Anästhesie bei Patienten mit Cor pulmonale

  • Christoph HoferEmail author
  • Isabel Marcolino
  • Andreas Zollinger
Living reference work entry
Part of the Springer Reference Medizin book series (SRM)


Das Cor pulmonale entwickelt sich in Folge einer länger bestehenden, schweren pulmonalarteriellen Hypertonie. Epidemiologie, Pathophysiologie, klinische Symptomatik und Therapie sind ebenso wie das Ziel während der Anästhesie, den pulmonalarteriellen Widerstand so gut wie möglich zu senken, ohne den systemischen Widerstand zu beeinflussen, Inhalt dieses Kapitels.


  1. 1.
    Barrera R, Shi W, Amar D et al (2005) Smoking and timing of cessation: impact on pulmonary complications after thoracotomy. Chest 127:1977–1983CrossRefPubMedGoogle Scholar
  2. 2.
    Blanch L, Bernabe F, Lucangelo U (2005) Measurement of air trapping, intrinsic positive end-expiratory pressure, and dynamic hyperinflation in mechanically ventilated patients. Respir Care 50:110–123PubMedGoogle Scholar
  3. 3.
    Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin, Deutsche Gesellschaft für Innere Medizin, Deutsche Gesellschaft für Chirurgie (2010) Präoperative Evaluation erwachsener Patienten vor elektiven, nichtkardiochirurgischen Eingriffen. Anaesthesist 59:1041–1050CrossRefGoogle Scholar
  4. 4.
    Dimick JB, Chen SL, Taheri PA et al (2004) Hospital costs associated with surgical complications: a report from the private-sector National Surgical Quality Improvement Program. J Am Coll Surg 199:531–537CrossRefPubMedGoogle Scholar
  5. 5.
    Edrich T, Sadovnikoff N (2010) Anesthesia for patients with severe chronic obstructive pulmonary disease. Curr Opin Anaesthesiol 23:18–24CrossRefPubMedGoogle Scholar
  6. 6.
    Groeben H (2004) Strategies in the patient with compromised respiratory function. Best Pract Res Clin Anaesthesiol 18:579–594CrossRefPubMedGoogle Scholar
  7. 7.
    Gruber EM, Tschernko EM, Kritzinger M et al (2001) The effects of thoracic epidural analgesia with bupivacaine 0.25 % on ventilatory mechanics in patients with severe chronic obstructive pulmonary disease. Anesth Analg 92:1015–1019CrossRefPubMedGoogle Scholar
  8. 8.
    Hill K, Goldstein RS, Guyatt GH et al (2010) Prevalence and underdiagnosis of chronic obstructive pulmonary disease among patients at risk in primary care. CMAJ 182:673–678CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Hulzebos EH, Helders PJM, Nine JF et al (2006) Preoperative intensive inspiratory muscle training to prevent postoperative pulmonary complications in high-risk patients undergoing CABG surgery: a randomized clinical trial. JAMA 296:1851–1857CrossRefPubMedGoogle Scholar
  10. 10.
    Jaber S, Delay JM, Chanques G et al (2005) Outcomes of patients with acute respiratory failure after abdominal surgery treated with noninvasive positive pressure ventilation. Chest 128:2688–2695CrossRefPubMedGoogle Scholar
  11. 11.
    Klein U, Wiedemann K (2011) Anästhesie in der Thoraxchirurgie- Teil I: Präoperative Befunderhebung, Vorbereitung und Atemwegssicherung. Anästhesiol Intensivmed 52:263–283Google Scholar
  12. 12.
    Kramer MR et al (2012) Bilateral sealant lung volume reduction therapy for advanced emphysema. Chest 142:1111–1117CrossRefPubMedGoogle Scholar
  13. 13.
    Man SF, McAlister FA, Anthonisen NR et al (2003) Contemporary management of chronic obstructive pulmonary disease: clinical applications. JAMA 290:2313–2316CrossRefPubMedGoogle Scholar
  14. 14.
    Pappert D, Thomaschewski S (2008) Anaesthesie bei Lungenerkrankungen. Prävention von postoperativen pulmonalen Komplikationen. Anasthesiol Intensivmed Notfallmed Schmerzther 43:204–212CrossRefPubMedGoogle Scholar
  15. 15.
    Pedersen T, Moller AM, Hovhannisyan K (2009) Pulse oximetry for perioperative monitoring. Cochrane Database Syst Rev CD002013Google Scholar
  16. 16.
    Pedoto A, Amar D (2009) Right heart function in thoracic surgery: role of echocardiography. Curr Opin Anaesthesiol 22:44–49CrossRefPubMedGoogle Scholar
  17. 17.
    Pritts CD, Pearl RG (2010) Anesthesia for patients with pulmonary hypertension. Curr Opin Anaesthesiol 23:411–416CrossRefPubMedGoogle Scholar
  18. 18.
    Qaseem A, Snow V, Fitterman N et al (2006) Risk assessment for and strategies to reduce perioperative pulmonary complications for patients undergoing noncardiothoracic surgery: a guideline from the American College of Physicians. Ann Intern Med 144:575–580CrossRefPubMedGoogle Scholar
  19. 19.
    Qaseem A, Snow V, Shekelle P et al (2007) Diagnosis and management of stable chronic obstructive pulmonary disease: a clinical practice guideline from the American College of Physicians. Ann Intern Med 147:633–638CrossRefPubMedGoogle Scholar
  20. 20.
    Rabe KF, Hurd S, Anzueto A et al (2007) Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med 176:532–555CrossRefPubMedPubMedCentralGoogle Scholar
  21. 21.
    Sanchez PG, Kucharczuk JC, Su S et al (2010) National Emphysema Treatment Trial redux: accentuating the positive. J Thorac Cardiovasc Surg 140:564–572CrossRefPubMedGoogle Scholar
  22. 22.
    Sin DD, McAlister FA, Man SF et al (2003) Contemporary management of chronic obstructive pulmonary disease: scientific review. JAMA 290:2301–2312CrossRefPubMedGoogle Scholar
  23. 23.
    Smetana GW, Lawrence VA, Cornell JE (2006) Preoperative pulmonary risk stratification for noncardiothoracic surgery: systematic review for the American College of Physicians. Ann Intern Med 144:581–595CrossRefPubMedGoogle Scholar
  24. 24.
    Sweitzer BJ, Smetana GW (2009) Identification and evaluation of the patient with lung disease. Med Clin North Am 93:1017–1030CrossRefPubMedGoogle Scholar
  25. 25.
    The Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology and the European Respiratory Society (2016) 2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension. Eur Heart J 37:67–119CrossRefGoogle Scholar
  26. 26.
    Zollinger A, Hofer CK, Pasch T (2001) Preoperative pulmonary evaluation: facts and myths. Curr Opin Anaesthesiol 14:59–63CrossRefPubMedGoogle Scholar

Copyright information

© © Springer-Verlag GmbH Deutschland 2016

Authors and Affiliations

  • Christoph Hofer
    • 1
    Email author
  • Isabel Marcolino
    • 1
  • Andreas Zollinger
    • 1
  1. 1.Institut für Anästhesiologie und IntensivmedizinStadtspital Triemli ZürichZürichSchweiz

Section editors and affiliations

  • Bernhard Zwißler
    • 1
  1. 1.Klinikum der Universität München, Klinik für AnästhesiologieMünchenGermany

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