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Start Over Author "Schirmer U" Topic cardiothoracic surgery
5 results on '"Schirmer U"'

4. S3-Leitlinie zur intensivmedizinischen Versorgung herzchirurgischer Patienten: Hämodynamisches Monitoring und Herz-Kreislauf-System

Author

Carl, M., Alms, A., Braun, J., Dongas, A., Erb, J., Goetz, A., Goepfert, M., Gogarten, W., Grosse, J., Heller, A. R., Heringlake, M., Kastrup, M., Kroener, A., Loer, S. A., Marggraf, G., Markewitz, A., Reuter, D., Schmitt, D. V., Schirmer, U., Wiesenack, C., Zwissler, B., and Spies, C.

Subjects
Postoperative Care, Blood Volume, volume therapy, Critical Care, cardiothoracic surgery, Intensivmedizin, lcsh:R, Hemodynamics, lcsh:Medicine, intensive care medicine, 610 Medical sciences, Medicine, Article, positive inotropic and vasoactive drugs, Volumentherapie, monitoring, positiv inotrope und vasoaktive Substanzen, Kardiochirurgie, ddc: 610, Germany, Practice Guidelines as Topic, Humans, Vasoconstrictor Agents, ddc:610, Cardiac Surgical Procedures, Monitoring, Physiologic
Abstract

Hemodynamic monitoring and adequate volume-therapy, as well as the treatment with positive inotropic drugs and vasopressors are the basic principles of the postoperative intensive care treatment of patient after cardiothoracic surgery. The goal of these S3 guidelines is to evaluate the recommendations in regard to evidence based medicine and to define therapy goals for monitoring and therapy. In context with the clinical situation the evaluation of the different hemodynamic parameters allows the development of a therapeutic concept and the definition of goal criteria to evaluate the effect of treatment. Up to now there are only guidelines for subareas of postoperative treatment of cardiothoracic surgical patients, like the use of a pulmonary artery catheter or the transesophageal echocardiography. The German Society for Thoracic and Cardiovascular Surgery (Deutsche Gesellschaft für Thorax-, Herz- und Gefäßchirurgie, DGTHG) and the German Society for Anaesthesiology and Intensive Care Medicine (Deutsche Gesellschaft für Anästhesiologie und lntensivmedizin, DGAI) made an approach to ensure and improve the quality of the postoperative intensive care medicine after cardiothoracic surgery by the development of S3 consensus-based treatment guidelines. Goal of this guideline is to assess the available monitoring methods with regard to indication, procedures, predication, limits, contraindications and risks for use. The differentiated therapy of volume-replacement, positive inotropic support and vasoactive drugs, the therapy with vasodilatators, inodilatators and calcium sensitizers and the use of intra-aortic balloon pumps will also be addressed. The guideline has been developed following the recommendations for the development of guidelines by the Association of the Scientific Medical Societies in Germany (AWMF). The presented key messages of the guidelines were approved after two consensus meetings under the moderation of the Association of the Scientific Medical Societies in Germany (AWMF)., GMS German Medical Science; 8:Doc12; ISSN 1612-3174

Published
2019

5. S3 guidelines for intensive care in cardiac surgery patients: hemodynamic monitoring and cardiocirculary system

Author

Schmitt, D. V., Schirmer, U., Markewitz, A., Reuter, D., Marggraf, G., Loer, S. A., Kroener, A., Kastrup, M., Heringlake, M., Heller, A. R., Gogarten, W., Grosse, J., Goepfert, M., Goetz, A., Erb, J., Dongas, A., Braun, J., Alms, A., Carl, M., Wiesenack, C., Zwissler, B., and Spies, C.

Subjects
intensive care medicine, cardiothoracic surgery, monitoring, volume therapy, positive inotropic and vasoactive drugs, Medicine
Abstract

Hemodynamic monitoring and adequate volume-therapy, as well as the treatment with positive inotropic drugs and vasopressors are the basic principles of the postoperative intensive care treatment of patient after cardiothoracic surgery. The goal of these S3 guidelines is to evaluate the recommendations in regard to evidence based medicine and to define therapy goals for monitoring and therapy. In context with the clinical situation the evaluation of the different hemodynamic parameters allows the development of a therapeutic concept and the definition of goal criteria to evaluate the effect of treatment. Up to now there are only guidelines for subareas of postoperative treatment of cardiothoracic surgical patients, like the use of a pulmonary artery catheter or the transesophageal echocardiography. The German Society for Thoracic and Cardiovascular Surgery (Deutsche Gesellschaft für Thorax-, Herz- und Gefäßchirurgie, DGTHG) and the German Society for Anaesthesiology and Intensive Care Medicine (Deutsche Gesellschaft für Anästhesiologie und lntensivmedizin, DGAI) made an approach to ensure and improve the quality of the postoperative intensive care medicine after cardiothoracic surgery by the development of S3 consensus-based treatment guidelines. Goal of this guideline is to assess the available monitoring methods with regard to indication, procedures, predication, limits, contraindications and risks for use. The differentiated therapy of volume-replacement, positive inotropic support and vasoactive drugs, the therapy with vasodilatators, inodilatators and calcium sensitizers and the use of intra-aortic balloon pumps will also be addressed. The guideline has been developed following the recommendations for the development of guidelines by the Association of the Scientific Medical Societies in Germany (AWMF). The presented key messages of the guidelines were approved after two consensus meetings under the moderation of the Association of the Scientific Medical Societies in Germany (AWMF).

Published
2010

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