) Quantitative relationship between end-tidal carbon dioxide and cpr quality during both in-hospital and out-of-hospital cardiac arrest. Resuscitation 89:149–154Google Scholar
  67. 67.
    Sidi A, Paulus DA, Rush W, Gravenstein N et al (1987) Methylene blue and indocyanine green artifactually lower pulse oximetry readings of oxygen saturation. Studies in dogs. J Clin Monit 3:249–256PubMedGoogle Scholar
  68. 68.
    Siegler BH, Bernhard M, Brenner T, Gerlach H et al (2015) ZVD – ade? Bitte nicht! : Kommentar zur s3-leitlinie „intravasale volumentherapie beim erwachsenen“. Anaesthesist 64:489–493CrossRefPubMedGoogle Scholar
  69. 69.
    Sprung CL, Pozen RG, Rozanski JJ, Pinero JR et al (1982) Advanced ventricular arrhythmias during bedside pulmonary artery catheterization. Am J Med 72:203–208CrossRefPubMedGoogle Scholar
  70. 70.
    Suter PM, Fairley B, Isenberg MD (1975) Optimum end-expiratory airway pressure in patients with acute pulmonary failure. N Engl J Med 292:284–289CrossRefPubMedGoogle Scholar
  71. 71.
    Tobias JD (2009) Transcutaneous carbon dioxide monitoring in infants and children. Paediatr Anaesth 19:434–444CrossRefPubMedGoogle Scholar
  72. 72.
    Truijen J, van Lieshout JJ, Wesselink WA, Westerhof BE (2012) Noninvasive continuous hemodynamic monitoring. J Clin Monit Comput 26:267–278CrossRefPubMedPubMedCentralGoogle Scholar
  73. 73.
    Tyburski JG, Carlin AM, Harvey EH, Steffes C et al (2003) End-tidal co2-arterial co2 differences: a useful intraoperative mortality marker in trauma surgery. J Trauma 55:892–896, discussion 896–897CrossRefPubMedGoogle Scholar
  74. 74.
    Verweij J, Kester A, Stroes W, Thijs LG (1986) Comparison of three methods for measuring central venous pressure. Crit Care Med 14:288–290CrossRefPubMedGoogle Scholar
  75. 75.
    Watson A, Visram A (2001) Survey of the use of oesophageal and precordial stethoscopes in current paediatric anaesthetic practice. Paediatr Anaesth 11:437–442CrossRefPubMedGoogle Scholar
  76. 76.
    Yldzdas D, Yapcoglu H, Ylmaz HL (2004) The value of capnography during sedation or sedation/analgesia in pediatric minor procedures. Pediatr Emerg Care 20:162–165CrossRefPubMedGoogle Scholar
  77. 77.
    Yong PG, Geddes LA (1987) The effect of cuff pressure deflation rate on accuracy in indirect measurement of blood pressure with the auscultatory method. J Clin Monit 3:155–159CrossRefPubMedGoogle Scholar
  78. 78.
    Zöllner C, Haller M, Weis M, Mörstedt K et al (2000) Beat-to-beat measurement of cardiac output by intravascular pulse contour analysis: a prospective criterion standard study in patients after cardiac surgery. J Cardiothorac Vasc Anesth 14:125–129CrossRefPubMedGoogle Scholar

Copyright information

© © Springer-Verlag GmbH Deutschland 2015

Authors and Affiliations

  1. 1.Klinik für Anaesthesiologie und Chirurgische Klinik IKlinikum der Universität MünchenMünchenDeutschland
  2. 2.Klinik und Poliklinik für Anästhesiologie und IntensivtherapieUniversitätsmedizin RostockRostockDeutschland

Section editors and affiliations

  • Rolf Rossaint
    • 1
  1. 1.Klinik für operative Intensivmedizin und Intermediate CareUniversitätsklinikum AachenAachenDeutschland

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